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Home My WebLink About1003 CANNON RD; ; CB960624; PermitSuite: Permit No: CB960624 Project No: A9600871 Development No: 6869 04/03/96 0001 01 02 C- BUILDING PERMIT 04/03/96 17:24 Page 1 of 1 i Job Address: 1003 CANNON RD Permit Type: ELECTRICAL Parcel No: Lot#: Valuation: 0 Construction Type f^EW 20' Occupancy Group: Reference*: Status: ISSUED Description: TEMPORARY POWER POtE-GIA BLDG Applied: 04/03/96 : Apr/Issue: 04/03/96 Entered By: RMA Appl/Ownr : POWER PLUS 619-471-5494 1167 F LAW ST SN MARCOS CA 92069 *** Fees Required ***ected & Credits Fees : Adjustments: Total Fees: Fee description Enter "Y" for Electr Enter "Y" for Tempor * ELECTRICAL TOTAL 20 *** .00 .00 20.00 Ext fee Data 10.00 Y 10.00 y 20.00 CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION City of Carlsbad Building Department 2075 Las Palms Dr., Carlsbad, CA 92009 (619) 438-1161 1. PERMT1 From List 1 (see back) give code of Permit-Type: For Residential Projects Only: From List 2 (see back) give Code of Structure-Type: Net Loss/Gain of Dwelling Units PLAN CHECK NO. ^ (, 0 £ £ if- EST.VAL PLAN CK DEPOSIT VALID. BY. DATE l^ 2. PROJECT INFORMATION FOR OFFICE USE ONLY CHECK BELOW IF SUBMITTED: D 2 Energy Calcs D 2 Structural Calcs D 2 Soils Report D1 Addressed Envelope ASSESSOR'S PARCEL EXISTING USE PROPOSED USE DESCRIPTION OF WORK SQ. FT.# OF STORIES OF BEDROOMS OF BATHROOMS 3. UjNTALn PERSJN (.it imjerent trom applicant] NAME (last name first) *--ys->~l4 MO~^~-^\^f--J 11 f i i / cnrS&T? fT\frWs¥^ STATE ^DRESS ZIP CODE DAY TELEPHONE 4. APPLICANT O CONTRACTOR Q AGENT FOR CONTRACTOR NAME (last name WNKK CITY AGENJTOR OWN STATE ZIP CODE tf2<LD/ DAYTELEPHONE 5. PROPERTY OW NAME (last name first)ADDRESS ZIPQODE^/2-/ / / DAYTELEPHONE i f *JL£ ~f i-»-*"C't/^A— •* s— J-f ZIPCODE^2<%<3 DAYTELEPHONE ^/^ /- CITY BUSINESS LIC. NAMK t'ast name tirstj CITY STATE ZIP CODE DAY TELEPHONE STATE LIC. # 7. WORKERS' COMPENSATION Workers CompensationDeclaration: I nereoy aftirm that I nave a certificate of consent to self-insure issued by the Director of Industrial Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C). INSURANCE COMPANY; SIGNATUI LthCertificate of Exemppon: I certify that in the pertoiThance oftne work ror which this permit is issued, I shall not employ any person in any manner so as to t«p<MTie,«Jbj*ct to the Workers' Compensation Laws of California. JR1U> 0?&***v DATE 7 ^ 3~ W 8. OWNER-BUILDER TION Owner-Buimer Declaration: I hereby attirm that I am exempt from the contractors License Law tor tne tollowing reason: D 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.). D 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). D I am exempt under Section Business and Professions Code for this reason: (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, commencing 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 Section 7031.S by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]). SIGNATURE DATE COMPLETE THIS SECTION FOR NQN-RESlDEFJfjAL BUILDING PERMITS ONLV: 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? D YES Q NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Q YES C3 NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES D NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1,1989 UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 9. GDNSTKUU1IUN LENDING AGENCY ~~" "~~ I hereby affirm that there is a construction lending agency tor the performance ot the work tor which this permit is issued (.See 30&71U UvirtodeJ." LENDER'S NAME LENDER'S ADDRESS 10. APPLICANT I certity that 1 have read the application and state that the above information is correct. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SATO CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over S'O" 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 commenced wjihin 3^5 days from the date of such permit or if the building or work authorized by such permit is suspended or abandonerfjifyn? rime after the vjnHc is^6mmenced for a period of 180 days (Section 303(d) Uniform Buildi APPLICANTS SIGNATURE L C/A . ~flL-Jfcto>Ks' DATE: ^? WHITE: File YEL&OW: Applicant PINK: Finance CITY OF CARLSBAD INSPECTION REQUEST PERMIT* CB960624 FOR 04/16/96 DESCRIPTION: TEMPORARY POWER POLE-GIA BLDG TYPE: ELEC JOB ADDRESS: 1003 CANNON RD APPLICANT: POWER PLUS CONTRACTOR: OWNER: REMARKS: BJN/MICHELLE/471-5494 SPECIAL INSTRUCT: INSPECTOR AREA PLANCK* CB960624 OCC GRP CONSTR. TYPE NEW STE: LOT: PHONE: 619-471-5494 PHONE: PHONE: INSPECTOR TOTAL TIME: CD LVL DESCRIPTION ACT COMMENTS 32 EL Const. Service/Agricultural rfr ***** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP 041196 Const. Service/Agricultural CO PD COMMENTS NO CONNECTED LOAD San Diego Gas & Electric INSPECTION ORDER JOB TITLE LOCATION |005>^JL, INSPECTION REQUIREMENTS: CUSTOMER REQUIREMENTS: 1. YOUR TRENCH D IS D CABLE D CONDUIT D IS NOT APPROVED FOR THE INSTALLATION OF: n GAS D BACKFILL D ENERGIZING D SUBSTRUCTURES THE FOLLOWING CORRECTIONS ARE REQUIRED: 2. D Survey, easements and R/W 10. 3. d Pavement removal and replacement 11. 4. d Excavations 5. d Installation of conduit 13. 6. d Installation of pullropes 14. 7. d Mandrelling 15. 8. d Concrete encasement 9. d Meter panel installed correctly P°'e Natived Backfill and compaction D Gas Line 12. D Trench performance d Substructure installation d As-bui!ts d Distance required to be dug by SDG&E crew to Import ft., padmount ft., pullbox COMMENTS OR ACTION REQUIRED: /'/sjfa>/'t'e</ A COPY OF THIS ORDER HAS BEEN LEFT ON THE JOB D AT LI WITH INSPECTOR DATE V PHONE NO. DISTRIBUTION: White — District Operating Dept, Canary — Customer, Pink — New Service/Planner FORM 124-910 (12/89)