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Home My WebLink About1543 TURQUOISE DR; TP; CB983729; PermitB IJ I L D I N G 10/29/98 12:32 Paqe 1 of 1 Job Address: 1543 TURQUOISE DR Permit Type: ELECTRICAL Pa.reel No: Valuation: 0 PERMIT Permit No: CB983729 Suite: \~ Lot#: Pro1ect No: A9804865 [,eveloprnent No: Occupancy Group: Reference#: Construction Type: VN Status: ISSUED Applied: 10/29/98 Apr/Issue: 10/29/98 Entered .By: MDP Description: TEMP. POWER POLE FOR "MARBRISA Appl/Ownr : POWER PLUS 619 223-9016 436 N. QUINCE STREET ESCONDIDO CA 92025 I< A I< Fees Required Fees: Adjustments: Total Fees: Fee description 20 .00 .00 20.00 *** Fees Collected & Credits -------------------------------------------- Total Credits: .00 Balance Due: "'O o O .. Total Payrnent!!e'33 10/29/98 oo~oPO ? Units Fee/Unit E£t 1e Datf.2·00 --------------------------------------------------------------------------- Enter "Y" for Electric Issue Fee > Enter "Y" for Temporary Service > ,-FINA AP PROV-S--\ \ ~ q~ INSP . ..:.>.--Al..,IJ:;il.---OATE: ~~~--- r.LEARANCE })·;\·~-,cW~--===-=- v ------~ ·-- 10.00 Y 10.00 Y FOR OFFICE USE ONLY PERMff APPLICATION PLAN CHECK NO. f8· 3 (L-1 CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 EST. VAL. _________ _ Plan Ck. Deposit ------'7tf'"~- (760) 438-1161 1. PROJECT INFORMATIO~ /-7'(3 I flr~t/tJ/.SG Address l1nclude Bldg/Suite I) Dr fl ,b _ Business Neme Cit this address) gr r1sev Legal Desc11ption Lot No. Subdivision Name/Number Unit No. Phese No. Total , of units Assessor's Pa I I ~m Existing Use Proposed Use Description of Work SO. FT. lot Stories I of Bedrooms , of Bathrooms 2. CONTACT PERSON llf different ti-om appUcantJ Name Addre■s City D Owner --□ Agent ;or Owner State/Zip Telephone , Fax ti 3. T D C~tr ctor [i Agent to, Contrictor ~r o--, Name 4. Name 5. CONTRACTOR · COMPANY NAME Address San t1rtJ1Jq City ltT-7CJ2. State/Zip lephone, /Jio State/Zip Telephone, ISec. 7031.5 Business end Professions Code: Any City or Countv which requires I permit to construct, alter, improve, demolish or repair eny structure. prior to Its issuance, also requires the epplicant tor 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 Pfof1ssions Code) or that he ts exempt therefrom, ind the besis tor the elleged exemption. Any violation of S tji>n 7031.5 by any ar,;,lica for ..,_permit subjects the applicant to• civil n■lty of not more than five hundred dollars )9500)). (.,f'" Iv .S 'Jt, ll vine..~ _. ,,,cl, ~ ;2()1..J I 39-'t~~() Name State/Zip Telephone, State License# _J',~d---.J~J-~9~{ __ License Cl11s _.......;c=. ... {::..._I ___ _ City Business License I _______ _ Designer Name Address City Stete/Ztp Telephone State License I _________ _ 6 . WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under pen■ltv of perjury one of the following declarations: 0 I have end will maintain a certificete of consent to self-insure for workers' compensation ■s provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ISi:""" I have and will maintain workers· compensation, 1s required by Section 3700 of the Labor Code, for the performance of the work for which this permit is ifs'ued. My worker's com ensa!jan ins ence cerri!,I end policy number ere: Insurance Company /J fl, S V Policy No. C CJ CJtJS // I CJ?-Expiretion Dete ______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE P MIT IS FOR ONE HUNDRED DOLLARS 1'1001 OR LESS) O CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is iHued, I shall not employ 1ny person in any manner so IS to become subject to the Workers' Compensetion Laws of C1lifomie. WARNING: Failure to ■ecure workera' compena■tlon cover■ve la unlawful, and ■hall ■ubject ■n employer to crimlnel peneltlea and dvll fine■ up to -hundred thouHnd doller• ($10 • In addition tot of compenutton, damage■ u proYided for In Section 3706 of the Labor code, lnt-s'--"1d attorney'■ fNs. SIGNATURE __ -b...,l:::!Ld'tU.L_:::ad]~'!r.