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Home My WebLink About1909 PALOMAR OAKS WAY; ; CB972401; Permit•08/28/97 13:00 Page 1 of 1 B U I L D I N G Job Address: 1909 PALOMAR OAKS WY Permit Type: ELECTRICAL Parcel No: Valuation: 0 P E R M I T Suite: Lot#: Permit No: CB972401 Project No: A9703053 Development No: Occupancy Group: Reference#: 8574 08/28/97 0001 01 Construction b!~t N~ 20•00 Status: ISSUED Applied: 08/28/97 Apr/Issue: 08/28/97 Entered By : RMA 471-5494 Description: TEMPORARY POWER POLE-MINI : STORAGE CONSTRUCTION SITE Appl/Ownr : POWER PLUS P.O. BOX 34089 LAS VEGAS NV 89113 760 *** Fees Required *** *** Fees Collected & Credits *** Fees: Adjustments: Total Fees: Fee description 20 .00 .00 20 .00 TotaI Credits: Total Payments: Balance Due: Fee/Unit Enter "Y" for Electric I:ssue Fee Enter "Y" for Temporary Service * ELECTRICAL TOTAL CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 .00 .00 20.00 Ext fee Data 10.00 Y 10.00 Y 20.00 - FOR OFFICE USE ONL V .-'ERMIT APPLICATION ~ PLAN CHECK No.9 7 2=Yo I CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 EST. VAL.---------- 1. PRojEcT INFORMATIAN /'/(), Address (include Bldg/Suite I) Business Name (et this address) legal Description lot No. Subdivision Name/Number Unit No. Phase No. Total I of units Assessor's Parcel I Proposed Use Description of Work lot StoriH I of Bedrooms I of Bathrooms Name Address City State/Zip Telephone I Fax I 5:--.· APPUCAkl:'P ~o~~~f~ ~htrlr~ a:i,w;i-:Str for <>wner7"';• "~ 9J. TD1' -... :·, ;;_j;i:;-9 i' 9 ' Name 'Address City State/Zip T11i11phon11 I 4. .1>110PEAtY b~Elf,;T~ .~~fc,~ift ;tQ7:~fi'T~7]~oi'?~?ff PJ:i'B!F~i?"f13 '.'t ~:r.·i , .••. , r··-· Name Address City State/Zip Telephone I •s. ·coNTRAcro11-coMPANvNAMir ''1-•"'"'"'"'~ _,. • ......... ·"'""''· """""'"'"""' ,.,,.,........,.,~. (Sec. 7031.5 Business and Professions Code: Any City or County which requires I 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 th1t he is licensed pursuant to the provisions of the Contractor's license law (Chapter 9, commending with Section 7000 of Division 3 of the Business ind Professions Code) or that he is exempt therefrom, and the basis for the elleged exemption. AJ1( violation of Secti~ 7j)31.5 by any 1pplic1n9 or I per it subjects !!l.e applicant).~• civil j~•lty of not more ~n five hundred dollars, ($500J1 U 1 owlr 11t1..s /"7 ow .sr 0a-JJ/V/t1 :co.s 7iltJt7 71 --sl/97 Name State License I _s __ J._J_S-_9.;__( __ Address City license Class (! C / ----------- State/Zip Telephone I City Business license I-------- Designer Name Address City State/Zip Telephone State License I---------- 6. 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 es provided by Section 3700 of the labor Code, for the performance of the work for which this permit is issued. ·'RJ I have and will maintain workers' compensetion, as required by Section 3700 of the labor Code, for the performance of the work for which this permit is issued. My worker's co~ensation insuranc,icarrier and poljcy number are: J ,.-9!" Insurance Company C.. · q Y"' ..t. /'t /}'J -l..f I C. 9 Policy No. C ~ 0 OS-/ I/ 0 Expiration Date. __ /_-_/ __ _ tTHIS SECTION NEED NOT BE. COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS! O 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 es to become subject to the Workers' Compensation Laws of California. WARNING: Failure to~• workers' compenaatlon cov1r199 11 unlawful. and ahll aubject mn employlf to crirnNII penettles Md dvll fines up to -hundred thousand dollars ($10~ to the c~~· demagu u provided for In Section 3706 of the ~code, lnt-t and •ttomey's fNs. SIGNATURE _ -;,{ ~ DATE _a._.-A fr ,. 9? 7. OWNER-BUILDER DECLARATION ·"' ·· '" -· • · " •. •. .:::::"·:.,"li!l.~·:~•."'l:", • •,.,.,._,,~""!t7",. · · ~:--r.'i:1 ~ ,t I hereby affirm that I am exempt from the Contractor's License law for the following reason: 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 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 ere not intended or offered for sale. If, however, the building or improvement ie sold within one year of completion, the owner-builder will have the burden of proving th1t he did not build or improve for the purpo,e of ,ale). O I, as owner of the property, em exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to en owner of property who builds or improves thereon, ind contracts for such projects with contr1ctor(1) licensed pursuant to the Contractor's License l1w}. 