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Home My WebLink About1698 BLUEBIRD LN; ; CB983159; PermitBUILDING PERMIT Permit No: CB98315Y 09/17/98 11: 08 Project No: A9804107 Pacre 1 of 1 Development No: Sob Address: lb98 BLUEBIRD LN Suite: Perinit Type : ELECTRICAL Parcel No: Lot#: Valuation: 0 Construction Type: NEW Occupancy Group: Reference#: Status: ISSUED Description: TEMP POWER POLE Applied: 09/17/98 : POINSETTIA HEIGHTS Apr/Issue: 09/17/98 I Entered By: JM Appl/Ownr : TEMP POWER SYSTEMS 760 439-1999 750 N CITRACADO PRKWY #4 ESCONDIDO CA 92025 kkk Fees Required x*k ected & Credits *** Ad jus tment s : -----__----_________________ ...................... Fees : .00 Total Fees: . 0 0 __---_____-___________ Fee description --------------- /YB2&$p - Da ea M.# Enter "Y" for Electr ic).oo Y Enter " Y " for Tempor 10.00 Y -- ------.- CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 FOR OFFICE USE P'ERMIT APPLICATION PLAN CHECK NO. CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 Date (760) 438-1 161 Legal Description Lot No. Subdivision NamelNurnber Unit No. Phase No. Total # of units Existing Use Proposed Use #of Stories # of Bedrooms # of Bathrooms Description of Work SQ. FT. Name Address city Statelzip Telephone # Fax # Name Address City Statelzip Telephone # (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 Law IChaoter 9. commendina with Section 7000 of Division 3 of the Business and Professions Code1 or that he IS exempt therefrom, and the basis for the alleged .~ ~~ . " Address City Statenip State License # Designer Name Address City Statelzip Telephone City Business License # State License t WORKEW CWPENSATKIN 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. fi 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 Policy NO.^& gV726 Expiration Date c issued. My worker's Insurance Company (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. WARNING: Failure to thousand dollara (8 100 SIGNATURE I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 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 does not apply to an owner of property who builds or improves thereon, and who does 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 I, es owner of the property, am exclusively contracting with licensed contractors to construct the project (Sac. 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 such projects with contractor(s) licensed pursuant to the Contractor's License Law). 0 1. 2. 3. 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 hwful. and shall subiea an employer to criminal wnaltiea and clvli finea up to one hundred damages as provided for in Section 3706 o attorney's fees. I am exempt under Section I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ON0 I (have I have not) signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction (include name I address I phone number I contractors license number): Business and Professions Code for this reason: 4. number I contractors license number): 5. of work): PROPERTY OWNER SIGNATURE DATE COMPLETETHIS SECTION FOR ND"Tk9L EUllMNO PERMITS Is the applicant or future building occupant required to submit a busine program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 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? Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 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. 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 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 phone number I type haza k management and prevention 0 YES NO 0 YES 0 NO 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). LENDER'S NAME LENDER'S ADDRESS 3 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 Cit) 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 excavations over 5'0' deep and demolition or construction of structures over 3 stories in height. of this Code shall expire by limitation and become null and void if the building or te of such permit or if the building or work (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE WHITE: File YELLOW: Applicant PINK: Finance I CITY OF CARLSBAD INSPECTION REQUEST 'BERMIT# CB983159 FOR 12/16/98 INSPECTOR AREA PS DESCRIPTION: TEMP POWER POLE PLANCK# CB983159 TYPE: ELEC CONSTR. TYPE NEW JOB ADDRESS: 1698 BLUEBIRD LN STE : LOT: APPLICANT: TEMP POWER SYSTEMS PHONE: 760 439-1999 CONTRACTOR: PHONE : OWNER: PHONE : REMARKS: C/BOB/439-1999 INSPECTOR POINSETTIA HEIGHTS OCC GRP SPECIAL INSTRUCT: TOTAL TIME: CD LVL DESCRIPTION 32 EL Const. Service/Agricultural - -- ***** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP COMMENTS 120998 Const. Service/Agricultural CO PS 111998 Const. Service/Agricultural NR PS ............ ~~ '. . - j CoNCacI Wo'RIaHtb UPON THE CLRTIwm WRR Mlb CmnFtCATE iPoilumMLQw. Milecatone Inuura.nee Agency ; bbE6 Not AMEND, OR Al". THE -A08 -80 W TMl 8 Corporate Bark, il30 ............................................. ........................... ...................................................................... (714) 852-0909 Fw(714) 852-1131 f ................... .................................................................. ..................................... 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