HomeMy WebLinkAbout2183 CORTE ARBOLES; ; CB983288; PermitPermit No
Project No
Development No
BUILDING PERMIT
09/29/98 09 23
Pacre 1 of 1
Job Address 2183 CORTE ARBOLES Suite
Permit Type ELECTRICAL
Parcel No Lot#
Valuation 0 Construction Type
Occupancy Group Reference* Status
Description TEMP POWER POLE Applied
Apr/Issue
Entered By
Appl/Ownr TEMP POWER SYSTEMS 439-1999
750 N CITRACADO PKWY
ESCONDIDO CA 92025
*** Fees Required *** ***'. Fees Collected & Credits
CB983288
A9804281
NEW
ISSUED
09/29/98
09/29/98
BT
***
Fees
Adjustments
Total Fees
Fee description
Enter
Enter
"Y" for Electric
"Y" for Temper ar
20
20
I-
Y
00
00
.00
ssue Fee >
Service >
Total Credits •
Total Payments/.
Balance Due- \
Units Fee /Unit
2
Ext
00
00
0 00
fee
....... , '•• '*.'.'• 10
' '• ••.•••• •, •- "' ,"' ' 10
00
00
Data
Y
Y
1635 09/29/98 000101 02
C-PRHT 20.00
FINAL APPROVAL
INSP
CLEARANCE,
DATE
CITY OF CARLSBAD
2075 Las Palmas Dr , Carlsbad, CA 92009 (619) 438-1161
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr, Carlsbad CA 92009
(760)438-1161
PROJECT I!
PLAN CHECK NO
EST VAL
Plan Ck Deposit.
Validated By
Date Q
Address (include Bldg/Suite #)Business Name (at this address)
Legal Description Lot No Subdivision Name/Number Unit No Phase No Total # of units
Existing Use Proposed Use
Description of Work SO FT #of Stones * of Bedrooms H of Bathrooms
CONTACT PERSON (If different from applicant)
Name
APPLICANT Contractor
Address City
or Contractor Qfiwner O Agent for Owner
State/Zip Telephone * Fax tt
Name
4 PROPERTY OWNER
Address City State/Zip Telephone tt
Address City State/Zip Telephone *Name
S CONTRACTOR COMPANY NAME
(Sec 7031 5 Business and Professions Code Any City or County which requires a 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 that 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 and Professions Code) or that he is exempt therefrom and the basis for the alleged
Btiony, Arty)violation^>fJ>ection_7031 5 by any applicant fprja permit subjectsjtbe applicant to a civil penalty of not more than five hundre> dollars I$,50C
Name
State License tt
Address
L,cense Class
City State/Zip.
Gty Busmess License *
Telephone*
Designer Name Address City State/Zip Telephone
State License #
6 WORKERS COMPENSATION
Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations
Q I have and will maintain a certificate of consent to self insure for workers compensation as provided by Section 3700 of the Labor Code for the performance
of the work for which this permit is issued
^Qr\ have and will maintain workers compensation as required by Section 3700 of the Labor Code for the performance of the work for which this permit is
issued My worker s condensation insurance carrier and policy number are
Insurance Company ( ^/$£sJ~^*—£ ^V*P£ £4&(S/'?~r Policy No /\2K?&V-^- f-^&G-— Expiration Date
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS)
Q CERTIFICATE OF EXEMPTION I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as
to become subject to the Workers Compensation Laws of California
WARNING Failure toaecure workera compensation coverage Is unlawful and shall subject an employer to criminal penalties and civil fines up to one hundred
thousand dollars ($>g^OOOMh addidionyio the cost of compensation damages as provided for hi Section 3706 of the Labor/code invest and attorney a fees
^ OWNER BUILDER DECLARATION ^ ' ^ *^ ~ ' ' ""
I hereby affirm that I am exempt from the Contrector s License Law for the following reason
l~l 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 will have the burden of proving that ha did not build or Improve for the purpose of aale)
Q 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 who builds or improves thereon and contracts for such projects with contractor(s) licensed
pursuant to the Contractor s License Law)
n 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 Q YES QNO
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 but I have hired the following person to coordinate, supervise and provide the major work (include name / 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 matenals registration form or risk management and prevention
