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HomeMy WebLinkAbout1463 BLACK RAIL CT; TP; CB970007; PermitBUILDING PERMIT Permit No: CB970007 U1/03/97 16:29 Project No: A9700029 Page 1 of 1 Development No: I Job Address: 1463 BLACK RAIL CT Suite: Permit Type: ELECTRICAL 17.757 01/03P?7 mI, 01. (52 Parcel No: Lat#: C-PRi4T 20.00 Valuation: 0 Construction Type: NEW Occupancy Group: Reference#: Status: ISSUED Description: TEMPORARY POWER POLE-SEA COUNT Applied: 01/03/97 : HOMES Apr/Issue: 01/03/97 Entered By: RMA Appl/Ownr : POWER PLUS 619 471-5494 1167 LAW ST SAN MARCOS CA 92069 *** Fees Fees Adjustments Total Fees Fee descr Enter "Y" f Enter "Y" f * ELECTRICA .----------- .oo .oo 20.00 Ext fee Data 10.00 Y 10.00 Y 20.00 --------------- GITYOFCARLSBAD 2075 Las, pelmas Dr., carlsbad, CA 92009 (619) 438-1161 - PERMIT APPLICATlON City of Carlsbed Buildim Depertrnt 2075 Lacr Palms Dr., Carlsbed, U 92009 (619) 438-1161 * I Code of Structure-Qpe: Net WGain of Dwelling Units 2 PRQIECX'INFORMATION I- 1- FOR OFFICE USE ONLY Unit No. Phase No. 0 2 Energy Cala 0 2 Structural Cala 0 2 Soils Report 0 1 Addressed Envelope USE SQ. Fr. # OF STORIES # OF BEDROOMS # OF BATHROOMS NAME (last name tint) r3 (it CITY STATE ZIP CODE DAY TELEPHONE CITY STATE ZIP CODE DAY TELEPHONE STATE UC. # Workers' Compensation Declaration: I hereby affirm that I have a certiticate 01 consent toselt-insure issued by the Director ot lndustnal Relations. or a certificate of Workers' Comwnsation Insurance bv an admitted insurer. or an exact CODY or duolicate thereof certified I INSURANCE COMPANY IW -, Certificate ot ExemDtion: I CetTItV that in the wrtormance loV an* Demon in anv manner . . -. so as to becomc to the Wbrkers' Com&nsation laws of California. 4 SIGNATURE DATE /- 3 - P7 N Owner-Builder mlarauon: I hereDy aftirm that I am exempt from the mntractors ucense uw tor the tollowing 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.). 1, 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 (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 dollan [$500]). 0 0 0 Business and Professions Code for this reason: SICNATURE DATE COXLY 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? Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? IF ANYOF THE ANSWERS AREYES, A FINAL CERTplcATE OF OCXXPANCY MAY NOT BE HAS MET OR IS MEETING THE REQuIREMp(Ts OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR WLUITION CONTROL DISIRICT. I hereby attirm that there IS a constructlon lending agency tor the pertormance ot the work tor which this permit is lssued (Sec NY/( I) Civll Code). D YES 0 NO DYES 0 NO DYES 0 NO AFlTRJULY 1,1989 UNLESS THE APPLICANT I LENDER'S NAME LENDER'S ADDRESS 1 cemly that 1 have read the applicauon and state that the above intormarion IS correct. 1 agree to comply with all City ordinances and Stare 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 Also AGREE TU SAVE INDEMNIFY AND KEEP HARMLFSSTHEClWOFCARLSBADAGAINSTAU.LIABIL(TIES, JUDGMENTS, oosls AND EXPENSES WHICH MAY IN ANY WAY MXRUE AGAINST SAlD CITY IN OONSEQUENCE 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. Code shall expire by limitation and become null and void if the the date of such permit or if the building or work authorized by c a period of 180 days (Section 303(d) Uniform Buildi DATE: 38%?)1_97 WHITE: File YELLOWApplicant PINK: Finance 8 CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB970007 FOR 01/07/97 DESCRIPTION: TEMPORARY POWER POLE-SEA COUNT HOMES TYPE: ELEC JOB ADDRESS: 1463 BLACK RAIL CT APPLICANT: POWER PLUS CONTRACTOR: OWNER: INSPECTOR AREA PLANCK# CB970007 OCC GRP CONSTR. TYPE NEW STE : LOT: PHONE: 619 471-5494 PHONE : PHONE : REMARKS: MW/PAM/471-5494 SPECIAL INSTRUCT: TOTAL TIME: CD 32 INSPECTOR LVL DESCRIPTION ACT COMMENTS Const. Service/Agricultural d DATE DESCRIPTION ***** INSPECTION HISTORY ***** ACT INSP COMMENTS