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Home My WebLink About1054 GOLDENEYE VW; ; CB973680; Permit12/01/97 10:50 Page 1 of 1 B U I L D I N G Job Addr(·Ss: 1054 GOLDENEYE VW Permit Type: ELECTRICAL Parcel No: Valuation: 0 P E R M I T Suite: Lot#: Permit No: CB973680 Project No: A9704760 Development No: Occupancy Group: Reference#: Coniffd5u.t21t~7 ~ff 01 VN st~~T rs%E~ Appliea·: 121013,0g',O Description: TEMP. POWER POLE : 11 SEABRIGHT 11 Appl/Ownr: TEMP. POWER SYSTEMS 750N. CITRACDO PKWY. #4 ESCONDIDO, CA. 92025 *** Fees Required *** Fees: Adjustments: Total Fees: Fee description 20 /00 .oo .00 7 T 760 Apr/Issue: 12/01/97 Entered By: MDP 439-1999 Fees Collected & Credits *** .00 .00 20.00 Ext fee Data -:, ... * t.Jt .. c) ¥ I' 'f \fa ' _. Enter 11 Y11 for Electric~"' Issue Fee > _·_ ·-'··· -···,--········ Enter jj Y ti for TempQ.;cary S,ervi"s:::e * ELECTRICAL TOTAL . ' CLEAr.:-> '". , .• ~cE·-,~\de\.\ • ,-.,., ~ .....,i_ ..... _ ... ~, ..... -- CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 10.00 Y 10.00 Y 20.00 . -j FOR OFFICE USE ONLY PERM,T APPLICATION PLAN CHECK No.1 7' ~ 2(U CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Pal mas Dr., Carlsbad CA 92009 (760) 438-1161 EST.VAL.~~~~~~~~~- Plan Ck. Deposit--------- Validated By_~--------- Date._~~~~~~~~~~~~~~-- Address (include Bldg/Suite #) Business Name (at this address) t-/-3 Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Existing Use Proposed Use Description of Work SO. FT. #of Stories # of Bedrooms # of Bathrooms (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 with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exer:nption. A iolation of Section 7031.5 by any applicant for a rmit subjects the ~cant to a civil penalty of not mo;., t~n five hundred dollars ($5001 ~~ p "l) s~ ~ 7? rk:wf"'. C'/f, tJ..-2< '-1'?71' Name · Address A:? City State/Zip Telephone# License Class L -/ 0 City Business License II ~/t:,5:,/' State License # Designer Name Address City State/Zip Telephone State License#------------ fe}::r'wORKISRS~iC0"1PE~SATIO~liu~fJ;,:iu1[l\itGtilim~i:\J'~[[;IT;;ft1rnr,t1t]~illfi~f2f~uil15l\l2]lillfJilit~i2~%1~iimfliB~~i'tl~[!ll[Ll;iCTlilt]til$'.ji/;1,?,[1I~i~:1&'.~i~B1tf•ii\y}0f&.~ Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D 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 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 sation insurance carrier and policy number are: ~ , /, /: . .I ~O.. Insurance Company /'" D~A//r Policy No.~~ Y-~ 7;)il)<!!!--Expiration Date /OLL f.Zo (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) ___ __,,{........__,,,___ __ D 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 b~come subject to the Workers' Compensation Laws of California. WARNING: Failure to secure work~ra' co penaation coverage la unlawful, and shall subject an employer to criminal penalti a d clvll fines up to one hundred thousand dollars ($10 0), dd · n to he cost of compensation, damages as provided for in Section 3706 of the Labor cie, tereat and attomey'a fees. SIGNATURE DATE I hereby affirm that I am exempt from the Contractor's License Law for the following 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: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. D YES ONO 2. I (have I 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 con-struction (include name I address I phone number I 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 I 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 I address I phone number I type of work): ______ ~---------------------------------------------------------------- PROPERTY OWNER SIGNATURE-----------------------DATE_~~-~~~~~~ tcoMPl¥TE1'lii1s::sec:nott•FoR No~ifsiom~"""..:1.itb;,.,-;~tti1Q1&YiJfiJI1Jt~J~tiT~~i,11Jir~1tiaii11~1Iill~11~j1,ri~ii,riJrii~1:~mi:"1JJ.ir~ 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 D NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D YES D 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 UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDEWSNAME~------------~ LENDEWSADDRESS ________________________ _ ,}sL\tiAeP.UCANJJiCERTlfl~Anc>Ni~it[[1'1t!t~1B;l!Bt11lt1~ls[iffi;,~;0fttlli'.ieJlrif!![~~gfji~!-g~f~*i~1[1m~~~;fuf!&1~~(mMfinWJwJii~!lr:illl~]!iir0f.lr~t}g1afili]m:01!a,;~l[f[\iJ~:z~i:~il{1fJJ;?J;ii 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 5'0,. deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the Building Of ·cial 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 ommenced wit in 365 days from the date of such permit or if the building or work authorize by s ch permit is suspended or abandoned at any time after the is for a period of 180 days (Section 106.4.4 Uniform Building Code). PERMIT# CB973680 DESCRIPTION: TEMP. POWER POLE "SEABRIGHT" TYPE: ELEC CITY OF CARLSBAD INSPECTION REQUEST FOR 12/04/97 vw STE: INSPECTOR AREA PLANCK# CB973680 OCC GRP CONSTR. TYPE VN LOT: JOB ADDRESS: 1054 GOLDENEYE APPLICANT: TEMP. POWER SYSTEMS CONTRACTOR: PHONE: 760 439-1999 PHONE: OWNER: REMARKS: C/BOB/439-1999 SPECIAL INSTRUCT: TOTAL TIME: CD LVL DESCRIPTION PHONE: ACT COMMENTS 32 EL Const. Service/Agricultural r+fJ~~~~~~~~~~~~~~~ ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS ,,. TEMP .f.>'owt::>'"<... P6le ~ftor.j'> I 55 54 53 Turnstone Road