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Home My WebLink About1850 VALENCIA AVE; MP; CB911648; Permit• .. B U I L D I 12/0u/91 lu:45 Pa.<JP 1 of l JoD Address: 1850 VALENCIA AV Permit Type : ELECTRICAL Parcel No : Vc1luc:1t.ion: O Construction '.:'ype : NEW N G P E R M L T Mf Str: P1.:rm1t Pr()ject Development Fl: S+•e: No: N,): Ne,: '8911648 A· ~O~! gb Ocr-upc1ncy Group : Clas::; Cu(1e : Stdtus: I.:,::;'Efl Applied: ~2/0t-Jl A-r / I s sue : 1 ., • _ Y t Description : 40 AMP METER Appl/Own..r : DANIELS CABLEVISION P .O. BOX 344 CARLSBAD, CA *~K Fees Requir ed ---------------------- fees: Adjustments: Total Fees : Fee description Enter Y' for Electri single Phase Per MP ~ ELECTRICAL TOTAL n•sP. I . ,. ' ' '· . v 619 431:1-~ 1 bJbt!9i' 10001 =01 ( l 82 C-PRMT 20-00 APPROVAL . 0( .00 20.00 Ext fee Data ::.o. () y 1Ll.OlJ 2 0 C J DATE .,_____ ----- -? ~ CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION Ci ty of Carls bad Buildi ng Department 4\ "" EST. VAL ______________ _ 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 1. A B C 2. O NEIi D RESIDENT JAL D APARTMENT □DUPLEX Q0EMOLITION Q MECHANICAL QPOOL TENANT IMPROVEMENT 0 TENANT IMPROVEMENT QCON0O QSJNGLE FAMI LY DI/ELLING Q ADOITION/ALTERATION QRELOCATION Q MOBILE HOME □ELECTRICAL QPLUMBING QSPA □RETAINING I/ALL QSOLAR □OTHER. _____ _ RMATION PLAN CHECK No . Building or Suite No. PLAN CK DEPOSIT ___________ _ VALID. BY ______________ _ DATE _______________ _ Nearest Cross Streets Jet,,,/ ///1 LEGAL DESCRIPTION Lot No. Subd1v1s1on Name/Nl.lllber Unit No. Phase No. 2 Struct ural Cales 1 Addressed Enve Io EXIST I NG USE PROPOSED USE '-/tJ ,tn1(J fY/eTeR-ed /Jde:JTIII BLOG . SQ. FTG. # OF STORIES 3. CONTACT PERSON , HAH<!111dr, {!11v/J.Tt110 CITY {!/JR. t-j" Ad sTmO/J- SIGNATU ~ 4. AP~LICANT NAME/.-H._1118/6 CJ/I, CITY C!.t1~/~Mol 0 AGENT FOR CONTRACTOR /J O~ER 3 uCJ AGENT FOR OIINER ADDRESS ,-'O.. /:JC>K '71'1 5. PJWPERTY OWN~ h d NAME{: 1 ry o .P UIJ.IJ. / i 11 STATE(!,/}-ZIP COOE 9d.00 g DAY TELEPHONE ~ 3~ ~'!:)do/ I OIINER QLESSEE □TENANT ADDRESS Cl TY STATE ZIP COOE DAY TELEPHONE 6. CONTRACTOR ?1:5 ;fppl,eA/'J r 7. NAME .J/9 me ADDRESS CITY STATE ZIP COOE DAY TELEPHONE STATE LIC. # LICENSE CLASS CITY BUS I NESS LIC. # SIGNATURE TITLE DATE DESIGNER NAME ADDRESS CITY STATE ZIP COOE DAY TELEPHONE STATE LIC. # WORKERS' COMPENSATION Workers• COl11)ensation Declaration: hereby aff1rm that I have a certlficate of consent to self·1nsure fssued by the Director of Industrial Relat 1ons, or a certificate of Workers I C0ff1)ensat ion Insurance by an actni tted insurer, or an exact copy or duplicate thereof certified by the Di rector of the insurer thereof fi led with the Building Inspection Department (Section 3800, Lab. C). INSURANCE COHPANJ,,~.tf6. t!>-P, ~h • POLICY No.ci:::J 'd?t/ 1/-/ EXP I RAT ION DATE Certificate of Exefll)tion: I certify that in the performance of the work for which this permit is issued, I shall not efll)loy any person in any manner so as to be>come subject to the \lorkers' C~nsation Laws of California. SJG~~~OATE 8 . OWNER-BUILDERDARAiION Owner·Builder Declaration: I hereby aff,rm that I am exempt from the Contractor•s license Law for the follow1ng reason: D I as owner of the property or my errployees with wages as their sole cCMTpCnsation, 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 i"l)roves thereon,, and who does such work himself or through his own etil)loyees, provided that such ifll)rovements are not intended or offered for sale. If, however, the building or irrprovement is sold within one year of c~letion, the owner·b..Jilder will have the burden of proving that he did not bui ld or irrprove for the purpose of sale.). 0 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor1s license Law does not apply to an owner of property who builds or i"l)roves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor I s License Law). 0 I am exeqJt 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, irrprove, demolish, or repair any structure, pri or 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, comnencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is exeq>t therefrom, and the basis for the alleged exefll)tion. Any violation of Sect ion 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)). SIGNATURE DATE COMPLETE THIS SECT ION FOR NON·RESJOENTIAL 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? Ores □No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? OYES If ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCQJPANCY NAY NOT BE I SSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS !ET OR IS IEETINC THE REIIUIREIENTS OF THE OFFI CE OF EIIERCENCT SERVICES ANO THE AI R POLLUTION CONTROL DISTRICT. 9. CONSTRUCTION LENDING AGENCY hereby affi rm 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 10 . APPLICANT 'S SIGNATURE I certify that I have read the application and s tate that the above information is correct. I agree to COfT'PIY with all City ord1nances and State laws relating to building const ruction. J 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, JUDGMENTS, COSTS ANO EXPENSES 1/HICH NAY IN ANY 1/AY ACCRUE AGAINST SAJO Cl TT 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 limitati on and become nul l and void if the building or work authorized by such permit is not coomenced within 180 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 work is coomenced for a period of 180 days (Section 303Cd) Uniform Building Code). 0 OIINER ~ 0BY PHONE APPROVED BY: _______ _ DATE: _________ _ WHITE: File YELLOW: Applicant PINK: Finance r 6E . VI LL A W' / . ~ Ce a w ~ ;i ! - ~ ~ - ., ~j - · 1 J~ - w 11 ' 1 !! ? ~ ,. , , tO _, .. . . 0~ ~u .. .,