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Home My WebLink About1228 AVIARA PY; ; CB983742; PermitBUILDING PERMIT Permit No : 11/02/98 08:53 Project No: Page 1 of 1 1Q-W Development No: Job Address: 1.597-AVIARA PY Suite : Permit Type: ELECTRICAL Parcel No: Lot# : Valuation: 0 Construction Type: Occupancy Group: Reference#: Status: Description: TEMPORARY POWER POLE Appl i ed : Apr/Issue: Entered By: Appl/Ownr : BURTON WHITNEY 751-0577 2633 VISTA WAY OCEANSIDE CA 92054 *** Fees Required *** *** Fees Collected & Credits CB98 3742 ~9804882 NEW ISSUED 11/02/98 11/02/98 BT *** -_--_I- I i FOR OFFICE USE ONLY PLAN CHECK NO. Tf37 4x EST. VAL. Plan Ck. Deposit Validated By Date PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1 161 OQ-eA @L/1/3[<WflS L TQCE @& &amuN. 8-1 ARKclu&Y Address linclude BldglSmte I) Legal Descnption Lot No. ' SubdnmKn N.mo/Numbor un) No. Phase No Total # ot untts <.E @oKIAJg#, p4hmiL.j A&dkd d AVllqdA "pk3&2qC _. , -. ........ ..----- --C'-----C---.- c--...- 6. CONTRACTOR - COMPANY N-E _L (Sac. 7031.5 Business and Profesc~ Code: Any City or County which ns*nr a -It to cmmuct. ahr. inWOV0. d.mdi or nmir any structure. prior to Its issuance, also reouires the applicant for aueh -it to fHe I rim StW.mcmt tMt ho b linn#d to the WmraiOnE of the Contrector's L~Come Lmw [Chapter 9. commendtng with, Section 7000 of Division 3 of the Burirwa and ProfusiOnr Cod.) or tM ho k ompt ttmfrom, md the basis for the alleged exemption. Anv violation of Section 7031.5 by my applimnt for a permit 8ubi.cu th. Wiunt to a Civil pmk~ of not mor0 thrn five hundred dollan 1$500)). Nzme Addrrs CitV Strtomp Tolephone I State Ltcense I License Clus city&IrirruLicwua# Dasigner Name Address CW st8tdZlP TdOPphone State License X 6. WORKERS' COMPENSATION ~ - .. ._--, ...... ... ,. Workers' Compensation Declaration: I hereby affirm undar pln)ty of perm w of the fdowing d.c).ntiom: 0 of the work for which this permit is isrmd. 0 issued. My worker's commruation insuranca carrier and policy numbor are: Insurance Company Policy No. Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLIARS W1001 OR LESS) 0 to become subject to the Workers' Comperuation Lmws of California. WARNING: FeUUrO to ..CUI. worlrem' comp.nutkn thousand Werr (8100,000L In .ddlckn to the eort of CO-. SIGNATURE DATE I hereby aftirm that I om exempt from the Contractor's License Law for the following ruson: 0 I, as owner of the promy or my ompb~s with wages as th.ir soh campomation, will do the work md th. ntNCIw0 b not intended or off& for rJ0 (Sec. 7044, Business and Profou~ons Ce: Tho Cornroctor's Lianra Lmw do08 not apply to an ownor of pro#cly who Wldr or improws th.r.m, md rvho do# such work himself or through his own ern ploy..^, Pr0Vid.d thmt such improcnmonta an not Intondod or oftorod for uk. If, howom, UIO buildtng or hnpmvonum b sold within one year of complation, the ownor-bdldor will have th. burdm of proving that ho dld not build or hn- far tho pupal. of uk). I, as owner of the property. am ~xclurively contracting with licmmd contracton to construct the proi.Ct I*. 7044, Busirma and Prof- Cod.: Tho I have and will maintein e certificate of consent to adf-insure for workem' COmplnUtbf~ ea pf0Vid.d bV SOctkn 3700 Of the Labor Code. for the performanca I have end will maintain workers' comperuation, as required by Section 3700 Of the Labor Code. for plrfonnmnce of the work for which this permit is CERTIFICATE OF EXEMPTION: I certify that m the pntormanco of tho work Yor which this pormlt m kwd. 1 -11 not omploy ony person m ony MMWI SO 0s b UIIOWW. rd .hrll+ I) .mpklnr to CrMnl prrktw rd drll tim up to ory hudrd ma poribd (or hl Sodon 3708 dth. L&Or cod.. lntrrn rd .nOCIYy'a 1#. ............... -, ,-?a,< ;;;p -+ ........ I w 2 ..... 7. OWNER-BUILDER DECIARATION pursuant to the Contractor's Licormr Lmwl. 0 1. 2. 3. I am exempt under Section I personally plan to provide the mapr labor and rmtrr*h for connruction of tho propond pr0p.n~ Improwmom. 0 YES ON0 I (have I have not) aignad an application for building p.rmit for the propomd work. I have contracted with the following oarson (firm1 to provide the ptomad eonrt~crion ~hKtud. cum I mddrac I phom numkr I cmrecta Businmsa and Rot.uionr Coda for this reason: mi: 4. number I contractors license number) 5. I w ot work) PROPERTY OWNER SIGNATUR I plan to provide ponions of the work, but I have hirod the following mon to coordimte, WpWvM d prowide (h. work findude I .db.rr I phar .: .,.-..... ...... COMPLET6 THIS SECTION FOR Is the applicant or future building occupmt -rad to e progrem under Sections 25505.25533 or 25534 of the Rnkv-Tamr HuardorP Substma Accam Act? Is the epplicant or future building occupant required to obtain a permit from tho air pollution control district or air qulky WI~MQWIW district? Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES 0 NO IF ANY OF THE ANSWERS ARE YES. A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPUCANT MAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND TME AIR POLLUTION CONTROL DISTRICT. I hereby affirm that there is e construction lending agmcy for the performmce of the work for which this -it Is kmd (Sec. 30971i) Civil Code). or hk nunogemmt ond prowmion NO 0 YES NO 0 YES .. .... .... ... . . ,. . I-' a, coNsTRucnoNmDING AGEijcy -'... .*-..-..-~.--~.-~~~.-,"-.~. -. ,- .- __- ___._ _. LENDER'S NAME LENDERS ADDRESS 9. APPLICANT CERTFlCATION -. - - ._ , . ____ --8 .l-,.l _- --izn --.-, ?7.. ~ ---. . - __=__ ______-- I certify that I have read the application end state that the .bow information b comct and that the Information on the plam is accurate. I agree to comply with all City ordinences and State laws relating to building construction. I hereby authome ropromematiw of the Cn) of Cerbbod 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 OSHA: An OSHA permit is EXPIRATION: Every permit is work authorized by such perm or abandoned at any time atte APPLICANT'S SIGNATURE ENCE OF THE QMmNO OF THIS PERMIT. r amnrmion Of structures over 3 stories in height. II expire by limitation and become null and void if the building or Uniform Building Coda). DATE WHITE: File YELLOW: Applicant PINK: Finance CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB983742 FOR 11/17/98 INSPECTOR AREA DH DESCRIPTION: TEMPORARY POWER POLE PUCK# CB983742 TYPE: ELEC CONSTR. TYPE NEW JOB ADDRESS: 1228 AVIARA PY STE: LOT: APPLICANT: BURTON WHITNEY PHONE: 751-0577 CONTRACTOR: PHONE : OWNER: PHONE : OCC GRP REMARKS: C/CALIF CHRISTMAS TREE SPECIAL INSTRUCT: INSPECTOR flb TOTAL TIME: CD LVL DESCRIPTION ACT COMMENTS 32 EL Const. Service/Agricultural DATE DESCRIPTION ***** INSPECTION HISTORY ***** ACT INSP COMMENTS CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB983742 FOR 11/13/98 DESCRIPTION: TEMPORARY POWER POLE TYPE: ELEC JOB ADDRESS: APPLICANT: BUR CONTRACTOR: OWNER: REMARKS: C/MICHELE/839-9430 SPECIAL INSTRUCT: TOTAL TIME: CD 32 INSPECTOR AREA PLANCK# CB983742 OCC GRP CONSTR. TYPE NEW STE : LOT: PHONE: 751-0577 PHONE: PHONE : INSPECTOR LVL DESCRIPTION EL Const. Service/Agricultural AICbo/l&j - - - - - DATE DESCRIPTION ***** INSPECTION HISTORY ***** ACT INSP COMMENTS ,/ Pi( P fu