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Home My WebLink About1285 CARLSBAD VILLAGE DR; ; CB941371; Permit11/01/94 15 38 1 of i BUILDING PERMIT Parcel No Valuation Construction Type. Occupancy Group. Description. TEMP POWER FQR Appl/Ownr ART SMITH ELEC 2354 OXFORD AVE CARDIFF, CA 92007 Lot#: Permit No, CB941371 ro3^t No- A9402023 opment No. 9381 20-00 619 944-4484 Status. ISSUED Applied 11/01/94 Apr/Issue. 11/01/94 Entered By MDP Fees Adjustments Total Fees Fee description Enter "Y" for Enter "y Total -Cr-edi;ts • "'*--* *^ r>" ;nits ke/Unit^ P^^^.---^I-_L.I!;:<; ', xt fee ^"~ " 10 00 10, oo y 20 00 i NAL APPROVA HATF CLEARANCE , „ CITY OF Us Palmas Dr , Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION City of Carlsbad Building Department 2075 Las PaImas Dr., Carlsbad, CA 92009 (619) 438-1161 1 PERMIT-TYPE From List 1 (see back) give code of Permit-Type For. Residential Proiects Only From List 2 (see back) give Code of Structure-Type Net Loss/Gam of Dwelling Units PLAN CHECK EST.VAL ^ PLAN CK DEPOSIT VALID BY ~ DATE 2. PROJECT INFORMATION Address FOR OFFICE USE ONLY Nearest Cross Stn LEGAL DESCRIPTION Building or Suite N CA Unit NoLot No Subdivision Name/Wumber Phase No CHECK BELOW It1 D 2 Energy Gales D 2 Structural Gales ASSESSOR'S PARCEL / A"^ -<9 8 ~ D 2 Soils Report D 1 Addressed Envelope EXISTING USE PROPOSF.nusE DESCRIPTION OP WORK SQ FT (JUNTALT V ________„ # OF STORIES JM (.it ditterent from applicant^ # OF BEDROOMS # OF BATHROOMS NAME (last name first)ADDRESS CITY 4. APPLICANT STATE ZIP CODE 'I] CONTRACTOR—LJ AUEN'l' FOR CONTRACTOR—POWNL'R DAY TELEPHONE UAGENTr'OR OWNER NAME (last name first) CITY STATE ADDRESS ZIP CODE DAY TELEPHONE 5 PROPEK'IT OWNER NAME (last name first) ' CITY r\ n f\ \ f \°STATE ZIP CODE ADDRESS DAY TELEPHONE £!*«. * n O~IJjmKAL.lUK » NAME (last name first) ftt+~ b>v^"^ fel*«. - n C—^ ADDRESS CITY STATE ZIP CODE DAY TELEPHONE STATE LIC # 3*/2gfT7 LICENSE CLASS C I* CITY BUSINESS LIC # W tf */ NAMt (last name hrstj ADDRESS CITY 7 WORKERS' COMPENSATION STATE ZIP CODE DAY TELEPHONE STATE LIC # Workers' Compensation Declaration 1 hereby affirm that I have a certificate ot consent to self-insureTssued by the Director ot Industrial 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 Certificate ot Exemption POLICY NO EXPIRATION DATE I certify that in the performance of the work for which this permit is issued, I shalfnot employ any person in any manner so as to become subject to the Workers' Compensation Laws of California SIGNATURE DATE DECLARATION Uwner-Bmider Declaration 1 hereby amrm that i am exempt tram the Contractors License Law tor me following reason P 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 ) P 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) D 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]) SIGNATURE DATE COMPLETE THIS SECTION 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 nsk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D YES D NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management distnct? D YES P NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES P NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT 9 GDNb'lUUL'llUN LENDING AGENCY ' '" I hereby attirnniiat there is a construction lending agency tor the performance of the work tor which this permit is issued (Sec 3097(iJ Civil Code) LENDER'S NAME 0 APPLICANT LENDER'S ADDRESS I certify tnatTfiave read tne application dnd state that the above information is correct I agree to comply with alt ury ordinances and State laws relating to building construction I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes I ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CTTY 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. OSIIA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stones 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 aiyntime after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code) APPLICANT'S SIGNATURE £/—&T- J£ **-~Z&*> DATE C WHITE: File YELLOW: Applicant PINK: Finance V *, CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB941371 FOR 11/14/94 DESCRIPTION: TEMP. POWER FOR TREE LOT TYPE: ELEC JOB ADDRESS: 1285 CARLSBAD VILLAGE DR APPLICANT: ART SMITH ELEC. PHONE: CONTRACTOR: PHONE: OWNER: PHONE: INSPECTOR AREA PLANCK3 CB941371 OCC GRP CONSTR. TYPE NEW STE: LOT: 619 944-4484 REMARKS: BJN/SCOTT/968-0303 PAGER INSPECTOR SPECIAL INSTRUCT: OR CONTACT AT 944-4484 TOTAL TIME: CD LVL DESCRIPTION ACT COMMENTS 32 EL Const. Service/Agricultural DATE DESCRIPTION ***** INSPECTION HISTORY ***** ACT INSP COMMENTS