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Home My WebLink About1265 YOURELL AVE; ; CB960411; PermitU I L D I N G P E R M I T Permit No: CB960411 Project No: A9600593 Development No: 03/12/96 15:39 Page 1 of 1 Job Address: 1265 YOURELL Permit Type: ELECTRICAL Parcel No: 156-032-01-00 Valuation: O AV Suite : Lot#: Occupancy Group: Reference#: Description: ADD OUTLET FOR COMPUTER Appl/Ownr : RAINER ELECTRIC 2280 MICRO PLACE ESCONDTDO, CA. 92029 Fees Required Fees: Adjustments: Total Fees: Fee description Enter "Y" for Electr·c Enter "Y" for Remodel * ELECTRICAL TOTAL **k 619 CITY OF CARLSBAD 6465 03/12/96 0001 01 02 C-PR11T Construction Type: VN Status: ISSUED Applied: 03/12/96 Apr/Issue: 03/12/96 Entered By: MOP 737-3782 .00 .00 20.00 *** Ext fee Data 10.00 Y 10.00 Y 20 .00 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION PLAN CHECK NO. City of Carlsbad Buildi~ Depirtaent 2075 las Pal-Dr., Carlsbad, CA 92009 (619) 438-1161 EST.VAL. __________ _ t. PERMl"t ti'PE PIAN Cl{ DEPOSIT ________ _ VALID.BY ___________ _ DATE From List 1 (see back) give code of Permit-Type: ____________ _ For Residential Projects Only: From List 2 (see back) give Code of Structure-Type: _____________________ _ Net Loss/Gain of Dwelling Units __________________ _ 2. PROJF.Cf lNFORMATION FOR OFFICE USE ONLY Building or Suite No. Nearest Cross Street LEGAL DESCRIPTION Lot No. Ctra5iAD ,CJ4 ~ Su6d1V1s1on Name/Number 0mt No. Phase No. CHECK BEIZJW IF s0BMI I I ED: □ 2 Energy calcs □ 2 Structural calcs □ 2 Soils Report □ 1 Addressed Envelope ASSESSOR'S PARCEL EXISTING USE PBQPQSEP USE DESCRIPTION OF WORK SQ. IT. II-OF STORIES II-OF BEDROOMS II-OF BATiiROOMS 3. WN IACI PERSON (11 d1llerent from apphcant) NAME (last name first) ADDRESS CITY STATE ZIP CODE DAY TELEPHONE 4. APP□CAN I OCON I RACIOR 0 ACEN I FOR CON I RAC IOR ADDRESS 0 OWNER O ACEN I FOR OWNER NAME (last name first) CITY STATE ZIP CODE DAY TELEPHONE s. PHOPEHlY OWNER O Ll),,:Y,S L1 A. I ufA"' J...,..,,,t!' NAME (last name first) !Cl'-n'J?I/ ,., •• VV''-ADDRESS CITY CA-t(L.S6'h? STATE CA-ZIP CODE t:'/:::u:w<?' DAY TELEPHONE ADDRESS CITY e;,{o7v fll O O STA TE Clq. ZIP CODE 'f ~-z._ 4 DAY TELEPHONE 7 7 7 -Cl :,D CITY BUSINESS UC. II-I do CO() STATE UC. II-,-JO IS-I LICENSE CI.ASS asc name 1rsc CITY STATE ZIP CODE DAY TELEPHONE STATE UC. II- 1. WollKERs" CDMPENsAiloN Workers' Compensauon Deciarat1on: I hereby all1rm that I have a ceruhca ce of consent co sell-insure issued by the Director ol lndustnal Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C). INSURANCE COMPANY POLICY NO. EXPIRATION DATE Ceruhcate of Exempuon: I ceruty that in ihe performance of ihe work for which this permll is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of califomia . • SIGNATURE DATE 8. OWNER-80tIDER ornnON Owner-Builder Declaration: 1 nereby affirm mat I am exempt rrom me contractors u cense uiw ror me following reason: □ I, 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 does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is 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.). □ I, 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 improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). □ I am exempt 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, improve, demolish, or repair any structure, prior 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, commencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. 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 [$500]). SIGNATIJRE DATE COMPLETE tAls SEc'lioN FOR NON-RESIDENTIAL 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 □ 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 □ NO Is the facility lo be constructed within 1,000 feet of the outer boundary of a school site? □ YES □ NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF CXDJPANCY MAY NCYT BE ISSUED AFfER JULY 1, 1989 UNLESS nm APPLICANT HAS MET OR IS MEETING TIIE. RF.QUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AOl POLLUTION OONTROL DISl'RICT. 9. cDNSIR0Cl1ON l..£NOINC AGENCY I hereby ail1rm that there IS a construcuon lending agency for ihe performance ol ihe work (or which this permit 1s 1SSued (Sec 3097(1) civil code). LENDER'S NAME LENDER'S ADDRESS IO. APP□CAN I cr:tt ltFICA 110N I cemty mat I nave reaa l/le appl1cauon and state lhal lhe aoove inlormauon 1s correct. I agree to comply with all City ordinances and S1ace laws relating lo building construction. I hereby authorize representatives of the City of carlsbad ro enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLF.SS THE QTY OF CARlSBAD AGAINST AU. UABIUI1F.S, JUDGMENTS, CDSTS AND EXPENSES WlDCH MAY IN ANY WAY ACX:RUE AGAINST SAID CITY IN OONSEQUENCE OF THE GRANTING OF nos PERMIT. OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories 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 365 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 workJis commenced for a period of 180 days (Section 303(d) Uniform Building Code)0 f _ APPuCANrs s ,GNATURE ~ l _ a C+=::::> DATE: 3 ~rz,-. ~ WHITE: F. e YEILOW: Applicant PINK: Finance CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB960411 FOR 03/15/96 DESCRIPTION: ADD OUTLET FOR COMPUTER TYPE: ELEC STE: INSPECTOR AREA PLANCK# CB960411 OCC GRP CONSTR. TYPE VN LOT: JOB ADDRESS: 1265 YOURELL AV APPLICANT: RAINER ELECTRIC CONTRACTOR : OWNER: REMARKS: MW/RAY/729-3782 SPECIAL INSTRUCT: PHONE: 619 737-32182 PHONE: PHONE: INSPECTOR-~!~---------- TOTAL TIME: CD LVL DESCRIPTION ACT COMMENTS 34 EL Rough Electric ff ______________ _ ..s.,1_ ---------------A£ ---------------------------------------------------- ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS