HomeMy WebLinkAbout2371 AVENIDA HELECHO; ; CB983860; Permit- c BUILDING PERMIT Permit No: CB983860
11/10/98 11:29 Project No: A9805024
Page 1 of 1 Development No:
Permit Type: ELECTRICAL
Parcel No: Lot#:
Valuation: 0 CO=L,&@&~ me0j NEW
1 Job Address: 2371 AVENIDA HELECHO Suite:
Gccupancy Group: Reference#: I~~UED Description: TEMP POWER POLE A3M. ll/liv*
Apr/Issue: 11/10/98
Entered By: ET
Appl/Ownr : TEMP POWER SYSTEMS 439-1999
750 N CITRACADO PKWY #4
ESCONDIDO CA 92025
A** Fees Requir ------------------
Fees :
Adjustments :
Total Fees:
Fee description
Credits *** -----------------
Enter "Y" for Ele
Enter "Y" for Tern
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad CA 92009
(760) 438-1 161
FOR OFFICE USE
PLAN CHECK NO.
EST. VAL.
Plan Ck. Deposit
Validated By .V - 1
Date II /(9 I -ir- . .. . I I I
Brainu Name (at this rddrurl
'* pY3?7% "&4Ltb..4 &&-e& :
Address (include BMglSuite XI
Legal Descnption Lot No. Subdivirion Namo/Number unit No. Phase No. Total I of Units
Existing u.0 pmvodu.0
Description of Work so. FT.
2. -CdNtAc+mbM3a-*w
Name Addnu City StateNp Toiepham X Fax #
Name Address City StatelZip
4. PROPERTYOWNER
6. CONTRACTOR - COMPANY NWE
tSec. 7031.5 Business and Professions Coda: Any City or County which r.quh.r a parnit to cw#trutt, altar, impovcl, drmdbh or repair any muctura, Mor to Its
issuance, also requires the applicant far rueh penntt to fila a signed statemmt th.1 he b kenad pur8wnt to the proviriow of the Contractor's License Law
IChapter 9, commending with Section 7000 of Division 3 of the Business and Profossions Codel or that ho b axmpt therefrom, and the basis for the ailaged
Name AddraSS City
CityBu3hwIIUEW\HX
Designer Name Address Cltv S-P T.(-
State License X
6. WORKERS' COMPENSATION . ,'-a
Workers' Compensation Declaration: I hamby affirm under p.~ky of parjury om of tho fd(0Wtng d.dantiw:
0 of the work for which this permit is issued.
._ - _. I ~~ __.~.. _.. -
I have and will maintain a certificate of consent to self-insure for work-' comprnrtkn as provided by Soction 3700 of tha Lsbor Code, for tha pmfonnanco
fihave and will maintain workers' compensation. M required by Section 3700 of tha Labor Code, for the p.rfomwnce of the work for which thiq wit is c
insurance Company micv No. /O ?+@3~4 3v
ITHIS SECTION NEED NOT BE COMPUTED IF THE PERMIT I FOR ONE HUNDRED DOUARS IOlOOl OR LESS)
0 to become subject to the Workers' Compensation laws of Cdifwnia.
CERTIFICATE OF EXEMPTION: I Caify that in the performanca of tho work for whtch this p.rm)t b bud, 1 shdl not employ any parson in any manner 80 M
UptoOMhudnd
0 1. as ownpr of the property or my employ..l with wager as their de CmpnmWn . , Wnl do tho WOrL mdthemuctum b nol Intended or offed fordo
ISec. 7044, Businass and Profaasions Code: Tho Conmctor's Licema Law dorr not apply to M OWMI Of prop.nY who builda or knpmv# Moon, and who dou
such work himself or through his own amploy.u, provided that such irnpwamunr am not Intmdd or Offord for do. If, howmr, the bulldhg or Improvmnmt b sold within one year of complotion. tho ownw-buildor win have tho burdm of proving th.1 h. did not bvild or hnpmw for the pufpon of aak).
0 I, as owner of the property, am axc~wiva~ contracting with ticansod contractors to construct tho pmjoct (h. 7044, bin#. ad hf#riw cock:
Contractor's License law doM not apply to an owner of prop.rty who builds or iInprOVOS thorwn. mnd wntmcts for wch project8 with contrrctw(r) kmsod
pursuant to the Contractor's Licensa law).
0 I am axempt under Section bimu md Rot~cockforthis~:
1.
2.
3.
4.
number I contractors license number):
5.
of work):
PROPERTY OWNER SIGNATURE DATE
'COMPLETE THIS SEdON FOR
Is the applicant or future building occup.m mFjnd to submit a
program under Sections 25506,26633 or 25534 of tha Pmhy-Tamor Huwdora Subat.nn Account Act? 0 YES 0 NO
Is the applicant or future building occupant required to obtain a permit from the otr pollution control dinrict or ah quJlty manage~~nt district?
Is the facility to be constructed within 1 ,OOO feet of tha outer boundary of a school dl.7 0 YES 0 NO
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEE"G THE
REOUIREMENTS OF THE OFFICE OF EMERQENCY SERVICES AND THE AIR POUUTlON COlyTRoL DISTRICT.
I hereby affirm that there Is a construction lending agency for
LENDERS NAME
9. APPUChJT
I certify that I have read the application ad state that tho rbwe information is correct and that tho lnformatkn on tha plow is Iccmte. 1 agree to comply wlth aN
City ordinances and State taw8 relating to building construction. I hareby authorize representatives of the CW of CaWd to mer upon the BbWO Mimd
property lor inspection purposes. I ALSO AQREE TO SAM, INDEMW AND KEEP HARMLESS THE CITY OF CARLSBAD AQAINST AU UABIW. JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERIWtl.
OSHA An OSHA permit is required for excavations over 5'0" deep and demdiion or cannruction of stru~m war 3 MONM in height.
EXPIRATION: Every permit issued by the Building Official r the provisions of this Cod. ahell expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 3says from the date of such permit or If the building or work authorizeBbv rucmit is svaw-d
1 personally plan to provide the major labor and matrrkb for constructkn of tho propomd proprrty lmprammnt. 0 YES DNO
i Ihrw I have not) signed an appliwtion for a buyding pannit for the proporrd work.
I have contracted with the following parson lfirm) to provide the proposed conmuah lindude rum I lddnrr I phocw number I contractors licmse~ numkrl:
I plan to provide portions of the work, but I tuvehbed the following person to cwrdinne, rup.nrbs ondprovldeth.~ wok findude name Imddmss lphar
I will provide aome of the work, but I have contracted (hirod) the following plnon to prwidr tho work kwwwtod findwb NN I addma I phaw nnnbr I typo
0 YES 0 NO
CONSTRUCTION hNDINQ Ab"
or abandoned at any time at
APPLICANT'S SIGNATURE DATE /(/f?d 0 days l-on 108.4.4 Uniform Build4 Ch).
WHITE File YEUOW Applicant PINK: Finance
#. ..
CITY OF CARLSBAD INSPECTION REQUEST
PERMIT# CB983860 FOR 11/13/98 DESCRIPTION: TEMP POWER POLE
TYPE: ELEC
JOB ADDRESS: 2371 AVENIDA HELECHO APPLICANT: TEMP POWER SYSTEMS CONTRACTOR :
OWNER:
REMARKS: C/BOB/439-1999
SPECIAL INSTRUCT:
TOTAL TIME:
CD
32
INSPECTOR AREA
PLANCK# CB983860 OCC GRP
CONSTR. TYPE NEW
STE : LOT: PHONE: 439-1999
PHONE :
PHONE : -
INSPECTOR A a-
LVL DESCRIPTION
EL Const. Service/Agricultural - - - - - -
***** INSPECTION HISTORY *****
DATE DESCRIPTION ACT INSP COMMENTS
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