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Home My WebLink About1669 CALLIANDRA RD; ; CB000584; Permitc(c t 02/18/2000 Job Address: Permit Type: Parcel No: Reference #: Project Title: City of Carlsbad Electrical Permit Permit No:CB000584 Building Inspection Request Line (760) 602-2725 1669 CALLIANDRA RD CBAD ELEC Status: ISSUED Lot #: 0 Applied: 02/18/2000 Plan Approved: 02/18/2000 Issued: 02/18/2000 Entered By: JM TEMP POWER POLE Inspect Area: Applicant: POWER PLUS 436 N QUINCE STREET ESCONDIDO CA 92026 760-839-9430 Electric Issue Fee Single Phase per AMP Three Phase per AMP Three Phase 480 Per AMF RemodeVAlteration per Ah Remodel Fee Temporary Service Fee Test Meter Fee Other Electrical Fees TOTAL PERMIT FEES e Due: $20.00 0 0 0 0 $0.00 a $0.00 $20.00 P FINAL APPROVAL CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 t PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palrnas Dr., Carlsbad CA 92009 (760) 438-1 161 FOR OFFICE USE ONLY PLAN CHECK NO. u/flw%)y EST. VAL. Plan Ck. Deposit Validated BY- Date Legal Description Lot No. Subdivision Name/Numbar Unit No. Phase No. Total X of wwts Assessor's Parcel X Existing Use sa. FT. Proposed Use # of Bedrooms - X of Bathrooms #of stories a /emP f awl/@/ Po Name Address * City State/zlp Te(ephm t Fax 1 CONTRACTOR - COMPANY WE (Sec. 7031.5 Business and Professions Code: Any Ci or County which requires a permit to construct, alter, improve, demdih or repair any structure, prior 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 Law IChapter 9, commending with Section 7000 of Division 3 ot the Business and Rofessions Code1 or that he is exempt therefrom, and the basts for the alleged Section 7031.5 by any ep licant for e Y?G fit 0 M Name Address / city State/Zip Telephone X State bcense # 2 9576 License cless L 4/ City Business License I Designer Name Address ci StateRip Telephone State License I 6. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affir 0 I have and will maintain a certificate of consent to sdf-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 hove and will maintain workers' compensation, as required.by Section 3700 Of the Labor Code, for the performance of the work for which this mit is penalty of perJury one of the follo /jssued. My worker's compensation insurance Expiration Dote 3 Insurance Company -#e Policy No. (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOWRS IblOOl OR LESS) 0 to become subject to the Workers' Compensation Laws of Caliomia. CERTIFICATE OF EXEMPTION: I chfy that in the performance of the work for which this permit is issued, I shell not employ any person in any manner so as 7. OWNER-BUBDERDECIARATION I hereby effirm that I am exempt from the Contractor 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 License Law dm not apply to an owner of property who builds or improves themon, and who does such work himself or through his own employees. provided that such improvements ere not intended or offered for oak. If, however, the building or improvement ia sold within one year of completion, the owner-buildm 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 Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves therm, end contracts for such projacts with contractor(s) licensed pursuant to the Contractor's License Law). 1. 2. 3. 4. number I contractors license number): 5. of work): PROPERTY OWNER SIGNATUR COMPLETE THIS SECTlON FO Is the applicant or future building occupant required to submit a business plan, aMdy hazardous materials registration form or risk management and pmwntion program under Sections 25505,25533 or 25634 of the Presley-Tanner Hazardous Substance Account Act? 0 YES 0 NO Is the epplicant or future building occupant required to obtain a permit from the air pollution control dimict or air qruli management dutrict? 0 YES 0 NO Is the facility to be constructed within 1 .OOO feet of the outer boundary of e school site? IF ANY OF THE ANSWERS ARE YES. A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE WED UNLESS THE APPUCANT HAS MET OR IS M-G THE w for the following mason: I am exempt under Section I personally plan to provide the major labor and materials for cwamion of the proposed pmperty improvement. 0 YES ON0 I (have I have not) signed an application for a buildno permit for tha propwed work. I have contracted with the following person (firm) to provide the proposed construction bclude name I address I phons number I contractors license numbor): I plan to provide portions of the work, but I hove hired the following person to coordinate, supervise end provide the major work (include neme I address I phone I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phm number I type Busineas and Professions Code for this reeson: 0 YES 0 NO I hereby affirm thet there is a construction lending agency for the performance of the work for which this permit is iu@ (Sa. 3097(i) Civil Code). LENDER'S NAME 1. CAW I certify that I have reed the application and state that the above information ia correct and that the information on the plans is accurate. I igrm to comply with all City ordinances end State laws relating to building construction. I hmby authorize ropr.~ntativ.s of the Cit) of Carisbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNtFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST AU 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 exavstions over 6'0' deep and demdiion or construction of structurm over 3 stories m height. EXPIRATION: Every permit issued by the Building Official under the proviaions of this Code ahall expira by limitation and become null and void if the building or work authprized by such permit is suspended or abandoned at any time APPLICANT'S SIGNATURE the dote of such permit or if the building or City of Carlsbad Bldg Inspection Request For: 2/23/2000 Permit## CB000584 Inspector Assignment: Title: TEMP POWER POLE Description: Type: ELEC Sub Type: Job Address: 1669 CALLIANDRA RD Suite: Lot 0 Location: APPLICANT POWER PLUS Owner: Remarks: Total Time: CD 32 Phone: 7608399430 Qw Inspector: Requested By: MICHELE Entered By: CHRISTINE Description Act Comments Const. ServicelAgricultural hp Associated PCRs d= InsDection History Date Description Act lnsp Comments n u, STATE P.O. BOX 420807, SAN FRANCISCO, CA 94142-0807 COMPENSATION a IN+SS~E CERTIFICATE OF WORKERS COMPENSATION INSURANCE 0 - 99 0 HARCH 31, I999 r CITY OF CARLSBA BUILDING L SAFETY 1200 ELH CARLSBAD, CA 920 JOB : c L This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the California Insurance Commissioner to the employer named below for the policy period indicated. This policy is not subject to cancellation by the Fund except upon ten days' advance written notice to the employer. We will also give you TEN days' advance notice should this policy be cancelled prior to its normal expiration. This certificate of insurance is not an insurance policy and does not amend, extend or alter the covetwe afforded bv the described here AUTHORIZED REPRE EHPLOYER'S LIAB & R. BRAY CORPORATION 1281 EAST SUNSHINE WAY h8dHEXlf CA 92806