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Home My WebLink About1341 CORVIDAE ST; ; CB970186; PermitBUILDING PERMIT 01/28/97 16 59 Page 1 of 1 J'OD Address 1341 CORVIDAE ST Suite Permit Type ELECTRICAL Parcel No. 215-691-04-00 Lot# Permit No CB970186 Project No. A97C0251 Development No- 2l64 01/28/97 V v Valuation. 0 Occupancy Group Referenced Description UNDERGRND ELEC LINE TO TRANS- • FORMER FOR LOW VOLTAGE LIGHTS Appl/Ownr OHLSON, DAVID 1341 CORVIDAE CARLSBAD, CA 92009 A** Fees Required *.** x-A •,-.• Construction Type: KEW Status' ISSUED Applied- 01/28/37 Apr/Issue- 01/28/97 Entered By: JM 619 931-3467 ,-AH vv ^ee^ Collected & Credit:* A A Fees Adjustments Total Fees Fee description 20 . 00 ;S • j 20. ::•<;ta '•. Paymeuc :; : Balance Due• Units Fffe/U 00 00 20 00 Ext fee ' Data Enter "Y" for Electric Issue Fee > Enter "Y" for Remodel > A ELECTRICAL TOTAL 10 00 Y 10 00 Y 20. 00 APPROVAL CLEARANCE. CITY OF CARLSBAD 2075 Las Palmas Dr , Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr, Carlsbad CA 92009 (760)438-1161 1 PROJEC r INFORMATION" ; ,,- •*r" • FOR OFFICE USE ONLY PLAN CHECK NO EST VAL Plan Ck Deposit Validated By i Date Address (include Bldg/Suite #)\^A\ ~ ""Business Name (at this address) Legal Description Lot No Subdivision Name/Number Unit No Phase No Total ft of units Assessor s Parcel #Existing Use Proposed Use Description of Work SQ FT 2 -^CONTACT PERSON (if different from applicant)!^ #of Stories # of Bedrooms # of Bathrooms Name 3 APPLICANT Contra§prS Address City | "Agent for Contractor1™ d Owner [3 Agent for Owner State/Zip Telephone # Fax # Name 4 PROPERTY-OWNER Address City State/Zip Telephone # Address City State/Zip Telephone #Name 5 "CONTRACTOR - COMPANY NAME _ , • :S:L- ."jf Jf (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, commending 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]) Name State License # Address License Class City State/Zip City Business License # Telephone # Designer Name Address City State/Zip Telephone State License tt 6. WORKERS' COMPENSATION :'v "/III* ii }'<• .... ""9 . •" Tifik ' ' • n(r ;f :; Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations l~l I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued PI I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued My worker's compensation insurance carrier and policy number are Insurance Company Policy No Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) l~l CERTIFICATE OF EXEMPTION I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers Compensation Laws of California WARNING Failure to secure workers compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,000) in addition to the cost of compensation damages as provided for in Section 3706 of the Labor code interest and attorney s fees SIGNATURE DATE ;7M' OWNER BUILDER DECLARATION :. , .. ""'" m "I' * ..i"" "•. * , , - »- I hereby affirm that I am exempt from the Contractor s License Law for the following reason Hrl, 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) l~l 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) l~l I am exempt under Section Business and Professions Code for this reason 1 I personally plan to provide the major labor and materials for construction of the proposed property improvement O YES C]NO 2 I (have / have not) signed an application for a building permit for the proposed work 3 I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number) 4 I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone number / contractors license number) 5 I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type of work) PROPERTY OWNER SIGNATURE DATE COMPLETE THIS SECTION FOR NON-R£S/DENT/AL BUILDING PERMITS ONLYlt ;™ ; 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? Q YES fj NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district' (~l YES f~l NO Is the facility to be constructed within 1 ,000 feet of the outer boundary of a school site? Q YES Q NO IF ANY OF THE ANSWERS ARE YES. A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT 8 j MNSTRUCnbN LENDING AGENCY "'iv "Jt, ":" ....... •""•• .;" •• :|C. I 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 _ 9W- APPLICANT CERTIFICATION.!!*! . ... •*" •*«;:::: V»U,. ''"W*'a;• ^: • ..;::,:.„•::,..3l! rfc : „;.. " "' I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate I agree to comply with all City 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 CITY 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 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 wjthm 366yd^ys 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^/o^i^pftime^ed f^f^p^ed_of-J-8Q days (Section 106 4 4 Uniform Building Code) / APPLICANT'S, SIGNATURE DATE WHITE File YELLOW Applicant PINK Finance CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB970186 FOR 04/01/97 DESCRIPTION: UNDERGRND ELEC LINE TO TRANS- FORMER FOR LOW VOLTAGE LIGHTS TYPE: ELEC JOB ADDRESS: 1341 CORVIDAE ST APPLICANT: OHLSON, DAVID PHONE: CONTRACTOR: PHONE: OWNER: PHONE: REMARKS: RS/DAVE/931-8467 SPECIAL INSTRUCT: INSPECTOR AREA DC PLANCK* CB970186 OCC GRP CONSTR. TYPE NEW STE: LOT: 619 931-8467 INSPECTO, TOTAL TIME: —RELATED PERMITS—PERMITfl CB970147 TYPE STATUS CD LVL DESCRIPTION 39 EL Final Electrical PATIO ISSUED ACT COMMENTS ***** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP 013197 Underground/Conduit-Wiring AP DC COMMENTS 'AV