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HomeMy WebLinkAbout1228 AVIARA PY; TP; CB990704; Permit1- s City of Carlsbad 02/22/1999 Electrical Permit Permit No:CB990704 Building Inspection Request Line (760) 438-31 01 Job Address: Permit Type: ELEC Status: ISSUED Parcel No: Lot #: 0 Applied: 02/22/1999 Reference #: Plan Approved: 02/22/1999 Issued: 02/22/1999 Project Title: TEMP POWER POLE-LAUREL TREE AP Inspect Area: 1228 AVIARA PY CBAD Entered By: RMA At580 02/22/99 0001 01 02 6-PRMT 20.00 FINAL APPROVAL Inspector: Date: 3 - 8-49 Clearance: NOTICE: Please take NOTICE that approval of your project includes the 'Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "feeslexactions." You have 90 days from the date this permit was issued to protest imposition of these feeslexactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Cadsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fWexactiions DOES NOT APPLY to water and sewer connection fees and capactiy changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any feeslexactiins of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-11 61 FOR OFFICE USE ONLY PLAN CHECK NO. I EST. VAL. Plan Ck. Deposit I Lot No. Suwinwn NanmMumkr Um No. Phose No. Total W of units Akassor'! Name addrur ChV StmoIZip Tolephone W 6. CONTRACTOR - COMPANY NmE - (Sac 7031.5 Business and Professions Coda: Any City or County which rOQUwm0 8 p.nnk to cmmuct. ah.r. -0, drmdi or npir any struc~ro. pnor to Its issuance, also mouires the applicant for such pownit to fh 0 wgmd mmormnt tlut ho i kcansad pununt to the povlllonr of the Contractor's bcmse Low [Chapter 9, commending with Section 7000 of Dtvnion 3 of the Bwinm and Pmf.uionr cod01 or thrt ho i Mmpt thmfrom. and the basis for the alleged .- - - ---c.cl-rr~-.--r-------.- -I---.-- ad dross CnV StatOm Telephone W Clty&Ircr#rk.c*.# Name State bcense I Designer Name Addfeu CfiY StototZIp TOkJphone State License W 6. WORKERS' COMPENSATION Workers' Cornpensotion Declaration: I twoby affirm undor p.nrlty of porjurv Om Of the foltowing d.d.Rtionr: 0 of the work for which this permit is isswd. I have and will maintain a certificate of consant to solf-insure for workus' cornomsotion os Pr0vid.d by Sodon 3700 of tho Lobor Code, for tho pwtornunco I have end will maintsm workers' comoensotion, as reouirod by Section 3700 of tho Lobor Cod., for the prrtormonco of the work for which this permit is Insurance Company PdiwNo. /'f6t/9/3 Expiration Date LimL NDRED OOURS 1*1001 OR LESS1 0 to become subject to ttm workers' CompMsrtcon Lorn of California. CERTIFICATE OF EXEMPTION: I certify thot in tho potiormance of the work for whkh this mit a i.rud. I shdl not omploy any person in wry momw so os cow1.0. b uJ.rvtul. md .h.l ubjm m .mpk*nto aMrrl PUNIUOO md drll fha up to OIU hudnd to th. COIt of compmwh. &nug.r .I porlbd for In socthl3706 at* DATE ~J~rpFff"-'sh* . ' -* I.'+.. .'--. -*.l~..-;;-,-- ,,: ... .IR-;': I' . .. .. 7. OWNER-BUILDER DECIARATION I hereby affirm that I em exempt from tho Contractor's License Low for the followhg rooson: 0 I, as owner of tho property or my om@ovoes with wagos n rhoir soh compmmion, will do th. work rd tho mucruo b not im0nd.d or offuod fa 8ob ISec. 7044, Business and Proternions Ce: Tha Commctor's Lieonom Low daw not to on ownor ot propmy who kJ#r or bnprom thomon, rd who bo# such work himself or through hs own mmployns, providod thlt such impmwmmtl uo not Intnrd.d or dfuod tor uk. If, homvn, tho buildlnp or (mpwmnc b sold within one year of complmtion. tho owner-buildor wilt hlw tho bwdon of proving thot ho did not WM or hnpmw for tho pwposs of ..kl. 0 I, as owner of the property. om oxdwivdy contracting with limfmod contractors to construct tho proi.ct ISoc. 7044, &ri and Profasions Cod.: Tha Contractor's License Law does not apply to an 0-r of prooorty who builds or improv*l thoroon, ond c#nncto for much propets with commtorts) L*.md pursuant to the Contractor's License Low). 0 1. 2. 3. I am exempt under Section I personally plan to provide the morn kbor and matoriols for construction of tho propoomd propany impronmmt. 0 YES DNO I (have / have not1 signed an applicotion for a building permit for the pro& work. I have contracted with the following person (firm) to provide tho poposod ConnrUCtian Ondud. name I addnu I photu mnnkr I comrmon liorro nn\krl: Burinns od Protossions Cod0 tor this rooson: 4 number I contractors license numberl. 5 of work): I plan to provide portions of the work. but I hove hr.d the fOllOwmg -on to toordmt0. SupmrO Ond prarid. the nub work Oindde I adb.u I phaw I will provide some of the work. but I hove contractd (h~rod) tho fdlomclg pnronn to pwld. tho work ind~wtd t(ndud. M~M I addrns I phon numkr I tym PROPERTY OWNER SIGNATURE DATE COMPLEf6 THIS SECTION FOR Is the applicant or futwa bld~ng DCEUP.~~ nqund to submit a buumrs phn. mcutolv huwdow nutdab mgmmmn tom or nsk nunogemem ond pmmca, program under Sections 25505.25533 or 25534 of tho PmshrTmner Huudour SIlbn~lcr Actovn Act? Is the applicant or future building occupant nqutrod to obtain a pownit from tho air pollution control dmnct or ow quotltv mo~germnr distnct? 0 YES 0 NO Is the facility to be constructed within 1.000 fwt of the omor boundsw of a schwl me7 0 NO IF ANY OF THE ANSWERS ARE YES. A FINAL CERTFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPUCANT HAS MET OR IS MEETING THE REOUIREMENTS OF THE OFFICE OF EMEROENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. .8. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction landing agency for the performance of th. work for which thts permit & mwd (Sac. 3097(i) Civil Code1 .-,.-- ._ .* \Tr--mP--,: ~ ~~~ owLy-"--. . -f-, -ap----%v- - 0 YES 0 NO 0 YES - r- .* I -e-- 3-p.<.*-"* ~ - ..-- .-,--. - . -- LENDER'S NAME LENDER'S ADDRESS 9. APPLICANT CERTIFICATION - - --~ ____ .-_- _. . - - _---,. - .__ _. . , .-,* _- --7z,* --, i'1 I certify that I have read the applicotion and note thot tho above informotion is cmct and thot the infomution on tho plans ia accwata. I agree to comply with a11 City ordinances and State laws relating to building Construction. I hereby authome rwrnontotivos of tho Cit) of Carhbod to enter upon the obove mentioned property for inspection purposes. I ALSO AGREE TO SAVE. INDEMNIFY AN0 KEEP HARMLESS THE CITY OF CARWBLID AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AOAINST SAID ClTY IN CONSEQUENCE OF THE ORANTING OF THIS PERMIT. OSHA: An OSHA permit is rewired for excavations over 5'0' dwp and demolition or construmon of strumwas over 3 stories in height. EXPIRATION: Every permit issued by the Building Official under the provisions of thii Cod. sholl expire by limitation and become null and void if the building or work authorized by such Dormit from the date of such pefmit or if the building or work authomed by such permit is suspended or abandoned at any time after t of 180 drys 1Saction 106.4.4 Unlfom Building Codal. DATE APPLICANT'S SIGNATURE WHITE: File YELLOW: Applicant PINK: Finance , City of Carlsbad For: 2/26/99 Inspection Request Permit# CB990704 Title: TEMP POWER POLE-LAUREL TREE AP Description: Type: ELEC Sub Type: Job Address: 1228 AVIARA PY Suite: Lot 0 Location: 4PPLICANT : PERFORMANCE POWER Owner: TEMPORARY POWER POLE Remarks: AM PLEASE- AS EARLY AS POSSIBLE Total Time: Inspector Assignment: NF Phone: 76091 86733 Inspector: Requested By: D.J. Entered By: CHRISTINE E Comments CD Description 32 Const. ServicelAgricultural Inspection History Date Description Act lnsp Comments 1770 Fourth Avenue San Diego, California 92101 (619) 687-7380 Office (619) 687-7383 Fax CA LIC. #651488 , &/ 1 a . i I