HomeMy WebLinkAbout1671 FARADAY AVE; ; CB970343; PermitIllir BUILDING PERMIT Permit No:CB970343
02/24/97 13:48 Project No:A9700478
Page 1 of 1 Development No:
1 Job Address:1671 FARADAY AV Suite:
Permit Type:ELECTRICAL
Parcel No:Lot#:
Valuation:0 Construction Type:NEW
Occupancy Group:Reference#:Status,:ISSUED
Description:TEMP POWER POLE Applied:02/24/97
:POWER PLUS Apr/Issue:02/24/97
Entered By:JM
Appl/Ownr :POWER PLUS 619 471 -5494
1167 LAW STREET
SAN MARCOS,CA 92069 2796 02/24/97 0001 01 02
***Fees Required ****-.Collected &Creditg-MT ***2"3
Fees:20.00 C A t'01/1.4tti,Adjustments:.P 4 .00
Total Fees:20 el'•
.001IImi&
7.74 ii ir 20.00
Fee description N s Ext fee Data
Enter "Y"for Electr im4.40 ee >10.00 Y
"1041WWWOMMON 4#TIPEnter"Y"for Tempo -ic ...10.00 Y
*ELECTRICAL TOTAL 20.00
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PPROVil
,'NSP.1/'I DATE L/24151
C '..:EARANCE
C1TYOFCARL$BAD
2075 La Palmas Dr.,Carlsbad,CA 92009 (619) 438-1161
-FOR OFFICE USE ONLY
4,4?,PERMIT APPLICATION A.1:P
0c.. 41c:-vt PLAN CHECK NO.q -70--)3
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CITY OF CARLSBAD BUILDING DEPARTMENT Li .VT ...0...............-,i -C./U2075Las Palmas Dr., Carlsbad CA 92009 0 "1"-c".
Plan Ck. Deposit
(619) 438-1161 It/Folik0 Validated By-f/At-•
Date Zi
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Ad ress (inc ude BI /Suite act Business Name (at this address)A.AVe
Legal Description 1143 Lot No.Subdivision Name/Number Unit No.Phase No.Total e of units
Assessor's Parcel e Existing Use Proposed Use
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Description of Work SQ. FT.//of Stories S of Bedrooms it of Bathrooms
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(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
e ti y violation of S on 7031.5 by any applic rat for a
permIrct_
s
ti5erAntttogrilpenalteby4ifeirote than five kindred
dollar_s ($5001)...
1.12-3e•Y Wel q2-‘)10 q tilt 01Y
Name Address City State/Zip Tettione S
State License .022-61-0..e License Class e_it /City Business License S Ci ..1ir..."
Designer Name Address City State/Zip Telephone
State License it
Workers' Compensation Declaration:I hereby affirm under penalty of perjury one of the following declarations:
O 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 work for which this permit is issued.
leeI have and will maintain workers' compensation.as required by Section 3700 of the Labor Code,for the performance of the work lor:which this permit is
issued.My worker'pensati i ranee carp and policy number are:
Insurance Compan Policy No.tperli5lliel Expiration Date i'''/°-95
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 161001 OR LESS)
O 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 dollars (4100 in addition to
Tsst
compensation. damages as provided for In Section 3706 of the Labqr code, interrat and attorney's fees.
SIGNATURE DATE -02 ii-9'7
7.'
.OWNER-BUILDER DECLARATION i...-
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I hereby affirm that I am exempt from the Contra tor's License Law for the following reason:
O 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).
O 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(*)licensed
pursuant to the Contractor's License Law).
O 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.0 YES ONO
2.I (have / 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 / phone number I contractors license number):
4.I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone
number / 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 / address I phone number I type
of work):
PROPERTY OWNER SIGNATURE DATE
reOMPATE.:nos SECTIONMV/#101611ESIDEIMA141)140iplafgamtntiNLy ..._72C.Z.Trigrat-
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ts the applicant or future building occupant required to submit a business plan, acutely hazardous materials rigistration form or risk management and prevention
Program under Sections 25505. 25533 or 25534 of the Presley-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 1,000 feet of the outer boundary of a school site?0 YES 0 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 AND THE AIR POLLUTION CONTROL DISTRICT.
8.CONSTRUCTION" LENDING_.l
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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 :..'.:....-217..;...`.3r..kotl-;41 '"
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 City of Carlsbad to enter upon the above mentioned
property for inspection purposes.I ALSO AGREE TO SAVE.INDEMNIFY AND KEEP HARMLESS THE CITY 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 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 after the work •o enced for a7i
d of 80 days (Section 106.4.4 Uniform Building Code).
APPLICANT'S SIGNATURE DATE 9? -2 '71 -9 7
WHITE:Fit YELLOW: Applicant PINK: Finance
s .4 CITY OF CARLSBAD
INSPECTION REQUEST
PERMITS CB970343 FOR 02/27/97 INSPECTOR AREA
DESCRIPTION:TEMP POWER POLE PLANCK#CB970343
POWER PLUS OCC GRP
TYPE:ELEC CONSTR.TYPE NEW
JOB ADDRESS:1671 FARADAY AV STE:LOT:
APPLICANT:POWER PLUS PHONE:619 471-5494
CONTRACTOR:PHONE:
OWNER:PHONE:
REMARKS:BJN/MICHELLE/471-5494 INSPECTOR
SPECIAL INSTRUCT:
TOTAL TIME:
CD LVL DESCRIPTION ACT COMMENTS
32 EL Const.Service/Agricultural /Fe
*****INSPECTION HISTORY *****
DATE DESCRIPTION ACT INSP COMMENTS
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