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Home My WebLink About1473 ALGA RD; ; CB962291; Permit. 12/02?96 14:53 Page 1 of 1 I Job Address: 1473 ALGA RD Permit Type: ELECTRICAL Parcel No: Lot#: C-fWT 2o.w Valuation: 0 Construction Type: NEW Occupancy Group: Reference#: CT89-39 Description: TEMPORARY POWER POLE-CONTINENT BUILDING PERMIT Permit No: CB962291 Project No: A9603269 Development No: Suite: 1294 32/02/96 0001 01 02 Status: ISSUED Applied: 12/02/96 : HOMES-MAREA DEV-CT89-39 Apr/Issue: 12/02/96 Appl/Ownr : POWER PLUS Entered By: RMA 1167 LAW ST SAN MARCOS CA 92069 619 471-5494 *** Fees Required *x* cted & Credits **x """""""""""""- """"""""""_ Fees : . Total Fees: Adjustments: .oo 20.00 .oo Fee description Ext fee Data """"""""""- Enter "Y" for Elect 'Entqr "Y for Tempo * ELECTRICAL TOTAL """""""- 10.00 Y 10.00 Y 20.00 INCORPORATED GFpvoFCARLsbAD 2075 Las Wbl.s,h., cyrlsbd, %A 9#x)9 (619) 438-1161 PERMIT &PUCAlTON City of Carlsbd Buildim Dcprtrnt 2075 u. Pat- Dr., c8rlsb.d. U PMOP (619) 430-1161 ~~ From Ljsr 1 (see back) give de of Permit-Type: For Residential Pmiec5 Only: From Lirf 2 (we back) @ve Code of Swmrc-Type: ~~ ...................................................... I Net WGain of Dwelling Uni5 I 2. PRCMXXtNTUFlMAllON ... 1 FOR OFFICX USE ONLY . fz?2*HQ+ sutldang or Sum No. 'Nar- Street- U N Lot No. Subd~~lSlOn NamWNumber Unit No. Phase No. 0 2 Energy Calls 0 2 Srmclural Calls 0 2 Soils Report 0 1 Addrased Envelope DESCRIPIION OF WORK .. SQ. FT. X OF SIURIES Y OF BEDROOMS X OF BATHROOMS CITY STATE ZIP CODE DAY TELEPHONE STATE LIC. X irm that I have a certttxate 01 consent to sell-msure hssued by th tion Insurance by an admitted insurer, or an exact copy or duplicate thereof certified e Ulreclorot lndusmal the Building Inspection WUCY NO gas to bffdh subktk the Workers' Comansatian laws of California. NtlCale 01 txemp on I cemty that In the pertormance 01 the work lor whtch thw perm11 IS tsued, 1 Shall not emplog ally person In any manner SIGNATU DATE /2 -2"- Owner-Bullaer ueclarauon: I nereby amrm mat I am exempt rrom me LOnmclors ucem ~aw tor me ro~~ow~ng reason: 0 I, as owner of the property or my employees with wages as their sole compensation, will do the work and the swcmre is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's lice,, law dm nor 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 -le. If, however, the building or improvement is sold within one year of mmplelion, the owner-builder will have the burden 0 I. as owner of the property, am exclusively conuacting with licensed conuacton to eoNUuE1 the pmject (Sct. 7044, Business and Professions of proving that he did not build or improve for the purpose of sale.). Me: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contram for such projects with contractor(s) licensed pursuant to the Contractor's license Law). 0 I am exempt under Section Business and Professions Code for this reason: (k. 7031.5 Business and Professions Code: Any City or County which requires a permit to mnsvuct. alter, improve, demolish, or repair any suumre, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed punuant to the 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 provisions of the Conmctofs license Law (Chapter 9. commencing with Section 7000 of Division 3 of the Business and Professions Code) subjects the applicant 10 a civil penalty of not more than five hundred dollars [SSOO]). SIGNATWE M1E Is the applicant or future building occupant required 10 submit a business plan, acutely hazardous materials regirmtion form or rirk 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 polludon mnuol district or air quality management district? Is the facility to be mnsrmcted within 1,000 feet of the outer boundary of a school site? IPANY~~ANSWERSAREYESAFPlAL(7PRIP1C1EOFOOCUPANCIMAYNOTBe~~nnY1.1989~THEAPPUCAKT HAS MIT OR IS MwplG lHE REQm OF THE OpFl(-E OF EMERGENCY SERWCES AND THE AIR FOULVION CONIROL DISIRICT. I nereby atrum mat mere D a CONIIUCUO~ lendtng agency tor the pertormance or me work tor wnnch ml~ permrt IS lssued (kc 3097(t) c~nl me). 0 YES YES 0 NO om 0 NO 0 NO LENDERS NAME LENDFXS ADDRESS 1 certlly that 1 nave read me appllcauon and state mat me abve lntormatlon IS correct. 1 agree to comply wlm all Llty ordinances and State laws relating to building conswction. I hereby authorize reprerentatives of the City of Carlsbad to enter upon the above mentioned propeny for inspection AND MPWSS WCM MAY IN ANY WAY AUXUE AGAIN= S4D CllY IN CONSEQIJIWCE OF THE GRAK(WG OF lHJS PERMIT. purposes. IAlso~REETOSAVE~~ANDKEFP~THE~OFcAtusBADK;AIN~AU.LUB~JUDCMpFIsoDsls CGlA An OSHA permit is required for excavations over 5'0" deep and demolition or mnswction of SVUctures over 3 stories in height Expiration. Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and home null and void if the such permit is suspended or abandoned cd of 180 days (Sctdon 303(d) Uniform Buil building or work authorized by such pe e of such permit or if the building or work aurhorized by APPUWTS SIGNATURE DATE: yy% 9 ' WHITE: .File YELLOW: &plicant PIm Finance rs CITY OF CARLSBAD INSPECTION REQUEST PEMT# CB962291 FOR 12/16/96 INSPECTOR AREA PY DESCRIPTION: TEMPORARY POWER POLE-CONTINENT PL?WCK# CB962291 TYPE: ELEC CONSTR. TYPE NEW JOB ADDRESS: 1473 ALGA RD STE : LOT : APPLICANT: POWER PLUS PHONE: 619 471-5494 HOMES-MAREA DEV-CT89-39 OCC GRP CONTRACTOR: PHONE : OWNER: PHONE : REMARKS: MW/PAMELA/471-5494 INSPECTOR SPECIAL INSTRUCT: TOTAL TIME: CD LVL DESCRIPTION ACT COMMENTS 32 EL Const. Service/Agricultural " A! " - " - ***** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP COMMENTS 120996 Const. Service/Agricultural CO PY SEE INSP NOTES INSPECTION REQUEST CITY OF CARLSBAD PERMIT# CB962291 FOR 12/09/96 DESCRIPTION: TEMPORARY POWER POLE-CONTINENT INSPECTOR AREA PLANCKX CB962291 HOMES-MAREA DEV-CT89-39 ~~ ~ ~~~ ~ TYPE: ELEC JOB ADDRESS: 1473 ALGA RD APPLICANT: POWER PLUS OWNER : CONTRACTOR: REMARKS : MW/MICHELLE SPECIAL INSTRUCT: OCC GRP CONSTR. TYPE NEW STE : LOT : PHONE: 619 471-5494 PHONE : PHONE : INSPECTOR * TOTAL TIME: - CD LVL DESCRIPTION 32 EL const. Service/Agricultural ACT COMMENTS DATE DESCRIPTION ACT INSP COMMENTS %I ; UHDERBWUN0,SEAYICE -I J . 0 'd WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self-insure for the performance of the work for which this permit is issued. A. workers' compensation as provided by section 3700 of the Labor Code, for 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 issued. My workers' compensation insurance carrier and policy number are: INSURANCE ,COMPANY POLICY NO. S6k 6nJ ark - YL '- 000~7~ /"- /-7 7 EXPIRATION DATE: ......................................................... (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) 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 to become subject to the C. workers compensation laws of California. Warning: Failure to secure workers' compensation coverage is unlawful, and shall be subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,000). in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor Code, Interest and attorney's fees. March 3, 1995 2075 Las Palrnas Dr. - Carlsbad, CA 92009-1576 - (619) 438-1161 - FAX (619) 438-0894 @ STATE P.O. BOX 420807, SAN FRANCISCO, CA 94142-0807 COMPENSATlON INSURANCE FUN D CERTIFICATE OF WORKERS' COMPENSATION INSURANCE OCTOBER 30, 1996 CERTIFICATE EXPIRES 1 - 1 -9 7 POLICYNUMBER:046-96 UNIT 0005760 . . . . ... r BUILDING 8 INSPECTION DEPARTMENT CITY OF SAN DIEGO 1222 FIRST AVE, HS 301 SAN DIEGO, CA 92101 JOB: ALL OPERATIONS L This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the California - Insurance Commissioner to the employer named below for the policy period indicated. This policy is not subject to cancellation by the Fund except upon ten days advance written notice to the employer. We will also give you TEN days' advance notice should this policy be cancelled prior to its normal expiration. This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by the policies listed herein. Notwithstanding any requirement, term, or condition of any contract or other document with described herein is subject to all the terms, exclusions and conditions of such policies. respect to which this certificate of insurance may be issued or may pertain, the insurance afforded by the policies .. , AUTHORIZED P-4- REPRESENTATIVE ,,, , . PRESIDENT EMPLOYER'S LIABILITY LIMIT INCLUDING 'DEFENSE COSTS: E1,000,000 PER OCCURRENC EMPLOYER r S R BRAY CORPORATION DBA POWER PLUS! TEMPORARY UTXLITY SERVICES 233 EAST BRISTOL UAY ORANGE CALIFORNIA 92665