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Home My WebLink About1711 LOBELIA CT; TP; CB910717; Permit! S' , 8 U I L D r N G >5/C 1/91 Hi: 09 PngP 1 0f 1 Job Address: 1711 LOBEL:A CT Permit 1ype: ELECTRICAL Paree<:. No: Vdluation: 0 Con..,truction Type: NEW 1, Tf'" Occ~pdncy Group: Cldss Description: TEMP POWER FOR MODEL Appl/Ownr : WESTERN NATIONAL HOMES 19700 FAIRCHILD ROAD #230 IRVINE, CA 92715 Fees Required Fees: Adjustments: Totc.11 Fees: Fee description Enter ~y" for Ele Enter "Y" for Tern * ELECTRICAL TOTA *** p E R M I 7 Pe.rm1 t No: ( E 910 11 7 Projec..t Nl\: A91tll 1-1 ,t, Development No: Str: Fl: Ste: ' 5 05 0 Code: ~ta AppliP~: 0~1011~1 Apr/IS~Jp: 05/01/ l Val1datcc.1 By: DC 714 476-3031 lected & --·redi ts A:* A . ( 0 .00 15.00 Ext fee Data ~--------· ------ 'S.OIJ y 18,1'0 Y 1 !'i 00 CllY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 PERMIT APPLICATION & • City of Carlsbad Building Department EST. VAL. ______________ _ 2075 Las Pal mas Dr., Carlsbad, CA 92009 (619) 438·1161 1. A B C 2. PERMIT TYPE COMMERCIAL 0 INDUSTRIAL 0 RESIDENTIAL O APARHIENT OouPLE)( OoeHOLJTI0N 0 MECH AN I CAL O POOL TENANT IMPROVEMENT □TENANT IMPROVEMENT □CONDO □SINGLE FAMILY DIJELLING OADDITJ0N/ALTERATI0N □RELOCATION □MOBILE HOME ~LECTRICAL □PLUMBING OSPA QRETAINING WALL □SOLAR □OTHER PROJECT INFORMATION PLAN CHECK No. Address 17 I I Nearest Cross Streets PLAN a: DEPOSlT ___________ _ VALID. BY _____________ _ DATE ______________ _ F LEGAL DESCRIPTION Subdivision Name/Nlffl:>er c,-8S -at Unit No. Phase No. CHECK BEUM IF SUBMITTED: Q2 Energy Cales 02 Structural Cales Q2 Soils Rep0rt D 1 Addressed Envelope ASSESSOR IS PARCEL EXISTING USE PROPOSED USE Te:TYJP (m~) BLOG. S0. FTG. # OF STORIES 3. ;tf700 Ft2M-c/u..&.J Kc/. #-dl3cJ CONTACT PERSON ,/ .. _ NAME t(}~ )1~4./) ~ ADORESS q :i.. 7 15 DAY TELEPHONE 7 / Y-t../ 7 t:, -3 o 31 4. CITY ~ $' STATE CA ZIP CODE SIGNATURE @.z:::-~ APPLICANT OcoNTRAcTOR D AGENT FOR CONTRACTOR 0 AGENT FOR OWNER NAME ADDRESS CITY STATE ZIP CODE DAY TELEPHONE 5. PROPERTY OWNER OWNER □LESSEE □TENANT NAME ADDRESS CITY STATE Z!P CODE DAY TELEPHONE 6. CONTRACTOR 7. 8. NAME CITY SIGNATURE DESIGNER NAME CITY STATE STATE LIC. # ____ _ STATE WORKERS' COMPENSATION ADDRESS ZIP CODE DAY TELEPHONE LICENSE CLASS CITY BUSINESS L!C. # T !TLE DATE ADDRESS ZIP CODE DAY TELEPHONE STATE LIC, # Workers' Con,:,ensat1on Declarat,on: hereby affirm that have a certificate of consent to self·msure issued by the Director of Industrial Relations, or a certificate of Workers' Corrpensat ion Insurance by an adTii tted insurer, or an exact copy or clupl i cate thereof certified by the Di rector 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' Coq>ensation Laws of California. SIGNATURE DATE OWNER-BUILDER DECLARATION Dwner·Builder Declaration: I hereby affirm that I am exempt from the Contractor's License Law for the following reason: D I as owner of the property or my employees with wages as their sole c~nsation, 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 COffl)letion, 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) I icensed pursuant to the Contractor's license 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, al so requires the appt i cant for such permit to f i le a signed statement that he is l i censed pursuant to the provisions of the Contractor's License Law (Chapter 9, coomencing 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? QYES 0Ho ls the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □Yes □Ho ls the facility to be constructed within 1,000 feet of the outer boundary of a school site' Ores IF ANT OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCOFANCT MAT NOT BE ISSUED AFTER JULY 1, 1989 lJILESS THE APPLICANT HAS NET OR IS fl:ETING THE REQUIREMENTS OF THE OFFICE OF ENERGEIICT SERVICES AID THE AIR POLLIITIOII CONTROL DISTRICT. 9. CONSTRUCTION LENDING AGENCY 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 10. APPLICANT'S SIGNATURE J certify that I have read the application and state that the above information is correct. I agree to comply with al\ 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 ANO KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIMJILITIES, Jll)QIJENTS, COSTS AND EXPENSES lolHICH MAY IN ANY \IAT ACCRLE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING DF THIS PERMIT. Expiration. Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if or work authorized by such permit is not coomenced within 180 days from the date of such permit or if the building or work authorized by such permit or abandoned at any time after the work is coomenced for a period of 180 days (Section 303(d) Uniform Building Code). ~NER D CONTRACTOR D BY PHONE APPLICANT'S SIGNATURCZ. ~ WHITE: File YELLOW: Applicant PINK: Finance APPROVED BT; DA.TE: the building is suspended