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HomeMy WebLinkAbout1299 AVIARA PY; TP; CB000492; Permit* 02/09/2000 City of Carlsbad Electrical Permit Permit No:CB000492 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: ELEC Status: ISSUED 1299 AVIARA PY CBAD St: TP Parcel No: Lot #: 0 AppW99028mmi 01. 02 Entered By: RMA ~-~fif.f~ 20.00 Reference #: Plan Approved: 02/09/2000 Issued: 02/09/2000 Project Title: MARIANO-TEMP POWER POLE Inspect Area: FINAL APPROVAL Inspector: Date: M 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 "feeslexactiins." 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 Carlsbad 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 feeslexactions 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 feedexactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously othewise expired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 I. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 1. PRO.iEClINFORMATION Business Name (at l2YY A v','sf M laK w\/ Address (include BldglSuite X) FOR OFFICE USE PLAN CHECK NO. Ys EST. VAL. Pian Ck. Deposit Date this address) Total X of units Phase No. Legal Description Lot No. Subdivision NamelNumber Unit No. Proposed Use JnTA e -// u /en;l/, d so. FT. #of Stories # of Bedrooms X of Bathrooms / Assessor's Parcel X Description of Work 2. CONTACT PERSON M whmt from 6. CONTRACTOR - COMPANY NAME (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, pnor to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to tho provisions of the Contractor's License Law [Chapter 9, commending with Section 7000 of Division 3 ot the Business and Professions Codel or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section a permit subjects the / Statenip Tehephd # fowep' f/&/ J ,'ke 4 7, City Name Address State License I 52 5576 License class - 6/ City Business License X Designer Name Address city StateRip Telephone State License # 8. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 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. $, I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My worker's compensation insurance carrier and policy number are: Insurance Company 5jeje /f= Mr7J Policy No. /5yF//0 -99 Expiration Date .?$/ - 0 0 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS IS1001 OR LESS) 0 to become subject to the Workers' Compensation Laws of California. 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 eny manner so as raga ia unlawful, md shall aubject en employer to dmirul ponaltiea and civil fines up to OM hundmd , damages M provided for in Section 3706 of tho E ye h@$and attorney's fees. or the following reason: SIGNATURE DATE 7. OWNER-BUILDER DECLARATION 0 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 Lcense Law does not apply to an owner of property who builds or improves thereon, and who doas 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). 0 1, as owner of the property. am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Profassions Code: Tho Contractor's License Law does not apply to an owner of property who builds or improves themon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). 1. 2. 3. 4. number / contractors license number): 5. of work): PROPERTY OWNER SIGNA COMPLETE THIS SECTION Is the applicant or future building occupant required to submn 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 Act7 0 YES 0 NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district7 0 YES 0 NO Is the facility to be constructed within 1.000 feet of the outer boundary of a school site7 IF ANY OF THE ANSWERS ARE YES. A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEEnNG THE REQUIREMENTS OF THE OFFICE 8. CONSrCLUCnON ENDING 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). LENDERS NAME LENDER'S ADDRESS 3. APPLICANT CERTIFICATION I certify that I have read the application end state that the above information is correct and that the information on the plans is accurate. 1 agree to comply with all City ordinances and State laws relating to building construction. I hereby authonze representativas of the Ci of Cadsbad 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 mctures over 3 stories in height. EXPIRATION: Every permit issued or abandoned at any time after the APPLICANT'S SIGNATURE DATE I am exempt under Section I personally plan to provide the major labor and materials for construction of the propored property improvement. 0 YES ON0 I (have / have not) signed an application for a building permit for tha proposed work. I have contracted wth the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number): 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 / addreas I phone I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number I type Business and Professions Code for this reason: 0 YES 0 NO of this Code ahall exaire by limitation and become null and void if the building or (Section 106.4.4 Uniform Building Coda). work authonzed by such permit is te of such permit or if the building or work City of Carlsbad Bldg Inspection Request For: 2/29/2000 Permit# CB000492 Inspector Assignment: PY Title: MARIANO-TEMP POWER POLE Description: Type: ELEC Sub Type: Job Address: 1299 AVIARA PY Suite: TP Lot 0 Location: APPLICANT TEMP UTILITY SERVICES Owner: IRRIGATION METERED PEDISTAL Remarks: Total Time: Phone: 7608399430 Inspector: B Requested By: MICHELE Entered By: CHRISTINE 2 Comments CD Description 32 Const. ServicelAgricultural Associated PCRs InsDection History Date Description Act lnsp Comments 211 6/2000 32 Const. Service/Agricultural CO PY COMPLETE WIRING