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Home My WebLink About1213 WIND STAR WAY; TP; CB982100; PermitB U I L D I N G 7/02/98 12 :14 age 1 ot 1 D ob Address : 1213 WIND STAR WY --f, erm1t Type: ELECTRICAL a.reel No: aluat1on : u P E R M I T Suite: Lot#: Permit No : CB982100 ProJect No: A9802777 Development No: ccupancy Group: Reference#: Construction Type: VN ~tatus: ISSUED A~plie~: 07/02/98 A r.1.r ~ e : Ci7/ 12,98 8656 01/Wf'lfll 00.Q).: 0+1r 2 escription : TEMP. POWETR POLE Appl/Ownr : TEMP POWER SYSTEMS 750 N CITRACADO PKWY ESCONDIDO CA 92025 Fees Required Fees: AdJustments: Total Fees : Fee description Enter Y" for Elect Enter "Y" for Tempo 760 439-4 ~ C-PRHT 20.00 .00 .uo 20.00 Ext fee Data 10.0U Y 10.00 Y FI NAL AF. )VAL INSP. g 6 D' -?·~/,,_q f-) CLEARANCE ________________ .,,:_-_-,:.=-_ CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION FOR OFFICE USE ONLY PLAN CHECK NO. ~ g .. z_ loo CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 EST. VAL. _________ _ (760) 438-1161 Plan Ck. Deposit j 3C ~:::"·42;wf = 1. PROJECT,INFOR~ION ~ , .Q / r? f _:.:) ~9 Address (incfude Bldg/Suite #) Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Existing Use Proposed Use Description of Work SQ. FT. #of Stories # of Bedrooms # of Bathrooms 2. CONTACT PERSON (If different from applicant} Name Address ~tJ9r Contractor.,,~□ .... 0 -VN,. Ct' >-R4e!ffPU City er O Ag!!lfo 1/<" w yf"i'~ State/Zip Telephone# Fax# Name Address 4 . PROPERTY OWNER Name Address City State/Zip Telephone# 5. CONTRACTOR • COMPANY NAME (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 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 w ith Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged A 'olation of Section 7031. 5 by any applicant f r n,rmit subjects the ~ant to a _5ivil penalty of not more _lqa..r, f~ hundred d $ 500)). _,be;IQ -W-~~ SY% ;7.s"z> , c_·✓ ~~ -n<~~ ~~t')x, ~. ~~S-c/ . ~ / Name Address City State/Zip Telephone# State License # _½'---'8,;_3_~~3 __ 3 __ _ License Class ___ e __ ~_/◄ __ 0 ___ _ City Business License II _______ _ Designer Name Address City State/Zip Telephone State License # __________ _ 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' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ~ have and will maintain workers' compensation, as reQuired by Section 3700 of the Labor Co.de, for the performance of the work for which this permit is issued. My worker's c nsation ,'.'2.sur~ carrier and policy number are: _/ /4 Insurance Company / I"'-...:..L-# .i:, ,,. 7Y Policy No. N,6oVc;.t'a~c..--Expiration Date /0~18 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($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' Compen tion Laws of California. WARNING: Failure to secure workers' co pensation coverage Is unlawful, end shall subject en employer to criminal pen las thousand dollars ($1 ). in ddif n the cost of compensation, damages ea provided for in Section 3706 of the Lebo cod SIGNATURE __ ..,L..~~'L-~b:::::'.!d~~2:.-----------------~ 7. OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: d civil fines up to one hundred terest end ettomey's fees. 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 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 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): ____________________________________________________________ _ PROPERTY OWNER SIGNATURE _______________________ _ DATE ------------COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY 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 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 LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 30970) Civil Code). LENDER'S NAME ______________ _ LENDER'S ADDRESS ------------------------------9. APPLICANT CERTIFICATION 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' • 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 menced within 65 days from the date of such permit or if the building or work authorized permit is suspended or abandoned at any time after the ~...-::~-/ ced f a period of 180 days (Section 106.4.4 Uniform Building Code). WHITE: File YELLOW: Applicant PINK: Finance PERMIT# CB982100 CITY OF CARLSBAD INSPECTION REQUEST FOR 07/20/98 INSPECTOR AREA PLANCK# CB982100 OCC GRP DESCRIPTION: TEMP. POWETR POLE TYPE: ELEC JOB ADDRESS: 1213 WIND STAR APPLICANT: TEMP POWER SYSTEMS CONTRACTOR: OWNER: REMARKS: B/BOB/439-1999 SPECIAL INSTRUCT: TOTAL TIME: LVL DESCRIPTION WY CD 32 EL Const. Service/Agricultural STE: CONSTR. TYPE VN LOT: PHONE: 760 439-1499 PHONE: PHONE: INSPECTOR /(__ ~ ---::::::-=--------c;._------ ACT COMMENTS 4f _____ _ ***** INSPECTION HISTORY***** DATE DESCRIPTION 071698 Const. Service/Agricultural ACT INSP CO RB COMMENTS ND'S 3611 CLEARANCE IN FRONT