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HomeMy WebLinkAbout1700 AVIARA PY; TP; CB973762; Permit/ 1-57 h BUILDING PERMIT Perm.t No: CB973762 12/09/97 09:41 Project No: A9704850 Page 1 of 1 Development No: Permit Type: ELECTRICAL Valuation: 0 Construction Type: NEW Occupancy Group: Reference#: Status: ISSUED Description: TEMPORARY POWER POLE-NEW POST Applied: 12/09/97 : OFFICE Apr/Issue: 12/09/97 ' Job Address: 1700 AVIARA PY Suite: Parcel No: Lot#: Entered By: RMA Appl/Ownr : TEMPORARY POWER SYSTEMS 760 439-1999 75014 CITRACADO PKWY ESCONDIDO CA 92025 *** Fees Requir _-______--_______--_---- Fees : Total Fees: Adjustments: .oo Fee description E%tPf3CTee Da%.m _----___-__--_---- 10.00 Y 10.00 Y 20.00 Enter "Y" for Ele Enter "Y" for Tern x ELECTRICAL TOTA CLUIRAMCE CITY OF CARLSBAD 2075 Las Palmas Dr., Carl~bad, CA 92009 (619) 438-1161 FOR OFFICE USE ONLY PLAN CHECK NO. 97 _n62 Plan Ck. Deposit PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-11 61 Unit No. Phase No. Total X of units Legal Dascription Lot No. Subdivision NameMumber Existing Use Proposed Use Description of Work sa. FT. #of Stories X of Bedrooms X of Bathrooms Name Address City Statenip Telephone I Fax X ONTRAC~OR~ coiupiihl 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 Codel or that ha is exempt therefrom, and the basis for tha allaged by any appli a for a parmit subje the applica to a civil penalty of not mor than f've hundr d Iars [$5oOJ). 7Haldzr- Aw%Lcj Yw m oEs,lcyy+&-&_& 4 A License Class CW Statemp Tela honct &-/O Ci Business License x /SO [6 & Name . ddress State License X vi93 ~'33 Designer Name Address CW Statemp Telephone License X W~~RUERS*~COMPENSATH,TKI Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following daclarations: 0 I have and will maintain a cartificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performan- of the work for which this permit is issued. la' I hava and will maintain workers' compensation, as required by Section 3700 of the Labor Coda. for the performance of the work for which this parmit b issued. My worker's co Insurance Company P&c..zNR % #/ TY Policy No. Expiration Date /@ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$1001 OR LESS) 0 WARNING: Fail thousand dollars ensation insurance carrier and policy number are: CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this parmit is issued, I shall not employ any person in any manner so as ation, damage8 as provided for h Section 3706 0 1, 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 do- such work himself or through his own employees, provided that such improvements are not intended or offered for de. If, however, the building or improvement ir 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). 0 I, as owner of the property, am exclusively contracting with licensad contractors to construct the project (Sac. 7044, Business and Profe.sions 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 comactor(s) licensed pursuant to the Contractor's License Lawl. 0 1. 2. 3. 4. I am exempt under Section I personally plan to provide the major labor and materials for construction of the proposod property improvement. 0 YES UNO I (hava I have not) signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed corrstruction (include name I address I phone number I contractors license number): I plan to provide portions of the work, but I have hired the following person to coordinata, supervise and provide tho major work (include name / address / Dhone Business and Professions Code for this reason: number / contractors license number): 5. of work): PROPERTY OWNER SIGNATURE DATE I will provide some of the work, but I have contracted (hired) the following persons to provida the work indicated (include name / address I phone number / typa MM~@~IIs-sEc~~-Q@W 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? YES 0 NO Is the facility to be constructed within 1.000 feet of the outer boundary of a school site? IF ANY OF THE ANSWERS ARE YES. A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUE0 UNLESS THE APPLICANT HAS MET OR IS MEETING THE 0 YES 0 NO IREMENTS OF T 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 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 a11 City ordinances and State laws relating to building construction. I hereby authorize representatives of the Cit) of Carlsbad to enter upon the above mentionad property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE ClTY OF CARLSBAD AGAINST ALL LIABIUTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID ClTY IN CONSEQUENCE OF THE GRANTING OF THISPERMIT. OSHA: An OSHA permit is required for excavations over 5'0' deep and demolkion or construction of structures over 3 stories in height. of this Code shall expire by limitation and bcome null and void if the building or te of such permit or if the building or work authorized by su permit is suspended lSection 108.4.4 Uniform Building Code). APPLICANT'S SIGNATURE WHITE: File YELLOW. Applicant PINK: finance DATE & -, - CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB973762 FOR 03/12/98 DESCRIPTION: TEMPORARY POWER POLE-NEW POST OFFICE TYPE: ELEC JOB ADDRESS: 1700 AVIARa PY APPLICANT: TEMPORARY POWER SYSTEMS CONTRACTOR: OWNER: REMARKS: C/BOB/439-1999 SPECIAL INSTRUCT: INSPECTOR AREA PLANCK# CB973762 OCC GRP CONSTR. TYPE NEW STE: LOT: PHONE: 760 439-1999 PHONE : PHONE : INSPECTOR TOTAL TIME: CD LVL DESCRIPTION ACT COMMENTS & 32 EL Const. Service/Agricultural DATE DESCRIPTION ***** INSPECTION HISTORY ***** ACT INSP COMMENTS