program under Sections 25505 25533 or 25534 of the Presley Tanner Hazardous Substance Account Act? Q YES d NO
Is the applicant or future building occupant required to obtain a permit from the eir pollution control district or air quality management district? Q YES Q NO
Is the facility to be constructed within 1 000 feet of the outer boundary of a school site? O YES Q 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 " ' 'T "" ' *
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 30970) 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 laws relating to building construction I hereby authorize representatives of the City 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 ACCRUE 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 thb provisions of this Code shall expire by limitation and become null and void if the building or
work authorized by such permit is not comnjmced within 365 day/ 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 wor>i£c«rmmeB»«d foi Vparipti of 180 days (Section 106 4 4 Uniform Building Code)
APPLICANT S SIGNATURE DATE
WHITE File YELLOW Applicant PINK Finance
UNSCHEDULED BUILDING INSPECTION
DATE
PERMIT #
JOB ADDRESS
INSPECTOR
PLAN CHECKS
DESCRIPTION
TIME ARRIVE TIME
CODE DESCRIPTION ACT COMMENTS
PERMIT* CB983288
DESCRIPTION: TEMP POWER POLE
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 10/13/98
TYPE: ELEC
JOB ADDRESS: 2183 CORTE ARBOLES
APPLICANT: TEMP POWER SYSTEMS
CONTRACTOR:
OWNER:
REMARKS: C/BOB/439-1999
SPECIAL INSTRUCT:
STE:
PHONE: 439-1999
PHONE:
PHONE:
INSPECTOR
INSPECTOR AREA
PLANCK# CB983288
OCC GRP
CONSTR. TYPE NEW
LOT:
TOTAL TIME:
CD LVL DESCRIPTION
32 EL Const. Service/Agricultural
ACT CO
Cfi
TS
DATE DESCRIPTION
***** INSPECTION HISTORY *****
ACT INSP COMMENTS
CITY OF CARLSBAD
BUILDING DEPARTMENT
NOTICE
DATE -f 3
LOCATION
PERMIT NO \ <&'""
(760) 438-3550
2075 LAS PALMAS DRIVE
TIME
vfi^^fiVuxA^
; ^
^-\o
FOR INSPECTION CALL (760) 438-3101 RE-INSPECTION FEE DUE? I I YES
FO8-FXJRTfiER INFORMATION, CONTACT
PHONE
CODE ENFORCEMENT OFFICER
LA COSTA VALLE"
TRACT #88-03-01
ODUCEH
Milestone Insurance Agency
8 Corporate Park, #130
Irvine, CA 92714-5105
(714)852-0909 Fax (714) 852-1131
Temp Power Systems, Inc.
1111 N. Tustin Avenue
Anaheim, CA 92B07
i DATE (MWDD/rV)
9/29/1997
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND
CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE
DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
POLICIES BELOW.
COMPANIES AFFORDING COVERAGE
A California Indemnity Ins. Co.
B
C
D
COMPANY
LETTS)
COMPANY
LETTER
COMPAKY
LETTER
COMPANY
LETTER
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED NOTWITHSTANDING ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HERBN IS SUBJECT TO ALL THE TERMS
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
TYPE OF MBHUNCE
UABtUTT
COMMERCIAL GEHSW. UABUTY
CLAIMS MAD6 OCCUR.
OWNERS S CONTRACTOR'S PROT
AUTOMOBU UMUTY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HlflED AUTOS
NOW-OWNED AUTOS
OARAGE LIABILITY
EXCESS UAKUTY
UMBnaiAFORW
OTHER THAN UManaiA FORM
POUCT HUUBEH NUCY BVBCtne
DATE <MMJDQnr)
TCUCV EMUTIOH
631BWL AO3REGATE »
PROOUCT&COMPfflP AGO. S
PERSONAL SADV MJURY $
EACH OCCUHRH4CE I
FIRE DAMAGE {Any ora ft») S
MED EXPENSE (Any me penon) »
COMBINED SINGLE
UNIT *
BODLYNJURY
(Pw poison) *
BODLYKAIRY
AND
EMR0VBI7 UABUTY
N 6044720C 10/01/97
PHOPHHY OAMAGE
EACH OCCUWBICE
AGGREGATE
X sTATinonr UMTTS
10/01/98EACHACareifr
OBEASE - POLICY UMIT
DBEASE - EACH EMPLOYEE
f 1,000,000
* 1,000,000
» 1,000,000
SCROTION OF I
RE: License 483443
*10-day notice o£
ontractora State License Board
.O. Box 26000
acramento, CA 95826
**, >'"
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF THE ISSUING COMPANY WILL ENDEAVOR TO
MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
LEFT BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
LIABILITY OF ANY KIND UPON THE COMPANY ITS AGENTS OR REPRESENTATIVES
|.AUmORBED REPRESENTATIVE