=------------DATE /() -;2;-~lf' 7. OWNER-BUILDER DECLARATION • '.".,.,.-;,:•;-_ ... • · .. ·•Tt-;, •• I hereby affirm that I am exempt from the C rector's License L■w for tha following re■son: 0 I, as owner of the property or my employees with wages IS their sole compensation, will do the work end the etructure Is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License L■w does not apply to 1n owner of prc,perty who builds or Improves thereon, end who does such work himself or through his own employees, provided that such Improvement■ ere not Intended or offered for s■le. II, however. the building or Improvement Is sold within one yHr of completion, the owner-builder will have th■ burd■n of proving that he did not build or Improve for the purpo■e of s■lel. 0 I. as owner of the property, 1m exclusively contrecting with licensed contractors to construct the project ISec. 7044, Business ind Professions Code: The Contractor's License L■w does not apply to 1n owner of property who builds or improv■s thereon. ind contracts for ■uch projects with contrectorl■I licen■ed pursuant to the Contractor's License L■w). 0 I am exempt under Section ______ Business ind Professions Code for this re■son: 1. I personally plan to provide the major labor ind m1teri1ls for construction of the proposed propeny Improvement. 0 YES ONO 2. I (have/ have not) signed an 1pplic1tion for I building permit for the proposed work. 3. I have contracted with the following person lfirml to provide the proposed construction llnclude 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 Ind provide the m■jor work !include name / address / phone number/ contrectors license number!: _______________________________________________ _ 5. I will provide aome of the work, but I hive contracted lhiredl the following per■ons to provide the work indicated Unclude name/ addre11 / p~ number/ type of workl: _________________________________________________________ _ PROPERTY OWNEf'! SIGNATURE _______________________ _ DATE _________ _ COMPLETE THIS SECTION FOR NON-RESIDENTIAL iUILDIN0 PERMITS ONLY:;;.,7 -----:--•·, _,...,,,.,._ .• ,.,..,. -~7""?··•· 1.-:;,:-:;7,-•►•,---, ,.,. • ••• , ••• _ .... Is the applicant or future building occupant raquir■d to ■ubmit e business plan, ■cutely hlzerdou■ materiel• r89iatretion form or riak m■n■gement end prevention program under Sections 25505, 25533 or 25534 of the Presley-Tinner Hazardous Subtt■nce Account Act? 0 YES O NO Is the applicant or future building occupant required to obtain a permit from the ■Ir POiiution control district or ■ir quality management district? 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school sit17 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.· CONSTRUCTION LENDING AGENCY .• _ .. _, •• ·-... _ ·,-,,--~ .... r ,·,-.. , ... , .... ~··~•eo, ......... ~--··~---•-•·•a I hereby affirm that there is a construction lending egency for the performance of the work for which this permit Is issued ISec. 3097111 Civil Code). LENDER'S NAME ______________ _ ;9, APPLICANT CERTIFICATION LENDER'S ADDRESS ________________________ _ I certify that I have read the application end state that the above information Is correct 1nd that the Information on the plans is ■ccurete. I agree to comply with 111 Citv ordinances and State laws relating to building construction. I hereby authorize rapresentetives 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 end 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 limitetion end become null and void if the building or work authorized by such permit is not commenced within 366 days from the dete of such permit or II the building or work authorized by such permit is suspended or abandoned at eny time after the rk is commenced f • iod of 180 days (Section 106.4.4 Uniform Building Codel. DATE / {) :,). f, ff" YELLOW: Applicant PINK: Finance