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Home My WebLink About2170 OLIVENHAIN RD; ; CB972908; Permit10/17/97 10:48 Page 1 of 1 B U I L D I N G P E R M I T Job Address: 2170 OLIVENHAIN RD Suite: Permit Type: ELECTRICAL Parcel No: Lot#: Valuation: 0 Occupancy Group: Reference#: Description : TEMPORARY POWER Permit No: CB972908 Project No: A9703706 Development No: 0362 10/17/97 0001 01 C-PRMT 02 30.()() Construction TypP: NEW Status: ISSUED Applied: 10/03/97 Apr/Issue: 10/03/97 Entered By: JM Appl/Ownr : TEMP POWER SYSTEMS 750 N CITRACADO #115 ESCONDIDO, CA 92025 760 439-1999 *** Fees Required **~ Fees: Adjustments: Total Fees: Fee description Fees Collected & Credits *** CITY OF CARLSBAD .00 20.00 30.00 Ext fee Data 10 .00 Y 10.00 Y 30.00 REINSPECT 50.00 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 'ERMIT APPLICATION FOR OFFICE USE O<iZ? i 'J' PLAN CHECK NO. t_;, t'./, CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 EST.VAL.~~~~~~~~~~ Plan Ck. Deposit 1/r_ Validated By '=Q Date µ(. ~/=.-- 1. Address (include Bldg/Suite II Legal Description Lot No. Subdivision N1me/Number Unit No. Phese No. Tot1I I of units Existing Use Proposed Use Description of Work SO. f:T. lot Stories I of Bedrooms I of Bathrooms Name Address City State/Zip Telephone I Fex I ~·&21J~;;~~t~°Z~~~f/~if~1h~.&'~' ~ Name Address City St1te/Zip1 Telephone I ~j~-;;.~" IC/ t(. t7 Name 6. CONTRACTOR • COMPANY NAME (Sec. 7031 . 5 Business ind Profession, Code: Any City or County which requirH • permit to construct, alter, improve, demolish or repair any structura, prior to Its issuance, 1110 requires the epplic1nt for such permit to file • signed 1t1tement thlt he is licensed pursu1nt to thl provisions of the Contr1ctor's License Llw (Chapter 9, commending with Section 7000 of Division 3 of the Businesa ind Professions Code) or th1t he 11 exempt therefrom, ind the bHis for the 1lleged _ex_e_m.:..~1.ti'._!ob~C:A:!n.!.r'...._· ..:.l~~~:..W<~o~f ~s~:::....'..i.=..:.7~~!.'...!~::b~~L·~n~y~·:spp,:::l~lc_,n.J.t~~~or~·~pe~r~·~'=.!.'l.J,,'...!eR~·~th~e~·~pt!p~lic~·~nu.'l<~·~;~iv~i~I p:en~11t-'y2 ofs:!no~t~m~or~e~t0h~a2,n,!.fl~veah:...n1.d'.'2ed~do~ll~a;.._·..:'~·5:SOO~))~.:C(LY7' ::.:: License , -c/--~B~-~--$0-~ __ :3__ Ad~;::~se Class _ __;e=_-1 .... ..;D;..____ City City Business License , -------- Designer Name State License I---------- 6. WORKERS' COMPENSATION Address City St1te/Zip Telephone ___,.. ... --..rr, ~...,.~ ~-"Jit ~ .... Workers' Compensation Declaration: I hereby 1ffirm under penalty of perjury one of the following decl1r1tlons: 0 I have and will maintain I certific1t1 of consent to self-Insure for workers' compensation H provided by Section 3700 of the Llbor Code, for the perform1nce of the work for which this permit is issued. ~ have and will maintain workers' compensation, as required by Section 3700 of the Llbor Code, for the performance of the work for which this permit Is issued. My worker's ~=ion insurance curier 1nd policy num~r ua: •,/ . /. J, Insurance Company C ,ftL. ~ ;:z:'hf,M,,< &lltl:"V Polley No. d&o S'u:i.n <='-Expiration Date I 0// /~8 lTHIS SECTION NEED NOT BE. COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) ~/ 0 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 1ny manner so 11 to become subject to the Workers' Compensation Llws of C1lifomia. thousand doll•• 1•10 0), cost of compenNtlon, dlrneges II provided for In Section 3708 of the~· t Ind attorney'• fNs. WARNING: Flilure to HCure workers' tlon coverege Is unlawful, Ind 1h11 subject en employer to crlmk1el ~~ fines up to one hundred SIGNATURE DATE /~ 7 7. OWNER-BUILDER DECLARATION --~ -:., I hereby affirm that I am exempt from the Cont11ctor's License L1w 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 ind Professions Code: The Contr1ctor'1 License Llw does not apply to 1n owner of propeny who builds or improves thereon, and who does such work himself or through his own employees, provided th1t such Improvements 11e not Intended or offered for s1le. If, however, the building or Improvement 11 sold within one yeu of completion, the owner-builder will hive the burden of proving th1t he did not build or Improve for the purpose of 11lel. 0 I, as owner of the property, am exclusively contr1cting with licensed contractors to construct the project (Sec. 7044, Buslnesa end Professions Code: The Contrector's License Law does not apply to 1n owner of property who builds or improvH thereon, ind contracts for such projects with cont11ctor(1) Ncensed pursuent to the Contractor's License Llw). 