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Home My WebLink About2622 VALEWOOD AVE; ; CB900782; PermitI B U I L D I N G P E R M I T Permit No: CB900782 Project No : A9000884 Development No : 05/10/90 14:05 Page 1 of 1 Job Address: 2622 VALEWOOD Permit Type: ELECTRICAL Parcel No: 167-511-50-00 Valuation: 0 Construction Type: NEW Occupancy Group: AV Str: Fl: Ste: , 69 OJ/ 1.,J01 01 02 C-P~MT 15-00 Class Code: S~~~~~SUED Description: ELEC FOR SHED IN REAR YARD OWNER INOUYE, GLADYS 2622 VALEWOOD AV CARLSBAD,CA 92008 *** Fees Required *** Fees: Adjustments: Total Fees: Fee description 15 .00 .00 15.00 Enter "Y" for Electric Issue Fee > Other > * ELECTRICAL TOTAL ($10 Minimum) Applied 05/10/90 Apr/Iss ue 05/10/90 Validated By: JPY Lie. 587-1415 Fees Collected & Credits *** Total Credits: Total Payments : Balance Due: Units Fee/Unit 10.00 .00 .00 15 .00 Ext fee Data 5.00 Y 10.00 REMODEL 15.00 \{, APPROVAL INSP. -1-µ..._l ;....__ DATE -- CLEARANCE _____ , CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 PERMIT APPLICATION ~ '1P ~ City of Carlsbad Building Department 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 EST. VAL. _______ -1-,,:_~q;._r:..,.----- 1. PERMIT PLAN CK OEPOSIT __ =---"-------- ::~:D_._e_Y=====:i:A~:i:~ ================ A • COMMERCIAL ENANT IMPROVEMENT B 0 INDUSTRIAL □NEIi □TENANT IMPROVEMENT C ERESIOENTI AL □APARTMENT □CONDO ~INGLE FAMILY OIIELLING 0AOOITION/ALTERATION □DUPLEX □DEMOLITION □RELOCATION □MOBILE HOME 8'..ELECTRICAL □MECHANICAL □POOL 0SPA □RETAINING IIALL □SOLAR □OTHER 2. Nearest Cross Streets LEGAL DESCRIPTION Unit No. Phase No. CHECK BE.LOIi If SUBMITTED: 0 2 Soi ls Report D 1 Addressed Envelope 3. 6. 7. 0 2 Energy Cales Oz Structural Cales ASSESSOR'S PARCEL bESCR I Pf I ON oF UoRR BLOG. SO. FTG. CONTACT PERSON NAME '$__"' \ ~ --t) L'i',. ~ ~i e.,..... CITY \.: oJ-{ \. ~ 'o~& SIGNATURE 0 CONTRACTOR CITY CONTRACTOR NAME CITY STATE LIC. # SIGNATURE DES I GNER NAME CITY EXIST I NG USE PROPOSED use ADDRESS G 6 2. ~ STATEC. 1/\-ZIP COOEC?x(_o o<c ~\e'-\lco~ ~~, DAY TELEPHONE ~ <o l -I l\---l < 0 AGENT STATE STATE FOR CONTRACTOR ~NER_ \ ~ □AGENT FOR OIIN!~ ADDRESS 2.J.o2..°2..-\J 'e.. '\J-.JOC:, C)\_ ~ ZIP COOE 1..--c--o DAY TELEPHONE L ADDRESS 2 {:, 2..2 .. \J e. \.\J ~ h,J e..,V\. ~ ~ I~'\ □LESSEE □TENANT ZIP COOE q L ~ DAY TELEPHONE • ~ -~ ~ ADDRESS ZIP COOE LICENSE CLASS _____ _ TITLE ADDRESS ZIP COOE DAY TELEPHONE CITY BUSI NESS LIC. # DATE DAY TELEPHONE STATE LIC. # WORKERS' COMPENSATION Workers• Conl)ensat1on Oeclarat1on: hereby affirm that 1 have a cert1ficate of consent to self·1nsure issued by the Director of lndustdal Relat1ons, or a cert Hi cate of Workers I Con1)ensat ion Insurance by an actni tted insurer, or an exact copy or duplicate thereof certified by the Di rector of the insurer thereof filed with the Building Inspect ion Department (Section 3800, Lab. C). INSURANCE COMPANY POLICY NO. EXPIRAT ION DATE Certificate of Exefll)tion: J certify that in the performance of the work for wh ich this permit is issued, I shall not en-ploy any person in any manner so as to become subject to the ~orkers • C~nsat ion Laws of California. SIGNATURE DATE 8 . OWNER-BUILDER DECLARATION Owner·Builder Declaration: I hereby affirm that I am exempt from the Contractor's License Law for the fol lowing reason: ri<:1 as owner of the property or my