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HomeMy WebLinkAbout151 SEQUOIA AVE; TP; CB032854; PermitCity of Carlsbad • 1635 Faraday Av Carlsbad, CA 92008 10-16-2003 Electrical Permit Permit No: CB032854 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: 151 SEQUOIA AV CBAD ELEC 2060130500 Status: Loi#: 0 Applied: Entered By: Plan Approved: Issued: Project Title: FOSTER RES TEMP POWER POLE Inspect Area: Applicant: POWER PLUS 436 N QUINCE ST ESCONDIDO CA 92025 760 839-9430 Electric Issue Fee Owner: FOSTER STACY L 151 SEQUOIA AVE CARLSBAD CA 92008 ISSUED 10/16/2003 SB 10/16/2003 10/16/2003 $10.00 $0.00 Single Phase per AMP Three Phase per AMP Three Phase 480 Per AMP Remodel/Alteration per AMP Remodel Fee 0 0 0 0 6681 4fJ:gwo3 $0.00 $0.00 0002 01 CGP Temporary Service Fee Test Meter Fee Other Electrical Fees Additional Fees TOTAL PERMIT FEES Total Fees: $20.00 Inspector: Total Payments To Date: $0.00 FINAL APPROVAL Date:/2? -zS-~oJ $10.00 $0.00 $0.00 $0.00 $20.00 Balance Due: Clearance: $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 fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and me 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 NOTlFlED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or seivice fees in connection with this project. NOR DOES IT APPLY to any f hi h h v r i I en iv Tl E imilar whic h fli h r vi I 02 20 ~ 00 , PErtMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 Legal Description Assessor's Parcel # Lot No. Subdivision NamelN(!mber Existing Use Address City City ·•~ti! H-~~ir~'~i,,~-',~ FOR OFFICE USE ONLY PLAN CHECK NO. C{>c)3z es-</ EST. VAL. _________ _ Unit No. Phase No. Total # of units Proposed Use # of Bedrooms # of Bathrooms S.tate/Zip Telephone# (Sec. 7031.6 Business and Professions Code: Any City or County which requires a permit to copstruct, 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 exempti ny violation of J3 .5 by any 8l!:{ t for a p8fl:J.:ubje ~cant to a civil enalty of mo,, tha ;;eh dred dollars~J1/ ~ Name State License # 5""'L 3..5"7 ~ License Class -----'{"=--~-"--'---- City State/Zip Telephone # City Business License II /?Q ~ "2...~_)- Designer Name Address City State/Zip Telephone !a.==-=-------------"'"·""·'fw. ·i"""'ui.i.lli~-~---..;..:.:.. .... ..._• 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 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 com~i~n insur~ce car~~ber are: --t/ / Insurance Company ¾!'\$ LO "'-:>/\~ Policy No. (I..JC7 f G:> ~J~ l ExpirationDate ""y-3/--ol (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 secure workers' compensation coverage 11 unlawful, and 1hall 1ubject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,0001 ltlo to the coat of compen1atlon, damages a, provided for In Section 3706 of the Labor code, Interest and attorney's feea. SIGN~~=RjgYL~~liAf •.'j "':;, '"' ,., . .,.,~~~'J:#;:r..\k.:,Jlii:~' D~_:1~~-: ~~--'~Li&m I hereby affirm that I am exempt from the Contractor'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 improvements 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 of proving 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/ 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 / address I phone number I 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 I address / phone number / type of work) .. ·_--------------------------------------------------------- Is the applicant or future building occupant required to submit a business plan, acutely haz_ardous materials registration form or risk management and prevention program under Sections 25506, 25533 or 26634 of the Presley-Tanner Hazardous Substance Account Act? 0 YES O NO Is the applicant or future ouilding 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. [[. ' C ~~..Ifl1,J...kl.lP1fJ;_~_@lijg~EN<:.nf1~.i. iii!: ,:,.r,~t.~Y~.Sli2r~Ll.:...:~w;), ,;,~1,-.~:;Jf~; .; :r;:_W;:!i,:. ',,L;~ r,~Z:t ;,:'1:.:~.\;.:li I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(il 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 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" 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 commen ed 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 or rio of 180 days (Section 106.4.4 Uniform Building Code). DATE /0-/b-C3' • 7 YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 1 0/23/2003 Permit# CB032854 Title: FOSTER RES TEMP POWER POLE Description: Type: ELEC Sub Type: Job Address: Suite: Location: 151 SEQUOIAAV Lot APPLICANT POWER PLUS Owner: FOSTER STACY L Remarks: Total Time: 0 CD 32 - D_e_s-cr-ip-ti-on _______ J!):J Comment Const. Service/Agricultural ,~ Associated PCRs/CVs Inspection History Date Description Act lnsp Comments Inspector Assignment: Phone: 7608399430 '"~~& Requested By: MICHELE Entered By: CHRISTINE