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Home My WebLink About2800 RANCHO PANCHO; TP; CB973819; Permit12/16/97 15:15 Page 1 of 1 B U I L D I N G Job Address: 2800 RANCHO PANCHO Permit Type: ELECTRICAL Parcel No: Valuation : 0 P E R M I T Suite :""fP Permit No: CB973819 Project No: A9704929 Development No: Lot#: 2334 12/16/97 0001 01 C-PRMT Construction Type: 02 20-00 VN Occupancy Group: Reference#: Status: ISSUED 12/16/97 12/16/97 MDP Description: TEMP POWER POLE FOR : CONTENENTAL RANCH Appl/Ownr : POWER PLUS 1167 LAW STREET SAN MARCOS, CA. Fees Required *** Fees: Adjustments: Total Fees: Fee description 92089 *** Applied: Apr/Issue: 760 Entered By: 471-5494 Fees Collected & Credits Total Credits: Total Payments: Balance Due: Units Fee/Unit .00 ,00 20.00 Ext fee Data --------------------------------------------------------------------------- Enter "Y" for Electric Issue Fee Enter "Y" for Temporary Service * ELECTRICAL TOTAL CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 10.00 Y 10.00 Y 20 .00 FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO. 1·1 -3¥' 11_ CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 EST. VAL. _________ _ Plan Ck. Deposit ________ _ Validated By __________ _ Date ______________ _ Address (include Bldg/Suite II Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total I of units Assessor's Parcel I Proposed Use Description of Work I/of Stories I of Bedrooms II of Bathrooms Name Address City State/Zip Telephone # Fax 11 Q;~#~mT~,;~D.c~/4C\orri_:~'~a11riJ1tefc;ka.9JP.~O,~Q~.ii-::□~A.g~ot 1i>cy231.~~~t&~}'W-~,?-~~~t~~:i~'.'";>;~~ 2 i 3 ·-'i tJ I✓ Name Name ~Nl.BACIQB~'cOMW ~li)·0 (Sec. 7031.5 Business and Profaasions Coda: 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 • signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, co.mmending 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 Sactio 7031.5 by any applicant for a permit subjects tha applicant to a civil penalty of not more than five hundred dollars I$ 5001). r vs /:.aw S f-So;,Jla,,-. cJJ d.i ? l/7/-.S"'f9''1 Name Address City State/Zip Telephone I State License I _,S)..=...c_3_5" __ f/_C __ License Class __ c ___ c __ f __ _ City Business License I _______ _ Designer Name Address City State/Zip Telephone State License I _________ _ iu:~t:-WWIKERS~·.COMPENM TI0N.J:~::_::~~~~~~)~;~~~.:!1'~X~::;:,5·:_~~~~ .. • .... ~ .. ~.:.1.~1 ~~:~~\:~ .;~~~ '.;·,t.(.~t.~~,!, i:t.~~f~~1~J.~iiit:";5'.:f£•t':ia~.t~r1: ~~-~~;~~: · ~ ·.-. ·w,.,1,; .. ~-~ Workers' Compensation Declaration: I hereby affirm under penalty of perjury_ one of the following declarations: 0 I have and will maintain a certificate of consent to sell-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, ■s required by Section 3700 of the Labor Code, for the performance of the work 'for ·which this permit is iasuad. My worker's compensation insurapca carrier and policy number are: I!!"/ / _ 1 ... 9,cv Insurance Company G q,r-e.. A-m ,l..r/ t:..c:t Policy No. C O O Cl ~· 1 1 0 I Expiration Data. _ __;,/ ____ o_ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) 0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I ahall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Fllllure to aecura•workara' compenntion coverage la unlawful, and ahell aubjact en employer to criminal panaltlaa end civil fine■ up to one hundred thousand dollara ($100, dltion t9,1'• t of compen11tlon. damages H provided for In Section 3706 of the LebQr cpda, ln~re■t and ettomay'1 fatll. SIGNATURE __ ~~~~'i__:--:f~-~,-::!:::_~'..____________ DATE /),... / (-'f' 7 i1 ,.i•},~~-OWNER•BUILDER DECLARATION;,~~~·) 1 .. :~:·,.: 1~{~ · ·;t~~:(1 ·'. • .~ ::·~-r'.:... . !: :: • ~~---~ 1 • :r:~.~:~~j:::~:~~JCt~l;1~.J;i~~-f:~ .. (IJ.J~~J;~~5J1{~1~rn;~;~~':.._tj~~~>:,:;:fil:-'·. :,~'.::.