HomeMy WebLinkAbout1912 ASTON AVE; ; CB971159; PermitI. BUILDING PERMIT Permit No: CB971159
U5/08/97 16 : 27 Project No: A9701496
Page 1 of 1 Development No:
Permit Type: ELECTRICAL
Valuation: 0 Construction T-NEW %.a, Occupancy Group: Reference#: Status: ISSUED Description: TEMPORARY POWER POLE-CARLSBAD Applied: 05/08/97
: RESEARCH-RIGGINS CONSTRUCTION Apr/Issue: 05/08/97
1 Job Address: 1912 ASTON AV Suite:
Parcel No: Lot#: .4799 0!!/06/97 0001 0.1 02
Entered By: RMA
Appl/Ownr : TEMPORARY POWER SYSTEMS 619 439-1999 750 CITRACADO PKWY #A
ESCONDIDO CA 92025 *** Fees Required *** llected E, - - - - - - - - _______-___________________
Fees :
Adjustments:
Total Fees:
Fee description
Enter "Y" for Elect
Enter "Y" for Temp * ELECTRICAL TOTAL
.___-_---____-_______
Credits ***
.oo
.00
20.00
Ext fee Data
10.00 Y
10.00 Y
20.00
FOR OFFICE USE ONLY
PLAN CHECK NO. 9' 71 Is?
EST.VAL. \
Plan Ck. Deposit
Validated By
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palrnas Dr., Carlsbad CA 92009
(760) 438-1161
.*?$j~:@f~~~:~ Y
Addmi Imelude BldglSuits XI BYlmau Name IN thu address1
Legal Description Lot No. Subdivision NamoINumbw Unit No. has* No. Total X 01 units
Existing Use Proposed Use
Osrc'nption 01 Work SO. FT. #Of stones I of Bedrooms X of Bathrooms
Name Addrsu City StmalZip Telaphona I
ISsc. 7031.5 Business nnd Prolassions Code: Any City 01 CwnN which Iequifas a permit to ConstrYCl. alter. Improve. demolish or repair any structure. prior to B
issuance. also requires the OPPiiCant lor such permit to file a signed statement that he is liceNed PUrsYam 10 the PrOYisioN of the Contractor's Licsnss Law
[Chapter 9, commending with Section 70M) 01 Division 3 of the Budnsrs and Profassio~ Codal or that ha is exempt therefrom. and the besir for the eilaged
.~ ..j"li* .. : T*i.xlri
State.Licanra H License Class
Designer Name Addreu City Statslzip Telephone
State License I
Workars' Compensation Dsdaration: I hareby dlirm under pmslty of perjurv ana of the following ddirationt.
0 of the work for which this parmil i* issued.
......... . .. ... --r- . .. ..~ ;. .~. .._._J_"i*_. 6. . WORKERS'COMPiTJSAllON "1. ' ' .... '' ' i. .. ........ ..... 1 ., .
I have and will maintain a csnificats 01 conrsm ID self-insure for workers' COmpeNatiOn SI provided by Section 3700 Of the Labor Code. for tha performance
I ham and will maimsin workers' CompeRution, as required by Section
&d, My warker'ippmsalinn insurance carrier and policy number ara:
~nsurance Company AC/ fOH/A ZNbc-MM, 7Y
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS l$lQOl OR LESS1
to become rubisct to the Workers' Compensation Laws 01 Cnlifamia.
WARNING:
thousand do
SiGNATURE
7. OWNE
I haraby dlirm tha1.1 am exsmpt from the Contractor's License Law for the following reason: 0 I, as owner 01 the propmy or my smployssr with wager *I their sola Compensation, will do the work and the StrUCture is not intended or offered lor Ink
(Sec. 7044. Businerr and Professions Code: The Contractor's License Lsw does not apply to an owner of propem, who builds or impfoves thereon, and who doas
such work himself or through his own employees, provided the1 such improvmsnts are not intended OT oflefed fa9 sale. If, however, the building of Improvement is
Sold within one year of CompILion. the ownsr-builder will have the burden 01 proving that ha did not build or impIoYe lor the purpose of adel.
0 i, IS owner of the property. am ~xcIusi~eIy contracting with licemad Cmtrictors to constme the oraiacl (Sac. 7044. Business and Protardons Cod.: The
Contractor's License Law does not apply to .n owner 01 properly who builds or improves thereon. nnd COntIlRS for auch projecta with contract011s1 licensed
~ursuant to the Contractat's Licente Law).
CERTIRCATE OF EXEMPTION: I cenify that in the psrformmca of the work lor which this permit is issued, I shall not amploy my p+srson in any manna, so as
0
1.
2.
3.
4.
I am exempt under Section
I personally plan ID provide the maior labor and matedalr for canstru~ian 01 the proposed DlOpWtV improvemsm. 0 YES ON0
I (have I have not1 signed an application for a building parmil for tha plnpOaed work.
I have contracted with the following person (firm1 m pmvid. tha propared ComtNCtbn lincluds MN I &.u I Phone number I ContrBCtM. license numbed:
Business and Prolessions Coda lor this raason:
I plan to provide ponions of the work. but I have hired the lollowing person to coordinate. wpervise and provids the major work lincluds name I address I phons
number I camractors license number):
6. I will provide somm of the Work, but I hwe contracted (hiredl the following penon. 10 provida the work indieatad llncluda name I addrsrr I $him number I typ8
IS the applicant or future building ocwpmt required to submit a business plm, acuteiy hazardom m.ta~als registration form or dak managomant end prevention
program under Sections 26505, 25533 or 26534'01 the Resley-Tmwr Hazardous Subnmcs Aec-1 Act7
lo the applicant or future building occupmt required to Obtain a pnmit from the aif pollution control dimict or air quality managemam district1 0 YES 0 NO
1s the facility to be conslrucl~d within 1.000 feat of the outer boundary 01 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
REaUlREMENTS OF THE OFFICE OF EMERGENCY SERVICES AN0 THE AIR POLLUTION CONTROL DISTRICT.
YES 0 NO
_I.j.~ .... -.)..:."I ... . ... ,. _-."+-, :.- .. :.).e
*.C -. - -",coNsTR"nioN-~DING AGmcx5T
I hereby affirm that there is 8 coMtrUction landing .gmcy lor the pwfwmane. of the work for wNch VIIS PWndlIs isruad ISsc. 30970) Civil Codal.
I oerlily that I bve read tha application and state that lha above Inlwmaih is unnt ud th.1 lha inlomuih on the &lu is accwato. I agree 10 complv with all
Ci ordinam and State lam relating to building cmstr~~lion. I hasby nuthorir. mpr-mmivar of tho Cnt 01 Carlrbad to enter the mbva mentioned
propam, for inspection purposes. I ALSO AQREE TO SAVE, INDEMNIFY AND KEEP UARNILESS THE CITY OF CARLSBAO AGAINST ALL LIABILITIES.
JUDGMENTS. COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CDNSEDUENCE OF THE GRANTINQ OF THIS PERMIT.
OSUA: An OSHA parmit is required for excavation. over 5'0' deep and dsmollm or conRrYClion of Rructutes over 3 stories in height.
EXPIRATION: Every permit issued by the Building Ofticid under tho provlsiont of this Coda shell expim by limitation and become null end void it tha building 01
work autherimd by such date of such permil or if the building or work c.uthorized by such permit is suspended or abandoned at any time yt ISsction 108.4.4 Uniform Building Codel.
APPLICANT'S SIGNATURE DATE K4h7
WHITE File YELLOW A~pIi~mt PINK: Finance
CITY OF CARLSBAD INSPECTION REQUEST
PERMIT# CB971159 FOR 05/16/97 INSPECTOR AREA
DESCRIPTION: TEMPORARY POWER POLE-CARLSBAD PLANCK# CB971159
TYPE: ELEC CONSTR. TYPE NEW
JOB ADDRESS: 1912 ASTON AV STE : LOT : APPLICANT: TEMPORARY POWER SYSTEMS PHONE: 619 439-1999
CONTRACTOR: PHONE :
OWNER : PHONE :
RESEARCH-RIGGINS CONSTRUCTION OCC GRP
REMARKS: RS/BOB/439-1999 INSPEC
SPECIAL INSTRUCT:
TOTAL TIME: ,/
CD LVL DESCRIPTION
32 EL Const. Service/Agricultural -- -- ~ --
***** INSPECTION HISTORY *****
DATE DESCRIPTION ACT INSP COMMENTS
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It2 lmt Avm., M.S. 301
~11 Dim UA 92101
TmFL P.82 I