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Home My WebLink About1709 POINSETTIA LN; TP; CB992121; PermitCity of Carlsbad 06/04/1999 Electrical Permit Permit No:CB992121 Job Address: Permit Type: Parcel No: Reference #: Project Title: Applicant: Building Inspection Request Line (760) 438-3101 1709 POINSETTIA LN CBAD 1f ELEC Lot#: TEMPORARY POWER POLE-BRINDISI 0 Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 06/04/1999 RMA 06/04/1999 06/04/1999 TEMP UTILITY SERVICES 0476 06/04/99 0001 01 02 1167LAWST SAN MARCOS, CA 92069 619-471-5494 Total Fees: $20.00 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 In spec& __ _ Total Payments To Date: 0 0 0 0 $0.00 FINAL APPROVAL ?.1<f-r1 Date: ______ _ Balan.ce Due: Clearance: $10.00 $0.00 $0.00 $0.00 $0.00 $0.00 $10.00 $0.00 $0.00 $20.00 C-PRMT 20.{)() $20.00 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 permit was issued to protest imposition of these feesfexactions. 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 Garlsbad 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 capacliy 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 nreviouslv been aiven a NOTICE similar to this or as to which the statute of limitations has nreviouslv otherwise exnired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 FOR OFFICE USE ONLY PERMIT APPLICATIO~. PLAN CHECK NO. 9 q 2 .l 2 l CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 EST. VAL. _________ _ Plan Ck. Deposit------,--- Validated By_+---1----r"""""'.'"-....L..:,::z.._ Date ___ -fl~-+...i...:~--'4-f.l'---- :.1 ., PRo.iECT INFORMATI0N~:;!;~lf~~i~ii\l]Cfl;~;"~1~i.~tt~%J"&tli~'fi;,13\;~~"Jiili'1J::~:c:~: ... / 701 Po,'n-Se.;f1iot t-n. Address (include Bldg/Suite I ) Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total I of units Assessor's Parcel I -r:. r,~,r4 (/ "' Proposed Use Description of Work I SO. FT. lot Stories I of Bedrooms I of Bathrooms Telephone I Name Address ' City State/Zip ~c._·•,·...,.A~:_A;~ .1.□ ~o'.'.:ractor',. ,laA. g:_en·~ • .r-.~_r .i>:~·ctor:_•6-;--_,.:.:□2' .. 0wn. -er''f'i,''r"I. '' fl•.::c:::-.zz;~0w.·L~~~~--:-;:,-:, .. ·-·~•a,:; •• ' , .. •~ r••~• ~ r, (-", V • ~.,:•"• r ;. _ -~_,.n· .-~-;:;;;,;rr-; 2. 2. 3 Name Y Address City State/Zip Telephone I Name Address City St■te/Zi T ephone I ·6. 'CONTRACTOR-; ·cOMPANY.'NAME:r:i:Jt)··(,.-:f.S::~~'.~~~J!S{ ~;-'· :;·-'..,,_~~:.-Tit;~: •~t~;;~~~~;~~ ~~;~~;~~~§.:~:;:;.~ .. ~~r:. r,~.~~:•; ~~/.'\:·•·. -·· Fax I (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 iis 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, and the basis for the alleged e;Slimption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil p,naly of n2t .!l,l_!Ve than five hundred dollars [$5001). roVJerP/u~ 4'>~ A;;QU/nce ~r, E~con.;4t?'fo C/1'/~zoz..s-~;Jo/-~yj/0 Name Address City State/Zip Telephone I State License I ~ :Z. 3 f9' 6 License Class C -6 / City Business License I -------- Designer Name Address City State/Zip Telephone State License I _________ _ 6. WORKERS' .COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury _one of the following declarations: 0 I have and will maintain a certificate of consent to self-insure for workers' compen11tion as provided by Section 3700 of the Labor Code, tor the performance of the work for which this permit is issued. [2t--I have and will maintain workers' compensation, IS required .by Section 3700 of the Labor Code. for the performance of the work for which this permit is issued, My worker's compensation insurance carrier and policyiumber are: Insurance Company :!r'-l r -e.. FC-4"'70"' Policy No. 15"5 s //0 -??-Expiration Date 3 -;3 / -00 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1•100) OR LESS) 0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to ■■cure worll■n' compensation v■r■ga I■ unlawful, and ■hall aubjact an employer to criminal panaftlas and civll flnH up to one hundred thousand dollars($ In addition tot at mpana■tlon, damages es l)fOvidad for In Section 3706 of the J.■bc]r_p>da, Interest and ■ttomay's fHs. SIGNATURE _ _(:..d:~~~=4.:__.:::Q._!:::::::~t:2.~::::::::::...___________ DATE C -'7 ~ ? 9' 7. OWNER-BUILDER DECLARATION · I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 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 are not intended or offered for sale. If, however, the building or Improvement i■ sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve tor the purpose of sale). 0 I, IS 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(s) licensed pursuant to the Contractor's License Law). 0 I 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 applicatlon for • building permit for the proposed. work. 3. I have contracted with the following parson (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 / 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 OWNER SIGNATURE ______________ _,._ ______ _ DATE _________ _ COMPLETE THIS SECTION FOR NON-RESIDENnAL'BUILDINO PERMITS".ONLY ,; .•. , Is the applicant or future building occupant required to aubmit 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 Subatance Account Act? O 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 feet of the outer boundary of a school site 7 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. I hereby affirm that there is a construction lending agency for the performance of the-work for which this permit is issued (Sec. 3097(1) Civil Code). I certify that I have read the application and state that the 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 Citt of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS ANO EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit ia required for excavation, over s•o• deep and demolition or conatructlon of 1tructur11 over 3 1tori11 in height. EXPIRATION: Every permit i11ued by the Bullding Offlcl1I under the provl1ion1 of thia Code 1hall expire by limitation and become null and void if the bullding or work authorized by such permit I■ not commenced within 365 da from the date of 1uch permit or if the building or work 11rthorized by such permit is suspended or abandoned at any time after the ommenced ~ri of lBO days (Section 106.4.4 Uniform Building Code). ·/' _ 1-" ~? f APPLICANT'S SIGNATURE __ L::::::!::::'.:~'-::t..--~ of~_.-;~::::::::::::::..__________ DATE __ v __________ _ WHITE: File YELLOW: Applicant PINK : Finance City of Carlsbad Inspection Request For: 7/9/99 Permit# CB992121 Title: TEMPORARY POWER POLE-BRINDISI Description: Type:ELEC Sub Type: Job Address: 1709 POINSETTIA LN Suite: Lot 0 Location: APPLICANT TEMP UTILITY SERVICES Owner: Remarks: Total Time: Description Act Comments Inspector Assignment: PD --- Phone: 7608399430 Inspector: t!lL;;__ Requested By: MICHELLE Entered By: RONNA CD 32 _c_o_n_st_. -S-erv-ic-e/_A_gr-ic_u_lt-ur_a_l _ 4 __ .1.7_..-__.1'----~f .... 'J'-------------- Inspection History Date Description Act lnsp Comments 6/28/99 32 Const. Service/Agricultural CO PD SEE NOTICE ATTACHED 6/16/99 32 Const. Service/Agricultural CO PD O.H. INCOMPLETE