0 I am exempt under Section ------Business and Professions Code for this reason: 1 . I personally plan to providt the major labor end materials for construction of the proposed property improvement. 0 YES ONO 2. I (have/ have not} signed 1n application for I building permit for the proposed work. 3. I have contracted with the following person (firm} to provide the proposed construction (include name/ 1ddress I phone number I contractors license number}: 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise end provide the major work finclude name I address I phone number I contractors license number}:. _____________________________________________ _ 5. I will provide some of tlMt work, but I have contracted (hired} the following persona to provide the work indicated (include name/ addreaa I phone number I type of work}: _______________________________________________________ ~ DATE ________ ~ PROPERTY OWNER SIGNATURE .~;:-:;=;:-:-::::::;::7~:;;:;::;;;:;;;:-;:;:::;:::::::;:;::~-;,;:;;:;;;:;:;:;:;;:;::;;::;:::;:;;;;;:::;;;:;::;;: iCOMPLETE.THIS iECtioN FOR NON-RisiDBlflAl. iuiftiiNtf PiiiMrti"ONLY•W·~"J'..•••,•~.')(.....,,. ~~~~~!""~ '·""'"'~-:"'~ -·:l·~~r:.,n""~ ., Is the applicant or future building occupant required to submit I business plan, acutely hazardous materials registration form or risk management ind prevention program under Sections 26505, 25533 or 26534 of the Presley-Tenner H11.ardous Subst1nce Account Act? 0 YES O NO Is the applicant or future bi.ilding occupant required to obtain • permit from the air pollution control district or air quality management district? 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer bound1ry of a school site? 0 YES O 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. 18.'"'."" cor.istiiucrioNLENDING AGENCV:~"''7""·~·: ''':'.""':'~~·'_';' 11"""-""""'r"'"'"':::'""'".;'""'.,..,.,........':'.''1'."~_,.,.._,...,....,-.,.-., w-z I hereby affirm that there is I construction lending 1gency for the performance of the work for which this permit is issued (Sec. 3097(1) Civil Code}. ~-;:1'-1.•• :-._ I ,,. . . ... LENDER'S NAME ::;:~::;:;:;:;:;;;;_:;;;;;:;;::;;:;;::;;::;;:::;;:;:;:;;;;:;;::;:;,.,....;lE~N:.:D'.ER'S ADDRESS----------------------- 19~ -·-APPUcANl' CERtiF1CAtiO~.;.-r:~··:r·r·"t1rl;,"!:!"'-~G'";'T'!"~~.:-;,: .. , ' :'N•~::,q:r:ta::t:.i'~;'r·-::t~~]'; ,!'l!lt. ~ ~ , t....:..... '!' •• -:;;-·~'Ir'"t-:l,"""':"' "'!. '"'1'~ I certify that I have read the application end st1te that the above Information Is correct and that the information on the pl1n1 la accurate. I agrea to comply with 111 City ordinances ind St1te laws relating to building construction. I her9by euthorlze .....-,tltives of the Citt of C.rllbld to enter upon the 1bov1 mentioned property for inspection purposes. I ALSO AGREE TO SAY£, 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. OS_HA: An OSHA permit is required for exc1vations over 5'0" deep ind demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shill expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 365 days from t date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the w enced for I pe~ of 18 eys (Section 106.4.4 Uniform Building Codel. 8 ,-;2 ~ _ Cf'? APPLICANT'S SIGNATURE ~' DATE ------------- CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB972401 FOR 09/12/97 DESCRIPTION: TEMPORARY POWER POLE-MINI STORAGE CONS~rnUCTION SITE TYPE: ELEC INSPECTOR AREA PK PLANCK# CB972401 OCC GRP CONSTR. TYPE NEW STE: LOT: JOB ADDRESS: 1909 PALOMAR OAKS WY APPLICANT: POWER PLUS CONTRACTOR: PHONE: 760 PHONE: 471-5494u./·/ / OWNER: REMARKS: C/MICHELE/471-5494 SPECIAL INSTRUCT: TOTAL TIME: CD LVL DESCRIPTION 32 EL Const. Service/Aqricultural PHONE: I/ INSPECTOR~~--./:~_-'--~~~~-·~~ ACT COMMEN'9> ;('~ (/'~ ~ ***** INSPECTION HISTORY***** DATE 090397 090297 DESCRIPTION Const. Service/Agricultural Const. Service/Agricultural ACT INSP CO PK NS PK COMMENTS RESET FOR 9-2-97 • ·. ·""'· 1-------G_ ... _1_AAl. __ c:_\1_3_ff*P ___ , .. -fl!Ol'I __ M_A_T_10.;_N ______ ..... "OLE·---~" -'R~S REQ'OO .....,.....,,.,·o·'""'-·6·a--.11wallnlr,9,..tooeni..1.,.o1l'l.i«1111 .... -""'!'-1"111 ~ ft _II'/ --..IDie M liowl'!I pat ............ mu.$\ De ~ = &ia11 a-.&IIN ot ~Y 1101en11.i1y llamrdoll, 111 dal\"'o.,: c~ 11f9'fdU f\. X 111,-1"""" llllflftll te,,tl ...... "O-•in lram of-.~ ......., -"I t. ~Cl, -INt lfte PIIIIIMt al"'--Ill St>Cl&E ett,ea. »et« lleMs Md~ -...;e. 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