Loading...
HomeMy WebLinkAbout1676 FARADAY AVE; ; CB980060; Permit.•." VIT7ID BUILDING PERMIT Permit No:CB980060 01/09/9,8 12:01 Project No:A9800100 Page 1 of 1 Development No: Job Address:1676 FARADAY AV Suite: Permit Type:ELECTRICAL Parcel No:Lot#: Valuation:0 Construction Type:NEW Occupancy Group:Reference#:Status:ISSUED Description:TEMP POWER POLE Applied:01/09/98 Apr/Issue:01/09/98EnteredBy:JM Appl/Ownr :TEMP OWER SYSTEM 760 439-1999 750 N CITRACADO PRKWY ESCONDIDO CA 92025 01 02***Fees Required ******Fees CollecPRIVZIAdrt *V-00 Fees:20.00 Adjustments:.00 Total Credits:.00 Total Fees:20.00 Total Payments:.00 .B4lance Due:20.00 Fee description -Units F*e/Unit Ext fee Data Enter "Y"for Electric Issue Fee >10.00 Y Enter "Y"for Temporary Serv,ce >4.10.00 Y FINAL719PPROVAL INSP..DATE..42/AL CLEARANCE CITY OF CARLSBAD 2075 Las Palmas Dr.,Carlsbad,CA 92009 (619) 438-1161 FOR OFFICE USE ON Y ,PERMIT APPLICATION 0c. -cAoC.v.•w PLAN CHECK NO.C Ar fa i..."."...." .7i.EST. VAL.CITY OF CARLSBAD BUILDING DEPARTMENT (..)4 1/C Plan Ck. Deposit2075 Las Palmas Dr., Carlsbad CA 92009 0 --v-ts?. (760) 438-1161 IL !Rya*Validated By Date , 1. PROJECTTL (v T N TH:.7.: , .:.„.4...:..„.„.:ss:..; -4..-.:-'4 ii. euar •-. .7 ,e_. Address (include Bldg/La e it)Business Name (at this address) Legal Description Lot No.Subdivision Name/Number Unit No.Phase No.Total # of units Assessos Parcel #--Existing Use Proposed Use'rP 0.-tiVe---72-- Description of Work SQ.FT.#of Stories # of Bedrooms it of Bathrooms 12::CONTACT PERSONtlf different fiVitiaMPFiaiiiir.!:.Var:4 .17.4"'':r-SEMffiVr-ISIM-'%grWA ,_:;.'::i _.-:L...:.::::..:7:...:L1.:.::i Name Address City State/Zip Telephone It Fax # /3.-'.NT.:.?Contrictcr?lgarfor,.,corittaAtoralafoitiifItfL,za./5t8C sr /.C/7.4 wfif - &keeye7 Adam ". -."-021 -&49 R.397/02? Name Address City State/Zip Telephone # /4 4/5>>4?..ee%?4).-7.10o &--;e6/Alie Sre-Alrgr -ts el(:?..//(./.?....2.?.----s-s--?) Name Address City State/Zip elephone # B..CONTRACTOR !.COMPANY NAME (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 exemption..6eco,c-yiolation of S ction 7031.5 by any applicant f a ynit subjects the -licant to a_civjl penalty of not mor9..thantive hundred slam) IS.50(111."--le--/SfP './'w'5)"r-'57Z-71.5 7..ce)Al.C.--ite..-14e)'ii-kktff---'5/-'5.62,91:frkle'.1 .).0,.2.s"--(760 51,3Y•-/491 Name -Address City State/Zip Telephone # State License It VegVac3 License Class e--/c City Business License # Designer Name Address City State/Zip Telephone State License It 6.WORKERS`.COMPENSATION 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 the work for which this permit is issued. ,e.E1- --- 1 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 copaysation insurance carrier and policy number are:. Insurance Company ( 7..4k./.‘-. .....Z-712 :;S-/..e..64..47r Policy No.Aii- ‘11:.'1..4i."2.240e----Expiration Date /2//fr- 87 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 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'ompensation coverage is unlawful. and shall subject an employer to criminal pen Wes d civil fines up to one hundred thousand dollars (5100 ).i add' ion o the cost of compensation. damages as provided for in Section 3706 of the La cod inter st and attorney's fees. SIGNATURE a..--4 -4 DATE g I hereby affirm that I am exempt from the Contractor'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(s)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 / address / phone number / 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 / phone number / type of work): PROPERTY OWNER SIGNATURE DATE COMPLETE:MIS SECTION FOR7116/1/-10/DEN7.711: 441$1.(11.DINII:PERIVIITtONLY.1 . -'y-`; _;:.':.7:'7=--rV! 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 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,L ppNs-FfippTIONL:LENDENo AGENCY IL....::::::.'.lE1:.::;:.*:::.1:l'::::..;::::.7 .,,.f,,,--if-i7::4 .I .V4 ,.':.4!.:::.':.;'1 :• 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'....;...AtPLICANtCERTIFICATION7...---.„-:.•.Ti_*-•-•-.„.•...•.•.„• —77--- . - ..•777 _."FX. 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 undo 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 ays from the date of such permit or if the building or work authori d by s permit is suspended or abandoned at any time after the wor om ncenfor a p iod of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE /./62 ----..,DATE 1 e 7,.43 to //7-1 \\Iv dokfil 2u - 179/' b-a deft. • CITY OF CARLSBAD INSPECTION REQUEST PERMIT#CB980060 FOR 01/26/98 INSPECTOR AREA DESCRIPTION:TEMP POWER POLE PLANCK#CB980060 OCC GRP TYPE:ELEC CONSTR.TYPE NEW JOB ADDRESS:1676 FARADAY AV STE:LOT: APPLICANT:TEMP OWER SYSTEM PHONE:760 439 -1999 CONTRACTOR:PHONE: OWNER:PHONE: REMARKS:C/BOB/439-1999 INSPECTOR SPECIAL INSTRUCT: TOTAL TIME: CD LVL DESCRIPTION ACT COMMENTS 32 EL Const.Service/Agricultural 710. *****INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP COMMENTS I , - 1 1 ir. A0?,), N.t - Pr.- c r1/4 tr s.•....•<c . •6 's.-). I, 1 orio• 1 \ 4) .0. 1 A .,. 0v w-r4.Ts%r. .I'' 4*‘*.CF14-- Lu1Art NI eN K 4 c"5**.e irt k •i 4:*....„.„..4. 4 1 a - 57 "i3k i.67,9 11 t.'k ta.OWNii‘lo 4:‘,1)•