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Home My WebLink About1701 DOVE LN; ; CB980101; PermitBUILDING 02/02/98 10:39 Page 1 of 1 Job Address: 1701 DOVE LN Permit Type: ELECTRICAL Parcel No: Valuation: 0 Occupancy Group: Reference! Description: TEPORARY POWER POLE-LIBRARY Appl/Ownr : TEMPORARY POWER SYSTEMS 750 N CITRACADO ESCONDIDO CA 92025 Fees Required *** *** PERMIT Suite: Lot#: Permit No: Project No: Development No: CB980101 A9800159 Construction Type: Status: Applied: Apr/Issue: Entered By: 760 439-1999 *** Fees Collected & Credits NEW ISSUED 01/15/98 01/15/98 RMA *** Fees: 20.00 Adj ustments: .00 Total Fees: 20.00 Fee description Total Credits: Total Payments: Balance Due: Units Fee/Unit .00 20. 00 . 00 Ext fee Data Enter "Y" for Electric Issue Fee Enter "Y" for Temporary Service > > 10.00 Y 10.00 Y INS CLEARANCE ROVAL DATE PEftMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 tl,. PROfEcrm lECTINFORMATION FOR OFFICE USE ONL PLAN CHECK NO EST. VAL., Plan Ck. Deposit Validated By. Date Address (include BIdg/Suite H) Business Name (at this addrsss) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel It Existing Use Proposed Use Description of Work l^lDQlitACT-PERSOWdHfa^ SQ. FT. #of Stories # of Bedrooms # of Bathrooms Address Name 4. 'PROPERTY OWNER TelepnoneT Address City State/Zip Telephone # Name 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, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to tha provisions of the Contractor's License Law [Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code] or that he is exempt therefrom, and the basis for the alleged exernQjIon. Ar^^iolation of Section 7031.5 by any applicanufora permit subjects tliMpplicant taa civil penalty of not more^an five hundred dpilars I$S00)). Name ' 77 7 Address ~ City State/Zip Telephori* Name State License Address . License Class ^ City State/Zip City Business License # Designer Name State License # e. woiKERSiiiomiE^ Address City State/Zip Telephone Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: O I fisve and wili maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of thg work for which this permit Is issued. I have and wiil 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 comMnsation insurance carrier and policy number are: < I CAC//^ Policy No. A7^9^:Z>0<Z.. Expiration Date /<»/V ofthe Insurance Company (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS (»100l OR LESS) Q CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any parson in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failura to secure woricery compensation coveraga is unlawful, and sliall sulijaet an amployar to criminal panaltias an^dvil fines up to one hundred thousand dollars ^^}S0-OOO), imaddiwm to the cost of compensation, damages as provided for in Section 3706 of tha t^b^ci^^g^^^^p^ and attomay's faas. SIGNATURE /^^^^^A/t^ ^ DATE £7.-* OWNER«UIU>ER»ECLARATlON*il'5'^^WW^^^^^^^SS^*! I hereby affirm that I am exempt from the Contractor's License Law for the following reason: D 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 Ucense 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). Q I, 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 thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). O I am exempt under Section Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. Q YES QNO 2. I (have / have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed coiiKtruction (include nama / addrass / phone number / contractors license number): 4. 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 / address / phone number / contractors license number): ' 5. 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 / type of work): PROPERTY OWNER SIGNATURE DATE Is the applicant or future building occupant required to submit s business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tenner Hazardous Substance Account Act? Q YES Q NO Is the applicant or future building occupant required to obtain a permit from the eir pollution control district or air quality management district? Q YES Q NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Q YES Q NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIRCATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPUCANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. |6»Jp«wcTioirEi«DiH5fAGH«cl^^^^raEa^^^E^ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(1) Civil Code). LENDER'S NAME LENDER'S ADDRESS I certify that I have read the application and state that the above information is correct and tiMt the information on tha plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the Citt of Carisbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE. INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST AU LIABIUTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CrTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMfT. OSHA: An OSHA permit is required for excavations over S'O" deep and demolition or construction of structures over 3 stories in height. EXPiRATiON: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced withjh 365 days from the date of such permit or If the building or work authorize^ by supl^permit is suspended or abandoned at eny time after the w^fl^is cjmmjrice(^or a period of 180 days (Section 106.4.4 Uniform Building Code). JA WHITE: File YELLOW: Applicant PINK: Finance APPUCANT'S SIGNATURE City of Carlsbad 2075 Las Palmas Drive, Carlsbad California 92009 INSPECTION RECORD INSPECTION RECORD CARD WITH APPROVED PLANS . •N ^ / MUST BE KEPT ON THE JOB ^ CALL PRIOR TO 2:00 P.M. FOR NEXT WORKDAY INSPECTION / ^ BUILDINC INSPECTION: (760)4318-3101 OWNERS NAME: ^CjMi ( ^A.((<^''S^/ Z-L-^'^^ USE/OCCUPANCY / LOT NO./SUITE:. PERMIT NO. CONTRACTOR BUILDING OTHER 1 7 7/7 ^^^i^^a^M^ APPROVED TO COVER Type of Inspection Date Inspector Notes BUILDING FOUNDATION REINFORCED STEEL MASONRY • GROUT • WALL DRAINS Til -T n A k in r Irvine, CA 92714-5105 (714)852-0909 Fax(714)852-1131 COMPANIES AFFORDING COVERAGE Irvine, CA 92714-5105 (714)852-0909 Fax(714)852-1131 COMPANY ; LETIHI A Califomia Indemnity Ins. Co. i COMPANY B MSUHS : LbllbH B Temp Power Systems, Inc. llll M. Tustin Avenue COMPANY '• LbllbH C Anaheim, CA 92807 COMPANY : LETTER D COMPANY : LETTER E |A«4llllft. Q^mi^2ATE OF H^RANCE mOOUCER Milestone Insurance Agency " •• BSUE DATE (iiilM/bO/yY) V; ' ' 1' 9/29/1997 THIS CERTinCATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIQHTS UPON THE CERTIFICATE HOLDER. THIS CERTinCATE DOES NOT AMEND. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS IS TO CEFUIFY THAT TVIE POUC^ OF INSURANCE USTEO BEL(3W HAVE BEEN tSSUEO TO THE INSURED NAMEO ABOVE FOR THE POUCY PERIOO INDICATED. NOmiTHSTANOiNG ANY REQUIRB/IENT, TERM OR CONOmON OF ANY CONTRACT OR OTHER DOCUMENT WPfH KSPECT TO WHICH THtS CERTIRCATE MAY BE ISSl^ OR MAY PERTAIN, TVIE INSURANCE AFFORDED BY THE POUCIES DESCRIBED HEREIN IS SUBJECT TO AU THE TERMS, EXCLUSIONS ANO CONOmONS OF SUCH POUCtES. UMTTS SHOWN MAY HAVE BEEN REDUCED BV PAID CLAIMS. TVM OP inuuNce POUCY NUMBER POUCV BPmnwE : DATE (MM/DO/YY) iPOUCV BHtATION i IMTE(MMX}DffY) LMTTS i OaCRAL LIABUTY i QENB1AL AQOREOATE i« i COMMERCIAL GENERAL LMBILITY ; PRO0UCT&COM>/0P AGO. jt i CLAMS MAOE \ ! OCCUR, j 1 PERSONAL & AOV. INJURY ;t •• OWNER'S & COMTHACTOTS PHOT. i EACH OCCURRENCE 1 FIRE DAMAQE (Any ona Jl Ill*) ^$ j MEO. EXPENSE (Any on • peraon}.S iAUTOMOWU UABUTY i ANY AUTO : COMBINEOSINOLE \ LMFT !$ ; ALL OWNED AUTOS i SCHEDULED AUTOS i BODILY INJURY : (Par peraon) is i HIRED AUTOS i N0N.OvmEO AUTOS i BODILY WJURY i (Pat accidenQ if i GARAQE LIABLITY ; PROPERTY DAMAGE il jEXCCSS UABIUTY ; EA01 CXXUnnB4CE jl : UMBRELLA FORM ; OTHER THAN OMaflELU FORM WORKER'S COiraUllON : AOOREQATE N 6044720C . ^ . STATUTORTY UMITS I1O/OI/97 10/01/ 98l^/«=?'P^Il^.^^^^.^^.^I ; DISEASE - POLICY UMrf il 1,066,000 i DISEASE - EACH EMPLOYEE il 1,666,660 : OTHER OeSCnPTlON OP OPEIUTIOIW«jOC«T10N»VBKUMPEa«L nBMS RE: License 483443 *10-day notice of lent of premium SHOULD ANY OF THE ABOVE DESCRIBEO POUCIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY Wia ENDEAVOR TO MAIL 30 OAYS WRrrTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHAU IMPOSE NO OBUOATION OR UABIUTY OF ANY WNO UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. Contractors State License Board P.O. Box 26000 Sacramento, CA 95826 || AIITHOntB> REPmEirTATnE /U^JL^t£/4iJi^ +6978499 TAYLOR BPLL 515 P02 JflN 13 '98 11:23 ^ :X' i^ YC^ /^ l<^^ 'ilKET .MAP ,^;^i...•' i-^ .'^''''ii--,/-.' ..'•'^r'f'V^ 'j^. ''• vA ji; a-mlSoeOimSS^ OF ctmmc - FAGlUTieSi BUILDING PERMIT Permit No: CB980101 02/02/98 10:39 Project No: A9800159 Page 1 of 1 Development No: Job Address: 1701 DOVE LN Suite: Permit Type: ELECTRICAL Parcel No: Lot#: Valuation: 0 Construction Type: NEW Occupancy Group: Reference#: Status: ISSUED Description: TEPORARY POWER POLE-LIBRARY Applied: 01/15/98 : Apr/Issue: 01/15/98 Entered By: RMA Appl/Ownr : TEMPORARY POWER SYSTEMS 760 439-1999 750 N CITRACADO ESCONDIDO CA 92025 *** Fees Required *** *** Fees Collected & Credits *** Fees: 20.00 Adjustments: .00 Total Fees: 20.00 Fee description Total Credits: Total Payments: Balance Due: Units Fee/Unit .00 20.00 . 00 Ext fee Data Enter "Y" for Electric Issue Fee > Enter "Y" for Temporary Service > 10.00 Y 10.00 Y INSi CLEARANCE DATE ROVAL