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Home My WebLink About1640 MARITIME DR; ; CB042494; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Electrical Permit Permit No: CB042494 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1640 MARITIME DR CBAD St: TP ELEC Status: Parcel No: 2150821100 Lot#: 11 Applied: Entered By: Reference#: Plan Approved: Issued: Project Title: MORNING RIDGE-TEMP POWER POLE Inspect Area: Applicant: TEMP POWER SYSTEMS 750 N. CITRACADO PKWY. ESCONDIDO CA 92025 760 439-1999 Electric Issue Fee Single Phase per AMP Three Phase per AMP Three Phase 480 Per AMP Remodel/Alteration per AMP Remodel Fee Temporary Service Fee Test Meter Fee Other Electrical Fees Additional Fees TOTAL PERMIT FEES 0 0 0 0 Owner: KEYSTONE ARLSBAD 28 LLC 5333 MISSION CENTER RD #360 SAN DIEGO CA 92108 ISSUED 06/22/2004 RMA 06/2212004 06/22/2004 $10.00 $0.00 $0.00 $0.00 $0.00 $0.00 $10.00 $0.00 $0.00 $0.00 $20.00 Total Fees: $20.00 Total Payments To Date: $0.00 Balance Due: $20.00 Inspector: Date: 4962 06/22/04 0002 01 CGP Clearance: NOTICE: Please take NOTICE that approval of your project includes the "lmposit n" o fees, edications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any fe s exacti ns I hi h ou hav revi usl b n iv n a N Tl imil r o thi r which h st t of limita i ns h ... -------~----- 02 20.00 PERMIT APPLICATION CITY OF CARLS'BAD BUILDING DEPARTMENT 1635 Faraday Ave,, Carlsbad, CA 92008 1. Address !include Bldg/Suite #) Business Name legal Description Subdivision Name/Number Amsso•;;f'e~p Power Pole Existing Use Description or Work SQ. FT. #of Stories 2. CONTACT' PERSON Jlf-dif_fereiit-fiom'aPPIICallt} Name Address City 3 • APP~Gary §Jeymom 2lr~''§'.0~antli'Pe5lte";'V~"e'J\~iy9'.2084 Name Address City · 4 " PRD:K;y~t~rie CommUilities 5333 MissiotiCtf Rd.;S.b; 92108' Name Address · City 6, ;CONTRAC:"TQR"4-C0MPANV NAME-· FOR OFFICE USE O~ PLAN CHECK No.W6~4i~ EST. VAL. __________ _ Plan Ck. Deposit ____ _,,,,_ __ _ Validated By C/',2? Date O,/.-L .l, ( L1.J- Unit No. Phase No. Total # of units Proposed Use # of Bedrooms # of Bathrooms State/Zip Telephone# Fax # 760-439-1999 State/Zip Telephone# S.tate/Zip Telephone# iSec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, Improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law !Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code] or that he Is exempt therefrom, end the basis for the alleged ,xemptiolltfehlp''PoWer';S'y§ieMs '2'.fsgcs•. ''Shliffi'F@i'A\\'t!,''V'i~~ CA~•-,'26'~1$ mo,e th,n f;v•16@l-439'-> 1999, Name Address City State/Zip Stm uc,nso # -*-'--'14~S'"'3;J'4-3,-.31--License Class ---~C~J~Q~--City Business License # Designer Name Address City State/Zip Telephone State License # _________ _ 6.; ,WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: O I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is Issued. D I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My worker's compensation insurance carrier and policy number are: lnsu,onc, Company "'State Fund PoHcyNo, 1589783-2003 . . 10/01/04 Exp1rat1on Date _______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$100) OR LESS) 0 CERTIFICATE OF EXEMPTION: J certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California, WARNING: Failure thousand dollars {$ orkers' compensation coverage is unlawful, and shall subject en employer to criminal penalties and civil fines up to one hundred ddltlon to the cost of compensation, damages as provided for in Section 3706 of the Labor code, lnterast and attorney's fees. .~:GNATUAE ___ -'.L..-!f~"--""----------=:-----;',TJ:~.:;.~;-•• ~ .. ~ .. ~x.~,~.~----,,;~.-1 ,,:;,;::~<::~~~~%" .1-,-7..::,~:,;r.,~,,,;;::,:,!'Y O J, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure Is not intended or offered for sale (Sec, 7044, Business and Professions Code: The Contractor's License law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one yeilr of completion, the owner-builder will have the burden of proving that he did not build or improve for the Purpose of sale). 0 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(sl licensed pursuant to the Contractor's License Law). 0 t am exempt under Section ______ Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ONO 2. I (have / have not) signed an apptlcation for a building permit for the proposed work.. 3. I have contracted with the following person (firm) to provide the proposed construction (include name/ address/ phone number/ contractors license number): 4. I plan to provide portions of the work, but I hava hired the following person to coordinate, supervise and provide the major work (include name / address / phone number/ contractors license number): ________________________________________________ _ 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name/ address J phone number/ type of work): ___________________________________________________________ _ PROPERTY OWNER SIGNATURE-,-------------------------- ,COMPLETE THIS SECTION FQR.NONif/fiS/{)ENTIAL BVILDING PERMITS'QJ'4W{•· · Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D YES O NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? O YES O NO Is the facility to be constructed within 1,000 feat of the outer boundary of a school site? 0 YES O NO IF ANY ·OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 8,' : CONSTRUCTHJ.N .LENDING·AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued /Sec. 3097(i) Civil Code). LENDER'S NAME _______________ _ ,9, ·, Af)fl.lCANT CERTIACATJON I certify that I have read the application and state that ~he above information is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the Cltt of Carlsbad to enter upon the above mentioned property for inspection purposes. I ~LSO AGREE TO SAVE, INDEMNIFY ANO KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. EXF:'IRATION: Every permit Issued by the building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not co enced within 180 days from the date of such permit or if the building or work authorized by such permit Is suspended or abandoned at any time after the work is com n f period of 180 days (Section 106.4.4 Uniform Building Code), APPLICANT'S SIGNATURE DA TE (}(p ,:p. -0'{ WHITE: File YELLOW: Applicant PINK: Finance .,._, -~ ., •• ··•' '•·--·'n= ffl -· City of Carlsbad Bldg Inspection Request For: 07/08/2004 Permit# CB042494 Title: MORNING RIDGE-TEMP POWER POLE Description: Type: ELEC Sub Type: Job Address: 1640 MARITIME DR Suite: TP Lot 11 Location: APPLICANT TEMP POWER SYSTEMS Owner: Remarks: Total Time: CD Description Act Comment Inspector Assignment: Phone: 7606446107 Inspector: ---- Requested By: GARY Entered By: CHRISTINE 32 39 Const. Service/ Agricultural Final Electrical u;_ _____ _ Associated PCRs/CVs Inspection History Date Description Act lnsp Comments