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Home My WebLink About1321 SAVANNAH LN; TP; CB951072; Permit-. B U I L D I N G P E R M I T Permit No: CB951072 Project No: A95 01569 Development No: 08/09/95 09:54 Page 1 of 1 Job Address: 1321 SAVANNAH LN Permit Type: ELECTRICAL Parcel No: Valuation: 0 Construction Type: NEW Suite: 1f> Lot#: 3087 08/09/95 0001 0.i.. 02 C-PRMT 20-00 Occupancy Group: Reference#: Status : ISSUED Applied: 08/09/95 Apr/Issue: 08/09/95 Entered By: RMA 619-471-5494 Description: TEMP POWER POLE-CANTADA PRODUC Appl/Ownr : POWER PLUS 1167 LAW ST SAN MARCOS, CA 92069 *** Fees Required Fees: Adjustments: Total Fees: Fee description *** 20.00 ,00 20.00 *** Enter "Y" f or Electric Issue Fee > Enter "Y" f or Temporary Service > * ELECTRICAL TOTAL Fees Collected & Credits Total Credits: Total Payments: Balance Due: Units Fee/Unit .00 .00 20.00 Ext fee Data 10.00 Y 10.00 Y 20.00 J :'\ I • I PPROVAL ..,,,..._.,,,_....__ DATE ! . 2/-f vLEARANCE tf/( ~-~ CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1 161 PERMIT APPLICATION PIAN CHECK NO. q 5 / o 1. City of Carlsbad Building Department 2075 Las Pal•• Dr., carlsbad, CA 92009 (619) 438-1161 I. PEkMII h'PR From Llst l (see back) give code of Permit-Type: ___________ _ For Residential Projects Only: From Llst 2 (see back) give Code of Structure-Type: ____________________ _ Net Loss/Gain of Dwelling Units 2. PROJF.C'f INFORMATION FOR OFFICE USE ONLY Address J 3 2-} Sa. I/ 0-~ I' o_, Ci Le._ 11.lu,idmg or Suue No. Nearest Cross Street LEGAL DEstklM ION Lot No. Unit No. Phase No. CHECK BEWW IF soaMn rnJ 0 2 Energy Cales □ 2 Structural Gales □ 2 Soils Report .P .-ll,4VIO_s:011. COJ"CA-h - 1 1 eren rom app 1can NAME (last_ name first) ADDRESS CITY STATE ZIP CODE DAY TELEPHONE 4. ~: namt.~~ !~{~ k'~w;i~~R/ / E o .. ~?L~ ~ .µa~ OWNER c,TY.$a.-.~ STATE611._ ZIP CODE 'fZ,O<e,"/ DAY TELEPHONE t/ 7 /-S-1( 'f NAME (last name first) (J; ~ 0"'-'11 •' d S' <!N'--ADDRESS / 2 S-Z. b f-1-1'q VI. / IA c,TY~l); o/ sTATEC&.. z,PcoDE "'1'-z. /2.o DAYTELEPHoNE 1./ 8 /-.7SoD 6' ~~ '\!:!:me first) p 02,,.K.-/4..-f I IA. 5 ADDRESS / I t,.. r L C<,,<.,J s (-, CITYj~J,1itA('(,cS STATE~, ZIP CODE q1,0C,'7 DAY TELEPHONE <.j7f-S-'fCi 1/, Cb! STATE IJC. ,S-Z..3!,--9(, IJCENSE CLASS CITY BUSINESS IJC. # DESIGNER NAME (last name llrst) ADDRESS CITY STATE ZIP CODE DAY TELEPHONE STATE IJC. # ,. womams· WMPENSAIION Workers' Compensatton Declarat1on: I hereby afhrm that I have a cerlihcate of consent to self-msure issued by the Director of lndustnal 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 S -fct.,""ti. Fi, I -I ~ 9 ..Y rt1 1cate o xemptlon: cert1 so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE 8. UWNPA-BOIWER Dfi!OOlAllUN □ □ □ Uwner-BuUder Declaration: I hereby afhrm ilia[ I am exempt from the Confrador3s License Law for die lollowmg 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 (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). I am exempt under Section _______ Business and Professions Code for this reason: (Sec. 7031.5 Business and Professions Code: Any City or County 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:'IE I HIS SECIIUN FOR NON-RESIDEN IIAL BDlLbING PERMll's ONLY: 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? □YES □NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □YES □NO ls the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ YES □ NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF oa:tJPANCY MAY NITT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPIJCANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POll.UTION a>NTROL DISllUCT. 9. wNSIH0CIIUN !ENDING XGF.NCY I hereby afhrm that there 1s a construction lendmg agency for the performance of the work for which this permit 1s 1SSued (Sec 3097 (IJ Civil C&ie). LENDER'S NAME LENDER'S ADDRESS 10. APPDCAN I C£klll'JCAIION I certify that I have read the apphcauon and state that the above miormat1on 1s correct. I agree to comply with ail dry ordmances and 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 AISO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE Cl'IY OF CAIUSBAD AGAINST AIL LIAillllTIES, JUDGMENTS, CDSTS AND EXPENSES WHICH MAY IN ANY WAY AaJ!.\IE AGAINST SAID ClTY IN a>NSEQ\IENCE OF THE GRANTING OF nus 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 not commenced within 365 days from the date of such permit or if the building or work authorized by such permit is suspended or aban at aRf ti aft r e w · ommenced for a period of 180 days (Section 303(d) Unifonn Buil~ ~e). APPIJCANT'S SIGNATURE ,,-'~--,,AC> . DATE: ~~--9S- PERMIT# CB951072 DESCRIPTION: TEMP POWER CITY OF CARLSBAD INSPECTION REQUEST FOR 08/18/95 POLE-CANTADA PRODUC TYPE: ELEC JOB ADDRESS: 1321 SAVANNAH LN APPLICANT: POWER PLUS CONTRACTOR: OWNER: REMARKS: MW/MICHELLE/471-5494 SPECIAL INSTRUCT: TOTAL TIME: CD LVL DESCRIPTION PHONE: PHONE: PHONE: ACT COMMENTS INSPECTOR AREA PLANCK# CB951072 OCC GRP CONSTR. TYPE NEW LOT: 32 EL Const. Service/Agricultural f ------------------------------------------ ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS