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Home My WebLink About2353 MICA RD; TP; CB110166; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 01-24-2011 Electrical Permit Permit No: CB110166 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Building Inspection Request Line (760) 602-2725 2353 MICA RD CBAD St: TP ELEC 2132821400 Lot#: VERIDIAN -200 AMP TEMPORARY POWER POLE FOR CONSTRUCTION 0 Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 01/24/2011 RMA 01/24/2011 01/24/2011 Applicant: POWER FABRICATING INC DAVIDSON GREENS NORTH 144 LL C 625 S FEE ANA ST PLACENTIA CA 92870 714 223-3600 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 200 0 0 0 1302C CAMINO DEL MAR DEL MAR CA 92014 $10.00 $50.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $60.00 Total Fees: $60.00 Total Payments To Date: $60.00 Balance Due: Inspector FINAL APPROVAL,, Date: / · ~s · I ( Clearance: \ • 2..S • \ '- $0.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of tees, dedications, 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 tees/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 f hi h v r i I n iv n N i ii r hi whi h h t l'mi i n i I ~ « ... ~, ~ CITY OF CARLSBAD JOB ADDRESS 2 3' $5 CT/PROJECT# LT# Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718/ 2719 PHAS # Fax: 760-602-8558 www.carlsbadca.gov # BATHROOMS Plan Check No. Est. Value Plan Ck. Deposit DESCRIPTION OF WORK: Include Square Feet of Affected AIN(sJ r .... ,. i, \-L ~ r EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE CONTACT NAME (It Dlfrerent Fom AppllcantJ ADORES CITY PHONE EMAIL PROPERTY OWNER NAME -r,. \ ,..._ or ADDRESS IS" (. .. CITY -:r..-,1l vi-L- -J4-1 -I "1.,0 0 STATE ZIP FAX STATE ZIP tA 2~,~ FAX YES □#_ NO □ APPLICANT NAME ADDRESS {., '5 <,,. CITY \ -p t.L,<,n. PHONE .,, EMAIL ADDRESS t., 2,. 5 'Fe.<..- CITY "'l L~ r-k t.,,.n Tl o-. PHONE 1 14 -2.-2-i -s-~o B v,.a.J\ STATE c,q FAX STATE c:..~ FAX SWPP <X>NSTR. lYPE OCC. GROUP ~+. ZIP flRE SPRINKLERS YES O NO □ 970 ARCH/DESIGNER NAME & ADDRESS STATE UC.# CLASS ,CITY BUS. UC.# CJO I z:z f/B-Z- (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair anr structure, prior to its issuance, also r~uires 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 exem~t therefrom, and the basis for the alleged exemption. Any violation of Section ?031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {:t,500}). WORKERS' COMPENSATION Workln' Compensation Declaratkm: / hereby affirm under penBlty of perjury one of the following d6cl8f8lions: □ I have and wiH 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 !his permit is issued. r;,ti have and wil maintain worki'9i compensatlon~as required by Section 3700 of the Labor Code, for the perfonnance of the work for which this permit is issued. My workers' compensalioo in~ra""'rrrier and policy oumbe,a,e,lasu,a""'Co.O cl i24f""llc. C£U\-~".\S., (_e. PoloyNo. A!LCIJ'l-9Sol oos: Expi,ationOale ,0 ~ t ~2011 , This section need not be completed if lhe permit is for one hundred dollars ($100) or less. □ Certtncate of Exemption: I certify that in lhe performance of the work for which this permit is issued, I shall not employ any person in any manner so as lo become suti;ect to the Workers' Compensation Laws of Gatifomia. WARNING: FUlure to secure workers' nsatlon age I unlawful, and shall subject an employer to criminal penattles and clvll fines up to one hundred thousand dollars (&100,000), In addition to the coat of compensation, damagn as ed for In T'l"".,..rT'lhe Labor code, Interest and attorney's fees. AS CONTRACTOR SIGNATURE 01ilaeNT I hereby affirm that I am exempt from Coolractor's License Law for the following f88son: □ I, as owner of the property or my employees with wages as their sole compensation, will do the work and the sln.Jcture Is not intended or offered for sale (Sec. 7044, Busil18SS and Professions Code: The Contractor's License Law does not apply to an O'Mler 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. H, however, the building or improvement is sold within one year of completion, the owner-bull(ter will have the burden of proving that he did not build or improve for lhe purpose of sale). D 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 lo an OWfl8f of property who builds or improves thereon, and contracts for such pro;ects with contractor(s) licensed pursuant lo lhe Contractor's license Law). □ I am exempt undM Section ---~Business and Professions Code fol' this reason: 1. I personalty plan to provide the major labor and materials for construction of the proposed property improvement. □ Yes □ No 2. I (have/ have not) signed an applicalion for a building permit for the proposed work. 3. I have contracted 'Mlh lhe following person tfirm) to provide the proposed construction (include name address I phone/ contractors' license number): 4. I plan to provide JlO!llons of lhe work, but I have hired the following person to coordinate, supervise and provide the major work (include name/ address I phone/ contractors' license number): 5. I will provide some of the work, but I have contracted (hired) the foHcrtting persons lo provide the work Indicated (loduda name / address / phone / type of 'MJrk); _6S PROPERTY DWNERSIGNAllJff:E □AGENT DATE COMPLETE THIS SECTION FOR NON~RESIDENTIAL BUILDING PERMITS ONLY Is the applicant ot future building occupant required to submit a business plan, acutely hazardous materials registration foon or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous substance Account Act? □ Yes □ No Is the applicant or future building occupant required to obtain a permit from the air pollution control disbict or air queli ly management disbict? □ Yes □ No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? · □ Yes □ No F 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 OFFlCE OF EMERGENCY SERVICES AND lHE AIR POLLUTION CONlROL DISTRjCT. CONSTRUCTION LENDING AGENCY I hereby affirm that there 1s a oonstruction lending agency for the perfonnance of the work this permit ,s issued (Sec 3097 (1) Civil Code) lender's Name lender's Address APPLICANT CERTIFICATION I oertlythat I have ieadthe application and state that the aboYe lnfonnation Is correct and that the lnfonnatlon on the plans Is accurate. I agn,e to complywllh all 01¥ordlnances and Stale laws relatlng10 bulkllngconstrucdon. I heleby auroize -IM! of f1e Cify al Ca-t, enler upon f1e above rrontioned propel1y for ilspedion i>Jrposes. I ALSO AGREE TO SAVE, l'-OEMNIFY ANO KEEP HARMLESS THE CllY OF CARI.S8AD AGAINST ALL LL'IBLITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAIOCITY IN CONSEQUENCE OF THE GRANTING OF TH~ PERMrT. OSHA"" OSHA penni is requm ilr excavams.,., so· deep and -lion orconslrucoon olslrucues CNef3 sbies il heiihl. 180days from f1e daleolsuch pemit or Wfle · orv.ak ~ pe,ml is suspended or abandoned al 01yliro allerfle v.ak is Olllll1l!l10!d for a period . 180 days (Sectioo 106.4.4 Uliilnn a.dingCode) . EXPIRATKJN: E"81)' pemit osued byfle . . ~I under~ . of ~is Code shall e,pie by lmilatioo ar<I become nul and void lfle buidilg orv.ak aullorizsd by such pemit ii nalcoomenced ilfllli1 .6APPLICANT'SSIGNATURE 'l}Jt DATE I ·l,'-\-2J> ~\ City of Carlsbad Bldg Inspection Request For 01/25/2011 Permit# CB110166 Title: VERIDIAN -200 AMP TEMPORARY Description: POWER POLE FOR CONSTRUCTION Type:ELEC Job Address: Suite: Location: 2353 MICA RD TP Sub Type: Lot: 0 APPLICANT POWER FABRICATING INC Owner: DAVIDSON GREENS NORTH 144 LL C Remarks: Total Time: CD Description Act Comments Inspector Assignment: Phone: 7143084950 lnspector:dL-- Requested By: STEVE Entered By: CHRISTINE 32 Const. Service/Agricultural 39 Final Electrical =f __ P ____ _ Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act lnsp Comments