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Home My WebLink About2810 RANCHO COSTERO; TP; CB983978; Permit1?'\ B U I L D I N G P E R M I T Permit No: CB98397~ Project No: A9805183 Development No: 11/18/98 12:16 Page 1 of 1 COSTERO Suite: ,f Job Address: 2810 RANCHO Permit Type: ELECTRICAL Parcel No: Lot#: Valuation: 0 Occupancy Group: Reference#: Description: TEMPORARY POWER POLE FOR-TOLL : BROTHERS HOUSING Appl/Ownr : POWER PLUS 436 N QUINCE ST ESCONDIDO CA *** Fees Required Fees: Adjustments: Total Fees: Fee description Enter "Y" for Ele Enter "Y" for Tern *** 760 Construction Type: Status: Applied: Apr/Issue: Entered By: 839-9430 NEW ISSUED 11/18/91::l 11/18/98 RMA Collected & Credits *** "" ~ 11/18/98 0001 Ot ~ ~02 ' C-PRMT • 20-00 VAL 2.0.00 Ext fee Data 10.00 Y 10.00 Y -~--- CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 t-UH Ut-t·ll;I: Ulil: UIIIL Y PERMIT APPLICATION PLAN CHECK NO. Cf£. ?97/ CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 EST. VAL. _________ _ Plan Ck. Deposit --,fr..,.------ 1, PROJECT INF0~ATI0N Z'BIO Kqnc/2a Co5+ero Address hnclude Bldg/Suite I) Bus1nns Name tat this addrusl Legal Descnpt1on Lot No. Subdivision Name/Number Unit No. Phase No. Total I of units Assessor's Parcel I J:n5-rq,/( ,:;, ,em,q Existing Use /b,.,,,,,,-f?:, ( e. Proposed Use Description of Work I SQ. FT. lot Stones I of Bedrooms I of Bathrooms 2. . CONTACT PERSON Cti dlttel'erit from appilcanil Nam, Address State/Zip Telephone II 3. APPLICANT O Contractor E. I me( G, I /II? lt2fAgent for coni:r■ctor □ owner P,O, /3o,x-7'6'3c City D Agtin1 ior Owner 5D Name Address City State/Zip Te aphona I 4. PROPEJl,TY OWNER Toi( £:;1('05 Name Address City State/Zip Telephone I 6. CONTRACTOR· COMPANY NAME . ---... ,_,_,......__..,...~----~~-~-~ ~ ...... ····-~···-~-'·~ -----••a,· Fax II fSec. 7031.5 Business and Professions Code: Any City or County which requires I Dermlt to construct. alter, improve, demolish or rep1ir any structure, prior to Its issuance. also reauires the applicant for such permit 10 file a signed st11emen1 that he Is lic1nsed pursuant to the provisions of the Contrsct~r's License Law (Chapter 9, commending witt, Section 7000 of Division 3 of the Business ind Proteuions Code) or that he Is exempt therefro~, and the basrs for the 1lleged exemption. Any violation of Section 70~ 1.5 )>y 1ny ,1ppllc1nt for a D9rmi1 subjects ths _!PDlicant 10 ,. ci~I penahy of not more than five hun!ed dollars ~ S 50011. f'owi?I/' r-'/e,,5 'l-:!6 /II. Q,.,,nce >T, I-,cov-dixo cA/420?;, :f?.:;'7-5''?'~0 Name State License # _7~_2.--'-fa!-'5'---''.>' h.::..._ __ _ Address City State/Zip Telephone I License Class _ __:c:..· _-.=(;:...:../ ___ _ City Business License I _______ _ Designer Name Address Ci1y State/Zip Telephone State License I _________ _ 6. WORKERS' COMPENSATION Workers• Compensation Declaration: I hereby affirm under penelty of perjury one of the following declarations: O / have end will maint1in • certificate of consent to self-insure for workers' compensation ■s provided by Section 3700 of the Labor Code, tor the performance of the work for which this permit is issued. 5----. 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 ere: lnsu,anceCompany ff-ec,,'-/, £v,,5, u,q PolicyNo. C 000~///0?_ , ITHIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$1001 OR LESS! Expiration Date I -I -o/7 D 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 ■s to become subject to the Workers' Compensation Laws of California. WARNING: Failure to Hture workeq' co'""n■atk,n coverage 11 unlawful, and ahell •~ an employ■, to crirnklal .,.,,.itlea end dvH fines up to on. hundred thousand doll•,. (S 1 O), In ■ddlt cost of compenudon, d■magn u provldlld for In Section 3708 of Iha Labor codihint•rast ~ attorney's , .... SIGNATURE_.....(~~~'1.__:2.~'f!_~:...-----------,---,-, DATE //-5 -'t' 7. OWNER-BUILDER DECLARATION ·•·.: •••;t"• -· · I 71• ;·• I hereby affirm that I am exempt from the Contractor°■ License Law tor the following raason: D t, ■s owner of the property or my employees with wages es their sote compensation, will do the work and the atructure is not intended or offered for sale 1sec. 7044, BusinaH and Prot■Hions Code: The Contr1ctor's License Law does not apply 10 an owner of propeny who builds or Improves thereon, and who does 1uch work htm■ell or through his own ■mPtoyns, provided thlt such Improvements are not Intended or offered for Hie. If, how.var, the building or Improvement Is sold within one year ot completion, the own■r•bullder will have the burden of proving that he did not build or Improve for the purpoH of eala). D I, ■s owner of the property, am exclusively contracting wi1h licensed contr1e1or1 to construct the project CSec. 7044, BusineH and ProfeHions Code: The Contractor's License Law does not 1ppty to an owner of propeny who builds or improva1 thereon, and contract• for auch projects wlth contractor(s) lic.nsed pursuant to the Contractor's License Law). D I am exempt under Section ______ Business and Professions Code for this reason: 1. I personally plan to provide the m1jor l1bor and materials for construction of the p,opoHd property improvement. D YES ONO 2. I (have/ have not) signed an application for a building pe,mit for the proposed work. 3. I have contracted with the following person ffirmt 10 provlda the propo1■d construction !Include name / 1ddru1 / phone number/ contractors lieen■e number): 4. I plan 10 provide portions of the work, but I hava hired the fO,lowing parson to coordinate, 1upervite and provide the metor work !include name I address / phone number/ contractors license number!:. _____________________________________________ _ S. I will provide some of the work, but I hava contract ad I hired) the following persons to provide the work tn ... c,ted Undude name / addrns / phone number / type of work): _______________________________________________________ _ PROPERTY OWNER SIGNATURE ------,-----------,,---,----:c----c:-DATE ________ _ COMPLETE THIS SECTION FOR NOIUIESIDENTIAi. BUILDING PERMITS ONL\''"·'.·-•·----•; .. ..,....,..,.,.,. ·:""·":'" -,~·~-:--,~~ ~· 1.-:::":i:-,...._•~•.-.... , ..•. "' Is the applicant or futura building occupant required to submit a business plan, acutely hazardous matWls regittratlon form or riak management and prevention progr11m under Sections 25505, 25533 or 25534 of the Prealey-Tanner Hazardoua Substance Account AC17 □ YES O NO Is the applicant or future building occupant reauired to obtain• permit from the air pollution control district or air quality management district7 D YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site7 0 YES O 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. CONSTRUCTION LENDING AGENCY .. '' , •• ·••~·, """ ........... · "· • · .. · • · I hereby affirm that the,e is • construction lending agency for the performance of the work for which this permit Is i■sued tSec. 30970) Civil Code!. LENDER'S NAME ______________ _ ;9, APPLICANT CERTIFICATION LENDER'S ADDRESS,:,:--,--:::-,-,--==-=c---::-:,------------. -. ~-·.-· »·--· ····,.,-, ,...-,--,-,--·-,. .,. :"~'-,., ... , ,-f'' -~ I certify that I have read the application and atate that the above Information is correct and that the Information on the plans is accurate. I agree to comply with all Ci1v ordinances and State laws ralating to building construction. I hereby authorize reprnentatives of the Cltt of Carlsbed 10 enter upon the above mentioned proparty tor Inspection purpona. 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 tor excavations over 5•0· deep and demolition or construction ol structures over 3 stories in height. EXPIRATION: Every permit issued by the Building Officlal under the provisions ot this Code 1hlll ex,:,ire by limitation and become null and void it 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 wo,k authorized by such permit is suspended or abandoned at any time after the worfltfl'"m~nced fHV iod of 180 days !Section 108.4.4 Uniform Building Code}. APPLICANT'S SIGNATURE c...,::.Ju;, -J" J'v>~ DATE //-/fj-o/f'" YELLOW! Applfoant PINK: Finance CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB983978 FOR 11/20/98 DESCRIPTION: TEMPORARY POWER POLE FOR-TOLL BROTHERS HOUSING TYPE: ELEC COSTERO STE: INSPECTOR AREA PLANCK# CB983978 OCC GRP CONSTR. TYPE NEW LOT: JOB ADDRESS: 2810 RANCHO APPLICANT: POWER PLUS CONTRACTOR: PHONE: 760 839-9430 PHONE: OWNER: REMARKS: C/MICHELE/839-9430 SPECIAL INSTRUCT: TOTAL TIME: CD LVL DESCRIPTION PHONE: ~· INSPECTOr ACT COMMENTS 32 EL Const. Service/Agricultural -/r/Z--------------- ------------------------------------ ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS