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Home My WebLink About2609 OCEAN ST; TP; CB972487; PermitV52k' BUILDING PERMIT Permit No: CB972487 09/04/.97 09:46 Project No: A9703163 Page 1 of I Development No: Job Address: 2609 OCEAN ST Suite: TO Permit Type: ELECTRICAL Parcel No: 203-140-03-00 Lot#: Valuation: 0 Construction Type: NEW Occupancy Group: Ref erence#: CB971799 8782 ISSUED Description: TEMPORARY POWER POLE App1Y10992O4/97 Apr/I'sUI 09/00990 Entered By: RMA Appl/Ownr : MCGUIRE. PATRICK 760 729-2600 2725 JEFFERSON ST STE 7 CARLSBAD 'CA 92008 *** Fees Required *** reezo1lected & Credits Fees: 20,-00 /\ / 'N Adjustments: /.00T -oti/Credi\ts: .00 Total Fees: /20.00 .00 / cBalance Due- 20.00 ~ t fee Data Fee description - ct Enter I ELECTRICAL TOTAL •'! Enter "Y" for Temporary Sery ce INCORPORATD 1952 S/ - F)iALJ PPROVAL. DA TE .EiARACE -I CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT PPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760)438-1161 FOR OFFICE USE OI,Y PLAN CHECK. NO.11 EST. VAL. Plan Ck. Deposit Validated By'S (include Bldg/Suite #) - Business Name (at this Legal Description Lot No. Subdivision Name/Number . Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use . - Proposed Use De.Etion of Wor \ SQ. FT. #of Stories N of Bedrooms N of Bathrooms g. 11,011fifin INS.- '1004ce MR: Name Address City State/Zip Telephone N Fax N OF -6h MID= E91317-1 Name Address City State/Zip Telephone N Name . Address City State/Zip Telephone N [5AÔóóMANV AM (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 Jicensed 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 civil penalty of not more than five hundied dollars ($50011. Name Address City State/Zip Telephone N State License N License Class City Business. License N Designer Name Address City State/Zip Telephone State License N . . . [8 WORKERS OM ION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: I have and will mairtaiñ 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.. .0 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 compensationinsurance 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 [$1001 OR LESS) 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 d 0 ), addition to the cost of compensation, damages as provided for In Section 3708 of the Labor code, Interest and attorney's fees. SIGNATU . . DATE [7 N R,NERiijILDER DECATNTR h. I hereby affirm that I am exempt from the Contractor's License Law for 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). 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). I am exempt under Section . Business and Professions Code for this reason: . . I personally plan to provide the major labor and materials for construction of the proposed property Improvement. 0 YES ONO - I (have / have not) signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction (include name I address I phone number I contractors license number): 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 I address / phone number / contractors license number): . I will provide some of the work, but I have contracted (hired) the following persons to provide the work Indicated (Include name I address I phone number / type of work): -... it Is the applicant or future building occupant required to submit a business plan, acutely hizardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES 0 NO Is the applicant or future building occupant rEquIred to obtain a permit from the air pollution control district or air quality management district? 0 YES 0 NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 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 MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.. bONS INGAGENC I hereby affirm that there is a construction lending agency for thi performance of the work for which this permit is issued (Sec. 30970) Civil Code). LENDER'S NAME . . LENDER'S ADDRESS_______________________________________________________ I certify that I have read the application and state that the above Information Is correct end 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 Cite 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 days from the date of such permit or If the building or work authorized by such permit Is suspended 'or. abandoned at any tIs-efterthe..or is ommenced for a period ofL8Oays (Section 106.4.4 Uniform Building Code). APPLICANT'S DATE WHITE: File YELLOW: Applicant PINK: Finance / CITY OF CARIJSBAD INSPECTION REQUEST PERMIT# CB972487 FOR 09/09/97 DESCRIPTION: TEMPORARY POWER POLE TYPE: ELEC JOB ADDRESS: 2609 OCEAN ST STE: APPLICANT: MCGUIRE, PATRICK PHONE: 760 729- CONTRACTOR: PHONE: OWNER: PHONE: REMARKS: C/729-5200 AS EARLY AS POSSIB INSPECTOR SPECIAL INSTRUCT: TOTAL TIME: --RELATED PERMITS-- PERMIT# TYPE STATUS GR970031 GRADING ISSUED 5E970123 SWRSD ISSUED CB972036 DEMO ISSUED CB972463 RETAIN ISSUED A5970084 ASR ISSUED CB972286 CONDO ISSUED CD LVL DESCRIPTION ACT CO TS 32 EL Const. Service/Agricultural XE ***** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP COMMENTS INSPECTOR AREA PLANCK# CB972487 0CC GRP CONSTR. TYPE NEW 0% LOT: