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HomeMy WebLinkAbout1311 CORVIDAE ST; ; CB950530; Permit" BUILDING PERMIT 04/21/95 08-14 Page 1 of 1 Job Address. 1311 CORVIDAE ST Suite: Permit Type. ELECTRICAL Parcel No: Lot#: Valuation. 0 Construction Type: VN Occupancy Group: Reference*. Description: TEMP. POWER POLE FOR "ENCORE" • TAYLOR WOODROW Permit No- CB9505JO Project No: A9500775 Development No- Appl/Ownr TEMP POWER SYSTEMS 1111 N TUSTIN ANAHIEM, CA 92807 Status: ISSUED Applied- 04/21/95 Apr/Issue- 04/21/95 Entered By: MDP 714 639-1999 Fees Required *** Fees. Adjustments Total Fees- Fee description Enter "Y" for Elec Enter "Y" for Tern * ELECTRICAL TOTAL ected & Credits * * * 00 00 20 00 Ext fee Data 10.00 Y 10 00 Y 20 00 1598 04/21/95 0001 01 02 C-PRMT 20-00 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 (619) 438-1161 1 PERMTI TYPE From List 1 (see back) give code of Permit-Type For Residential Protects Only From List 2 (see back) give Code of Structure-Type Net Loss/Gain of Dwelling Units PLAN CHECK NO. EST VAL PLAN CK DEPOSTT_ VAUD BY DATE 2. PROJECT INFORMATION FOR OFFICE USE ONLY Building or Suite No Nearest Cross Street LEGAL DESCRIPTION it No Subdivision Name/Number Unit No Phase No CHECK BELOW IF SUBMITTED Q 2 Energy Calcs D 2 Structural Calcs D 2 Soils Report D 1 Addressed Envelope ASSESSOR'S PARCEL EXISTING USE PROPOSED USE DESCRIPTION OF WORK SQ FT # OF STORIES # OF BEDROOMS # OF BATHROOMS 3 UUN l ALTI FKKijUN (.it cinierent trom applicant; (last name-first) { ,-NAME (last napif first) j&- cv-j x~tCITY I I HJH CUNTKAL.TUK UOWIMliK U AUtN 1 hUK"OVVXEK ADDRESS STATE ZIP CODE DAY TELEPHONE 5 PROPERTY OWNER NAME (last name first) CITY 6 CONTRACTOR / NAME (last name first)r? W£ STATE i f\ \ ADDRESS ZIP CODE DAY TELEPHONE •? \6vpC5"*" ADDRESS ^"V y/ <ip \ O^T^A. STATE LIC ZIP CODE Z DAY TELEPHONE] LICENSE CLASS C,\O CITY BUSINESS LIC # DESIGNER NAME (.last name lirst) CITY STATE ADDRESS^ ZIP CODE DAY TELEPHONE STATE LIC # COMPENSATION Workers' Compensation Declaration I hereby affirm that I have a certificate ol consent to self insure issued by the Director ol Industrial 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 jnsurer thereof filed with the Building Inspection Department (Section 3800, Lab C) INSURANCE COMPANY POLICY NO DATE \Q ~- \ Certificate ot Exemption 1 certily that in the 'performance ot the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California SIGNATURE DATE 8 OWNFJI-BUILDER DECLARATION uwner-builder Declaration 1 nereDy attirm tnatTam exempt trom trie Contractor's License LawTorlne loHowing reason D 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) D 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) D 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 COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS 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? P YES D NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Q YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES D NOIF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANTHAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 9 CONSTRUCTION LENDING AGENCY I hereby attirm that there is a construction lending agency tor the pertormance ot the work tor which this permit is issued (Sec 3097(i) Civil Code) LENDER'S NAME LENDER'S ADDRESS 1U AFFLKJANT I certity that Thave read the application and state that the above information is correct I agree to comply with all City ordinances 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 IAISO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS TI IE CITY OF CARLSBAD AGAINST ALL UABIIJTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT OSI1A. An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stones in height Expiration Every permit issued building or work authon: ' " """ such permit is suspended APPLICANTS SIGNATURE J;he provisions of this Code shall expire by limitation and become null and void if the ithin 365 days from the date of such permit or if the building or work authonzed by is commenced for a penod of 180 days (Section 303 (d) Uniform Buildiifg CqHe) _ DATE *f \Z\\*£» >W: Applicant PINK: Finance CITY OF CARLSBAD ADDRESS- ELECTRIC AND CAS METER CLEARANCE INTER-DEPARMENT |3\\ SEO Service Equipment Only Reason, If Denied __ ELECTRIC METER COMMERCIAL RESIDENCE NEW SERVICE RELOCATE TSPB TEMP P/P UP-GRADE TEST METER IRR PEDESTAL COMMERCIAL RESIDENCE TEST METER CAS METER /wuildmg Ins^ctor Signature V ('^, Called' In By" * Called In To Date YES NO YES NO YES NO Time Time San Diego Gas & Electric INSPECTION ORDER DATE/TIME REQUESTED to JOB/PROJECT NUMBER JOB TITLE LOCATION I3U INSPECTION REQUIREMENTS CUSTOMER REQUIREMENTS 1 YOUR TRENCH D IS ED CABLE CONDUIT D IS NOT APPROVED FOR THE INSTALLATION OF D GAS D''BACKFILL D ENERGIZING D SUBSTRUCTURES THE FOLLOWING CORRECTIONS.ARE REQUIRED 2 L~J Survey, easements and R/W 10 3 ED Pavement removal and replacement 11 4 EH Excavations s 12 5 ED Installation of conduit 13 6 ED Installation of pullropes 14 7 ED Mandrellmg 15 8 ED Concrete encasement 9 ED Meter panel installed correctly P°le- ED Backfill and compaction Native ED Gas Line ED Trench performance ED Substructure installation ED As builts ED Distance required to be dug by SDG&E crew to Import . ft, padmount.. ft, pullbox. COMMENTS OR ACTION REQUIRED ait- A COPY OF THIS ORDER HAS BEEN LEFT ON THE JOB n AT : •! WITH . INSPECTOR DATE PHONE NO DISTRIBUTION White — District Operating Dept, Canary — Customer, Pink — New Service/Planner FORM 124910 (12/89)