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Home My WebLink About2909 CANDIL PL; ; CB962139; PermitBUILDING PERMI 11/06/96 11:33 Page 1 of 1 'Job Address: 2909 CANDIL PL Suite Permit Type: ELECTRICAL Parcel No: 215-491-35-00 Lot#: Valuation: 0 Occupancy Group: Reference*: Description: TEMPORARY POWER POLE-FIRE : DESTROYED HOME Appl/Ownr : INTEGRITY BUILDERS INC 5151 SANTA FE ST, STE L SAN DIEGO CA 92109 *** Fees Required *** 619 T Permit No: CB9$2139 Project No: A9603033 Development No :•, QKtt li/06/96.0001 01 02 Construction Ty$?TOlEW 20-00 Status: ISSUED Applied: 11/06/96 Apr/Issue: 11/06/96 Entered By: RMA 270-5151 ected & Credits Fees: Adjustments: Total Fees: Fee description Enter "Y" for Electr Enter "Y" for Temper * ELECTRICAL TOTAL 20. * * * .00 .00 20.00 Ext fee Data 10.00 Y 10.00 Y 20. 00 CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION City of Carlsbad Building Department 2075 Las Palaas or., Carlsbad, CA 92009 (619) 438-1161 1. PERMIT From List 1 (see back) give code of Permit-Type: For Residential Projects Only: From List 2 (see back) give ,. J3F DCode of Structure-Type: Net Loss/Gain of Dwelling Units PLAN CHECK NO. ~f — EST.VAL PLAN CK DEPOSIT VALID. BY DATE i / fklit*LJ2_£ — &t 2. PROJECT INFORMATION FOR OFFICE USE ONLY Address Nearest Cress Street or Suite No. LEGAL DESCRIPTION Lot No.Subdivision Name/Number Unit No.Phase No. CHECK BELOW IF SUBMITTU;: O2 Energy Calcs D2 Structural Calcs D2 Soils Report D1 Addressed Envelope DESCRIPTION OF WORK SQ.FT. 3. LJjrriACT rtiCsOW Ui dinerent rrom applicant; NAME (last name first) CITY STATE ADDRESS ZIP CODE DAY TELEPHONE 4. APPLICANT NAME (last name first) CITY UAOhWl HJK LJJNIHAL.1UK UUWIMhK LJAOtNI rUK OWNtK ADDRESS STATE DAY TELEPHONE DAY TELEPHONE L£> $ CITY BUSINESS UC. LJE51GNER NAMETlast name tirstj CITY STATE ZIP CODE DAY TELEPHONE STATE LIC. ?. Workers'Compensation Declaration: I hereby affirm that I have a certmcaieof consent to selRnsure issued by the Director oi Industrial 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 NO.EXPIRATION DATE Certificate of Exemption: 1 certify that in the performance of the work for which this permit is issued, l shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE 8. OWNER-BUILDER DECLARAITUN Owner -Bulkier Declaration: i Hereby anirm mat I am exempt irom uie uonlraclors ucense Law tor the following reason: D 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 nave die 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(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 Counry 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 COMPLE'llt T'HIS SfcUi'O o NjN-RESHJENTIAt, BUILDING PERMITS 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? Q 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 ISSUEDAFTER 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. UUffeiTtUL'nUN LEHUINU ALJETKJY l hereby atrirm that there is a construction lending agency tor tne performance ot the work tor which this permit is issued ISec ^097(iJ Uvii Code). LENDER'S NAME LENDER'S ADDRESS 10, APPLICANT I certiry that I have reao tne application and state that the above information is correct, l agree to comply with all City ordinances ana State laws relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above men tioned property for inspection purposes. I ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST Aa LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SATO OTY 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 [he 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 36S days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at anytime after the work is commenced for a period of ISO days (Section 303 (d) Uniform I YELLOW: Applicant PINK: Finance CITY OF CARLSBAD INSPECTION REQUEST PERMIT* CB962139 FOR 11/13/96 INSPECTOR AREA DESCRIPTION: TEMPORARY POWER POLE-FIRE PLANCK# CB962139 DESTROYED HOME OCC GRP TYPE: ELEC CONSTR. TYPE NEW JOB ADDRESS: 2909 CANDIL PL STE: LOT: APPLICANT: INTEGRITY BUILDERS INC PHONE: 619 270-5151 CONTRACTOR: PHONE: OWNER: PHONE: REMARKS: MW/JIM/PG 899-2372 INSPECTOR SPECIAL INSTRUCT: TOTAL TIME: —RELATED PERMITS— PERMIT# TYPE STATUS CB940308 RAD EXPIRED CD LVL DESCRIPTION ACT COMMENTS 32 EL Const. Service/Agricultural ***** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP COMMENTS City of Carlsbad^ ^V^MHMH^^BIHPi^HIB^^PH^^^^HHBuilding Department WORKERS' COMPENSATION DECLARATION 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. Signat 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 2075 Las Palmas Dr. • Carlsbad, CA 92009-1576 • (619) 438-1161 • FAX (619) 438-O894 COMPENSATIONINSURANCE. ', P.O. BOX 420807, SAN FRANCISCOi CA 941420807 CERTIFICATE OF WORKERS' COMPENSATTON INSURANCE SEPTEMBERS, 1996' " * • rCITY ATTN DEVELOFtlENT SERVICES GEPABTHENT 1222 F!R?T AMENUE, MS 301 » SAN DIE60 CA lOl-4153 UOB: ALt OEER^TIONS Ui-t*; This is to certify that we have issued a valid Workers' Compensation insurance policy in aform approved by the California , InsurancaCcrnmissronettothafimployerrramedbel^ * *——••"v'r •.••---*- •—,-7*--'a-.'-?-7^ -—.--.- -;, -.- f.-f^r^^., -T i^ju^, .^- .jg.;; .v^« ; •.« ,.-',7,'•"-"" "fe*- it<»V;.""f-'rii:T-lv'r-,.*^i. ,,» . •»-., ., This policy is not subject to cancellation by the^Fund except upon HW days' advance written notice to the employer. . •'" "3° • ' ..*.' •• -'*V/C' *'^~ ''''•'" v:T;f;0^.^';^--:-:V-"^-/-^;^v;!^ :'.v": -""/•We will also give youX&N days' advance notice should this policy be cancelled prior to its normal expiration. 'This certificate of insurance is not ammsurance policy and does not amend, extend or alter the coverage afforded by the policies listed herein. Notwithstandfhg any requirement, term, or condition of* any^ contract bf other document with respect to Which this certificate of insurance may be issued or may pertain, ttw insurance afforded by the policies described herein is subject to all the terms, exclusions and conditions of such policies.-'*',. ~? r •AUTHOmZEbREPRESE^^^:^.,^ ... , _ . EMPLOYEES LMi|pT^^ -PER'OCCURRENCE •ENDORSEMENT #2065\ENTITLED CERTIFICATED NADERS'^TieE EFFECTIVE ": !09/09/96 IS ATTACHED Ta^ND>ORJ1S A^PAR^OF JHIS fOLICY; " ^ i ". "K^f-^^^^Vf^^^""" '' ' " "'> /" ¥U - - "_ I ' TIV-U;:f ; -'^.-.- -iK EMPLdSfER^ !*••;-.,- INTEORITr BUILDER? INC ATTO CRAIQ SCOTT «- 9603-'CA J8LXA FARMS:.'#2 LA JOLLA;-''CA 92037 -MR THIS DOCUMENT HAS A BLUE PATTERNED BACKGROUND SCIF 10262 (REV. 3-95)