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Home My WebLink About2653 OCEAN ST; TP; CB983296; PermitBUILDING PERMIT Permit No: Appl/Ownr : POWER PLUS 436 N QUINCE STREET ESCONDIDO CA 92025 09/29/98 13:49 Page lof I Job Address: 2653 OCEAN ST Permit Type: ELECTRICAL Parcel No: Valuation: 0 Occupancy Group: Description: TEMP POWER POLE CB983296 Project No: A98 042 91 Development No: Suite: Lot#: Construction Type: NEW Reference#: Status: ISSUED Applied: 09/29/98 Apr/Issue: 09/29/98 Entered By: JM 760 731-0360 *** Fees Required *** FeesGq 2O7 /\/ Total Fees: 20.00 0 Total Pay / Baänd Fee description / ---------------- Enter "Y' for Electr/c 4tiefre Enter "Y" for - I M 4 lected & Credits ----------------- 09/-W/98 OD01 02 C-PT Pits: ert:\ .00 Q9e: \ 20.00 Fe•ótnit\ Ext fee Data \ 10.00 1 10.00 1 20.00 q~\,~-~INCORPORATED~ vs JKAppROVAL ___DATE to 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 FOR OFFICE USE ONLY PLAN CHECK NO.__________ EST. VAL. ____ Plan Ck. Deposit Validated By_ 1. PROJECT INFORMATION z53 On 57 Address (include Bldg/Suite #1 . Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use S of Bathrooms 12. CONtACT 'ERSON U+ dt it from apjilcint - Name Address City State/Zip Telephone S Fax S 3. APPLICANt Contractor a Agent , á' Donè..rO 1pner 6tyne 51 O.. d /92/01 Name - - Address City State/Zip Telephone S A. PROPERTY OWNER /4e lien -f /PC',f3,x / o Cqrf;/ c.4-/9Qoc8' Name Address City State/Zip Telephone S S CONTRACTOR COMPANY NAME ' - - (Soc. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, altar, 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 iChapter 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 exeptlon. Any vj,qtlon of Section 7031.5 by any applicant for ,e permit subjects the applicant to a civil penglty of not pore than five hundred dollars i$5001). (-ô wer I"/c,5 936 IV OH, ' e 5'i c,9/a's /5'óc)731' O,O Name Address City State/Zip Telephone I State License 52 35'6 License Class City Business License S Designer Name Address City State/Zip Telephone State License S S. WORKERS' COMPENSATION . ...' -.'-• - :,........:: :;:i".; 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 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 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 H -ea /ii -T o 5. Policy No.Ce" 005 I I/O L Expiration Data (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS toR ONE HUNDRED DOLLARS 101001 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 secure workers' corn atio coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundrid thousand dollars 100' I, in addition tot o ( f companastlon, damages as provided for In Section 3706 of the L.)r codlntpptjand attorney's fees. SIGNATURE ____________________________________ DATE 7?/'TU 7. OWNER-OblEbERDECLARATION ••-: '•' •:••-'-'-'•• SZ 17 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 (Sac. 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). o 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. 0 YES ONO - 2. I (have /.have not) signed an application fore building permit for the proposed work. 3. I have contracted with the following parson (firm) to provide the proposed construction (include name I address I phone number /-contractors license number): I plan to provide potions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name I address I phone number / contractors license number): S. I will provide some of the work, but I have contracted (hired) the following persona to provide the work Indicated (includ, name I address I phone number I type of work): PROPERTY OWNER SIGNATURE DATE COMPLETE THIS SECTIOPJ FOR NONPISDEH17AL ulthINo PERMItS ONLr '71F-7- cp ---,.rrtI*j '. Is the applicant or future building occupant required to submit a business plan, acutaly hazardous 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 poIi,tlon 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 (3 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 CONSTRUCTIOPI LENDING AGEPJC '' " " I hereby affirm that there is a construction lending agency for the performance of the work for which this permit Is issued (Sec. 3097(I) Civil Code). LENDER'S NAME LENDER'S ADDRESS______________________________________________________ 19 APPLICAJIT 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 Cit% 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 no,,cmmenced within 385 de from the date of such permit or If the building or work authorized by such permit is suspended or abandoned at any time after the or fs..tômmenced for a erlo of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIG!1ATURE . . DATE WrITE: File YELLOW: Applicant PINK: Finance CITY OF CARLSBAD INSPECTION REQUEST FOR 10/01/98 PERNIT# CB983296 DESCRIPTION: TEMP POWER POLE TYPE: ELEC JOB ADDRESS: 2653 OCEAN ST APPLICANT: POWER PLUS CONTRACTOR: OWNER: REMARKS: C/MICHELE/839-9430 SPECIAL INSTRUCT: INSPECTOR AREA PLANCK# CB983296 0CC GRP CONSTR. TYPE NEW STE: LOT: PHONE: 760 731-0360 PHONE: PHONE: INSPECTOR4;?!~ TOTAL TIME: --RELATED PERMITS-- PERMIT# TYPE STATUS CB982970 RETAIN ISSUED CD LVL DESCRIPTION ACT COMMENTS 32 EL Const. Service/Agricultural ***** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP COMMENTS