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Home My WebLink About1484 WINDROSE CR; TP; CB972951; Permit10 08/97 11:00 Paqe 1 of 1 B U I L D I N G Job Address : 1484 WINDROSE CR Permit Type: ELECTRICAL Parcel No: Valuation : 0 P E R M I T Suite : Lot#: Permit No: CB972951 Project No: A9703769 Development No: 0019 10/08/97 0001 01 C-PRMT Construction Type: 02 20.00 Occupancy Group: Reference#: Status: NEW ISSUED 10/08/97 10/08/97 JM Description : TEMP POWER POLE Appl/Ownr : POWER PLUS 1167 LAW STREET SAN MARCOS , CA 92069 *** Fees Required *** *~* Fees: Adjustments: Total Fees : Applied: Apr/Issue: 760 Entered By : 471-5494 Fee Collected & Credits Tot a l Credits: Total Payments: Ba ance Due: .00 .00 20 .00 *** Fee description Un its Fee1/Un,i.t Ext fee Data Enter "Y" for Electric Issue Fee Enter "Y" for Temporary Service * ELECTRICAL TOTAL 10.00 Y 10 .00 Y 20.00 '--, ___________ ......J CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92()()() (619) 438-1161 FOR OFFICE USE ON!. Y PLAN CHECK No. :(7215/ PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 EST. VAL.------.....---,---- Plan Ck. Deposit ---'I!:-~~....._ ___ _ Validated By ___ ~-'-,~-r=-=--- Date _____ ......;~"I-T--44c..,.;...L..,.,_ __ Address (include Bldg/Suite I) / ,-eusiness Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total I of units Assessor's Parcel I Existing Use Proposed Use It of Bathrooms Name Address City State/Zip Telephone I Fax , g_~~~1;~1 9,f4-Y;;,C\~.i:;'a~ai!tii~c9u.~(l:~f-~11-'Li:□:~gp~ ri>J5"Wll!I~"~.&~~,J~'!::m~~c~~~:t . ~· ~ j. ,5.-'? ~f Name r Address -City State/Zip T elephona I ~~ ;, ;"~i;:,. ;-~z Name Address City Telephone I ~rn~cou~..MFff:NsiJZl\&iri&l?ffl'§'§af¥itlUiiWfflfliitt± &¥Hi ,wm ewv~~.;~ (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, altar, 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 IChaptar 9, co,nmending with Section 7000 of Division 3 of the Business and Professions Code) or that ha is exempt therefrom, and the besis for the alleged exemptio Any violation of Secti 1 J031.5 by any applipnt for a permit subi,._cts the applicent to a Jj,il penalty of not m~(e than five hundred dollars U 5001). c:i L( CJ ll/ e..v-I 1 .$ I C, 7 a w' .Y' /vl a.l"'C ()..J Y rJ O t 1 71 S'"' '-/ ' Name 11, State License, _,S-._;2._3_S-__ t t __ Address License Class __ C-_t"-_/ ____ _ City . . . State/Zib 3' '.3? e'iJhtJ• It City Business License I ~l~ •------ Designer Name Address City Stato/Zip Telephone State License I _________ _ iu:it:.WOMERS:~COMPEHSA TIOKJ:'i~ .. ::~~-:~~:~_u~:~.•.11~~:!i::.'J~!-.~.l~ .-.~~~ ..... ../;~:"~':~~~-~~tt::._~:-;l,. r~ .tt~~·~~~~~;!S,~~i.£~:'i.:3i'1:i~~s .. ~~-: ~f:~~) .. ' ~ • ••. ~ .. N ,; .. ~.i Workers' Compensation Declaration: I hereby affirm under penalty of perjury_ one of the following declarations: 0 f have and will maintain a certificate of consent to 1111-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. J:!isr 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 co;pansation insur:• carrier and pqjlcy number are: t -J ,-~ I) Insurance Company f::i_ Q C e,_ ~ tYl ,tv"t (_. Q Policy No. C o-CJ-t} i.,5-ft/ () / Expiration Date_.._ ____ 7_,{/_ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$1001 OR LESSI 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 Lews of California. WARNING: Failure to aacura•worltera' compensation overage la unlawful, and ahall aubjact an amployar to criminal panaltlaa and civil fines up to one hundred thouaand dollars ($100,0 dition to tha a't compensation, damages ea provided for In Section 3706 of tha LabQr coda, intaraat and attomey'a fao. SIGNATURE ___ .C.,2~~'L__-VJt.. .,.~~~::::::::::::__________ DATE fr O • f}--51''v i7 .. -~ cSO)VNER•BUILDER DECLARA TlONl,~~~\1 '' •• \ .tr1 • : ~:~r; ·-· i~\:!~,-••. -:~ f 'i_ :--~ ~J.. I ; .. ,~ • • • ..: ~!'!:~~{~1t.:;1 ,: :IG~l&.-t\(t!,.;£i~7:f£~Jli.F~~~~:,1::.1:;~-:::'!~~~i~ .,;·:::t·. I hereby attirm 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 end 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 111 not Intended or offered for sale. if, however, the building or improvement ia sold within one yaar of completion, tha owner-builder will hava the burden of proving that ha did not build or Improve for the pwpoaa of aalal .. O • I, 11.owner of the property, am axclusivafy contracting with licensed contractor, to construct the project (Sac. 7044, Business end Profaulons Code: The Contractor's Ucanaa Law does not apply to en ownar of property who build• or improves tharaon, and contracu for auch projects with contractorlsl licenaad pursuant to the Contractor's Ucanaa Lawl. 0 l 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 tha proposed construction !include 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 and provide tha major work (include name / address / phone number/ contractors license number): ______________________________________________ _ 5. I will provide some of the work, but I have contracted lhiredl the following persons to provide the work indicated (include name / address/ phone number/ type of workl: ________________________________________________________ _ PROPERTY OWNER SIGNATURE _____________________ _ DATE _________ _ [J;O~,-sEcT.10N,.F.Qff_N.o~ROM.L.,,uILP.INa;P,w.1IJ:$.i.Q~~Y~~-·~'~~'r:unnnl•~w~:;--:~aY~'.G"r1mt;,:·, .... Is th, a;:plic:mt or future builC:in;i occupant ••qu.r•.:I \o •ul>rnit • bu~inan pion, acutely haurdous material• registration form or risk management and prevention program under Sections 26605, 25533 or 26534 ol the Presley-Tanner Hazardous Substance Account Act? 0 YES O NO Is tha applicant or future building occupant raquirad to obtain a permit from the air pollution control district or air quality management district? 0 YES O NO Is tha facility to be constNctad within 1,000 feat of the outer boundary of a school site 7 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. [j1~1f~.~ucn~r, .LENOJNG\~GENCY·;!;l'ilji;!:~~~~~~I~'.:?~'tfi~':l~?,!1!:J2f.l.1I:'.,;;~~~i,f:';~,:;~~f&'1..e:~l-i~1~;rjl,f~,:-S'\ . , , : 'i\':~· .. I hereby affirm that there is a construction lending agency for the performance of the work for which thia permit is issued (Sec. 3097(il Civil Code). I.ENDER'S NAME ______________ _ LENDER'S ADDRESS ________________________ _ ra~,t:.APPUCANT:CERTIFICA TION~ II 1to • / '/ ... .f~i· :,,,:,~ !l;\t t~-..... ,~~.:,:;, _<: ;.;//. r: ~·:~;:t .•, .... f°\-:' ~.:.;·:{:,1 .. ~!flC:~(~jt~~i;l;~~~~~~~~S§.G~·/S}. ::r; ~'t ~·; • ; •. ~,~ I certify that I hava raad the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with ~II City ordinances and State laws relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon tha 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 auuctures over 3 atories in height. EXPIRATION: Every permit i~u~d by the Building O!fi~i•I under the proviaions of this Code aha II expire by limitation and become null and void if the building or work authonzed by auch permit 11 not commenced wIth1n 366 days from the date of such permit or If the building or work authorized by such permit is suspended or abandoned at any time •~er the wo mmenced for af!)iod 180 days !Section 106.4.4 Uniform Building Code). f} 9 APPLICAN,T'S SIGNATURE ~~.., ~. Y ":;i:.--J,'1,\...-..... • DATE / d ,_. ,_ 7 PERMIT# CB972951 DESCRIPTION: TEMP POWER POLE TYPE: ELEC CITY OF CARLSBAD INSPECTION REQUEST FOR 10/09/97 JOB ADDRESS: 1484 WINDROSE CR STE: INSPECTOR AREA PLANCK# CB972951 OCC GRP CONSTR. TYPE NEW LOT: APPLICANT: POWER PLUS "-4, CONTRACTOR: ~ / j ~.Jt" f/ ~t IL-- PHONE: 760 471-5494 PHONE: OWNER: REMARKS: C/MICHELE/471-5494 SPECIAL INSTRUCT: TOTAL TIME: CD 32 LVL DESCRIPTION EL Const. Service/Agricultural ------------------ ------------------ ------------------ PHONE: INSPECTOR ------------ ACT COMMENTS Af ____ _ ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS