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Home My WebLink About1295 AVIARA PY; TP; CB983761; PermitFINAL APPGOVAL 1 1. INS PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palrnas Dr., Carlsbad CA 92009 (760) 438-1161 FOR OFFICE USE PLAN CHECK NO. I EST. VAL. PLan Ck. Deposit Validated By Date Legal Descrip\ton I LotNo. . Subdivision hmo/Numkr unit No. Phase No. Total 8 of units Assessor's Parcel X Emnlng he Proposed use 8 of Bodfooms X Of Bathrooms Description of Work SO. FT. 80f Stwl 2. Name AddWSS Citv StBtap Tolephone 8 Fax I 3. APPLICANT &ontractor OAgmttorEomnctor ob OAmfWb Name Address Chv st.telzlp Telephone I cONtACTPERGON IHdttrnttrocngpjrirni) ---- ~ --,- f)l-.c---.LIIC-TVI---L.--C----- c - -.- ~ . (Sec. 7031.5 Business and Professions Code: Anv Ciy or County which r.quires e mk to conmuct. ahor. improcn. domdish or ramir any structura, pnor to Its issuance. also repuires me applicant for ~vch permit to file a signed 8tatomont that he is punUrm to the wovi*onr of the Contractor's Liceme Law Ithaptor 9, commending with Section 7000 of Division 3 Of the &airmr and Rotusions Code1 or that he b ompt thwfrom. and the hsis for the alloped eny eppliwnt for a k subjects tha a nt to I civil th, of not nm than five hundred dolkn W5001. io~eclk %e atre CA &07/ ~-516- 4' 63 r /&f&38 T st.t.Izip Tdophono I ~CBMB ClBSS c-10 Civ~~dnrr~icrr*.~ IdAbhPC Addross Name State License I Designer Name Address Citv StDtmp T.l.phOW - - ~ . -..__... . . . . .. . .. . - . . -. . State License I 6. WORKERS' COMPENSATION .. Workers' Compensation Declaration: I howby affirm under p.ruky of perjury Om of the fd)oWing d.dOrOtiOn~: 0 of the work for which this permit is issued. 0 I have and will maintain a certificate of Consant to Self-imure for workus' COmpefWtion n pmVidOd by SOCtion 3700 of the bbor Code, for the perform~n~ I have and will maintain workers' compwation, IS required by Section 3700 of the LBbor Code, for the pDrformace of the work for which this permit is PolicyNo. / %!(b 4 f 3 -q 8 Expiration Date 9 -99 (THIS SECTION NEED NOT BE COMPLnED IF THE PERMIT IS FOR ONE HUNDRED DOLIARS 1*1001 OR LESS1 0 CERTIFICATE OF EXEMPTION: I ceftifv that in the performance of tho work tor which this pormit is irrurd. I -11 not omploy any person m any mmrmar so as to become subject to the Workers' Compenutton Laws of California. WARNING: FDih to w~un workem' mmWmmtb CDWRP. b UJlmhJ. rd .hd .uh).a an -to aknlnd pmdtln rd dril Iha up to am hudnd cost of wmpwmwh. d.rmg.. nprovldodfork Seth 3706 of tho hba nd .nacl.r'. hu. 1 DATE //-3"-'3jq-t -8.) ;;;p -. . , ' 1 .. . I m- ?: . . L . . . , . . , .. - . . . . ~. 7. OWNER-BUILDER OECIARATION I hereby effirm that I am exempt from the Contractor's Li~emo LDW for the following rouon: 0 1. 8s owner of the wopefty or my om~lo~ with w.9u 0s thoir .ck commIU8tim. will do th. *rak nd tho WrWtwo b not int& w oltud lw uk (Sec. 7044, Butinem and Rofaulonr Ce: The Contractor's LICOIUB Law dcm not apply to an om 01 plo#~y who kJldr or Imprums thmon, d who d#r 6UCh work himself or through his own mploy..~, proviw that ruch ImpfO- .(0 not Int.nb.6 or offwd lw uk. W, homvw. th. bulldb~~ o# knpovmm b sold within one mar of tomplation, th. ownor-builder wlN hwo the burdon of pmvinp th.1 he did not build or lmprovo for tho I, os owner of the promrty. am mrclusivdy comraetinp w+?h ticonsod CQntractors to construct th. project ls.C. 7044, &ri and Rot...Mw Cod.: The Contractor's License Law boos not awlv to an ownor Of pro#Ry who builds or improves thoon, end cmracta for wch pro).Eta with commctor(a) licunod pursuant to the Contractor's License Low). of nkl. 0 1. 2. 3. 4. em exempt under Section personally plan to provide the major hbor and nutrr*h for construction of tho proposed popmy knprowrmnt. 0 YES DNO (have / have not) signed an application for a building pormit for the promsod work. have contracted with the following perron (firm) to provide the proposed conm~aion lit-t&de IUN I rdbmss I phom numkr I contractors licauo numkc): &aims and Rofralorn Cok for this reason: ~ ~ plan to provide portions of the work, but I have tnrd th~ fdlownQ men to Eoorfbnmo, aupmae and provide tha nUpr work lmctude rum I mldmss I phon~ number I contractors liceme number). 5 of work) PROPERTY OWNER SIGNATURE DATE IS the applicant or future butldtng o-rn mgumd to mbmn a burmoss pkn. motv hMdour mnwub mgmmtmn tam or mk nurugemmnt md mWrma, program under Sections 25505,25533 or 25534 of the R.rkv-Tamm Huwdo~~ St~bstanw Accwm Act? 0 YES 0 NO Is the applicant or future building OCCU~B~ rsqutmd to Obtain a wmi from the air poHution control dtstnct or air qulky nurugommt district? Is the facility to be constructed wnhrn 1 ,OOO foot of the outer boundary of a sthool ana? NO IF ANY OF THE ANSWERS ARE YES. A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETINO THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTlON CONTROL DISTRJCT. .8. CONSTRUCTION LENDING AGENCY I hereby affirm that there IS a construction lending agency for the performance of the work for which thts permit Is nswd ISec. 3097111 Civil Code) LENDERS NAME LENDER'S ADDRESS -9. APPLICANT CERTIFICATION I certify that I have read the application and state that the abova information is comct and that the information on the dins is accurate I agree to comply with all City ordinances and State laws relating to budding construction. I heby authome ropresentmvos of the Clt) of Carlrbod to anter upon the above mentioned property for inspection purposes I AIS0 AGREE TO SAVE. INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSW AGAINST ALL UABILITIES. JUDGMENTS. COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AOAINST SAID CITY IN CONSEQUENCE OF THE ORANTlNO OF THIS PERMIT OSHA An OSHA permit is required for axcavatiw over 5'0' deep and demolaon or constructton of structures over 3 stories in height EXPIRATION Every Permit issued by the Budding Official under the proviaions of this Coda shall expire by limitatton and become null and void if the buildtng or work authorized by such permit is not commenced wnhtn 365 daw from the date of such permit or if the buildtng or work awhoftzed by such permn rs SUSDOnded or abandoned at any time after APPLICANT'S SIGNATURE m.r DATE I will provide aome of the work, but I haw comroctod lhtnd) tho follOw@ng p.nMlr to provla tha work ndtcmd lhrtkd. MfW I BddmS I phaw nUmbW I rvP. .. COMPLET6THlS SECTION FOR NolllvwllDamu ~B poRMITG wy---. . -f- . c----*- - +.m**-- 2 - * .--- .- 0 YES NO 0 YES - ,- .- .* - -I.-- *-,....."-I - -. - . - -__ - -- __" mme f tpd 0 1 BO day (Section 106.4.4 Uniform Buil&ng Cads). WHITE File YELLOW: Applicant PINK: FiMnca PERMIT# CB983761 DESCRIPTION: TEMP POWER POLE TYPE: ELEC JOB ADDRESS: 1295 AVIARA PY APPLICANT: CUATRO COMPANIES CONTRACTOR: OWNER: CITY OF CARLSBAD INSPECTION REQUEST FOR 11/04/98 REMARKS: c/ SPECIAL INSTRUCT: TOTAL TIME: CD 32 INSPECTOR AREA PUCK# CB983761 OCC GRP CONSTR. TYPE NEW STE : LOT: PHONE: 619-687-7308 PHONE : PHONE : : INSPECTOR LVL DESCRIPTION ACT COMMENTS EL Const. Service/Agricultural DATE DESCRIPTION ***** INSPECTION HISTORY ***** ACT INSP COMMENTS