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HomeMy WebLinkAbout1191 AVIARA PY; ; CB980747; PermitBUILD 63/12/98 10:47 Page 1 of 1 Job Address: 1191 AVIARA PY Permit Type: ELECTRICAL Parcel No: Valuation: 0 Occupancy Group: Description: TEMP POWER POLE Appl/Ownr : POWER PLUS 436 QUINCE STREET Fee des Enter "Y" Enter "Y" ---------- ING PERMIT Permit No: CB980747 Project No: A9800983 Development No: Suite: Lot#: Status: ISSUED Applied: 03/12/98 Apr/Issue: 03/12/98 Reference#: Entered By: JM 760 839-9430 .oo IO0 20 * 00 Ext fee 10.00 10.00 *** ----- 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) 438-11 61 FOR OFFICE USE PLAN CHECK NO. EST. VAL. Plan Ck. Deposit II. 60 I __ "A 3 "- 1. PROJECT INFORMATION Address (include BldglSuIte #) Legal Description Lot No. ~ubdivision NamelNumber Unit No. Phase No. Total X of units Assessor's Parcel X pd/* Existinp Uaa Roposad Use I of Bedrooms Description'of Wort Business Name (at this address) r! ? I ALIQva Pwq t of Bathrooms SO. FT. #of storiu2i cPGhP &*I**. .- -2. *CONTAC~ MRSON (ti dm~iiitiibin .bpLsinil Name Addresa Statamp Telephone t Fax X -71- . 6. CONTRACTOR - COMPANY NAME -. -- (See. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, altar, Improw. damdish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that ha is liiensed pursuant to the provhions of the Contractor's License Law [Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Codel or that he is exempt therafrom. and the basis for the alleged exemption. Any violation of So 7031.5 by an it subjects the appliw a dvil pen lty f not more than flve hundred dollars $50 I Name State License 4 '59 3gPJ License Class c er( City Brwirwu License I Designer Name Address City statemp Tdaphono State License X 6. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of peqq OM of the fdlo 0 I have and will maintain a certlfiwte of consent to adf-insure for workers' compensation as provided by Sactlon 3700 of the Labor Code, for the performam of the work for which this permit is issued. & I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for whlch this permlt Is issued. My worker's c Insurance Company Policy No. (THIS SECTION NEED k0 0 to become subject to the Workers' Compensation Lsws of California. f2 UN 746 4-3& 773d StateNp Talephone X hL.c s.t- P! cm of/J Address ' City $S&- t p.' rL3 -,? _. -1 *C . /-I- 99 Expiration Date CU0Ss"l~i~ 2. IF THE ~ERMIT IS FOR ONE HUNDRED WURS t:iooi OR LESS) CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit h bud, I ahdl not omploy any pemn In any manner SO OS 0 I. as owner of the property or my employem with wagw as their sd. compensation. wHI do the work and the structure b not intended or offered for oak (Set. 7044, Business and Profasaiona Code: The Contmctor'a Lime Law doa not apply to an owner of pcop.ny who builda or improves thereon, and who doas such work himself or through his own amployeea, pr0vld.d that such Improwmema are not lntendad or offend for uk. If, howev#, the building or lmpw.nmt b sold within one year of completion, the owmr-bullder will haw the burden of prWing that he did not build or lmprow for the purpose of ado). 0 1, as owner of the property. am exchmivaly contractlng wlth liceneed contracton to comtruct the prom IS-. 7044, Burinma and Professions Cod.: The Contractor's Licansa Law does not apply to mn owner of propony who builds or improves thereon, and comncta for wch projects with contnm(s) licwed pursuant to the Contractor's License Law). 0 1. 2. 3. I am exempt undw Section I personally plan to provide the major labor and matwirls for conamJction of the proposed PIoPrrty Improvement. 0 YES ON0 I (have / have not1 signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to Provide the proposed cofmtrwtion findude nema / addreaa / phone number / contractors lime numh): Bualnur and Prateaaiona Code for this rwaon: 4. numbar I contracton license number): 6. of work): I plan to provide portions of the work, but I have hired the following pemon to coordinate, aupmrire and provkte the mah work find& mme I addrwr / phanr I will provide aome of tha work, but I have comracted Wad) the following pomom to provide the work indicated (MU& MIW / ad&wa / ph number I tvp. PROPERTY OWNER SIGNATURE DAT€ N FOA N~~ bo~b ~ Is the applicant or future building occupant r.quired to aubmlt a businesa plan, acutely hourdour mat.ri.h mgiatntkn form or rbk mamgement mnd prwent)on program under Sections 25606,25533 or 26534 of the PmIay-Tannw Haurdour s1~bst8ncS Account Act? 0 YES 0 NO Is the epplicant or future building occupant requhad to obtain a permit from the rh pollution camd district or air quathy management district? 0 YES 0 NO Is the facility to be constructed within 1 ,OOO feat of the outer boundary of a achod aite? 0 NO IF ANY OF THE ANSWERS ARE YES. A FWAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPWANT HAS MET OR IS MUTING THE REOUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRlCT. 3. .. CONSTRUCTIO~ LENDINQ A6EkY '' ' I hereby affirm that there is a construction lending agency for the perfmanca of the work for which this permit la issued (Sac. 3097ti) Civil Code). 0 YES I certify that I have read the application and state that tbn above information ts correct and that the lnformatlon on the plans h occwata. I agree to comply with a11 City ordinances and State laws relating to building connruction. I hereby authorize rapresantativea of the Cit) of Carhbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE. INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST AU LIABILITIES, IUDOMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEOUENCE OF THE GRANTING OF THIS PERMIT. 9HA An OSHA permit is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height, !RATION: Every permit issued authorized by such permit is doned at any time after the ANT'S SIGNATURE DATE sions of this Coda shall expire by limitation and become null and void if the building or he date of such permit or if the building or work authorized by such permit Is suspended- days ISection 106.4.4 Uniform Building Code). PERMIT# CB980747 DESCRIPTION: TEMP POWER POLE TYPE: ELEC JOB ADDRESS: 1191 AVIARA PY APPLICANT: POWER PLUS CONTRACTOR : OWNER: REMARKS: C/MICHELE/471-5494 SPECIAL INSTRUCT: CITY OF CARLSBAD INSPECTION REQUEST FOR 03/13/98 INSPECTOR AREA PLANCK# CB980747 OCC GRP CONSTR. TYPE NEW STE : LOT: PHONE: 760 839-9430 PHONE : PHONE : INSPECTOR TOTAL TIME: CD LVL DESCRIPTION ACT COMMENTS 32 EL Const. Service/Agricultural ,& -- -- DATE DESCRIPTION ***** INSPECTION HISTORY ***** ACT INSP COMMENTS .L -. -" ........ ............ h c3 d T -. 4 w ; -! ! .. .. .* .. .. .L Ir . \. . _. , . I. .- ., .. q' . I" ....... ...... n. ..,-. . ,,. .... ... ..... : :. ? , -li -. ............................. .. ..e. . . i ... 40s ?w!: .............................. 5 R: Bray G?rpomt?on db*fF#er Fllrcl i-g- I- ............. .-. . .. ., . .. - .