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Home My WebLink About1068 GOLDENEYE VW; TP; CB971934; PermitB U I L D I N G P E R M I T Permit No: CB971934 Project No: A9702456 Development No: 07/17/97 12:24 Page 1 of 1 Job Address: 1068 GOLDENEYE Permit Type: ELECTRICAL Parcel No: 212-180-08-00 Valuation: 0 vw ,P Suite: Lot#: Construction Type: Occupancy Group: Reference#: Status : NEW ISSUED 07/17/97 07/17/97 RMA Description: TEMPORARY POWER POLE-UDC Appl/Ownr : TEMPORARY POWER SYSTEMS 750 N CITRACADO PKWY #4 ESCONDIDO CA 92025 ----~~- *** Fees Required *** Fees: Adjustments: Total Fees: 760 Applied: Apr/Issue: Entered By: 439-1999 Fees Collected & Credits .00 .00 20.00 *** Fee description Ext fee Data r 10.00 Y 10.00 Y 20.00 k;2, l "')Niiiiiiiiil;;;;.Ci~_DAI 1: 2J;~,'7 --1 CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 FOR OFFICE USE ONLY .,ERMIT APPLICATION PLAN CHECK NO. cr111 ~ L/ CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 EST.VAL._~~~------ Plan Ck. Deposit------,----- Validated Bz , /U. Date 7 _}7 /9 7 Address (include Bldg/Suite I) Business Nama (1t this addrass) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total I of units Existing Usa Proposed Use Description of Work SQ. FT. lot Stories I of Bedrooms I of Bathrooms Name Addr1ss City 13:-' APPLICANT • tJ comricior ~-, ... ;; .... ?..-o""'litri_ctor_, .......... -0-~-w-,,. .. , r-· 0 Agent for e>wn.'~-~---~~-.... -:.. City State/Zip Telephone I '4. Name Address City St1te/Zip Telephone I 6. CONTRACTOR • COMPANY NAME"'-'""· ~.,...,-,.....,..___,,.,.... . ...,.....,....,...-"'"""' • ~ (Sec. 7031.5 Business and Profe11ions Code: Any City or County which requiru I permit to construct, 11ter, Improve, demolish or rep1lr 1ny structure, prior to Its issuance, 1110 requires the 1pplic1nt for such permit to file a signed statement thlt he i1 licen11d pursu1nt to the provi1ions of the Contrector' 1 UcenH Law !Chapter 9, commending with Section 7000 of Division 3 of the Business ind Professions Code) or th1t he Is exempt therefrom, ind the bnis for the alleged exem tion. Any · tion of Section 7031.5 by 1ny applic1nt for I per · 1_)1)ject1 the 1pplic1n~ 1 civil lty of not more thin five hundred doll1rs t500J). e:H t,w~ S~s~s "SV , r::/;;: r~ v~~c,6{<pa2s: 1t1 -i Name • /) State License I ~c/_B_.,_ ____ '-1'_3, ____ ~-- Address Llcen11 Cl11s _ _,f?:...._-...L../-'()...._ ___ _ City State/Zip Telephone City Busineu Uc-• I /,il{)J t,, !( "'Z- Designer Name State License I--------- 8. WORKERS' COMPENSATION Address City Workers' Compensation Declaration: I hereby 1ffirm under penalty of perjury one of the following decl1retions: State/Zip Telephone O I have and will maintain a certific1te of consent to 111f,insur1 for workers' compens1tion IS provided by Section 3700 of the Labor Code, for the perform1nc1 of the work for which this permit Is issued. ~ have end will maintain workers' compensation, es required by Section 3700 of the Labor Code, for the performance of the work for which this permit Is issued. My worker's conensation insurance carrier ind policy number are: ·,/, . J, L . Insurance Company L;,1-(.d/" ;;;z:;vi>Eu<Af.,71"" Policy No. ;../6o&7-?-¢~ Expiration Date /0(1,1£7 · (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1•1001 OR LESS) O CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I lh1II not employ 1ny person in 1ny manner 10 H to become subject to the Workers' Compens1tion Laws of California. WARNING: Flllure to aec:ure worken' c:o tlon c:overege II unllwful, end 1h11 IUbjec:t en employer to c:rlmklll peneltlu encl clvll flnn up to one hunchd thounnd dolllrl (t100 J, to COit of compenaetlon, dlmlgN II provided for In Section 3708 of the utir code, ~t encl 1ttomey'1 fNI. SIGNATURE ~ DATE ~ J ?f 97 7. OWNER-BUILDER DECLARATION · • .-• • • ., ···" ~ ~-~ 1mm ~ I hereby affirm th1t I am exempt from the Contrector's License Law for the following re1Son: O I, as owner of the property or my employNS with w1ges IS their sole compensetion, will do the work ind the structure is not Intended or offered for 1111 (Sec. 7044, Business ind Professions Code: The Contractor's License L1w does not 1pply to 1n owner of property who builds or improves thereon, ind who does such work himself or through his own employees, provided that such Improvements are not Intended or offered for 1111. If, however, the building or Improvement Is sold within one year of completion, the owner-builder will hive the burden of proving that he did not build or improve for the purpo11 of 1111). O I, as owner of the property, 1m exclusively contracting with lic-.d contr1ctors to construct the project (Sec. 7044, Busilllll ind Professions Code: The Contractor's License L1w does not apply to 1n owner of property who builds or improvu thereon, ind contrects for such projectl with contrector(s) licensed pursuant to the Contractor's Lic11111 L1w). O I am exempt under Section------Business and Professions Code for this reason: 1. I personally plan to proviCH the m1jor l1bor ind m1teri1ls for construction of the proposed property improvement. 0 YES ONO 2. I (have I have notl signed 1n 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 I 1ddrus I phone number I contr1ctor1 licen1e numberl: 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise ind provide the major work (Include nerne I eddreu I phone number I contrectors license numberl: ___________________________________________ _ 5. I will provide some of the work, but I hive contrected (hiredl the following peraons to provide the work lndiceted !include nerne / 1ddren / phone number I type of workl: _____________________________________________________ _ Is the applicant or future building oc:cupent required to 1ubmit , busin111 plan, 1cutlly hlzardous materials registration form or risk m1n1gement ind prevention program under Sections 25505, 25633 or 26534 of the Presley-Tinner Hazardous Subst1nce Account Act? 0 YES O NO Is the applicant or future b1,ilding occup1nt required to obt1in I permit from the air pollution control district or air qu11ity m1n1gement district? 0 YES O NO Is the facility to be constructed within 1,000 fHt of the outer boundary of • school site 7 0 YES O NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATI: 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. 1a. CONSTRUCTioNLENDING AGENCY • --,-.r--" ~ I hereby affirm that there Is I construction lending agency for the performence of the work for which this permit Is Issued ISec. 309711) Civil CodeJ. I certify th1t I have read the 1pplic1tion ind 1t1te thlt the 1bove Information Is correct ind that the lnform1tion on the pl1ns Is 1ccurete. I 1gree to comply with Ill City ordinences ind State l1ws rll1ting to building construction. I hereby authorize reprlllftt1tiv11 of the Citt of C.rtsbld to enter upon the above mentioned property for lns~lon purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST AU LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CfTY IN CONSEQUENCE OF THE GRANTING OF THIS P£RMIT. OSHA: An OSHA permit Is required for excavations over 5'0" deep ind demolition or construction of structures over 3 stories In height. EXPIRATION: Every permit issued by the Building Officl1I under the provisions of this Code 1hlll expire by limitation and become null and void If the building or work authorized by such permit is not commenced thin 385 dlys from the d1te of such permit or If the building or work authoriz by such permit is suspended or abandoned at any time 1tter thew n d for I period of 180 days !Section 108.4.4 Uniform Building CodeJ. PERMIT# CB971934 DESCRIPTION: TEMPORARY POWER TYPE: ELEC CITY OF CARLSBAD INSPECTION REQUEST FOR 07/23/97 POLE-UDC INSPECTOR AREA PLANCK# CB971934 OCC GRP JOB ADDRESS: 1068 APPLICANT: TEMPORARY CONTRACTOR: GOLDENEYE VW POWER SYSTEMS STE: CONSTR. TYPE NEW LOT: PHONE: 760 439-1999 PHONE: OWNER: REMARKS: C/BOB/439-1999 SPECIAL INSTRUCT: TOTAL TIME: CD LVL DESCRIPTION PHONE: INSPECTOR-+;~-·-~+?~~~~~~~~~ 1/ ACT COMMENTS 32 EL Const. 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