efll)loyees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale -r ~ec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or in-.,roves thereon,, and who does such work. himself or through his own empt oyees, provided that such irrprovements are not intended or offered for sale. 1 f, however, the building or in-.,rovement is sold within one year of con.,letion, the owner·builder w1ll have the burden of proving that he did not build or ifl1)rove for the purpose of sale.). D 1, 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 in-.,roves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor Is License Law). 0 I am exefl1)t under Section ___________ Business and Professions Code for this reason: (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, ifl1)rove, demolish, or repair any structure, prior to hs 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 Ucense Law (Chapter 9, comnencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is exefll)t therefrom, and the basis for the alleged ex"°"tion. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [S5001 ). SIGNATURE DATE ..6-/c) / 9 0 COMPLETE THIS SECTION FOR NON·RESIOENTIAL BUILDING PERMITS ONLY: 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? □YES O 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? □YES IF AIIT OF THE AIISWERS ARE YES, A FINAL CERTIFICATE Of OCQJPANCY MY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREIIENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROi. DISTRICT. 9. CONSTRUCTION LENDING AGENCY hereby affirm that there is a construction lending agency for the performance of the work for wh ich this permit is issued (Sec 3097Cil Civil Code). LENDER'S NAME LENDER'S ADDRESS 10. APPLICANT'S SIGNATURE J certify that I have read the application and state that the above information is correct. I agree to comply wtth all City ordinances and State laws relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above ment ioned property for inspection purposes. I ALSO AGREE TO SAVE INDEMNIFY ANO KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUO~ENTS, COSTS ANO EXPENSES IIHICH MY IN ANY IIAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE Of THE GRANTING Of THIS PERMIT. Expiration. Every permit issued by the Building Official under the provisions of this Code shall expire by l imitation and become null and void if the building or work authorized by such permit is not comnenced within 180 days from the date of such permit or if the building or work authorized by such pcrmi t is suspended or abandoned at any time after the work is coomenced for a period of 180 days (Section 303Cd) Uniform Building Code). ~~~ ~OIINER OcoNTRACTOR 18t9Y PHONE APPROVED BY: _______ _ DATE: _________ _ WHITE: File YELLOW: Applicant PINK: Finance CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB900782 FOR 05/29/90 DESCRIPTION: ELEC FOR SHED IN REAR YARD TYPE: ELEC INSPECTOR AREA MP PLANCK# CB900782 OCC GRP CONSTR. TYPE NEW JOB ADDRESS: 2622 VALEWOOD AV APPLICANT: INOUYE, GLADYS CONTRACTOR: STR: FL: ~S:YE: PHONE: 729-8739 PHONE: ,I k PHONE: 587-1415 0 )rev OWNER: INOUYE, GLADYS REMARKS: Tl/MH/GLADYS/729-8739 SPECIAL INSTRUCT: TOTAL TIME: CD LVL DESCRIPTION INSPECTOR +~11.....k-'-t~(!,-✓_J ___ _ ACT COMMENTS _3_4 __ E_L _R_o_u_g_h_E_l_e_c_t_r_i_c _______ ~ ______________ _ ~ = _____ :r'fif ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS