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HomeMy WebLinkAbout1273 POINSETTIA LN; TP; CB023043; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 10-08-2002 Electrical Permit Permit No: CB023043 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: Project Title: 1273 POINSETTIA LN CBAD 1f ELEC Lot#: STANDARD PACIFICffHOMPSON ROSE TEMP POWER POLE 0 Applicant: Owner: POWER PLUS 436 N QUINCE ST ESCONDIDO CA 92025 760 839-9430 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 Additional Fees TOTAL PERMIT FEES Inspector: Total Payments To Date: 0 0 0 0 Date: 2 $0.00 Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 10/08/2002 MDP 10/08/2002 10/08/2002 8273 10/08/02 0002 01 CGP Balance Due: Clearance: $10.00 $0.00 $0.00 $0.00 $0.00 $10.00 $0.00 $0.00 $0.00 $0.00 $20.00 $20.00 NOTICE: Please take NOTIC at approval of your project includes the "lmpositionff 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 fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file 1he 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. 02 20.)0 PE~MIT .APPLICATION FOR OFFICE USE ONL V °1 PLAN CHECK NO. t)'l: O'[s CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Plan Ck. Deposit ________ _ Validated By __________ _ Date. ______________ _ 1. Pf!PJE_~ INl:.ORMAD.ON Z2'"7 ~ Address (include Bldg/Suite #) Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use . FT. #of Stories # of Bedrooms # of Bathrooms c? e Name Address State/Zip Telephone# Fax# ·o CO!l![@Ctor D AQ!.nt for Contracior --~-~- Name City State/Zip Telephone# City S.tate/Zip Telephone# (Sec. 7031.5 Business and Professions Code: Any City or County wpich 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, and the basis for the alleged exempf Any vi~ of ·r\)0$5 by any applicant fZ,ermit subjects the applicant to a civil penalty of not more th,7 ~un~ !19s9qo30' Name Address City State/Zip :re~#_...- State License # S-2... > .)~ 1 License Class { ~ f City Business License # \ L ~ ~ ~ Designer Name State License # Address City 6., .Yl,OR,l([RS' C~SATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: State/Zip Telephone 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 e 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 ed. My worker's compe ati insur ce carrier nd policy number are: / r r-, 7 -;? ~ ~ 1-/3 ranee Company __ ::==:;~~:--'z_~=~~~--------Policy No., J3 ::? ,7/0 ~ 0 '--Expiration Date_~ ./ __ _,J ___ v __ (THIS SECTION NEED NOT COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100) 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. ontractor's 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 improvervents are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden orproving that he did not build or improve for the purpose of sale). O 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(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 I have not) signed an 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 I 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): ________________________________________________________ _ DATE _________ _ Is the applicant or future building occupant required to submit e 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? 0 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? 0 YES O NO Is the facility to be constructed within 1,000 feet 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. CONSTRUCTION LENDI.NG A.G!:rJCY 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). LENDER'S ADDRESS. ________________________ _ 9,., 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 Cit\' 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 AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY JN 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. EXPIRATION: 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 commence 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 commenced for er" o 18 ays (Section 106.4.4 Uniform Building Code). ITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 02/05/2003 Permit# CB023043 Title: STANDARD PACIFIC/THOMPSON ROSE Description: TEMP POWER POLE Type: ELEC Sub Type: Job Address: Suite: Location: 1273 POINSETTIA LN Lot APPLICANT POWER PLUS Owner: Remarks: Total Time: CD Description 0 Act Comment Inspector Assignment: Phone: 7608399430 Inspector: Requested By: MICHELE Entered By: KAREN 32 Const. Service/Agricultural _fr{__ ___ _.C""-_fV\-__ -J-(Z_--"c.._ __________ _ Associated PCRs/CVs Inspection History Date Description Act lnsp Comments