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Home My WebLink About1409 BRANTA AVE; ; CB951761; Permitw BUILDING PERMIT Permit No: CE951761 11/30/95 12:53 Project No: A9502225 Page 1 of 1 Development No: 2aaf I Job Address: 1409 BRANTA AV Suite : Permit Type: ELECTRICAL +z,E3 1.;J3$.'35 yk! ',: ?^ Parcel No: 215-621-05-00 Lot#: Valuation: 0 Construction 0cc:upancy Group: Reference#: Status: APPROVED Description: UNDERGROUND CONDUIT FOR FUTlJKE App 1 i ed : 1 1 / 3 0 / 9 5 : ELECTRIC AprIIssue: 11/30/95 Entered By: MDP Apg'l/Ownr : HEDLUND, DAVID 619 720-1227 1999 EAST POINTE AVE CARLSBAD, CA. 92008 **A Fees Required *** lected & Credits **k Adjustments: . uo ......................... ------------I---------- Fees : Total Fees: .rlo 20. oil Fee description Ext fee Data ------------------ Enter "Y" for Ele 1o.uo Y Enter "Y" for Rem 10.0c, Y * ELECTRICAL TOTA 20.00 CITY OF CARLSBAD 2075 Las Palms Dr., Carlsbad, CA 92009 (619) 438-1161 4- APPUCATlON City of Carlsbai Buildirrg Dcprtmmt 2075 La8 Palms Dr., Carlsbd, U OMOP (619) 438-1161 From List 1 (see back) give code of Permit-Type: For Residential Proiects Only: From List 2 (see back) give I ......................................................... PLAN CHECK NO. Code of Structure-lllpe: Net Loss/Gain of Dwelling Units 2 PROJECTINFoRMAnON FOR OFFICE USE ONLY pwnk fiyeBuilding or Suite No. Address 1 YO7 Nearest Cross Street LEG fi t No. nit 0. ax 0. 0 2 Energy Calcs 0 2 Structural Calcs 0 2 Soils Report 0 1 Addressed Envelope us ;--- DESCRIPTION OF WORK U6 SQ. Fr. # OF STORIES ' 4 OF BEDROOMS # OF BATHROOMS NAME (last name first) ADDRESS (it oirterenr from appiicanr) DAY TELEPHONE CITY STATE ZIP CODE NAME (last name first) t\ \ v n CITY lsbd STATEC\ ZIPCODE 0Jm0 DAYTELEPHONE 7 tQL/tZ 7 NAME (last name first) ADDRESS CITY STATE ZIP CODE DAY TELEPHONE CITY STATE ZIP CODE DAY TELEPHONE 670/$9 STAZ LIC. #eG LICENSE CLASS c -2 7 CITY BUSINESS LIC. # Cp (v DES~GNWNAM~; [last name tint) CITY STATE ZIP CODE DAY TELEPHONE STATE UC. # Workers' Compensation Declaration: 1 hereby atfirm that I have a certiticate ot consent to selt-insure issued by the Director of lndustrial 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 .s +*+ POLICY NO. EXPIRATION DATE Certlticate ot Exempuon: I ceruty that in the pertormance ot the work For which this permit IS ISSU~~, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE UWner-L)uilcler Ueclaratlon: 1 hereby attirm that 1 am exempt trom the Contractors Ucense Law tor the rollowing reason: 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 dog 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.). 1, as owner of the property, am exclusively contracting with licensed contractom 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). I am exempt under Section (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 Busings and Profgsions 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 [SSOO]). 0 0 0 Business and Professions Code for this reason: sK;NAW MIE Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials regisnation form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? IF ANYOF THE ANSWERS ARE YES, A RNAL~TIFICATEOF OOCIlPANCYMAY NOT BE Issvn, AFIERJULY 1,1989 UNLESS THE APPLICANT HS MET OR IS MEEIlNC THE REQUREMEMS OF THE OFFICE OF EMERGENCY SERW- AND THE AIR POLLUTION ~NTROL DKlIUCT. 1 hereby attirm that there IS a construcuon lending agency tor the pertormance ot the work tor which this permit IS issued (Sec SOW I) Civll Code). 0 YES 0 NO OYES 0 NO OYES 0 NO LENDER'S NAME LENDER'S ADDRESS To. JR 1 cernly that I have read the applicatlon and state that the above intormation is correct. 1 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 pro pert^ for inspection purposes. I ALSO AGREE To SAVE INDEMNJFYAND KEEPHARMLESS THECllYOFclwsBAD IU;AIN~NLI.IABU.lTES, JUDGMEN'E, OOSIS AND EXPENSES WHIM MAY IN ANY WAY ACCRUE AGAINST SAID CllY IN OONSEQUmCE OF THE GRANTING OF THIS PJ3MlT. OSHk An OSHA permit is required for excavations over SO" deep and demolition or construction of structura over 3 stories in height. DATE: 0 APPLICANTS SIGNATURE 8 CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB951761 FOR 12/01/95 DESCRIPTION: UNDERGROUND CONDUIT FOR FUTURE TYPE: ELEC JOB ADDRESS: 1409 BRANTA AV APPLICANT: HEDLUND, DAVID CONTRACTOR : OWNER: ELECTRIC REMARKS: BJN/ SPECIAL INSTRUCT: INSPECTOR AREA PLANCK# CB951761 OCC GRP CONSTR. TYPE M STE : IDT: PHONE: 619 720-1227 INSPECT TOTAL TIME: CD LVL DESCRIPTION ACT COMMENTS 31 EL Underground/Conduit-Wiring -- - -- - -- ***** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP COMMENTS