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Home My WebLink About1704 EVERGREEN CIR; ; CB920830; PermitE J ,:: , r \ .. r ,\ u : ' } )tl.11 l/C, 1 !':"> l JI;..' ( f Pr ( ct ~ , : f i, J;_-< l T' t l' 1 Ir~ · : .,_ 71 4 f:VF.:RL>R -: ... N ,~L Ferm.t '}£.>(: tU·." A: 1 il l ~ ~. , : • 1 'J ~ I b < ll C Vctlu .t 1vr,: t c n. +-t·ut ... 1 >n y~>E.': NE:W 11 ·•.1p,tn ·y G1ou~: 1-tPfert=>nct #: (\c_..,~ •.:-r~pt1, n: A!)!) ~20V A:'.\JD 1..~v OTi.f,Ir>E' >LI I +-p: ._>PV....' .. '1>r1( r. t ~ : 8959 08/19/92 0001 01 C-PRMT t-\ t ll . : 02 01 "L.Er~ AE->t •• e • · Ar,r., •• ui. : / .1 • Arpl 1 1wnr : rHAPMAN, WARREN f ----------- f'e{;s: Adju·rment : rotd 1 ~·ees: ,. 7 0 4 EVEh(,f·d.EN CR CAR: ::..BAD, CA 92l >8 --- EntPr Y' f()r Elec Entr•r 'Y forRC'mo A E~tC~R· AL iOTAL E (:! > ,I 4 4147,; V !~ i . +-d E y: -ecte l a lil"' ht · E:xt f PPROVAL ll .(.JV 1 ,, 'y ,!)_') INSP. ~I"---DATE --• CLEARANCE-----. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 9200CJ (619) 438-1161 20.00 -----. ~ PERMIT APPLICATION PLAN CHECK NO. City of Carlsbad Building Department I EST. VAL 2075 Las Pal•• Dr., Carlsbad, CA 92009 (619) 438-1161 PLAN CK DEPOSIT ________ _ VAUD.BY __________ ~ I. PERMI I I iPE DATE A -U COmmerc1al D New Bu1id1ng Li I enant Improvement B - D Industrial U New Building D Tenant Improvement C -)c Residential D Apartment D Condo)(. Single Family Dwelling U Addition/ Alteration 0 Duplex O Demolition Li Relocation Li Mobile Home ){Electrical Li Plumbing [] Mechanical O Pool O Spa D Retaining Wall Li Solar O Other 2. PROJECT INFORMATION FOR OFFICE USE ONLY Address /702/ CveR6."1E£·N CIR. Bu1@mg or Suite No. nit o. CHECK BEIDW IF SOBMII IEO: ~072 D 2 Energy Cales a 2 Structural Cales [] 2 Soils Report D 1 Addressed Envelope ASSESSOR'S PARCEL EXISTING USE PROPOSED USE NAME ADDRESS CilY STATE ZIP CODE DAY TELEPHONE 4. ~!RA~~Nrclf~A~~E~~FOR~k~I~? !!j.WNJ:~e:'ll(sE~ll_'g)jWN!!tR. cITI c.AA LS. 13At> STATE c A ZIP CODE ~o" f DAY TELEPHONE '-f -=> 4--I 'f 7 2 NAME CilY SAfV1 E STATE ADDRESS ZIP CODE DAY TELEPHONE NAME ,..-~DRESS Oe0~~DE CilY DAY TELEPHONE STATE UC.# LICENSE CLASS CilY BUSINESS UC. # CilY STATE ZIP CODE DAY TELEPHONE STATE UC.# 7. WOkkERS WMPF.NSAIION Workers' Compensation Declaration: I hereby af11rm that I have a certificate of consent to selt-1nsure 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 Certthcate of Exemptton: I certify that 1n the performance of the work for which this permit 1s issued, I shall not employ any per.;on 1n any manner so as to become subject to the Workers' Compensation Laws of C'.alifomia. SIGNATURE DATE 8. OWNill-BOliDkk DECLARAIION 0 0 Owner-Builder beclarat1on: I hereby affirm that I am exempt from the Contracto?s Lcense Law for the follow1ng 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 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.). 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). 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 th Contractor's License Law (Chapter mmencing with Section 7000 of Division 3 of the Business and Professions Code) or that · e mpt therefrom, an e · lleged exempti n. Any violation of Section 7031.5 by any applicant for a permit subjec licant to a civil al of a 1ve hundred ollars [$500]). SIGNATURE DATE o J' -1 9 -,9 <=>Z, Is the applicant or future building occupant requi to prevention program under Sections 25505, 25533 or DYES ONO bmit a business plan, acutely hazardous materials registration form or risk management and 534 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? 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 OFoa:IJPANCY MAY Nill BI! ISSUED AFTER.JULY I, 1989 UNLl!SS THE APPLICANT HAS MET OR JS MEIITING THE REQUIREMENTS OF TIIB OFFICE OF EMERGENCY SERVICES AND THE AIR FOILUTIOII WNTIIOL DISllUCT. 9. WNS I KOCI ION IENDING AGENCY I hereby afllrm that there 1s a construction lending agency for the performance of the work for which this penntt 1s issued (Sec 3097(1) C1vU Cooe). LENDER'S NAME LENDER'S ADDRESS 10. APPLicAN I dtitl'McX:IKJN I certify that I have read lhe apphcat1on and state that the atxive 1nformat1on 1s 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 AL'iO AGREE ID SAVE INDEMNIFY AND KEEP HARMLESS THE Q1Y OF CARISBAD AGAINST ALL LlAIIIUl'IES, JUDGMENTS, CXlSTS AND EXPENSES WIIlCH MAY IN ANY WAY A£Dl.UE AGAINST SAID a,y IN WNSF.QUENCI! OF THE GRANTING OF TIIlS PERMIT. OSIIA: An OSHA pennit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. WHITE: File ..... PERMIT# CB920830 DESCRIPTION: ADD 220V TYPE: ELEC CITY OF CARLSBAD INSPECTION REQUEST FOR 01/27/93 AND 115V OUTSIDE OUTLETS JOB ADDRESS: 1704 APPLICANT: CHAPMAN, CONTRACTOR: EVERGREEN CR WARREN F STE: PHONE: 4341472 PHONE: INSPECTOR AREA MP PLANCK# CB920830 OCC GRP CONSTR. TYPE NEW LOT: OWNER: PHONE: t:J.iJ INSPECTOR /VIJ_ OfJ'------- 2/ 4. HE SAYSf -:t:::T~S"'"'-=B-=E='E':--:Nc-=D--=o"'"'N:::E,-.----- REMARKS: MH/WARREN SPECIAL INSTRUCT: THIS IS DUE TO EXPIRE TOTAL TIME: CD LVL DESCRIPTION ACT COMMENTS 39 EL Final Electrical 41-------------------~ ~------------------- ***** INSPECTION HISTORY***** DATE 090892 080892 DESCRIPTION Underground/Conduit-Wiring Underground/Conduit-Wiring ACT INSP AP MP AP MP COMMENTS OK TO COVER OK TO COVER