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HomeMy WebLinkAbout1732 POINSETTIA LN; MP; CB994557; Permit' City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 12/11/2000 Electrical Permit Permit No:CB994557 Building Inspection Request Line (760) 602-2725 Job Address: 1732 POINSETTIA LN CBAD Mf Permit Type: ELEC Parcel No: Reference #: Project Title: IRRIG METER PED 100 AMP Applicant: POWER PLUS 436 N QUINCE ESCONDIDO CA 92025 760-839-9430 Lot#: 0 Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 12/10/1999 JM 12/10/1999 12/10/1999 JL Total Fees: $35.00 Total Payments To Date: $35.00 Balance Due: 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 TOTAL PERMIT FEES Inspector: Tl 100 0 0 0 FINAtiliR~AL Date: / ( l) D Clearance: $10.00 $25.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $35.00 $0.00 NOTICE: Please take NOTICE that approval of your project includes the 'Imposition' of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permtt 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 Ca~sbad 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 capactiy changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which vou have oreviouslv been oiven a NOTICE similar to this or as to which the statute of limitations has oreviouslv otheiwise exoired. ,// -- FOR OFFICE USE ONLY PLAN CHECK NO. ?1'1557 Pr.RMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 EST. VAL. _________ _ Plan Ck. Deposit ..:::.p,..+-.------- Validated By _ ___::~~J..--r--+--- Date. _______ -+~...,-lrl+-+-1~ Address (include Bldg/Suite #) Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total I of units ~e::/"gUse Proposed Use SO. FT. I of Bedrooms I of Bathrooms 2. CONT ACT'PERSON"Of clfferarit •from ;appaCaiftU:.:~W1:{(r;~.;,, ;!t~~:.~~J1£~::;'.::rd~::r1t.~~1J~~~~~~-,\ tit{~~: ~~~j;.~ ~~~r~~·t•~;lA:;(,~j~~~..i ~ · ' ~ .:,h ~, ,,. ( Name Address ' City State/Zip Telephone I Fax I i3 .. , "APPLICANT ·□' Contractor':,;t~A 'enttbr:°C1irrtiicfur:V,~:~i,:~-,·· ·' ~iot:Owriei;c ,:.~;:.,, ·:· ~; ;.:z ':::f; =~; :;.~•i· r ., . 6,." ,. ~-~ . . . •-;;f•· .. x =· ·:z ,.. ~-~·~ ..... Z. Ziif"-70: ~ City State/Zip (Sec. 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 o! the Business and ProfeHlona Code! or that he Is exempt therefrom, and the basis for the alleged ption. Any violation of Section 7031.5 by any a plican for a permit subjects the applicant to a civil pe~lty f n~t ml'!8 t n five hundred doll s ($5 01). we '/ w ,$ u,;, c 57;" CoM:x,e ~ '<::? C) --~_?O Name Address City State/Zip Telephone I State License I .......:::5;.__2._3.=~:...._.9,....:~=---City Business License I _______ _ Designer Name Address City State/Zip Telephone State License I _________ _ 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. ~ 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 compensatioy insur~ce carrier and policy nu'?Per are: :;:. _ V Insurance Company z rq re £ 4 ~d Policy No. / :s-s 5 //0 -99:-' Expiration Date .? ~ -oo (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS! O CERTIFICATE OF EXEMPTION: I 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 to a era' com~~ co la unlawful, and ■hall aubjlct an employll' to crimlnal penalties end civil fine• up to one hundred thousand dollars ($10 0 I addition to the~ o_f penaation, damages u PfOYicled for In Section 3706 of the~ :CJC!e:,. ~•t and ettomey'a fHa. SIGNATURE·----='---· :_-_':_:_~~---_:_:._""7tl51''...il_~_'11_~,.._--_--:____________ DATE / ~ . f ~ Ll_ 7. OWNER-BUILDER DECLARATION ' I hereby affirm that I am exempt from the Contractor License Law for the following reason: O I, 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 ara not intended or offered for a■le. If, however, the building or improvement i■ sold within one year of completion, th• owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). O I, as owner of the property, am exclu■ively contracting with licensed contractors to construct the project (Sec. 7044, Business and Profe■sions 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(s) licensed pursuant to the Contractor's License Law). 