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Home My WebLink About2230 CORTE ANANAS; ; CB982742; PermitBUILDING PERMIT Permit No- CB9B2742 08/21/98 11"49 Proiert No' fl9803R:975 Paqe 1 of 1 Deue1opment No- Job Address' 2230 CORTE ANANAS Suite' P e r n i 11 T y p p " E I.. E C T RIC ft L Par ce1 No' Lot#' Ualuation' 0 Construction Type' NEW Occupancy Group' Reference^- Status' ISSUED Description! INSTALL TEMP POWER POLE Applied: 08/21/98 : Apr/Issue* 08/21/98 Entered By' BT flppl/Ounr •- POWER PLUS 839-9410 436 NO QRINCE ST ESCONDIDO CA 9202^ *** Fees Required *** Fees' fid j ustment^' Total Fees' Fee description Enter "Y" tor Elect Enter "Y" for Tempoi 20 lected & Credits '-""So 00 20 00 Ext fee Data 10 00 Y 10 00 Y 20.00 FINAL APPROVAL CLEARANCE. 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 1 PROJECT INFORMATION FOR OFFICE USE ONLY PLAN CHECK NO EST VAL Plan Ck Deposit Validated By. Date Address (include Bldg/Suite #)Business Name (at this address) Legal Description Lot No Subdivision Name/Number Unit No Phase No Total # of units Assessor s Parcel tt 35 Existing Use Proposed Use Description of Work f 2 CONTACT PERSON {if different from applicant) SQ FT #of Stories tt of Bedrooms tt of Bathrooms Name 3 APPLICANT D Contractor Address f Agent for Contractor City | Owner Q Agent for Owner State/Zip Telephone tt Fax tt Name 7 4 PROPERTY OWNER Address City State/Zip Telephone tt Address / City State/Zip Telephone ttName 5 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 exemption Any violation of Section 7031 5 by any applicant for a permit subjects the applicant to a civjJ penalty of rjpt,more than five hundred dollars I$5001) fv/ Name State License tt Address License Class City State/Zip ^_ Telephone tt City Business License # t C^O (ff <9 SS" Designer Name Address City State/Zip Telephone State License tt 6 WORKERS COMPENSATION 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 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 $HJ 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 worker s compensation insurance carrier and policy number are Insurance Company f~l ^Cf7r? ^L^/^ (Stf*/!?, Policy No C O UC/Jff/O ^, Expiration Date if ~ r f (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT fs 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 to secure workers compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (SlOBTjpb) j£?addition to theJ&St of&jrnpensation damages as provided for in Section 3706 of the Labor code interest and attorney s fees SIGNATURE <^^&?*~*f C/L ^fU/?\S^ DATE % *~ % ' ~~ f 0 7 OWNER BUILDER DECLARATION rf 1 hereby affirm that I am exempt from the Contractor s License Law for the following reason Q 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 he did not build or improve for the purpose of sale) d 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) 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 l~l YES l~lNO 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 materials registration form or risk management and prevention program under Sections 25505 25533 or 25534 of the Presley Tanner Hazardous Substance Account Act? Q YES Q NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district' f"l YES l~l NO Is the facility to be constructed within 1 000 feet of the outer boundary of a school site? l~l YES l~l 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 this permit is issued (Sec 3097(0 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 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 dayrtfrom the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after tr>e\tyDjk/>s7commenced for aAerifftrof 180 days (Section 106 4 4 Uniform Building Code) APPLICANT