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Home My WebLink About1332 BULRUSH CT; TP; CB973782; PermitBIJILDING PERMIT Permit No: CB973782 12/10/97 09:23 Project, No: A9704873 Paye 1 of 1 Development No: Job Address: 1332 BULRUSH CT Suite: Permit Type: ELECTRICAL Parcel No: 215-850-10-00 Lot#: Valuation: 0 Occupancy Group: Reference#: Description: TEMPORARY POWER POLE I : NEW 01 I SWED On ““m8&F app1-m 12/10mw Apr/Issue: 12/10/97 Entered By: RMA Appl/Ownr : TEMPORARY POWER SYSTEMS 760 439-1999 75014 CITRACADO PKWY #4 ESCONDIDO CA 92025 k** Fees Required *x* ------------------ Fees : Adjustments: a 00 Total Fees: -00 20.00 Fee description Ext fee Data ------------------- ------------------ Enter “Y“ for Ele 10.00 Y Enter “Y” for Tern 10.00 Y x ELECTRICAL TOTA 20.00 FINAL APPROVAL IMP., - ELL DATE,&= I CLEARANCE.-, I CITY OF CARLSBAD 2075 Las Palmas Jh., Carlsbad, CA 92009 (619) 438-1161 FOR OFFICE USE ONLY PLAN CHECK NO. q-7 3 7fL Pian Ck. Deposit PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-11 61 Legal Description a Lot No. Subdivision Name/Number Unit No. Phase NO. Total # of units /o Existing Use Proposed Use Description of Work SO. FT. #of stories # of Bedrooms # of Bathrooms Name Address (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 the provisions of the Contractor's License Lew [Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Codel or that he is exempt therefrom, and the basis for the alleged Name ' Address city StateEip Telephone # State License # License Class Crty Business License # Designer Name Address City Stateltip Telephone State License I Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 of the work for whtch this permit is issued. $ ORKERS' COMPENSATTON 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 -1 have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this p_ermit is r. issued. My worker's Insurance Company Policy NO.&& *7* . Expiration (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS I$1001 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 any manner so as dvll fines up to one hundred er to drnlnal pen st and attorney's fee.. I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 1, 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, end who doea such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvament 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 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project fSec. 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 euch projects with contractor(s) licensed pursuant to the Contractor's License Law). 0 1. 2. 3. 4. am exempt under Section personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ON0 (have I have not) signed an application for a building permit for the proposed work. have contracted with the following person (firm) to provide the proposed comtruction (include name I address I phone number / contractors license number): plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name I address / phone Business and Professions Code for this reason: number I contractors license number): 5. of work): PROPERTY OWNER SIGNATURE DATE I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address I phone number I type 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 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 district? 0 YES 0 NO Is the facility to be constructed within 1.000 feet of the outer boundary of a school site7 0 YES 0 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. LENDER'S NAME LENDER'S ADDRESS 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 Cig 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 excavattons over 5'0' deep and demolition or construction of structures over 3 stories in height. virions of this Code shall expire by limitation and become null and void if the building or the date of such permit or if the buildi 0 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE WHITE: File YELLOW: Applicant PINK: finance CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB973782 FOR 01/02/98 DESCRIPTION: TEMPORARY POWER POLE TYPE: ELEC JOB ADDRESS: 1332 APPLICANT: TEMPORARY CONTRACTOR: OWNER: BULRUSH CT POWER SYSTEMS REMARKS: C/BOB/439-1999 SPECIAL INSTRUCT: INSPECTOR AREA PLANCK# CB973782 OCC GRP CONSTR. TYPE NEW STE : LOT: PHONE: 760 439-1999 PHONE : PHONE : INSPECTOR TOTAL TIME: --RELATED PERMITS-- PERMIT# TYPE STATUS CB971652 SFD ISSUED CD 32 LVL DESCRIPTION EL Const. Service/Agricultural DATE DESCRIPTION ***** INSPECTION HISTORY ***** ACT INSP COMMENTS I I I 1 1 i ! i