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Home My WebLink About2315 CAMINO HILLS DR; ; CB951161; PermitBUILDING PERMIT 08/24/95 12:44 Paae 1 of 1 Job Address: 2316 CAMINO HILLS DR Permit Type: ELECTRICAL Parcel No: Valuation: ° Construction Type: NEW Suite: Lot#: Appl/Ownr * POWEH POLE-EAGLE CANYON CONSTRUCTION & TRAILOR PERFORMANCE POWER 9279 CABOT DR STE F SAN DIEGO, CA 92 619-689-4092 Permit No: CB951161 Project No: A9501703 Development No: 3332 08/24/95 0001 01 02 C-PRHT 20-00 Status: ISSUED Applied: 08/24/95 Apr/Issue: 08/24/95 Entered By: RMA *** Fees Required Fees : Adjustments: Total Fees: Fee description Enter "Y" for Ele Enter "Y" for Tern; * ELECTRICAL TOTA ** ected & Credits *** .00 .00 20. 00 Ext fee Data 10.00 Y 10.00 Y 20.00 FINAL APPROVAL INSP.rW-PATEJE CLEARANCE CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION City of Carlsbad Building Department 2075 Las Pains Dr., Carlsbad, CA 92009 (619) 438-1161 1. FKHM1I TYPE ~ From List 1 (see back) give code of Permit-Type: For Residential Projects Only: From List 2 (see back) give Code of Structure-Type: Net Loss/Gain of Dwelling Units PLAN CHECK NO PLANCKD VALID. BY DATE 2. PROJECT INFORMATION FOR OFFICE USE ONLY Address Nearest Cross Street or suite MO. LEGAL DESCRIPTION Subdivision Name/Number Unit No.Phase No. CHLCK BELOW IF SUBMITTED: D 2 Energy Calcs D 2 Structural Calcs D 2 Soils Report D1 Addressed Envelope ASSESSOR'S PARCEL EXISTING USK PROPOSED USE DESCRIPTION OF WORK SQ.FT.# OF STORIES # OF BEDROOMS # OF BATHROOMS 3T UUNTALTl' PEK5UN (II OHieri NAME (last name first) CITY ADDRESS STA- 4. APPLICANT DCON NAME (last name fi CITY .GENJ FOR CONTRACTOR —LTOWJiER ADDRESS STATE ZIP CODE DAY TELEPHONE 5. PROPERTY OWN NAME (last name firstr"5 ADDRESS /<?/7<7 DAY TELEPHONED /?ADDRESS ZIP CODE /?£ DAY TELEPHONE NAME (last name first CITY LICENSE CLASS CITY BUSINESS LIC. # DESIGNER NAME (last name first;ADDKtSS CITY 7. WORKERS' COMPENSATION STATE ZIP CODE DAY TELEPHONE STATE LIC. # Workers' Compensation Declaration: I hereby affirm that I have a certificate of consent to self-insure issued by the Director of IndustnaT Relations, or a certificate 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 POLICY N''IRATION DATE it/9* |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 .subiact ta the Workers' Compensation Laws of California. ler-nuiider Declaration: 1 nereoy attirm that I am exempt from tne contractors License Law tor the following reason: 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^) licensed pursuant to the Contractor's License Law). D I am exempt under Section Business and Professions Code for this reason: (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, commencing 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 civil penalty of not more than five hundred dollars [$500]). SIGNATURE DATE COMPLETE THIS SECTION hUR 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? D YES D NO Is the applicant or future building 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? D YES D NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1,1989 UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. . JJUHSTHUC'mJIM UJHUIHG AGENCY ~~ f hereby aftirm that there is a constructionTending agency tor the performance of ther work tor which this permit is issued QSec 309/oJ Oivll Code). LENDER'S NAME LENDER'S ADDRESS 1O. APPL1LAPT1 1 certify that I have read the application and state that the above information is correct. 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 OTY OF CMU.SBAD AGAmST ALL UABnXITES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SATO CITY IN CONSEQUENCE 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 building or work authorized b such permit is suspended or aban APPLICANTS SIGNATURE e Building Official under the provisions of this Code shall expire by limitation and become null and void if the it is not commenced within 365 days from the date of such permit or if the building or work authorized by anytime after the work is commenced for a period of 180 days (Section 303(d) Uniform Building'Code). DATE: WHITE: File YELLOW: Applicant PINK: Finance CITY OF CARLSBAD INSPECTION REQUEST PERMIT* CB951161 FOR 08/28/95 INSPECTOR AREA DESCRIPTION: TEMP POWER POLE-EAGLE CANYON PLANCK* CB951161 CONSTRUCTION & TRAILOR OCC GRP TYPE: ELEC CONSTR. TYPE NEW JOB ADDRESS: 2315 CAMINO HILLS DR STE: LOT: APPLICANT: PERFORMANCE POWER PHONE: 619-689-4092 CONTRACTOR: PHONE: OWNER: PHONE: REMARKS: RS/JULIE/689-4092 INSPECTOR fh SPECIAL INSTRUCT: REQUESTING P.M. INSPECTION *[ TOTAL TIME: CD LVL DESCRIPTION ACT COMMENTS 32 EL Const. Service/Agricultural frf ***** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP COMMENTS CITY OF CARLSBAD INSPECTION REQUEST PERMIT* CB951161 FOR 08/25/95 INSPECTOR AREA DESCRIPTION: TEMP POWER POLE-EAGLE CANYON PLANCK* CB951161 CONSTRUCTION & TRAILOR OCC GRP TYPE: ELEC CONSTR. TYPE NEW JOB ADDRESS: 2315 CAMINO HILLS DR STE: LOT: APPLICANT: PERFORMANCE POWER PHONE: 619-689-409J CONTRACTOR: PHONE: OWNER: PHONE: REMARKS: MW/JOHN/689-4092 SPECIAL INSTRUCT: INSPECTOR TOTAL TIME: CD LVL DESCRIPTION ACT COMMENTS 32 EL Const. Service/Agricultural CQ &tt^ DATE DESCRIPTION ***** INSPECTION HISTORY ***** ACT INSP COMMENTS NOTICECITY OF CARLSBAD • ^ ^^ • " ^^ - 438-3550 BUILDING DEPARTMENT 2075 LAS PALMAS DRIVE!i DATE & £*^- *?*> TIME, [ LOCATION ,3 3> <" PERMIT NO.. ^ f£.dfc+* :tf / /? M H ^ / FOR INSPECTION CALL 438-3101. RE-INSPECTION FEE DUE? FOR FURTHER INFORMATION, CONTACT YES PHONE BUILDING INSBtCTOn CODE ENFORCEMENT OFFICER San Diego Gas & Electric INSPECTION ORDER LOCATION !/t CUSTOMER REQUIREMENTS: 1. YOUR TRENCH D IS D CABLE D CONDUIT D IS NOT APPROVED FOR THE INSTALLATION OF: D GAS D BACKFILL D ENERGIZING D SUBSTRUCTURES THE FOLLOWING CORRECTIONS ARE REQUIRED: 2. LJ Survey, easements and R/W 3. Cl Pavement removal and replacement 4. LJ Excavations 5. D Installation of conduit 6. CJ Installation of pullropes 7. LJ Mandrelling 8. D Concrete encasement 9. D Meter panel installed correctly 10. D Backfill and compaction Native 11. D Gas Line 12. D Trench performance 13. LJ Substructure installation 14. D As-builts 15. D Distance required to be dug by SDG&E crew to Import pole ft., padmount .ft., pullbox COMMENTS OR ACTION REQUIRED: A COPY OF THIS ORDER HAS BEEN LEFT ON THE JOB BlgTRBHtlON:listrict Operating TJept., Canary — Customer, Pink — New Service/Planner FORM 124-910 (12/89) of Carlsbad BLJildirrcr 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 B. 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, I shall not employ any person in any manner so as to become subject to the • C. workers compensation laws of California. Signature ^W^"1 ' *^~" Date 7 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 92009-1576 • (619) 438-1161 - FAX (619) 438-O894