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HomeMy WebLinkAbout2020 HAYMAR DR; ; CB981777; PermitOt.1/U..:J/qb 16: 24 Paqe 1 of 1 B U I L ~ I N ~ P E R M I T Permit No: CB98177? Joh Addres•;: 20l0 HAYMAR DR ;,Uite: P-=Jrm1t "ype: ELECTRICAL Parcel No: ~ot#: Valuation: 0 Occupancy Group: Reference#: Descr1pti0n: PWR POLE 100AMP,240V,4CO FT : TO 7.SHP WATER PUMP PLoject NJ: AJti02J>t' Development N ,>: C'o 1~ .. ~~"') 'Typ ···:w 7862 06/0919810001 01 1•2 ED Lc~PRNT •/Utt 50!00 Apr/lSS~e: 06/0~/98 Enter Pd By: Br App:/Ownr : TURNER SERVICE J1S5 KAYWOOD ESCONDIDO, CA *•* Fees Required *** 743 5192 F't:>es: Actjustments: Total F'<>es: Fee de~cr1ption Other ------------------------- CLEARANCE CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 .oo .ao SO.OU Ext fee ,.>ata ------------------ 50,00 PE::1MIT PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-11 61 FOR OFFICE USE ONLY PLAN CHECK NO. qs '111 · EST. VAL. _______ .,...::i...,___L Plan Ck. Deposit------,,-~_.:::::...- Validated BY·-------""'-f-"T"""-,J Date. __________ __,~-~-.._,_ Address (in~ude Bldg/Suite #) Business Name (at this address) H!'I l . 7-©lfl>-~~ Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Existing Use f'7' J:: fl? -t-z:1-? a ~~ 0 t.~ t-1/V/3' Td I r-r lj~ / f//''r Proposed Use # of-Sedrooms # of13athfeGms k-ve__ &rdl' 7 Name Address City Telephone # Fax # 0 Agent for owner P:.cov 1>1M 3. APPLICANT O Contract or O Agent for Contractor O Owner TuwtYL senu t <,,,,.e.. J I!;'-£ ,tA..,11 wood. 7 l,() Name · Address / City State/Zip Telephone# 4. PROPERTY~NER Vv\v . , Qi..v-W\.w Name Address City State/Zip Telephone# 6. CONTRACTOR • COMPANY NAME Name State License , --"~"'~sc....c~~h~9.....__ License Class _c=.....:.I_O;c_, ___ _ Designer Name Address City State/Zip Telephone State License # _________ _ 6. WORKERS' COMPENSAllON 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 t o 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. Pit. I 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 fs';ued. My worker's compensation insurance carrier and policy number are: Insurance Company sf:mc. C/)h-t(Je"'Slrftc',J //IJt'uPlft:cA ~i Policy No. J.o-</-<jf-?IN( f mil 2.tJ? Expiration Date II-Z:9 (THIS SECTION NEED NOT B!: COMPLETED IF THE PERMIT IS FOR ONE 1-!!J~!DRED DOLLAHS ($~001 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 persor, in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to s erage ia unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,,otll6t;~.-lil!.l:iw:LtfU tion, damages as provided for in Section 3706 of tha Labor ode, ntarast and attorney's fees. DATE _ ___:(;::J-~5',:..J-.?-.I..L--SIGNATURE: ____ ::::::::~~g;;~r:::::__,.,.e::::::::Z~~2;~~~~§:::__ _______ _ 7. OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: O 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 w ill have the burden of proving that he did not build or improve for the purpose of sale). O 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 w ho builds or improves t hereon, and contract s for such projects with contractor(s) licensed pursuant to the Contractor's License Law). 0 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. 0 YES ONO 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 construction (include name / address/ phone number / contractors license number): 4. I plan to provide portions of the work, b4t I have hired the following person to coordinate, supervise and provide the major work (include name I 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 __________ _ COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES O NO Is the applicant or future building occupant required to obtain a 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 boundary of a school site 7 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. 8. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which t his permit is issued (Sec. 3og7(i) Civil Code). LENDER'S NAME ______________ _ LENDER'S ADDRESS ________________________ _ 9. APPLICANT CERTIFICATION 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 law s relating to building construction. I hereby authorize representatives of the Citt 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 A CCRUE 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 . 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 within 365 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE _________________________ _ DATE WHITE: File YELLOW: Applicant PINK: Finance CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB981777 FOR 08/03/98 DESCRIPTION: PWR POLE 100AMP,240V,400 FT TO 7.SHP WATER PUMP TYPE: ELEC STE: JOB ADDRESS: 2020 HAYMAR DR APPLICANT: TURNER SERVICE CONTRACTOR: PHONE:!. 743-5192 PHONE: OWNER: PHONE: INSPECTOR AREA PLANCK# CB981777 OCC GRP CONSTR. TYPE NEW LOT: REMARKS: B/TURNER/ SPECIAL INSTRUCT: 11, JI-INSPECTOR ---~V_, ______ _ TOTAL TIME: CD LVL DESCRIPTION ACT COMMENTS 32 EL Const. Service/Agricultural ~ ------------------- ----------------- ----------------- ***** INSPECTION HISTORY***** DATE DESCRIPTION 072298 Rough Electric ACT INSP NR DH COMMENTS COULD NOT FIND/CALL CONTRACTO r · ( .,. .. i·' ·,·" ·" e e.az,.,;. EB ~ ~ T>CS MAP WAS pqs>ARE!) JOII ASSES9'EHT PJll'OSES ON.Y. IO UlallY 15 ASSIMEO IOI! T~ AC0JA4tT Of TIE CATA S10WN-ASScSSOA'S PAAC<U 14\Y IOT (X)Mlll WITH l.OC.Al SUllMSDH 0A IUI.OIG CJllltillaS. OC~ANSI0( UN CARLSl!A0 UN ..... :,:::.: SHT.2 {!ill ~ SHT.Z ~ ~ SHT,3 . -'•#✓-~ -;,a: ,-.,__ W~y ~t•r =::- ,1~1:-, . I 1'~-,.,~£o~wr. ll ' --l """"'· , .... ~ ~ .. ~ , . ~~ ~ UNMBD.'t .O · ... POR._ .... ·.~t ... », .. ~. ·.· '7-:· .. , .. · .. _.·_._·<.:•--:<-Jr~:;-~~~--.. ·-/."'-~ . . :· · ... : . '• :·~·. ·.•.: .'.::·. ·... . '. :; ~-.. · .. · ..... ~ ., .... · '• .... •• ::: . ."~t':-: ' •:· .. · SHT. I .... 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