~:i~ ·. I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 I, as owner of the property or my employees with wages as their sole compensation, will do the work end the structure is not intended or offered for sale ISac. 7044, Business and Professions Coda: 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 ere not Intended or offered for 1ale. If, however, the building or improvement ia sold within one year of completion, the owner-builder will hava the burden of proving that he did not build or improve for the purpoae of 1111) •. 0 · I, H -owner of the property, am exclusively contracting with licensed contractor■ to construct the project (Sec. 7044, Bu1inas1 and Profaa■lons Coda: The Contractor's License Lew doaa not apply to an owner of property who builds or improves thereon, and contract■ for auch projact1 with contractorlel licenHd pursuant to the Contractor's Licenaa Lew). 0 I am exempt under Section ______ Business end Professions Coda 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 for • building permit for the proposed work. 3. I have contracted with the following parson (firm) to provide the proposed construction !include name / address / phone number / contractors license number): 4. 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 / address / phone number/ contractors license number): ______________________________________________ _ 5. I will provide soma of the work, but I have contracted (hired) the following persons to provide the work indicated (include name/ address / phone number / type of work):. ________________________________________________________ _ PROPERTY OWNER SIGNATURE _____________________ _ DATE ________ _ [j;Q~iSECllON,;f:Ql[N.Q~EI.O.W,;IIUIIJ>JNQ;fl~llMJl.$~QNI.Y>ii;~:;:i:u,~~]:-~if;U•~7m!i~";;~~!.Ji1.'.~;;1;\;t'.;;:·,.~. b th, •~plic;nt or future buildlnw occupant requ.r•d \o t ullmit a bu~in11u µIan, acutely hazardous materiala registration term or risk management and prevention program under Sections 26605, 25533 or 25534 of the Prasley-TaMer Hazardous Substance Account Act7 0 YES O NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? O YES O NO Is the facility to be constructed within 1,000 feat of the outer boundary of I school sita7 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 ANO THE AIR POLLUTION CONTROL DISTRICT. fJ~li~O~ttm~,~,. LEND.1NG~~oENc~~"'~:~~~~~r~;J.~r~~"~;~:~~~~r~11~:~;;::~~:~~~~~~1~~1~~~~am-~~~i~~r~~:~~~~~~::2\.:•, :}::~.= I hereby affirm that there is • construction lending agency for the performance of tha work for which thia permit ii issued (Sec. 3097(i) Civil Code). LENDER'S NAME _____________ _ 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 ~II City ord1nancH Ind State laws relating to building construction. I hereby authorize representatives of the City 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 6'0" deep and demolition or construction of structures over 3 stories in height. EXPIRATIO~: Every permit issued by the Building O(fi~i•I under the provisions of this Coda shall expire by limitation and become null and void if the building or work 1uthon1ad 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 time after thew is mmencad fBJ eriod of 180 days (Section 106.4.4 Uniform Building Coda). APPLICAN.T'S SIGNATURE _ __.__.:;__ _ _;__'f""-7...A;.~~:=-----------DATE / .J. ,//'-9JY > CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB973819 FOR 12/24/97 DESCRIPTION: TEMP POWER POLE FOR CONTENENTAL RANCH TYPE: ELEC INSPECTOR AREA PY PLANCK-#-C~ 7 3 819 OCC GRP ... ·-.__, CONSTR. TYPE VN JOB ADDRESS: 2800 RANCHO PANCHO APPLICANT: POWER PLUS STE: LOT: CONTRACTOR: OWNER: REMARKS: C/MICHELE/471-5494 SPECIAL INSTRUCT: TOTAL TIME: PHONE: 760 471-5494 PHONE: PHONE: CD LVL DESCRIPTION ACT _3_2 __ E_L _c_o_n_s_t_._s_e_rv_i_c_e_f_A_g_r_i_c_u_1_t_u_r_a_1_ f COMMENTS # t '<,,QS ------------------ ------------------ ***** INSPECTION HISTORY***** DATE 122297 121897 DESCRIPTION Const. Service/Agricultural Const. service/Agricultural ACT INSP NS PY NS PY COMMENTS RAIN OUT