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Home My WebLink About2100 CAMINO DE LAS ONDAS; ; CB962131; PermitB.UILDINGPERMI ll/05/*96 14:42 Page 1 of 1 Jpb' Address: 2100 CAMINO DE LAS ONDAS Suite Permit Type: ELECTRICAL Parcel No: Lot#: Valuation: 0 Occupancy Group: Reference*: Description: TEMPORARY POWER POLE-MARINER'S : POINT 7 Permit No: CB962131 Project No: A9603019 Development No: 0790 U/05/96 0001 01 02 C-PRMT 20-00 Construction Type: NEW Status: ISSUED Applied: 11/05/96 Apr/Issue: 11/05/96 Appl/Ownr : TEMPORARY POWER SYSTEMS 1111 N TUSTIN AV NHEIM CA 92807 *** Fees Required *** 714 632-1999 Entered By: RMA ected & Credits Fees : Adjustments: Total Fees: Fee description Enter "Y" for Electr Enter "Y" for Tempor * ELECTRICAL TOTAL 20. * * * .00 .00 20.00 Ext fee Data 10.00 Y 10.00 Y 20. 00 CITY OF CARLSBAD 2075 Las Palms Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION Cfty of Carlsbad Building Det»mssm 2075 Lat.PaUM Dr.. Carlabad, CA 92009 (619) 438-1161 i. nuuui imi From List 1 (see back) give code of Permit-Type: For Reridenttal Project* Onfa; From Laa 2 f iee \mA) rive Code of Structure-Type: ' Nee Loss/Gain of Dwelling Units PLAN CHECK NO.CTf BST.VALPLANCK DEPOSIT VALID. BY DATE 2. PROJECT INFORMATION FOR OFFICE USE ONLY Nearest Cross Street LEUAL UESCfUr I1ON LOC NO.subdivision Name/number unit No.Phase NoT UlfcUK BCUJW ir aUBMil Itt>: D 2 Energy Cata D 2 Structural Gala qaSoHs Report D1 Addressed En vetope EXISTING PROPOSED llfiP! DESCRIPTION OF WORK SQ.FT.* OF STORIES # OF BEDROOMS * OF BATHROOMSuun IML.I rBiuun m oiiicnni [rom •ppucanij NAME (last name fint) ADDRESS CITY STATE OPCODE DAY TELEPHONE 4. AnrUUWT UULWIMH.1UK NAME (last name flm) STATE ENT RJR UUft IKKaUK OUWNfcH QAUKMT fUH UW ^4/Z^eHADDRESS 759 A! erHM<V**Tci . ZIP CODE 72o"£5" DAY TEUPHONiS CITY STATE ZIP CODE DAY TELEPHONE ft. UJHTIUVUIUH NAME (last name first) OTY STATE - ZIP CODE STATE LIC * 40$ 4 J) LICENSE CLASS ADDRESS //// /^ TSfc* DAY TELEPHONtT^f) CITY BUSINESS UC.# HAMS iiast name nntj OTY STATE ZIP CODE DAY TELEPHONE STATE UC.# 7. woniers* compensation ueoantion: Thereby affirm Relations, or a eertifkate of Workers' Compensation Insurance by an admitted Insurer, or an exact copy or duplicate thereof certified by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C). INSURANCE COMPANY KU1CYNO.-/- ploy acenfficale ot Exemption: I certifyso as to Become subject V ASIGNATU the penonnaice of the wont ror wfucntnis Compensadon Liws of California.t ts ssued, I snail not em person in any manner a. UWHEHH uwner-oyiioer uecJarauoh: rnereoy attirm mat i am exempt irom ine ummaor^ ucense uiw ior me louowMig reason: Q I, as owner of the property or my employees with wages as their sole compensation, wffl do the work and the structure Is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contracton Ucense Law does not apply to an owner of property who buflds or Improves thereon, and who does such work himself or through his own employees, provided that such Improvernentt are not intended or offered for sale. If, however, the buQdlnf or improvement Is sold within one year of oaropledon, the owner-builder wfll have the burden of proving that he did not build or improve for the purpose of sale.). D I, uowrw of the property, am exclmivdy contracting wto^ Code: The Contractor's License Law does not apply to an owner of property wb£ builds or tmpitraAerecfl, and oantrac^ with contractors) licensed pursuant to the Contractor's Ucense Law). D I am exempt under Section ..... Business and Professions Code for this reason: (Sec. 7031.5 Business and Profession! Code: Any dry or County which requires a permit to construct, alter, Iraprove, denoush, 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 die provisions of the Contractor's License law (Chapter 9, commencing withSectkm 7000otrJivl«k}n3oriheBusinenaodProfe«kxaCodeJ or that he is exempt therefrom, and the basis for the alleged cremation. Any violation of Section 70313 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500]). SKNATURE DATE ""*" ttm Is the applicant or future building occupant requJred to submit a business plaii, acutely liazardow materials tegitt^ prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act?D YES D NOb the applicant or future buHdlng occupant required to obtain a permit from the air pollution control district or air quality management district? D YES d NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?DYES a NO JED AFTER JULY 1,19W UNLESS THE APPLICANT AND THE AJR POLLUTION OONTKOt DISTRICT. 9. GUNOTtUCnun UOWUKt AUlWlur hereby ainrm Inal tnere tt a corawucuon tending agency tor tne performance ot tne wont tor wnicn urn permit is issuea t&ec uvu uxxj. LENDER'S NAME LENDER'S ADDRESS in 1 cerury'u^ 1 nivie read the application and state that tne anove imormauon is correct i agree to comply wttn ail uty oramances ana state lawT relating to building construction. Iherebyiutbc«izerrr«ifntaovaof thearyofCarbbadtoentef upM purposes. IAI£OAttREElOSAVBim)B«NOTAJroBEEPHAIu^^ AND EXPENSES WHICH MAY Of ANY WAY ACCRUE AGAINST SAID CfTY IN OONSBQ^ffiNGE OF THE GRANTING OF THIS PERMIT. 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 prc*fek>m of thii Code »n«U etpire by Umlutkinbuilding or work authorfztd-bvsuch permit is not commenced wi*to 365-dayi from d»e date of such permit or tf the bufl^ such permit is suspended orsbWoned at any tinujAer the vrackJa^sRifoenced for a period of 180 days (Section 303(d) Uniform Building Code),- -- - - DATE:V/3 : Applicant PINK: Finance City of Carlsbad EJuilciirtg Department WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations; I have and will maintain a certificate of consent to self-insure for A. workers' compensation as provided by section 3700 of the Labor Code, for the performance of the work for which this permit is issued* 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 issued. My workers' compensation insurance carrier and policy number are: INSURANCE COMPANY POLICY NO. EXPIRATION DATE: (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) I certify that in the performance of the work for which this permit is issued, t shall not employ any person in any manner so as to become subject to the • C. workers compensation laws of California. I Warning: Failure to secure workers' compensation coverage is unlawful, and shall be subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor Code, Interest and attorney's fees. March 3, 1995 2O75 Las Palmas Dr. - Carlsbad, CA 92OO9-1576 • (619) 438-1161 • FAX (619) 438-O894 OCT-67-1996 12*48 FROM TtMP POMSR TO 16I9737OTTO P.82 ^SS^-^^i^^^^^S. • NO mm ovon THC CBRWAIC OOM MOT AMMD: OOMD OR MtER TNIMilestone Xn*ur«ao* Agency APTOWNB »T TM COMPANIES AFFORDING COVHfiAOE A California • Corpormt. Pmrk, f 130 Irvin*, CA 92714-5105 (714)852-0909 V*x(714> 852*31131 Sower rubricating, Twp Powor 1111 V. Tuvtia Jta*h»im, CA 92S07 IMP 9 TO CPmnr 1HW TX MUOB » MWMMCllUMD «JDW HMC MM MUD TO IMt MUm NW9 *OWflQftft« raUCV KMOOMI w MU0 OR MMT ffWiMML 1MI M JWMCi MTOV0 ^ INI WuCK OVC«B> HpON II ftlMKT 10 ML IHi TCMM. fMOUMM AMD CONOntONBtf SUCH POUCM. IM It SNOMN MAT HWE MEN MDUCCD »f f«0 CUV0.r*-.^- ",-^^f-F'.*4«» ••*..*,,. ,,»jfd.»d......'«4- -r^^if iT^B^l *-j, ••».>.._,.,»»<-... r- v.****..*-*?:• - • • .. -- - , ».'.. * ' — ,.*-- » igoum- \mmti9 Mf s 5SSSS5JSL ..... A 10/01/96 ifj»oozopj Proowill _, __ -^^. ,.-• A ton (10) day aetie* ofif c«ne«ll*tibn is duo to a<m-p*ym*nt of WMTVI Moncs 10 TN« cimviowfi TDTRL P.