S SIGNATURE DATE WHIlft File YELLOW Applicant PINK Finance r CITY OF CARLSBAD INSPECTION REQUEST PERMITtf CB982742 FOR 09/01/98 DESCRIPTION INSTALL TEMP POWER POLE TYPE: ELEC JOB ADDRESS: 2230 CORTE ANANAS APPLICANT: POWER PLUS CONTRACTOR OWNER. REMARKS: C/MICHELE/839-9430 SPECIAL INSTRUCT: STE- PHONE: 839-9430 PHONE . PHONE . INSPECTOR INSPECTOR AREA PLANCK* CB982742 OCC GRP CONSTR. TYPE NEW LOT: TOTAL TIME: CD LVL DESCRIPTION 32 EL Const. Service/Agricultural ACT COMMENTS DATE DESCRIPTION ***** INSPECTION HISTORY ***** ACT INSP COMMENTS THE MONTEREY COLLECTION II d 8661-61-f? nt/W X J A J-f*-l A-'-f «^A . tV.,£jJsfc_.QOvtSHEAD gUNMPECS ATTACHED nJTM66TftCQD 1 McOMM t Qne9*O£NTlAi"" ' > —' i • ifc ,.!.-• j*;y > * ......*Ai fTpV — -| ••!•• — "—l^&Bma. "5^JOB NO Aooness MORATORIUM EFFSCT DATE CRITICAL PENDING STREET RjESUflFACtMC MONTH. sxae AWUCATHSN «aa oar NOre IMSPEC ftCQ D PRIOfl TO SET- fj DSTATE ! &M0UL CUSTOMER INFORMATION M«t»rH«lgl».4 a-mln. S 3*max fr«nrittMism0*t6<:«it«rlkte«ffflwt«r M««««>»rtn!BiWw4teb9«;*arty acc«3ft><« 24 hours Mfttay Meters (p*i locwnd in a sole ar«a trae of «ny (wtaPdally Mairtou* or Omowou* eondltt MtftMsSft x3ft«4iUrnumeliuf«Mte)ntWMlctnBa)9aMinffiHiigrmaMr vnt m*Up njom is prauwwct eanuet TO* Ptawwr «t fi« (wovwt ^tXMLC otftca M«t«r taMUi •ndmctor smnce doconnaets must Oe located at <x itnmwtHit affiant to **4« other ml W <*«trt»9 With addras WKJ umt number It SMV POLEf. STOP TRENCH LAWSERAnMSReOTJCl - - PROMW3LE UsEP QUAD ^ ' OVERN&KSEW1CES. pKomfie MINIMUM «MOUNO CLEAJIANCE OF- Ft at oolnt of attachment v* s«rvm WM«» Ft ow4t«v«wav or QarkHtfl ««a, ^ Ft al<w<*rKniit<»fv*iiculv{Kilr,c z wftn Htapactafand Initiate trenching grccass. DnOTAPPUCAflLE w™*'"gO3yj prior la trenching to 4 AOOXlNfORMATION (Dctacl)b«(am competin MB f4H LOCATION OF IWOtWSBOUND DT1UTTES. 4 EXcavfi* trench. InnMt! COn*iU and wnrrc* «ntrwi«e mulpnwnt BI m«l lOMMiL CALL ABOVE PHONE * FOH INSPECTtOM'Do not ixnw vmwui m»p««nors ftetM *pj»wai to baeMBl 5 Ca«ln«|)wmrii»timtt«i|^l9backrillrtarHl««inpK(«dtoimpeqtM Ifserw CATrkM»«qulpni«iiT 13 tostailw) «^er bscKfUl CALL ABOVE PHONE * F INSPECTION Of THE EQUIPMENT 8. Mai«r«il»b*»BtanarVncecnern»appK»cciJn9t«]lalMn mdualngserm •sutpnttnl wd IWMOI of clt^coiinlytount* Iropwcnen etnrarc MAIN SWITCH rT"5 (3j«LP-CO»T41»j£0 EST »y PASS FACILITIES- "EO tmtfrtcs *»*xi(»t«* CONTRIBUTION TO ow|*ct SWJit ww n*tc vnjrt. imrnooU*i*y <na n win M your n»perniDH>ty to i«maw *nWW CtMP UB rfi rmardouc or lollc nutvul p^CT n SCQ&E tcntuitkrtt z^-ttrvaiM 90O*6 **»fl •»» A« HibilAy or (uDajinon wnvaemr to com up. rani»« or i«m«aii «»y h»l«iiiinii 4 taqX) *A*t*rM*d>#C«»4«a4 fitfrt^i} 1T*« c\Una o( flMn^unUM uAt««* li (Mwgli n«ttg«H» B* SOGAt reujow . El d Wdt7 2 866L-61-8 „ \> i I - mm HI-IS «rxncr 5 R Bray C9«'j»rat1«ss di?a.Pew*r ™ Mtil*t> S«r»ies* SansH-se Way £*SS.V¥Clftfti SBBWBW 062)lS98-9531 «U{(}«2}59«-9$3? 'tee, iaieer & A?^«r Insurartce S*rv^ccs, ', O. gOS *?1 Wh^Xtiar, CA WW8 SP^StR. Tni» cetriHCA-JE DOBS MOT MM^a SATEMB OR' Eat A W^ CCMRWW 0 ^^^mS^^t!^ 19^KS»;^ ' V ; '• ^.^••..».» .- -j- »^ TMft*^ceirmtmY^iQu^V»KwtMau^&jm ref*^^*^5tj^f«^i^*eW^th5»«wwHCSW»«M^ »0uorwuw9» CCMMMCW^4t«Mi>M(. UMMtV PBO8UCW COMBMB&fcntfcAtwrr * AUWNfcDWTC* WfTAlTO Et'^agreefl Wat sue dth r*s»)i5et to tor tfc» AdfJ'1 Ins. All jicy also appH«* t» t*ie Ceft Holder AS an Add'1 Ins ,tout oo)y ftlfetf by & irc1«?l«f on the payroV. *f the »«»*« ins, «*Til* perforsn*^ work of t»» Hwwd Insured. 19 <t«y notice »f c«nc«l1at1«n fer nw payment. ^Cf^l?*f^^::/^ '^. Thomas (*»6«TeT»tae<» Ti«»B»wwi«wps»rf1B3.LaMOl!»venTOftaiiv 15035 Cool VMlav Ra** Center, CA 92«62 _J£_ fia*»US»n«H KWICfe TOTDS CMTIHSATC H<n.Ii(M MM»» T9 THC t BTT sj' ^^