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Home My WebLink About1355 FOREST AVE; ; CB911433; Permit< ' BUILDIN<"i PERMIT Perm.it N, r:. CJ1i43: ~U/Z4/91 14:58 Pr~)ject Ne ACJH,lb!. .. PttgP 1 of ... ,Job Addres ;: 13',S FC>RFST AV Str: Develoum~"'~ ! · '117 4950 19/24/~ ~1 ...02 C)~ Permit TypP: ELECTRICAL ~~reel No: 15~-1:0-67-CO Valuation: u Construction TypP: r-.:EW M-411.00 ()ccupancy Group: lla::.s Code: !:-it atuc: L SUE:> Appl1e(l: 1l / '4/'H Description: MGVE 100 AMP METER , u 10/.~4,'11 49~2 l0/24/9:)1. 000,1 01. : ;.92 Aprl/Owni : LARSON, ~RIC C-PRMT 35-00 1J55 FOREST AVENUE CARLSBAD, CA 92008 Fees Required "'* * '* * * Res c l~cted & Credits ----------------------------~-t------------~ - --·-------------------- Fees: Adjustments: Total Fees: Fee description , . 0 .o 35.() ---------------------.-,----,... __ .,,...,. Enter Y tor E:ect ia 1 ~ue Fee > Single Phnse Per AMP ) .1t ELECTRICAL T0TAL rota l ~e<l 1 ts : ot"ctl Payments: B ilanc • D!l : Units Fee/TJl:l t .co .GO 3S.OO Ext tee Dn.to -~-~---~---------_.<------ 1.00 . 2 10,UO Y 25.00 S.00 FINAL APPROVAL ___ DATE __ ~ CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION l!A. ~ PLAN CHECK NO. City of carlsbad Building Department 2075 Las Pal..,. Dr •• carlsbed, CA 92009 (619) 438-1161 PLAN CK DEPOSIT _______ _ l ~.VAL I. P£RMII IYPR =-BY __________ _ A -U COmmerc1al U New Butld1ng D I enanr Improvement B -a Industrial D New Building D Tenant Improvement C -U Residential D Apartment O Condo O Single Family Dwelling O Addition/ Alteration 0 Duplex O Demolition O Relocation O Mobile Home O Electrical O Plumbing 0 Mechanical O Pool O Spa O Retaining Wall Cl Solar O Other 2. PRCllECT INFORMATION FOR OFFICE USE ONLY /dress 131~ /:a tL£s-r 14v L Nearest Cross Street ,H tfi..UL.4t,J O BuUd1ng or Suite No. LEGAL DESCRllfl ION Lot No. Subd1vis1on Name/Number Unit No. Phase No. CHECK BEWW IF SOBMll 1£0: a 2 Energy Cales D 2 Structural Cales [] 2 Soils Report a 1 Addressed Envelope ASSESSOR'S PARCEi, EXISTING USE PROPOSED USE DESCRIPTION OF WORK n, .~ v::.. SQ. Ff. # OF STORIES 3. WN IACI PERSON (If dl[ferent from apphcanf) NAME ADDRESS CilY STATE ZIP CODE DAY TELEPHONE 4. APPUCXNI NAME UWNIRACIOR DAGENI FORWNIRACIUR DOWNER DAGENI FOR OWNER ADDRESS CllY STATE ZIP CODE DAY TELEPHONE S. PkOPFlll Y OWN fill 1'3•• A> (I..Fi.JT 4-<J IE.. ~ f;.iu,c... LArt.1.,..J ADDRESS C4 t'1. L.S fJ 4-!> STATE CA-ZIP CODE 'fl.o<>6 DAY TELEPHONE "f 'J / -I Ip "' o NAME ADDRESS CilY STATE ZIP CODE DAY TELEPHONE STATE !JC.# LICENSE CLASS CllY BUSINESS !JC. # CilY STATE ZIP CODE DAY TELEPHONE STATE !JC.# 7. WOllRF.kS' WMPkNSA:llUN Workers' Compensation Declarat1on: I hereby affirm that I have a certificate of consent to self-insure issued by the Director of industnal 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 Cert1hcate of Exemption: I certify that 1n the performance of the work for which this pernut 1s issued, I shall not employ any person 1n any manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE 8. OWNmt-BOllDkk DPl.!OOlXfiON OWner-Butlder Oeclarat1on: I hereby affirm that I am exempt from the Contracto?s License Law for the follow1ng reason: D 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 Llcense 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.). D 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 Llcense 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 pennit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's Llcense 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 pennit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]). SIGNATURE DATE COMPLEIE 'IBIS SECIION FOR NON-RESIDENIIAt BUILlJING PERMII'S 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 D NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? C YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? DYES ONO IF ANY OF TIIE ANSWERS ARE YES, A FINAL CERTIFICA11! OF oa:IJPANCY MAY NITT BE ISSUED AFl1!R JULY 1, 1989 UN1JlSS TIIE APPUCANT HAS MET OR IS MEETING TIIE REQUlREMENTii OF nm omCE OF EMERGENCY SERVICES AND TIIE AIR PO!J.IJTION CDNTROL DISTRICT. 9. WNSIROCIION LENDING AGENCY I hereby afhrm that there 1s a construction lending agency for the performance of the work for which this permit 1s issued (Sec 3097(1) Civil C&:le). LENDER'S NAME LENDER'S ADDRESS 10. APPUCXN I CFJtlMCA'IIDN I certUY that I have read the apphcat1on and state that the above 1nformat1on 1s correct. I agree to comply wtth ail 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 ID SAVE INDEMNIFY AND KEEP IIARMlJ!SS TIIE CTIY OF CARISBAD AGAINST All. lJAIIIUTIES, JUDGMENTS, CX>STS AND EXPENSES WJDCII MAY IN ANY WAY Aa:RUE AGAINST SAID CfIY IN CDNSEQUENCI! OF nm GRANTING OF THIS PERMIT. OSHA: An OSHA pennit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. YEILOW: App 1cant PINK: Fmance • PERMIT# CB911433 CITY OF CARLSBAD INSPECTION REQUEST FOR 11/08/91 INSPECTOR AREA~ PLANCK# CB911433 OCC GRP DESCRIPTION: MOVE 100 AMP METER TYPE: ELEC JOB ADDRESS: 1355 APPLICANT: LARSON, CONTRACTOR: FOREST AV ERIC OWNER: REMARKS: RS/ERIC LARSON SPECIAL INSTRUCT: TOTAL TIME: --RELATED PERMITS-- CD LVL DESCRIPTION PERMIT# TYPE CB892001 RAD 39 EL Final Electrical CONSTR. TYPE NEW STR: FL: STE: PHONE: 619 931-1600 PHONE: -;\ PHONE: ~ IL INSPECTO ~~~~'-'-=-'-=~~~~~~ STATUS ISSUED ACT COMMENTS & l)t-fD /(t,1,,VcSC ..-- ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS