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Home My WebLink About2353 CAMINO DE LAS ONDAS; ; CB962264; PermitBUILDING PERMI,fL/25/96 11:51 iage 1 of 1 Job Address: 2353 CAMINO DE LAS ONDAS Suite Permit Type: ELECTRICAL Parcel No: - Lot#: Valuation: 0 Occupancy Group: Reference*: Description: TEMP. POWER POLE Appl/Ownr : TEMP. POWER SYSTEMS 1111 N. TUSTIN AVE ANAHIEM, CA. 92807 *** Fees Required *** 714 T Permit No: CB962264 Project No: A9603223 Development No: 1201 11/25/96 0001 01 02 C-PRHT 20-00 Construction Type: VN Status: ISSUED Applied: 11/25/96 Apr/Issue: 11/25/96 Entered By: MDP 632-1999 ected & Credits Fees : Adjustments: Total Fees: Fee description 20.0. Enter "Y" for Electri, Enter "Y" for Tempor * ELECTRICAL TOTAL *** " .00 .00 20.00 Ext fee Data 10.00 Y 10.00 Y 20.00 FINAL APPROVAL DATE OTV OF CARLSBAD 2075 Las Palmas Dr., Csrisbad, CA 92009 (619) 438-1161 PERMTTAWUCA-nON City "of Carlsbad kiUdlr* ttapartamt 2075 LM tolas* Dr., tarlsfcisf, CA 92009 (61V) 438-11*1 1. FHOWTTlPE From Lilt 1 (see back) jive code of Permit-Type: For Reridential Projects Only: Prom List 2 <see beck) jive Code of Structure-Type: ________^__ Net Low/Gain of Dwelling Units, 2. PROJECT INFORMATION WAN CHECK NO. B5T.VAL PLAN CX DiPOaT. VALID. BY DATE FOR OFFICE USE ONLY Nearest Cross Street Lot Building or Suite NO. 4**Unit No.Phase NO. CHECK BELOW IF SUBMITTED: D2 Energy Gales Q 2 Structural Caks D 2 Soib Report p 1 Addressed En vetope ASSESSOR'S PARCEL PXKTTNGUSE PROPOSED USE DESCRIPTION OP WORK ).FT.* OF STORIES # OF BEDROOMS # OF BATHROOMSs, UUNIAL.I nutaft-iw i,u auiercm iron) applicant; NAME Oast name Rnt) cmr STATE ADDRESS ZIP CODE PAY 4. A1VUCANT UUJNlHAILJUK NAME Oast name first).jt«tct I ADDRESS STATED. ZIP CODE 5. FHUPEHTY NAME Oast name first) CITY ADDRESS 21POQDE O. CUNlKMJH NAME Oast name first) STATE STATE UC. * ADDRESS ////A/ ZIPO3DE ^>7 DAYTELRfBONE LICENSE CLASS , <^~ /^ OTY BUSINESS UC # DESIGNER NAME, tiast name nrstj CITY STATE AUUHHaa ZIP CODE DAY TELEPHONE STATE UC. # ?. woncerr (jompematron ueciaraoDn: i nereoy ainrm that l nave a certificate or consent to sen -insure issued by tne Director 01 inaustnaj 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 Hied with the Building Inspection Department (Section 3800, Lab. C). INSURANCE COMPANY - /- 9 9 certuicate of Exemption: Iso as tortScgme subject to. S1GNATU in tne performance yDTrae work for which this permit is issued, Tsnafi notemploy any person in any manner i' Compensation Laws of California. uwner-uunoer ueaaraoon:^ nereDyatiirm mat i am exempt ironi me conoaaors ucense LawToT tne touowing reason: D I, as owner of the property or my employees with wages as their sole compensation, will do die work and the structure is not intended oroffered 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 thai such improvements are not intendedor 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 contra«c« to consmja the pit^ (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 projectswith contractor(s) 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 consouct, aker, umiove; demolish, or repak any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he a Ucensed pursuant to die 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 die baste for the alleged exemption. Any violation of Section 7031.3 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]). SIGNATURE DATE Hl SECTION fOH H9»-KpSIDClAL 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 2SS34 of the Presley-Tanner Hazardous Substance Account Act?D YES O NOIs 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 b the facility to be constructed within l,OOOTeet of the outer boundary of a school site? D YES D NO ff ANYCfTHEAMSMEBSAHEYI^AnNAtCEimFlC^^HAS MET 'OB .IS MEETTNC THE REQUIREMENTS OF THE OFFICE Of EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.~ i nereyarnrm mat there is a construction rening agency tor the peormance ot tne wor or wnicn this permit is issued (sec 3OV7(,iJ uvii coe. LENDERS NAME LENDER'S ADDRESS i ofimrytnat i nave reaa tne appucauon ancrstabe tnat the apove information u correct, i agree to comply witn au ctry ordinances and stateuws relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. IAISD AtttEE TO SAVE INDEMNIFY AND KEEP RAMtfl^ AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SATO OTY IN GDNSEQUEMI OT THE GRANTING OF THIS PERMIT. O6HA: 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 oUbis Code shall expire by limitation and become null and void if the building or work authorizCBTjyjuch permit is not commenced within 3tf dagfTfrom the date of such permit or if the building or work authorized bysuch permit is suspendedW abandoned at anytime* afte? ttie^work js'feBinawpcM fora period of 180 days (Section 303(d) Uniform Building Code). „ , APPLICANTS SIGNATUlte>CjL . . /32<Z7* / // 77 DATE: $.2Tfi^ ?L >W: Applicant PINK: Finance City of CarlsbadH^ _|Ml^^_l____^^__m^^_^___^^__l_ Department 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 3700M 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: *^&fi^^ _/£r./.r__2Z (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. Date 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 2O75 Las Palmas Dr. • Carlsbad, CA 92OO9-1576 • (619) 438-1161 • FAX (619) 438-O894 OCT-0PT-I996 12*40 FROT1 TEMP POWER SVStl L97370970 Kilavtone Xnvuraao* Agency ] • Oorponta Park, f!30 j Irvln*, CA 92714-5105 (714)852-0909 FU (714)352-11131 « MMMD A» AJUTTPI or NO flNHIV WMH YHI CWnHCftf QHWD OR M.1BI TM OOVCftMK COMPANIES AFFORDING COVERAGE A CAlifonxl* Mi »TO CWWr WAT TM KUOO QF MWMNGINOniRHnNONV 4MV «H0> OR MMT ftMMN. tM WMD AtOVC 90* 1>€ fOJCT MWHODVrTW^ 0/01/96 . • 1, 00070^ ••at if c Co Boa-p»yv«ttt of •ft inf cvmeuf HOUR wwe n wtCity of San Diego 1222 lat Av»,, M.S. 301 Ma Diaoo CA 92101 IUIHL P.82