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Home My WebLink About2856 RANCHO DIAMONTE; ; CB992938; Permitc\v 08/06/1999 Job Address: Permit Type: Parcel No: Reference #: Project Title: City of Carlsbad Electrical Permit Permit No:CB992938 Building Inspection Request Line (760) 438-3101 2856 RANCHO DIAMONTE CBAD ELEC Lot#: 0 TEMP POWER POLE-TOLL BROTHERS Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 08/06/1999 RMA 08/06/1999 08/06/1999 2664 08/06/99 0001 01 02 fl Applicant: Owner: C-PRMT 20-00 TEMP UTILITY SERVICES 1167 LAW ST 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 Inspector: Total Payments To Date: $0.00 Balance Due: Clearance: $10.00 $0 .00 $0.00 $0.00 $0.00 $0.00 $10.00 $0.00 $0.00 $20.00 $20.00 NOTICE: Please take N Tl that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as 'fees/exactio ." 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 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 ou have reviousl been iven a NOTICE similar to this or as to which the statute of limitations has reviousl otherwise ex ired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 PERMIT APPLICATION FOR OFFICE USE ONLY 2 ? rJ PLAN CHECK NO. qq~CJ._)_tJ CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 EST. VAL. _________ _ e Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total I of units Proposed Use a re #of Stories I of Bedrooms I of Bathrooms Name Address ' City State/Zip Telephone I Fax I o~ /:r,"'!C:Ntc,9:;m;/ctor:?::IW.j,7f7l:.-cior~~~}JI!J1~fcif:j;j;'C,:~~--·:< ::i,;~~j;, · z: 2 :, _ fi'Ptb Name 7 Address City State/Zip Telephone I Telephone I •6~-,/.;~CONTRACT.oft·.: 'COMPANY~NAME·k~~½~~:~:iii.tli~~::~~~j~ffr;)ti :,;:;:::r:~i~~!d:titt~~ •. ~~~;;~~~~0~~!;~:;!l/~~-";~:;:;:~\I'~;~~~::~;--'~; .. ~--:::~.~--~ " .... -• -.~:: L ~·•- (Sec. 7031.5 Business and Professions Code: Any City or County which requires I permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file I 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 Professions Code) or that he Is exempt therefrom, and the basis for the alleged exe ption. Any violation of Section 7031.5 by any I plicant for I permit subjects the applicant to a civil _Pe9■lty of not more han five hundr d dollars 1$5001). u 'nee $1; 5co,,e/,i:;;,o c.,,1-, qzoz 7, o ~ «;,-9s,t ~ Name Address City State/Zip Telep one License Class __ C;::__-...:6::...../ ____ _ State License I _....;:5"'--2----=-J>--=S"'---'-9....,,bc:;..__ 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 I 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. Ji!.. 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: Insurance Company 5' t:~ re Fu ,,q1 Polley No. / ~S.51/0 -9 2 Expiration Date '3 -~l-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 eny person in eny manner so as to become subject to the Workers' Compensation Laws of C 'fornia. WARNING: Failure rkera' eotmp,11118~k~ la unlawful, and ahal subject an employer to criminal penalties and clvll fine• up to one hundred thousand dollara (♦ ddhlon to the ,ation, damagu ■a provided for In Section 37DOA6ToEf :":-bor~e. ,,.,t and attorney'• fHs. sIGNATURE,_--t,..::.~~~~+--...L~~'A-~-=-----------L r - 7. OWNER-BUILDER DECLARATION c I hereby affirm that I am exempt from the Contractor's ense 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 sala. If, however, the building or Improvement is sold within one year 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(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 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 I 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 I phone number/ contractors license number):. _______________________________________________ _ 5. I will provide some of the work, but I have contracted (hired) the following per1on1 to provide the work indicated (include name/ address/ phone number / type of work): ________________________________________________________ _ PROPERTY OWNER SIGNATURE----------------------- COMPLETE THIS SECTION FOR NON.JfES/DEN.TZAi'BUILDINQ PERMITS:ONLY:,,,,:1, •···• .. ,,'.· DATE _________ _ 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? 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 district7 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. a; .. -~·ONSTRUCTION LENDIN<rA-o~g.Jt.1~:,;ff;!'°fi:~t4i'..'.r~•~;~~'1f.;f~m~f~~:J:c,]r~~t;t;;;,;:;"/ ;, , ; ''., ; :," I hereby affirm that there is I construction lending agency for the performance of the work for which this permit is issued !Sec. 3097(i) Civil Code). LENDER'S NAME______________ LENDER'S ADDRESS. _______________________ _ '9., APPLICANT' CERTIFtCA TION'\~~rr.;.;:;;~;;~;~~~1:-Q·,:~~~;t~~~~~~~~-::;WJi:i:a-1;~fu-~!:Jfi~f:~/f~~l:t~Jfil;~jf2~fr~:~~-t~;~~.:-: -·~: . 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 111 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 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 6'0" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the Building Official under the pr visions of this Code shall expire by limitation and become null end void if the building or work authorized by such permit is com anced within •3•6~ fr the date of such permit or If the building or work aUthorized by such permit is suspended or abandoned at any time after t k is mm~nced fo~.o!, o O days (Section 106.4.4 Uniform Building Code). · ()I',. / .,-y"CJ APPLICANT'S SIGNATURE -===::;_---~----~'-------------DATE _.......:;O __ t:J ________ _ WHITE: File YELLOW: Applicant PINK: Finance C'ity of Carlsbad Inspection Request For: 8/12/99 Permit# CB992938 Title: TEMP POWER POLE-TOLL BROTHERS Description: Type:ELEC Sub Type: Job Address: 2856 RANCHO DIAMONTE Suite: Lot 0 Inspector Assignment: Phone: 7608399430 Location: Inspector: ---- APPLICANT TEMP UTILITY SERVICES Owner: Remarks: Total Time: W,g:,~',;•~DREA Entered By: CHRISTINE CD Description 32 Const. Service/Agricultural t'JJ Comments J, / A At-a IP » J.fl_,})__,,\ C Inspection History Date Description Act lnsp Comments