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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