0 I am exempt under Section ------Business ind Professions Code for this reason: 1 . I personelly plen to providt the m1jor labor ind m1teri1ls for construction of the proposed propeny improvement. 0 YES ONO 2. I lheve / hive notl signed an spplic1tion for I building permit for the proposed work. 3. I have contrected with the following person (firm) to provide the proposed construction (Include name I addrHs I phone number I contractors license number): 4. I plan to provide portions of the work, but I hive hired the following person to coordinate, supervise and provide the major work (include name I address I phone number I contr1ctors license ~mbar): _____________________________________________ _ 5. I will provide some of tlMI work, but I hive contr1cted (hired) the following persons to provide the work Indicated (Include name/ address I phone number I type of work): ______________________________________________________ ~-- .... •:f"°"1, Is the applicant or future building occupant required to submit • busiMU plan, ICUtlly hazardous msterlsls reglstretion form or risk m1nagement ind prevention progrem under Sections 26505, 25533 or 25534 of the PrHley-Tanner H111rdous Substance Account Act? 0 YES O NO Is the applicant or future b1..ilding occupant required to obtain • permit from the air pollution control district or air qUlllty management district? 0 YES O NO Is the facility to ba constructed within 1,000 faet of the outer boundary of• school sita7 0 YES O NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT IE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES ANO THE AIR POUUTION CONTROL DISTRICT. 1a. CONSTRUcTioNL.ENDINGAGENCY__,.. ~ ••'*•' .,-,...-·-~ · -....,.....,... --,,__ --...-• T ,..~ .. ~u I hereby affirm that there is I construction lending 1gency for the perfOfflllnce of the work for which this permit is issued (Sec. 30971il Civil Code). LENDER'S NAME LENDER'S ADDRESS 19. APPLICANT CERTIFICAli<>N'F ~ ~rn'. · '· • ~ .,. ~-™ ~-- I certify that I have rud the 1pplicstion ind st1te thllt the 1bove Information Is COffect and thllt the Information on thll pl1ns is accurate. I 1g,N to comply with Ill City ordinance, ind St1t1 l1w1 relating to building construction. I hereby authorize representatives of the Cltt of Csrtsbed to enter upon thll above mentioned property for Inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY ANO KEEP HARMLESS THE CITY OF CARLSBAD AGAINST AU LIABILITIES, JUDGMENTS, COSTS ANO EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CfTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit Is required for excav1tions over 6'0" deep ind demolition or construction of structures over 3 stories In height. EXPIRATION: Every permit issued by the Building Officl1I nder the provisions of this Code 1h1II expire by limit1tlon end become null and void if the building or work authorized by such permit is not c menced within 3 5 d1ys from the date of such permit or If the building or work authoriz by I h permit is suspended or 1b1ndoned at any time after the w for period of 180 days (Sactlon 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB972908 FOR 10/22/97 DESCRIPTION: TEMPORARY POWER TYPE: ELEC STE: INSPECTOR AREA PK PLANCK# CB972908 OCC GRP CONSTR. TYPE NEW LOT: JOB ADDRESS: 2170 OLIVENHAIN RD APPLICANT: TEMP POWER SYSTEMS CONTRACTOR: PHONE: 760 43 - PHONE: OWNER: PHONE: REMARKS: C/BOB/439-1999 RE:SET FROM TUES INSPECTOR ~-t-f'",j--~~~~~~~~-S PE CI AL INSTRUCT: REINSPECTION FEE HAS BEEN PAID TOTAL TIME: CD LVL DESCRIPTION 32 EL Const. Service/Ag:ricultural ***** INSPECTION HISTORY***** DATE 102197 101697 101597 101497 DESCRIPTION Const. Service/Agricultural Final Electrical Const. Service/Agricultural Const. Service/Agricultural ACT INSP CA PK CO PK CO PK CA PK COMMENTS RESET FOR 10-22-97 SAME CORR AS BEFORE RE-INS FE LEFT NOTICE RESET FOR 10-15-97 'T6-/I~? P3 LA C STA VALLEY / j TRA T #88-03-01 f I • I t 1· • l 12J ~