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Home My WebLink About1285 OAK AVE; ; CB901241; PermitI'. B U I L D I N G P E R M I T Permit Project Development No: CB901241 No: A9001368 No: 07/30/90 09:51 Page 1 of 1 Str: Fl: Ste : C(2.. ~7'( 7 4 07/3 90 Job Address: 1285 OAK AV Permit Type: ELECTRICAL Parcel No: 205-020-11-00 Valuation : O Construction Type: NEW Occupancy Group : Description: UPGRADE FROM Class Code: 120 TO 200 AMPS Status: ISSUED Applied: 07/30/90 Apr/Issue: 07/30/90 Validated By: DC OWNER : COATES, HEIDI *** Fees Required *** Fees : Adjustments: Total Fees: 25 .00 .00 25.00 Lie. OWNER Fees Collected & Credits Total Credits: Total Payments: Balance Due: .00 .00 25.00 *** Fee description Units Fee/Unit Ext fee Data --------------------------------------------------------------------------- Enter "Y" for Electric Issue Fee > Single Phase Per AMP. > * ELECTRICAL TOTAL ($10 Minimum) .25 5.00 Y 20.00 25.00 APPROVAL INSl"r""""-"-___.;....-DATE ;? .~o-1 I CLEARANCE ____ , CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 PERMIT APPLICATION -• City of Carlsbad Building Department EST. VAL _____________ _,,....::: 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PLAN CIC DEPOSIT ______ -::;,..,..:::::;_ __ _ VALID. BY ____ _,,....::::::__ _____ _ 1. PERMIT TYPE A COMMERCIAL TENANT IMPROVEMENT B O INDUSTRIAL ONEIi 0TENANT IMPROVEMENT C • 0RESIDENTIAL OouPLEX 0APARTMENT 0CONOO 0SINGLE FAMILY OIIELLING 0ADDITION/ALTERATION 0RELOCATION 0MOBILE HOME 0ELECTRJCAL 0PLUMBING 0SPA 0RETAINING IIALL 0SOLAR PLAN CHECK No. I~ Bi' O/jt<-fi-v c:.. Nearest Cross Streets t) LEGAL OESCRIPTIOII Unit No. Phase No. 02 Structural Cales 1 Addressed Envelo EX! ST I NG USE PROPOSED USE u f-J9",.;:Jc. ,: ' ~o, ... rt v.1J o ,, 7 BLOG. SQ. FTG. # OF STORIES 3. CONTACT PERSON NAME ADDRESS CITY SIGNATURE 4. APPLICANT D CONTRACTOR NAME CITY STATE ZIP CODE D AGENT FOR CONTRACTOR AOORESS DAY TELEPHONE QO\INER D AGENT FOR O\INER STATE ZIP COOE DAY TELEPHONE 5. PRO ·RTY OWNER 1 NAM 1/£1() / Co~..,..es O\INER H£1LJ/ [(J/'f~t; 0LESSEE ADDRESS i;2'fj r (),'1./C. /jv-e_ 0TENANT my Clh: ls luu: I STATE (4 ZIP CODE q .;toofl DAY TELEPHONE 6. CONTRACTOR NAME ADDRESS CITY STATE ZIP CODE DAY TELEPHONE STATE LIC. # _____ _ LICENSE CLASS ------CITY BUSINESS LIC. # SIGNATURE TITLE DATE DESIGNER NAME ADDRESS CITY STATE ZIP CODE DAY TELEPHONE STATE LIC. # 7. WORKERS' COMPENSATION llorkers' C~nsation Declaration: hereby affirm that I have a certificate of consent to self·insure issued by the Director of Industrial Relations, or a certificate of llorkers' C~nsation Insurance by an aanitted 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 Certificate of Exe,rption: I certify that in the performance of the work for which this permit is issued, I shall not en-ploy any person in any mamer so as to become subject to the llorkers I C~nsat ion Laws of California. SIGNATURE DATE 8. OWNER-BUILDER DECLARATION Owner·Builder Declaration: I hereby affirm that I am exe,rpt from the Contractor's License Law for the following reason: D I as owner of the property or my e,rployees with wages as their sole compensation, will do the work and the structure 1s not intended or offered for sale C Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who bui Ids or improves thereon .. and who does such work himself or through his own e,rployees, 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.). D l, 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 contractorCs) licensed pursuant to the Contractor's License Law). 0 I am exe,rpt 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 1s exe,rpt therefrom, and the basis for the alleged exe,rption. 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 [S500J ). SIGNATURE DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY: Is the applicant or future building occupant requ1 red to submit a business plan, acutely hazardous materials reg i strati on form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tamer Hazardous Substance Account Act? DYES ONO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? DYES ONo Is the facility to be constructed within 1,000 feet of the outer booodary of a school site? DYES IF ANY OF THE ANSWERS ARE TES, A FINAL CERTIFICATE OF OCClJPAIICY IIAT IIOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS 11:T OR IS 11:ETIIIG THE REQUIREIENTS OF THE OFFICE OF EJERGENCT SERVICES ANO THE AIR POlLUTIOII CONTROi. DISTRICT. 9. CONSTRUCTION LENDING AGENCY hereby affirm 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 state that the above information 1s correct. I agree to comply with all City ordinances and State laws relat1ng to building construction. I hereby author,ze representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE INDEMNIFY ANO KEEP HARNLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUOQIENTS, COSTS AND EXPENSES IIIHCH IIAT IN ANY IIAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERNIT. 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 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 commenced for a period of 180 days (Section 303(d) Uniform Building Code). A~ •s s1.GNA URE /' ~ER OcoNTRACTOR OBY PHONE v7·Y)J_ Le-~ APPROVED BY: DATE: WHITE: File YELLOW: Applicant PINK: Finance PERMIT# CB901241 DESCRIPTION: UPGRADE FROM 120 TYPE: ELEC JOB ADDRESS: 1285 APPLICANT: COATES, CONTRACTOR: OAK AV HEIDI OWNER: COATES, HEIDI CITY OF CARLSBAD INSPECTION REQUEST FOR 02/15/91 TO 200 AMPS PHONE: INSPECTOR AREA PD PLANCK# CB901241 ace GRP CONSTR. TYPE NEW STR: FL: STE: 619 434-4271 REMARKS: MH/STEVE SPECIAL INSTRUCT: AM PLEASE ~:~=:: a d-c ;J;f INSPECTOR ~ 1)~. TOTAL TIME: --RELATED PERMITS-- CD LVL DESCRIPTION PERMIT# TYPE CB901187 RAD STATUS ISSUED ACT COMMENTS 39 EL Final Electrical gi ___ _ DATE DESCRIPTION 021191 Final Electrical ***** INSPECTION HISTORY***** ACT INSP CA PD COMMENTS