0 I am exempt under Section ______ Bu■iness 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 en application 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 have hired the following person to coordinate, supervise and provide the major work (include name I 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 / phone number / type of work):. ________________________________________________________ _ PROPERTY OWNl:R SIGNATURE _____________________ _ DATE __________ _ COMPLETE THIS SECTION FOR NON-RESIDE1l71Ai:11Ult.DINB rPERMITS:ONL y'.,~:;;;,:,;·/ .• ;~ . -,-: :r •• •. !::,:.,.;11::.:•· ' .,~ . ·., ,1:.;,,:1,~:~ .. ,._·:,., 11io• ,,,.'.;.:.;.. Is the applicant or future building occupant required to submit • business plan, ■cutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES O NO Is the applicant or future building occupant required to obtain • permit from the air pollution control district or air quality management district? 0 YES O NO Is the facility to be con■tructed within 1,000 feet of the outer boundary of a ■chool 111117 0 YES O NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE 1ssum UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POUUTION CONTROL DISTRICT. 18. L1;0;.STR'-'~QN ~1;.q_~A-~~Tii:~~ii~Jlr~i?,;~im~~~r~r~~~~(~f:~t~!=~J:~~:;:;~t:f:t~!;;:)7~~''.'~::''.?t'.;?;~;t?J,•~: ... --~ ~-:. ;,,-~. I hereby affirm that there is • construction lending agency for the performance of the work for which this permit is issued (Sec. 309701 Civil Code). LENDER'S NAME______________ LENDER'S ADDRESS. _______________________ _ ~s. 'APPLICANT ·CERTIFICAllON~~~'~~~~~~~!~ii~~~~~~~~~J:~t.:rb:.~~i~I;::ir~-Zlt:~!1:1~/~~Itfil~~,rlI~~~:~f.:ri:~~:' (~·.:fii! ~:.:., I certify that I have read the application and state that the above information la correct and that the information on the plans i■ accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize repreaentatives of the Citt of Carlsbad to enter upon the above mentioned property for inapectlon purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND 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" dHp and demolition or construction of structures over 3 storin in height. EXPIRATION: Every permit i11ued by th• Building Official under the provi1iona of this Code shall expire by limitation and become null and void if the building or or abandoned at any time after th menced for a od o O days (Section 106.4.4 Uniform Building Code). · work authorized by such permit Is n mm cad wlthin~6 d ya fro the date of such permit or If the building or work a\Jthorized by such permit is suspended APPLICANT'S SIGNATURE -~=-__;;;:1~~~Z--..:....__-~.,..~"-~-:._-:..,:. ________ DATE /.2 ·-/tJ ,..79 WHITE: PINK: Finance ;:. ... ' .... .J· .. ·:--il ,, ... jf ... .,. " ;, ;,.__ :.:.._ . . .. . ' .. \ -:-. . ~--~ ~ . ----.. j , •. ·~ . '' ........ -~ . '\ !..:. .. -. -. -.. -. --·.,. --. .• v ...J;,, -!· ---..: ~,. .•. :-.~·\.. ·;-ti-·-·{;{\. -~~ ·_ . ·,<->, .. ~--~ . l · _··\f:j ~~-- -:· '··,. ·.--•- £0'd . -_, ~ .. , .]·_·. }i · .. ~-l ~r~. __ :-~:DI"~- -1 ---~- -~ . .............., __ .., ~--,····--~---~-' .. . . -. -~ -~ ~ . t -: .. :-. -: . - # " .. @ ltQ.A, OH1' s,tAC( {M.00()1 • MH(ltflJ I ;~_0:LNt~ I:--• I I I lllll ICfll 1'1.' 1,t. t IP)• t IM0llll,S • --::~4il7fhiffwe, ..!. .... n11 \"' ' ,c-.... \~ I IJ l#IS lllf,._ , •• 4 I" ••• ,J ..• -SC2 IIO IAOI\W.._ ,, -J 1" • I '•1 .. " '\:., \ \ TOTAL UNIT SUMMARY PlAH 1 =-20 PLAM 2"' 2$ .PLAN J .. 26 TOTM. • 73 • HUMSERINQ SHOWN HEREON ~ \.SCTS THE NUMBERING /4S ON THl!-,f!NAL. afGl,IEEJ\ING 01¥.WINGS ANO ,.._.I. MAP AHO NOT OH THE APPAOVEO TENTATNE MAP . •• SEE Pfl.ECISE GAAOe Pl»/ FOA e)(.,IICI" BUlDINO LOCAT10HS ,,...., I -~"' ..-.c----...... _ .. =:.-:: --- °' ~ "'I ... ~ c::>