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Home My WebLink About1228 AVIARA PY; TP; CB993777; PermitCity of Carlsbad 10/14/1999 Electrical Permit Permit No:CB993777 Building Inspection Request Line (760) 438-31 01 Job Address: Permit Type: ELEC Parcel No: 1228 AVlARA PY CBAD Reference #: Project Title: CHRISTMAS TREE LOT TEMP. POWER POLE Lot #: 0 Status: ISSUED Applied: 10/14/1999 Plan Approved: 10/14/1999 Issued: 10/14/1999 Entered By: MDP Inspect Area: FINAL APPROVAL Date: /d. CI eara nce : NOTICE: Please take NOTICE that approval of your project includes the 'Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as 'feeslexactions.* You have 90 days from the date this permit was issued to protest imposition of these feeslexactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified feeslexactions DOES NOT APPLY to water and sewer connection fees and capactiy changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any feedexactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously othetwise expired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO. CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 Pian Ck. Deposit (760) 438-1161 Proposed Use Assessor's Parcel X Existing Use Descnption of Work sa. FT. #of stories # of Bedrooms X of Bathrooms r 47- e#%@- #% WQf fi/e fn57& CONTRACTOR - COMPANY (Sec. 7031.5 Business and Professions Code: Any Ci or County which requires a permit to CoM~ct, attar, 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 Contrector's License Law [Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code1 or that he is exempt therefrom, and the basis for the alleged 7031.5 by any pplicant for: 5'96 A? Z?P-F540 Q QrAC hundred dollars 1$5001). Name Address city Statenip Telephone X Stata License x Dssigner Name Address City StateEip Telsphone 8. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declerations: 0 I have and will maintain a certificate of consm to self-insun 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, as required.by Section 3700 of the Labor Code. for the performance of the work for which this permit is 52 3 -& License Class c - 6 / City Business License X Stat0 License # \ssued. My worker's compensation insurance c Insurance Company 7 i++ f e Policy NO. /' 7757 f/o -F9 Expiration Date 3 -?/ a (THIS SECTION NEED NOT BE COMPETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 181001 OR LESS) 0 to become subject to the Workers' Compensation Laws of California. WARNING: Faih t- worka" corn& #mng. b unlrwfd, d shall 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 as n ompfbyer to crhnind p.tukkt and cMI finr up to ono hundmd 7. OWNER-IIUII.&R DECLARATION I hereby affirm that I am exempt from the 0 I, as owner of the property or my employws with wages os their sole compensation, will do the work and the structure is not intended or offered for sale (See. 7044, Business and Professions Code: The Contractor's Licenss Law does not epply 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). 0 I, as owner of the property, am exdusivdy contracting with licemod contractors to construct the project (Sec. 7044, Bustness end ptofessions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for ouch projects with comractor(s) licensed pursuant to the Contrector's License Law). 0 1. 2. 3. Law for the following reason: I am exempt under Section I personally plen to provide the mepr labor and materials for cMlmuction of the proposed property improvement. 0 YES ON0 I (have I have not) signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction (include name I address I phons number I contractors license number): Business and Rofessiam Code for this reason: 4. number I contractors license number): 5. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include nome I address I phone I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone number I type PROPERTY OWNkR SIGNATURE - DATE COMPLETE THIS SECTION FOR NON-REsIDov1uL BUILDINB PERMITS ONLY Is the applicant or future building occupant required to submit a business plan, acutely hezardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Prwley-Tanner Hazardous Substance Account Act? 0 YES 0 NO Is the applicant or future building occupant required to obtain a permit from the air pollution Control district or air quality management district? 0 YES 0 NO Is the facility to be constructed within 1 ,OOO feet of the outer boundary of a school site? 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 0 YES 0 NO LENDERS NAME LENDER'S ADDRESS 9. APPUCANT CERTIFlCAnoN I certify that I have read the application and state thet the above information is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authoriza representatives of the Cit) of Carlsbad to enter upon the above mentloned property for inspection purposes. I ALSO AGREE TO SAVE. INDEMNIFY AND KEEP HARMLESS THE ClTY 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 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 buildmg or work authorized by such permit is not commenced within 3 5 d from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after t pe of 180 days (S'action 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE #& DATE /8 *-/y -p nced f File YELLOW: Applicent PINK: Finance City of Carlsbad Inspection Request For: 10/20/99 Permit# CB993777 Title: CHRISTMAS TREE LOT Description: TEMP. POWER POLE Type: ELEC Sub Type: Job Address: 1228 AVIARA PY Suite: Lot 0 Location : APPLICANT TEMP UTILITY SERVICES Owner: TEMPORARY POWER POLE Remarks: Inspector Assignment: w Phone: 7608399430 Inspector: Total Time: Requested By: MICHELE CD Description Entered By: CHRISTINE k Comments 32 Const. ServicelAgricultural Inspection History Date Description Act lnsp Comments