Loading...
HomeMy WebLinkAbout1903 WRIGHT PL; ; CB973187; Permit10/2-3/97 13:54 Page 1 of 1 B U I L D I N G P E R M I T Suite : Lot#: Permit No: CB973187 Project No: A9704091 Development No: 0620 10/23/97 0001 01 C-PRMT Construction Type : 02 20-00 Job Address : 1903 WRIGHT PL Permit Type: ELECTRICAL Parcel No : 212-091-..l,~-oo Valuation: O Occupancy Group: Reference#: Status : NEW ISSUED 10/23/97 10/23/97 JM Description: TEMP POWER POLE Appl/Ownr : POWER PLUS 1167 LAW STREET SAN MARCOS , CA 92069 *** Fees Required *** ~** Fees : Adjustments : Total Fees : ' 760 Applied : Apr/Issue : Entered By: 471-5494 Fee s Collected & Credits Total Credi s : .00 .00 20.00 Tot al Payme nts : *** Fee description Balance Due: 1.Jnits Ee Un it Ext fee Data Enter "Y" for Electric rssue Fee > Enter "Y" for Temporary Se rvice > * ELECTRICAL TOTAL --- CITY OF CARLSBAD 10.00 Y 10.00 Y 20 .00 • .OVAL E~>:: 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO. 97 3( ~ 7 CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1 161 EST. VAL. _________ _ Plan Ck. Deposit ________ _ Validated By __________ _ Date _____________ _ legal Description Lot No. Subdivision Name/Number Unit No. Phase No. T 0111 I of umts Assessor's Parcel I Existing Use Proposed Use Description of Work SQ. FT. #of Stories I of Bedrooms # of Bathrooms Name ~it:i'.mY ,·, .. f Name r .. ..,,n ..-ft-n - Name Address City State/Zip Telephone I -·-•• r:ro,;r,i:11.:;;;i;i,:r (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, co,nmending with Section 7000 of Division 3 of the Business and Professions Code} or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Se~iop 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($5001). f'I ((/~I"' 1 /V.5 Name Address City State/Zip Telephone # State License I S :>,. 3.J-'l I License Class C ? / City Business License I f ()I~ L/ Designer Name Address City State/Zip Telephone State License I _________ _ '1tl~t~.WWWAS::,coMPENSA noru:•i;~ :;~.lij~~~7).U'.~!~•~\'~X~:-:rJ~l~.;.~~ .. ~.:~~-.C:~.,/~~:~::i ;~~~ ~ ~~-~~~:~~ ~!-.ta:;g~:~~~rettffi!hi~l:f,~;5:::i'f ~.ri:;;l.krt~t~;)~: ~ ~-=~;t;i~~--• : •.~1• ·-;,,1 :: ·.. .. .1 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. I;! f have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work ·tor ·which this permit is issued. My worker's compensation insurance carrier and policy number are: "' .;,,, A-Cd(JO '---/// IJ/ lnsutanca Company ,l,, t/, -<--#1 ~I"'/ C.. ~ Policy No. ______ ...,,_______ Expiration Date. _______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$1001 OR LESS) 0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shell not employ eny person in any manner so es to become subject to the Workers' Compensation Laws of California. WARNING: Fallura to aecure•workers' compenaa • n coverage is unlawful, and shall subject an ampioyer to criminal penaftlea end civil finea up to one hundred thousand doUars 1$10 • in addition to of compensation, damages ea provided for In Section 3706 of the Labqr code, lnter11t and attorney's f•••· SIGNATURE ' ,,,,.~,.,...... DATE //) ,.)3-97 {,7.i•;~~~-O':NNER•BUILDER DECLARATION,,~.;;\•,·· ~.:-_~ __ !' • ., • ].-~"~;::~~t;:,~filt~'.£•'1th~~.J.:~:_\(!_9£~~f~jli.f~~~~.~~f::~;~~~~~~~:j 1:•' .,;·::-Lf,·. I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 I, es 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 employeas, provided that such improvements •c• not Intended or offered for aale. If, however, the building or improvement is sold within one year ot completion, th• owner-builder will have the burden of proving that he did not build or improve for the pwpose of aale) .. 0 • I, as. owner of the proparty, am exclusively contracting with licensed contractors to construct the projact (Sac. 7044, Business and Profeaalons Code: The Contractor's License Law does not epply to an owner of property who builds or improves thereon, and contracts for auch projects with contractorlsl licenaad pwauant to the Contractor's License Law). 0 I am exempl under Section ______ Business and Professions Code for this reason: 1. I personally plan to provide the major labor end 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 / addre&& / 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 ________ _ fi;.oMl'J.lll;~1-SECT.10M;,f:QQ: N.0N:RE$1.1;1.£NJM.(,»U!LP.IN(U>,~RMIJ..~.:s!1'1.Y~W3:~;z\lN]":i;;®Jr!'Qi>m~1!:;~m~45.:~im :.:;;~ ; ~ .. b th~ •~plic:nt or futura builC::inw occupant r6quor•d ,o aubmit • bu)inen µIan, acutely hazardous materials registration form or risk management and prevention program under Sections 26605, 25533 or 26534 of the Presley-Tenner Hazardous Substance Account Act7 0 YES O NO Is the applicant or futwe building occupant required to obtain • permit from the air pollution control district or air quality management district? O YES O NO Is the facility to be constl'\ICted within 1,000 feet ot the outer boundary of I school aite7 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 ANO THE AIR POLLUTION CONTROL DISTRICT. !ji~rt:co.'4.mwcno.N LEND.1NG'i.:!.aENcv~~,r,,~1;t~~~.i~:"~7li'!',!~~~.t'd?21i~J;:,.~::::.:~::~~-::;~r~>1r~.1.~~~Xf!£~~~~~;;~,r-::~;0':S\ .... ; 1::~: I hereby affirm that there is a construction lending agency for the performance of the work for which thia permit is iasued (Sec. 3097lil Civil Code). LENDER'S NAME ______________ _ f certify that I have read the application end state thet the above information is correct and that the lnformetion 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 tha City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY ANO KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COS,:S ANO 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 atories in height. EXPIRA TfON: Every permit i~u~d 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 1s not commenced wIth1n 365 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 k • commence~, a p od of 1 80 days (Section 106.4.4 Uniform Building Code). APPLJCAN.T'S SIGNATURE -../r:/_ . DATE / tJ ~ ;LJ -97 PERMIT# CB973187 DESCRIPTION: 3 TEMP POWER TYPE: ELEC CITY OF CARLSBAD INSPECTION REQUEST FOR 04/03/98 POLES A,B,C & D STE: INSPECTOR AREA RB PLANCK# CB973187 OCC GRP CONSTR. TYPE NEW LOT: JOB ADDRESS: 1903 WRIGHT PL APPLICANT: POWER PLUS CONTRACTOR: PHONE: 760 471-1167 LA PHONE: OWNER: PHONE: REMARKS: C/MICHELE/ INSPECTOR___,,_ _________ _ SPECIAL INSTRUCT: TWO TEMP POW POLES FOR NINETMEN CONST. -1903 WRIGHT B & C TOTAL TIME: --RELATED PERMITS-- LVL DESCRIPTION PERMIT# CB971265 SE970177 CB972294 SE970179 CB973728 TYPE INDUST swow CTI swow RETAIN STATUS ISSUED ISSUED ISSUED ISSUED ISSUED ACT COMMENTS CD 32 EL Const. Service/Agricultural AfJ ----------- DATE 020498 110397 103197 ***** INSPECTION HISTORY***** DESCRIPTION Const. Service/Agricultural Const. Service/Agricultural Const. Service/Agricultural ACT PA AP co INSP RB RB RB COMMENTS T-POLE 11 D11 OK II A II