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HomeMy WebLinkAbout2796 RANCHO PANCHO; TP; C8982258; Permit7/1 /CJ8 12:04 PaJE:" 1 of 1 U I L D I N G Job Address: 2796 RANCHO PANCHO Permit Type: "1'RICAL Parcel No: Valuat1on: 0 P E R M I T Suite, 'rf Lot#: P~rmlt N,: C8982258 Project No: A98029~ •velopmen t No: Occupancy Group: Reference#: Construction Type: VN Statu!:i: ISSUED f /OU De~cr1ption: TEMP. POWER POLE FOR CONTINTAL : HOMES 9117 ().1/16/99._ 0001 01 ) 02 C ~T 20-00 Appl/Ownr: POWER PLUS 2349 F STREET SAN DIEGO CA 92101 Foes Required Fees: Adjustments: Total Fees : Fee description Enter "Y" fo:r: Enter "Y" for Tempo 619 223-9016 j IN.:,P. __ g(3 , .oo .00 20 .00 Ext fee Data 10 .00 Y 10.00 Y ·--· JVAL CLEARANCE=::::::::"'.'""-_-_-_-,:-___________ _ CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92()()() (619) 438-1161 FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO., ____ _ CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 EST. VAL. _________ _ Plan Ck. Deposit ________ _ Validated By __________ _ Date. ______________ _ 1. PROjECT INFORMATION 2. 796 fl.ql)cno fonc/,o Address linclude Bldg/Suite I) Business Name lat this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phese No. Total I of units Assessor's Parel 't Existing Use Proposed Use ,~~f-£/ Uf Description of Work SO. FT. lot Stories I of Bedrooms I of Bethrooms Address City Stata/Zlp Telephone I Fax I □ Contractor lli:l Agent for Contr,eicr I 2. 51: · □ o~ri.,--;c:□ Aoiini iof awn,t : :---. s"" er a Name Address Cit State/Zip Telephone I G 'V921}0 Stata/Zlp Telephone I 6. CONTRACTOR -COMPANY NAME ISec. 7031.5 Business and Professions Coda: Any City or County which requires • permit to construct. alter, Improve. demolish or rep1lr any structure, prior to Its issuance, also requires the applicant for such permit to file • signed statement that he is licensed pur■uent to the provisions of the Contractor's License Law (Chepter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or thet he is exempt therefrom, end the besis for the 1lleged exemption. Anv violation of Section 7031.§ ~Y any applicant for a permit subjects the applicant to J_Ciyll penalty of not more than five hundred dollars 1950011. fower-Pl".[ '1-J{, llJ, G.u:nce -'~ e=>"C<>l'/d,¢a c;l-/2a,zc (?~o_)B~Cf-CJ'CIKJ Name Address City St1t1/Zlp Telephone I Stete License I S-Z J >"i'6 License Class CI f City BuslneH Uc■nae I ______ _ Designer Name Address City State/Zip Talephone State License I _________ _ 6. WORKERS' COMPENSATION ·: .-·-::~~;•.-:r ~··7-:;: ·,.-;:t!-:;;··~:~:~r .. Workers' Compenntion Declaration: I hereby affirm under penalty of perjury one of the following decl■r■tlons: D I have 1nd will maintain a certificate of consent to Hlf•lnsure for workers' compensation II provld1d by Section 3700 of the Labor Code, for th• performance of the work for which this permit is Issued. 13-I hive end will maintain workers' compensation, ■s required by Section 3700 of the Labor Code, for the performance of the work for which this permit Is issued. My worker's compensation Insurance carrier and policy number ■re: Insurance Company H-egi-~ J:bh GrP, Policy No.Cooo£I I IO '2.. Expiration Date / -/ =o/ CZ {THIS SECTION NEED NOT BE COMPLETED IF THE PERMlr.; FOR ONE HUNDRED DOLLARS lt1001 OR LESS) 0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit Is l11ued, I shell not employ any paraon In any manner 10 ■1 to become subject to the Workers' Compensation Laws of California. WARNING: Failure to 1■cure workers' compens■tlon coverage 11 unlawful, ■nd shall subject ■n employ■r to crlmlnel penaltlea ■nd clvll fine• up to one hundr■d thou1■nd doll~ra {$100, I addition to~ of compensation, damages u PfOvlded for In Section 3708 of the Labo, codf, lnt■re■t and attorney'■ fHI. SIGNATURE: __ _/,~~~~---.Yi:,_ ,j__,,.a '.'.2!:'.~------------DATE 7-/ [ -ff" 7. OWNER-BUILDER DECLARATION · .. ,.. .... ; ·· · ... ~·-· · ·. · : .. ; :;_:~-~-!.;~~ .. ·~~7 "-~.-~i ;•..,~i:-~~~·;;.-,,•~L_::;;•·!;f _••-•~1;•,·t,Jtirr :r , .. ;:N . .i ~-• I hereby affirm that I em exempt from the Contractor's license L■w for the following re■son: O I, ■s owner of the property or my employees with wages es their sole compen11tion, will do the work ■nd the 1tructura Is not Intended or offer■d for ■■le (Sec. 7044, Business and Professions Code: The Contractor's UcenH I.aw does not apply to 1n owner of property who build■ or Improves tharaon, and who doe■ such work hlm■elf or through his own ■mploye■s, provided that such lmprovementl ■re not Intended or offered for ■■le. If, however, the building or Improvement 11 sold within one year of completion, the owner-builder will have the burden of proving that he did not build or Improve for the purpoH of HIii, 0 I, as owner of th■ property, em axcluslvely contracting with licanHd contractors to construct the project {Sec. 7044, BualneH and Prof■■1lon1 Cod■: The Contractor's License Law does not apply to en own■r of prop■rty who builds or lmprov■■ ther■on, ind contract■ for euch project■ with contr■ctorl1J llcenaed pursuant to the Contractor's Lican11 L■wl. 0 I ■m exempt under Section ______ Bualne11 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 1pplic1tlon for I building permit for the proposed work. 3. I have contracted with the following person lfirml to provide the propo1■d construction Onctud1 name / 1ddr111 / phone number / -contractors llcenH numblrJ: 4. I plan to provide portions of the work, but I have hired the following person to coordlnete, 1upervile and provide the major work llnclude name / 1ddr1■1 / phone number / contractors license number I: -------------------------------------------5. I wlll provide some of the work, but I hive contracted (hlredl the following perlOM to provide the work Indicated (Include neme / 1ddr■11 / phone number/ type of workJ: _______________________________________________________ _ PROPERTY OWNER SIGNATURE ______________________ _ DATE _________ _ :COMPLETE THIS SECTION FOR NON-linlDENIW. iurt.biNd PEliMiti oNt.f:-J-~~:f''''..,,."'t"''l"':~~~"'.'t~T;""'~'~'N•~ .. -' .. •"f •,••r---:,,·• ..... , ... - Is the ~pplic1nt or future building occupant required to 1ubmlt • business plan, ,cutely h■zardous m1terl1l1 regl1tr■tl011 form or ri■k maneg,mant ind prevention program under Sections 25505, 25533 or 25534 of the Pre1ley-T1nner Hazardous Sub1t1nc, Account Act? 0 YES O NO Is the applicant or future building occupant required to obtain I permit from the air poliutlon control dlltri_ct or ■ir quality m1n1g1ment district? 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of I school 11te7 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 POUUTION CONTROL DISTRICT. fa.. CciNSTRUCTiON lnii:iiNO AGENCY .. ,, ..... ~_,,.,,.~,:·,~•, "-'~i ,.-.. ,,.:·'~e:T~;.c':'~''""~"'"-"':r,.~,, ... ,.,c--;-,,,.-,.•,,-•=--,-... ,,,-,,.,..., •. , .. ,,_ ... , I hereby affirm that there is a construction landing agency for the performance of the work for which thl1 permit Is l11ued IS■c. 3097(11 Clvll Codal. I certify that I have read the 1pplication and state that the above Information Is correct and that the Information on the plans Is accurate. I agree to comply with 111 City ordinances and State laws relating to building construction. I hereby authorize r■p1111ntative1 of the Cltt of c,rt,bad to inter 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 ltructures over 3 1torles 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 385 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 wor mmenca~ tgr arlod of 1 BO d1ys (Section 108.4.4 Uniform Building CodaJ. APPLICANT'S SIGNATURE __ .,L~~2,_d-S!:..:.-~~!:::'.'.'..-----------DATE 7"' //, f 3' YELLOW: Applicant PINK: Finance PERMIT# CB982258 DESCRIPTION: TEMP. POWER POLE HOMES TYPE: ELEC JOB ADDRESS: 2796 RANCHO APPLICANT: POWER PLUS CONTRACTOR: OWNER: CITY OF CARLSBAD INSPECTION REQUEST FOR 08/04/98 FOR CONTINTAL PANCHO PHONE: PHONE: PHONE: INSPECTOR AREA RB PLANCK# CB982258 OCC GRP CONSTR. TYPE VN STE: LOT: 619 223-9016 REMARKS: C/MICHELE/839-9430 SPECIAL INSTRUCT: INSPECTOR ----~!Z_,_'5;_ ____ _ TOTAL TIME: CD 32 LVL DESCRIPTION EL Const. Service/Agricultural ACT COMMENTS l?P ______ _ ***** INSPECTION HISTORY***** DATE 073198 072998 072898 072898 DESCRIPTION Const. Service/Agricultural Const. Service/Agricultural Const. Service/Agricultural Const. Service/Agricultural ACT INSP CA RB CO RB CA RB CA RB COMMENTS COULD NOT FIND COULD NOT FIND