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Home My WebLink About1354 NIGHTSHADE RD; ; CB961211; Permit4 r. \INCORPORATED 14952 Eb) CITY OF OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 Alf BUILDING PERMIT Permit No: CB961211 07/01/96 10:39 Project No: A9601717 Page 1 of I Development No: Job Address: 1354 NIGHTSHADE RD . Suite: 8322 07/01/96 0001 01 02 Permit Type: ELECTRICAL C-F'RM 20.00 Parcel No: 215-641-23-00 - Lot#: Valuation: 0 Construction Type: NEW Occupancy Group: Ref erence#: Status: ISSUED Description: 2.OUTLETS,1 SWITHC & 2 LIGHTS Applied: 07/01/96 IN GAZEBO Apr/Issue: 07/01/96 Entered By: RMA Appl/Ownr : DERBY, KEVIN - 619-999-4062 -- 9917C. LOMAS SANTA FE DR;....Jti.z3 SOLANA BEACH CA .75 Fees Required & Credits Fees: x.00O \ Adjustments: / r\00 To-1&.s:\ .00 Total Fees: / Z0.'Q0 .- To-1 PayMi: \ _. .00 Ba la nç \iu': \20-.00 Fee descript.on / /nit Ext fee Data J 10.00 Y Enter "Y" for Remo 291 * ELECTRICAL TOTAL \\ !fJ ,20.00 PERMIT APPUCA1ION City of Carlsbad Building Depert.ent 1W. 2075 Las Patmes Dr.,, Carlsbad, CA 92009 (619) 438-1161 PLAN CHECK NO. VAL IaCDrr -' - From List I (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. PROACr INFORMATION FOR OFFICE USE ONLY Address If j Building or Suite No. G9. Nearest Cross Street ft'f 4- LEGAL DESCRIFrION ' WE No. Subdivision Name/Number =nit No. Phase No. CHECK BELOW IF 5UBMI1TED: 02 Energy Cabs 02 Structural Cabs 02 Soils Report Dl Addressed Envelope ASSESSOR'S PARCEL EXISTING USE .PROPflSFfl lISP DESCRIPTION OF WORK ,- çS ----# OF STORIES 01 # OF BEDROOMS # OF BATHROOMS NAME (last name first) - - ADDRESS CITY STATE ZIP CODE DAY TELEPHONE 4. AFI'UCANT LICURTRX"= UAGENF FOR CONTRALIUK DOWNER UA(.IINT FOR OWNER NAME (last name first) ADDRESS CITY STATE ZIP CODE DAY . rnLJrE.n I I .JVVIIV.ft NAME (last name first) t4/"-("-,, &l, ADDRESS /i'SY CITY -IIJ STATE •ZIP CODE DAY TELEPHONE NAME (last name first) 2e1.9. 'L . ADDRESS c "^-,j CITY -WP1f.l,,, STATE 04 ZIP CODE ?Ze '5 DAY TELEPHONE STATE UC. # o'o6f LICENSE CLASS CITY BUSINESS UC. # Dtl(iNEK NAME (last name lust) A1JUKES CITY - STATE ZIP CODE DAY TELEPHONE STATE TIC. # WORXER5 WMPERSA1TON Workers' Compensation Declaration: I hereby affirm that I have a certificate of consent to sell-insure issued by the Director of 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 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. SIGNATURE _(TE OWNER-BUILDER D TION Owner-uiiaer Declaration: I hereby affirm that I am exempt from the Contractors License Law for the following reason: 0 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.). O 1, 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). o 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 [$5001). 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 risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner 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 boundary of a school site? DYES ONO IF ANY OF THE ANSWERS ARE YES A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFrER JULY 1, 1989 UNLESS THE APPLICANT HAS MEF OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DIICr. ereby affirm mat there is a construction lending agency for the performance of the work for which this permit is issued 3097W Civil Code). LENDER'S NAME LENDER'S ADDRESS 10. A1'PLICANT UWHI1CA171ON I certify that! have read the application and state that the above information is correct. 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 AISO.AGREE 10 SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARlSBAD AGAINST ALL UABllhI1ES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF TIllS PERMIT. 0511k An OSHA permit is required for excavations over 5'O" 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 work is commenced for a period of 180 days (Section 303(d) Uniform Buildp,CI). APPLICANTS SIGNATURE -.--' - ii DATE: CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB961211 FOR 08/15/96 INSPECTOR AREA DC DESCRIPTION: 2 OUTLETS,1 SWITHC & 2 LIGHTS PLANCK# CB961211 441 IN GAZEBO 0CC GRP TYPE: ELEC CONSTR. TYPE NEW JOB ADDRESS: 1354 NIGHTSHADE RD STE: LOT: APPLICANT: DERBY, KEVIN PHONE: 619-999-4062 CONTRACTOR: PHONE: OWNER: PHONE: REMARKS: MW/KEVIN/999-4062 INSPECTOR SPECIAL INSTRUCT: •1 TOTAL TIME: CD LVL DESCRIPTION ACT COMMENTS 39 EL Final Electrical /Of##'f o,tCQ-'J ***** INSPECTION HISTORY DATE DESCRIPTION ACT INSP COMMENTS 071196 Underground/Conduit-Wiring CO DC NO PLANS OR.CARD - H1 -