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HomeMy WebLinkAbout1532 FARADAY AVE; ; CB981023; PermitB U I L D I N G P E R M I T Permit No: CB981023 Project No: A9801352 Development No: 04/10/98 11:03 Page 1 of 1 Job Ad]ress: 1532 FARADAY Permit Type: ELECTRICAL Parcel No: Valuation: 0 AV Suite: Lot#: Occupancy Group: Reference#: Description: TEMPORARY POWER POLE-BYCOR Appl/Ownr : PERFORMANCE POWER 10638 PROSPECT ST SANTEE CA 92071 *** Fees Required *** Fees: AdJustments: Total Fees:' Fee description Enter "Y" for Elect Enter "Y" 800 CITY OF CARLSBAD 20.00 5896 04/10/98 0001 01. 02 Construction Ty6effxMNEW Status: ISSUED Applied: 04/10/98 Apr/Issue: 04/10/98 Entered By: RMA 867-7697 .00 .00 20.00 *** Ext fee Data 10.00 Y 10.00 Y 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION FOR OFFICE USE O)lj, Y PLAN CHECK NO.~ 0 I 12 )_ 3 CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 EST.VAL. __________ _ (760) 438-1161 Plan Ck. Deposit 1r Validatejpy ___ /t .... ~ ... ,~~---- Date ':J. (-l b(ql y.__1. PROJECT INFORMATION Address (include Bldg/Suite #) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Description of Work # of Bedrooms # of Bathrooms )( 2. CONTACT PERSON (If different from applicant) Name 3. APPLICANT Name ~ 4. PROPER Name -/....5. CONTRACTOR -COMPANY NAME City 0 Agent for Owner s City City State/Zip Telephone # Fax # State/Zip Telephone# 5uik State/Zip Telephone# (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, commending with Section 7000 of Division 3 of the Business and Professions Code] or that he is exempt therefrom, and the basis for the alleged exe · n. A vi(m of Section 7 1.5 () any applicant for a perm· subjects the app~o~~1tl penalt of not z,o'i2Jn-17 hundred.doi}lJ$:QOJ). Designer Name Address City State/Zip Telephone State License # ---------- r-/._ 6. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 'li9.. 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 worker's compJ'¥atipnjnsuranc::rrier;.nd p~umber are: p~ D' Insurance Company ~ f g_-u,( ~ ~ -e ...l 11 S , Policy No. IJJI(/ C 3 ;J:;}. :/ f) S.O 3 Expiration Date_-'-~"-+C__,_d __ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) D 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 to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful. and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollar 0,000),.in ad "ti the cost of compensation, damages es provided for in Section 3706 of the Lall :::e, ~,Le,t and attorney's fees. 7's1GNATURE 'y_DATE ':tj.l!? /_7 d:_ . 7. OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following 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 OYfner 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: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. D YES ONO 2. I (have I have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name I address I phone number I contractors license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, sup"ervise and provide the major work (include name I address I phone number I contractors license number):------------------------------------------------- 5. 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 of work): __________________________________________________________ _ PROPERTY OWNER SIGNATURE------------------------ COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY DATE _________ _ 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? 0 YES O 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 O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES O NO 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 REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES ANO THE AIR POLLUTION CONTROL DISTRICT. 8. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME---------------LENDER'S ADDRESS ________________________ _ 9. APPLICANT CERTIFICATION I certify that I have read the application and state that 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 authorize representatives of the Cit\' of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY ANO KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS ANO 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 building or work authorized by such permit is not commenced within 365 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time aft e work is' com need for period of 180 days (Section 106.4.4 Uniform Building Code). /tlJf j.... APPLICANT'S SIGNATURE ~ DA TE :L ' f: I Pf(\,fl( • ~in~n,..a PERMIT# CB981023 DESCRIPTION: TEMPORARY POWER TYPE: ELEC JOB ADDRESS: 1532 FARADAY APPLICANT: PERFORMANCE POWER CONTRACTOR: OWNER: CITY OF CARLSBAD INSPECTION REQUEST FOR 04/16/98 POLE-BYCOR AV STE: INSPECTOR AREA PLANCK# CB981023 OCC GRP CONSTR. TYPE NEW LOT: PHONE: 800 867-7697 PHONE: PHONE: ~} REMARKS: C/STEPHANIE/619/596-4622 SPECIAL INSTRUCT: INSPECTOR --~-------- TOTAL TIME: CD LVL DESCRIPTION ACT COMMENTS 32 EL Const. Service/Agricultural ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS