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Home My WebLink About1740 CAMASSIA LN; ; CB980657; PermitBUILDING PERMIT Permit No: CB980657 03/03/98 09:OO Project No: A9800842 <- ' Page 1 of 1 Development No: ' Job Address: 1740 CAMASSIA LN Suite : I Permit Type: ELECTRICAL ' Parcel No: Lot#: Valuation: 0 Construction Type: NEW ' Occupancy Group: Reference#: CT93-03 Status: ISSUED Description: TEMPORARY POWER POLE-POINSETTI Applied: 03/03/98 : HEIGHTS Apr/Issue: 03/03/98 1 Entered By: RMA Appl/Ownr : TEMPORARY POWER SYSTEMS 760 439-1999 2 750 N CITRACADO PKWY #4 I **A ' Fees Fees Adjustments Total Fees Fee descr Enter "Y" f Enter "Y" f ------------ CrWoF~ 2075 Las palmas Dr., carlsbad, CA 92009 (619) 438-1161 ** .-- ,ta .a00 c ' PERMIT APPLICATION PLAN CHECK NO. CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-11 61 -No. Totaltofunits Unit No. Lot No. SuwivlSionN8~kr (Sac. 7031.5 Businass and Profasdam Code: Any Ci OT County whkh rsqul.r a PIIlnit to wnstn=L *or, iIm'ov0. domdbh or np.ir my rtnrohm, Pior to its issuance, also ruquiras the applicant for such pannit to file a signed statement that ho b licemod PUMnt to tho pmvim of tho Cmctor's uon# Law [Chapter 8, commanding with Section 7000 of Dividon 3 of the Wnau and Profassions cod.! w thot ha b OxamPt thW&om, end the bods for the allwed Name ' city~~t /-. st.ta ucmre 8 $43 3&3 Uunre clur Daaigner Namo Address m -P Workers' Compensation Declaration: I hereby affirm under penalty of p.riuV one of tho following dadmDion8: 0 of the work for which thb permit is irwd. I have and will maintain a certifio of consent to d-insum for workers' comp#rution 08 prM by -ion 3700 of the Labor Code, for tho purOnnancr I haw and will maintain workom' componsatbn, as required by Section 3700 of tho L.bor C&, for the mnn of the work for which thWm b PoNcyNo.,d&?#$- ' Expintion Date /?4h CERTIFICATE OF EXEMPTION: I certify that in the p.rfmnce of tho work for which this mS is M, I rhdt not employ any parsen in any maw so aa <d. My workofs Tnaation innnncs carrier and policy number am: Insurance Company A,S A/b&UR//W (THIS SECTION NEED NOT BE COMpLmD IF THE PERMIT IS FOR ONE "ORE0 DOLLARS I$loOl OR UESS) 0 ~Iptooruhudnd mpnutkn, dmrpu .rprovid.dfor h Soetion 3706 UldmaCry'8bB. 0 (Sac. 7044, Bwinass and Professions Cod.: Tho Contractor's LkmW law do# not rpply to an owner of plop.rty who buildr w hnprov# themon, and who such work himself or through tds own omployoes, providod that such ImprovanWmr am not )mrd.d or offarod for sob. If, howovu, tho buildhg or impnmmont b sdd within one ymr of completion, tho ownor-buitdw will hrva the burden of proving that ho did not build or impavr for tho purpose of ule). 0 I, as owner of the property, om exciuaivety contmcting with lii contmctom to comwuct tho proi.ct (%c. 7044,8udmtu and ~ohrria~ c~dr. ~h. Contr#ctor's Ucwe kw dwr not apply to an owner of proprrty who kJwI or improwr th.non, and COMRctl for 8uch prsi.ar with contmctork) Ikonsod pursuant to tho Contractor's Ucenso Law). Iarnuumptundarsection &Jdness and Profowions cod.forthh nuan: I haw /how not) signed M appucnion fora bdiding p.nnttforthm prapod worci. 1, as owner of the property or my employees w~h wages u their Mh -on, will do the work and tho swuctum b not inmndod or oftmad 1. 2. 3. I pcmor#nV plan to provida the major labor and mwkb for conswwh of tho pmpowdpop.rtyhnprovmwt. 0 YES ON0 I have contracted With the fdlowlw p.nOn ffinn) topmvid. tho pfOpOSd cQ(BtNctl#1 (helud. MIIW I- / phorw numbor / contmotwr limn- 4, number I comncton liwnse numm: 6. of work): PROPERfY OWNER SIQNATURE DAT€ I plentoprovid. portionsof tho work, but I haw hired tho fdbwing paman to coonlbme, supowka andpwkbtho major work (hrdudr nuno / addnrr /phons I will pmvida soma of the work, but I haw contmtd (hired) the folkwing pwroro toprovid.tho work bdicatod Qnokdr mmo /addrsrr/phmw wmbw /type Is the applicant or future building occupont required to aubmk a bdnass @an, a- brdour matwiola fwbWWkm form or riak managam and prevention program undw Sections 26606,26533 or 26634 of the Presby-Tanner Hazardour Substma Account Act7 b the opphnt orfm krflding ocouprntnqukrdtoomn a pannit fmm the alr powon eonod drtrktor.irqwhymanagomm dirtrict? IJ YES 0 NO btheradli~tob.conmvctedwitMn1,000f~ofthooutsrbounduyofarchoddto? 0 YES 0 NO ttEaummpTTs OF WE omcE OF EMERQENCV SERVICES AWD m AUI muum axmto~ mwm. 0 YES 0 NO IF ANY OF THe ANSWERS ARE YES,ARNALCERTlRCATEOFOCCUPANCYMAY MOT BE- UNLESSmf ApwcANt HAS MET OR IS MEETMKI THE - . - - __ - __ . I hereby affm that there b a Eonmuction Iandiq agency for tho performance of the work for whkh this pWmit b irrwd ISoc. 30970) Civil Code). LENDER'S NAME WR'S ADDRESS I certify that I have read th. appkatbn md .tar that the ah infomotion is corroct md thst tho Momwwn . on tho plmr b accurate, 1 aqn to comply wlth rll City ordicuncos and Smto law nkting to buflang contt~cwn . . I hrnbywthorh. r.pwrmtiVrr of tho *of C;rrbb.d to enter upon tho .bovr mMolomd property for inrp.etion pwporcu. I ALSO AaRn TO SAVE. mNlFY AND KEEP -LESS THE CITY OF CARLSBACI A-1 AU LWWllES, JUDGMENTS, COSTS AND EXPEMSES WHICH MAY IN ANY WAY ACCRUE AWINST SAID ClTY IN CONSEOUWCE OF THE QRANTINQ OF THIS P€RMIT. 0- An OSHA pumit h required for oxcIyltiolu ovor 6'0" deep nd demdition or Conrrmcoiar of otmctwm ovor 3 at- in Mght. work authorized by such permit or abandoned at any time after APPLICANTS SIGNATURE EXPIRATION Every pennit lawad by tho Buikkg ~the~dthirCod.slmn.xpk.by# 66 daya from tho date of ruch pamit or if the building w work ap.rkdof180dry.ls.ction108.4.4unifwmB~~). WHrnRI. 'Y pIN1(: hce 6 CITY OF CARLSBAD INSPECTION REQUEST PERHIT# CB980657 FOR 04/10/98 INSPECTOR AREA PS DESCRIPTION: TEMPORARY POWER POLE-POINSETTI PEANC3K.Y CB980657 TYPE: ELEC CONSTR. TYPE NEW JOB ADDRESS: 1,716 %&I34 STE: m: APPLICANT: TEMPORARY POWER SYSTEMS PHONE: 760 439-1999 CONTRACTOR: PHONE: OWNER: PHONE: REMARKS: C/BOB/439-1999 INSPECPOR SPECIAL INSTRUCT: HEIGHTS OCC GRP TOTAL TIME: CD LVL DESCRIPTION ACT COMMENTS 32 EL Const. Service/Agricultural -- -- -- ***** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP COMMENTS 032798 Const. Service/Agricultural CO PS NO CLEARANCE IN FRONT OF PANE 032498 Const. Service/Agricultural CO PS 032398 Const. Sewice/Agricultural NS PK RESET FOR TUES .. Milastone In8UrMCe Agency (714) 852-0909 Fa(714) 852-1131 I ........................................ .................................................................................. j Dots wot A"D, mI0 OR ALm THE COvmAQE AwonoED wm i : WucSwL DOLOW. ................................................................................................................................................. COMPANIES AFFORDING COVERAQIE i =A California Ind-ity In.. Go. 8 Corporats Park, 4130 IWimO, CA 92734-5105 ..................................................................................................................................................................... ...,I... ........... ".* ................. imB .. ......... .. ..... .. ..................................................................... irnrm lullD .............................................................................................................................................................. hwmivNc ILmm '.! Ltmm Temp Plprmr, 8y8eanmr Inc. 1111 w. Rutin'illrPMUr ! .................................................................................................................................................................. Anehrh, CA 92807 :eomnvb ...................................................................................................................................................... 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