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Home My WebLink About2909 CANDIL PL; ; CB973707; PermitBUILDING PERMIT 12/02/97 12:55 Paae 1 of l Job Address: 2909 CANDIL PL Permit Type: ELECTRICAL Parcel No: 215-491-35-00 Valuation: 0 Permit No: CB9737D? Project No: A9704785 Development No: Suite: Lot#: Reference*: POWER POLE-RE-CONSTR : HOUSE-FIRE DESTROYED Appl/0wnr : CIM^BILL^^ ^ 92054 Construction Type: NEW 1920 12/02/#**»2J. JAppgJtftffr 12 Apr/ls33e: 12/02/97 Entered By: RMA 760 722-6977 *** OCEANSIDE CA Fees Required *** Collected & Credits *** Fees: Adjustments: Total Fees: 20,00 ,00 20.00 »i .^M**M 4fc«*-'«-™»rt**"' , Total/ Fee description Enter "Y" for Electric Issue Fee > Enter "Y" for Temporary Service > * ELECTRICAL TOTAL .00 ,00 20,00 Ext fee Data 10.00 Y 10.00 Y 20. 00 APPROVAL 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 1. PROJECT INFORMATION FOR OFFICE USE ONLY PLAN CHECK NO. EST. VAL. ^7 O~l Plan Ck. Deposit Validated Bv Date /£ Address (include Bldg/Sujie f >pg^ ^(< gcL Lot No. J Subdivision Name/Numb*> lit this address) Description Unit No.Phase No.Total * of oorts Assessor's Parcel #Existing UM Proposed Use Description of Work 2. CONTACT PERSON Of oWereirt from . FT.fofStories 9 of Bedrooms * Of Bathrooms Mem* Address City 3. APPLICANT O Contrtotor Q Agent for Contractor ' Q Ownw"" *D Aperif for Owner State/Zip Telephone f Name Address Stele/Zip Telephone f*_jsr Name 6. CONTRACTOR - COMPANY NAME (Sec. 7031.5 Business end Professions Code: Any City or County which require* a permit to construct, alter, improve, demolish or repair any structure, prior to its Issuance, also requires the applicant tor such permit to We a signed statement that he to licensed 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, end the basis for the alleged exemption. Any violation of Section 7031 .IS by any eppHcant for a permit subjects the applicant to e crvH penalty of not more than five hundred dollars 1*5001). Tt&rzz697? Name State License * Address License Class City State/Zip CHy Business License * Telephone ff Designer Name Address Crty State/Zip Telephone State License H 6. WORKERS'COMPENSATION ' ,-..-...---.-,.. ~-~^ -.----.~^. ^, .^ ..-^..^ .^ _..... ._ . Workers' Compensation Declaration: I hereby affirm under penalty of parjury one of the following declarations: D 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. Q 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 to issued. My worker's compensation insurance earner and policy number are: Insurance Company Policy No. Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1*100) OR LESS) Q CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shaH not employ eny person in any manner eo es to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage to unlawful, and shad subject an employer to criminal penalties and chrR fines up to one hundred thousand doOars 1*100.000), In addition to the cost of compensation, damages aa provided tor In Section 3706 of the Labor coda, (merest and attorney's fee*. SIGNATURED : DATE 7, OWNER-BUILDER DECLARATION " ' ' -' ^~T'"~-'-" --J ". '^'r^PT^ '^v' —* --HUB--..."'t I hereby affirm that I am exempt from the Contractor's License Lew for the foHowing reason: Q I, as owner of the property or my employees with weges es their sole compensation, win do the work and the structure to not intended or offered for sale ISec. 7044, Business and Professions Code: The Contractor's License Law does not apply to en owner of property who buHd* 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 to sold within one veer of completion, the owner-builder wHI have the burden of proving that he did not buttd or Improve for the purpose of sate). \^JO I, as owner of the property, em exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Profession* Coda: The Contractor's License Law does not apply to an owner ol property who builds or improves thereon, and contracts tor such projects wtth contractor!*) Neanead pursuant to the Contractor's License Law). D I »m exempt under Section Business and Professions Coda for this reason: 1. 2. 3. I pwsonally P(*n to provide the major tabor and material* for construction of the proposal property improvement, Q YES I (have / have not) signed an application for a building permit for the proposed work. on (flrm) to provide the proposed construction (include name / address / phone number / contractors Hcenee number):I have contrasted wkh the-JoHowi AS/TJ o t 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise end provide the major work (include name / address / phone number / contractora license number): • 5. I will provide some of the work, but I have contracted (hired) the following person* to provide the work Indicated (Include name / address / phone number / type of workl; ^ PROPERTY OWNER SIGNATURE JJ /fjf\ l^-/" ^ DATE COMPLETE THIS SECTION FOR NON-ftCStt&mALKWlDtHa PERMITS Qllait^-''T ™^'~~*"^^ ts the applicant or future building occupant requited to submit » business plan, acutely hazardous material* registration lorm or risk management and prevention program under Sections 25505, 25S33 or 25S34 of the Presley-Tanner Hazardous Substance Account Act? Q YES Q NO Is the applicant or future building occupant required to obtain e permit from the air pollution control district or air quality management district? Q YES Q 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 ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. fc." CONSTRUCTION LENDING AGEiiW'v'^^^ •" ' T" " -' ' I hereby affirm that there is a construction lending agency for the performance of the work for which this permit to issued (Sec. 3097(1) Civil Code). LENDER'S NAME . LENDER'S ADDRESS h".' APPLICANT CERTIFICATION •"" ' '" "" '~ '^——--.—~r*-T-r-'-^^^.--^.^.^^:^^^^-^^^.:,^^,.^;.^^^i^^^.^ ..^ . . .,. , I certify that I have read the application end state that the above information to correct and that the Information on the plans to accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the Crtt of Certsbad to enter upon the above mentioned 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 SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required tor 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 thto Code shall expire by limitation end become null and void if the building or work authorized by such permit is not commenced within 36S davsifrom the date of such permit or If the building or work authorized by such permit is suspended or abandoned at eny time after the work is commencsji for » periaVof 180 days (Section 1O8.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE WHITE: File YELLOW: Applicant PINK: Finance CITY OF CARLSBAD INSPECTION REQUEST PERMIT* CB973707 FOR 02/11/98 INSPECTOR AREA DESCRIPTION: TEMPORARY POWER POLE-RE-CONSTR PLANCK# CB973707 HOUSE-FIRE DESTROYED OCC GRP TYPE: ELEC CONSTR. TYPE NEW JOB ADDRESS: 2909 CANDIL PL STE: LOT: APPLICANT: CIMA, BILL PHONE: 760 722-6977 CONTRACTOR: PHONE: OWNER: PHONE: REMARKS: C/BOB/ SPECIAL INSTRUCT: INSPECTO TOTAL TIME: —RELATED PERMITS- CD 32 PERMIT# TYPE STATUS CB940308 RAD EXPIRED CB971800 RREPLACE ISSUED LVL DESCRIPTION EL Const. Service/Agricultural ACT COMMENTS DATE DESCRIPTION INSPECTION HISTORY ***** ACT INSP COMMENTS