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Home My WebLink About1820 CASSIA RD; ; CB951091; Permit3 BUILDING PERMIT 08/09/95 16:46 Page 1 of 1 Job Address: 1820 CASSIA RD Suite: Permit Type: ELECTRICAL Parcel No: Valuation: 0 Construction Type: VN Occupancy Group: Lot#; Reference*: Description: POWER PED. FOR SIGNAL AT E.C.R AND CASSIA ROAD Appl/Ownr : P-3 2415 5TH AVE SAN DIEGO, CA. *** Fees Required *** 619 231-3637 Permit No: CB951091 Project No: A9501589 Development No: 3103 08/09/95 0001 01 0? C-PRHT 35-00 Status: ISSUED Applied: 08/09/95 Apr/Issue: 08/09/95 Entered By: MDP ''•"•' " vfo* " "-' '• pseesr'€ir«*esf-'ollected & Credits * ** Fees: Adjustments: Total Fees: Fee description ,00 35. W Credit** Total Papnentiri Balance Dwi'v Units Fee/USJ^t .00 .00 35.00 Ext fee Data Enter "Y" for Elecric Issue Fee > Single Phase Per * ELECTRICAL 100 10.00 y 25.00 35.00 NAL/APPROVA CLEARANCE CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION City of Carlsbad Building Department 2075 Las Pains Dr., Carlsbad. CA 92009 (619) 438-1161 17 PERMIT TYPE From List 1 (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. PLAN CHECK NO. EST.VAL PLANCK DEPOSIT, VALID. BY ~_ DATE 2. PROJECT INFORMATION FOR OFFICE USE ONLY Address Nearest Cross Street RD Building or Suite No. LEGAL DESCRIPTION Lot No.Subdivision Name/Number Unit No.Phase No. CHECK BELOW IF SUBMITTED: D 2 Energy Gales Q 2 Structural Gales D 2 Soils Report D1 Addressed Envelope ASSESSOR'S PARCKT.EXISTING USE PROPOSED USE # OF BATHROOMS 3. UUN1AL.1 PKKSUN (it ditterent trom applicant) NAME Qast name fir CITY first) TN STATE ADDRESS ZIP CODE 4. APPLICANI U CONTRACTOR JflAGhNI r OR CONTRACTOR ; (last name first) ADDRESS •NAME ( CITY STATE ZIP CODE OOWNtK LJAGtNl fOK UWNtK DAY TELEPHONE 5. PROPERTY OWNERNAME (last name first) C K ~CITY ^> ADDRESS DAY TELEPHONE D. CONTRACTOR NAMEJlast name first) CITY STA STATE LIC. ADDP ZIP CODE <^XlO I LICENSE CLASS DAY TELEPHONE CITY BUSINESS LIC. UESIUNhK NAME ilast name tirstj CITY STATE ADDRESS ZIP CODE DAY TELEPHONE STATE LIC. # 7. WOKKEHS' UUMJ'liNSiATlUN Workers Compensation Declaration: I hereby affirm that I have a certificate or consent to self-insure issued by the Director of Industrial 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 ot Exemption: I certify that in the performance ot the work tor 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 DATE 8TCWNER-BUILDER DECLARATION uwner-bunaer Declaration: 1 hereby attirm that 1 am exempt trom the contractors License Law tor tne following 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 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 burdenof 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 ProfessionsCode: 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). 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 repairany structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to theprovisions 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 [$500]). 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? D YES 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? D YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? a YES D NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1,1989 UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 9. CUNiflKUUTION LENDING AUKIMCY 1 hereby attirm that there is a construction lending agency tor the performance ot the work tor which this permit is issued (bee 3097(ij Uvil LodeJ. LENDER'S NAME LENDER'S ADDRESS 10. APPLICANI LXKTIFICATION I certify that 1 have read the application and state that the above information is correct, f agree to comply witn an uty ordinances and Mate 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 AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABQJTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SATO CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0" 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 thebuilding 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 abandonedaj any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Bulging. Code). APPLICANTS SIGNATURE ^^L _=^^—" DATE: WHITE: File YELLOW: Applicant PINK: Finance CITY OF CARLSBAD INSPECTION REQUEST PERMIT* CB951091 FOR 09/13/95 INSPECTOR AREA DESCRIPTION: POWER PED. FOR SIGNAL AT E.C.R PLANCK* CB951091 AND CASSIA ROAD OCC GRP TYPE: ELEC CONSTR. TYPE VN JOB ADDRESS: 1820 CASSIA RD STE: LOT: APPLICANT: P-3 PHONE: 619 231-3637 CONTRACTOR: PHONE: OWNER: PHONE: REMARKS: MW/BOB/431-7941 SPECIAL INSTRUCT: INSPECTOR TOTAL TIME: CD LVL DESCRIPTION 31 EL Underground/Conduit-Wiring ACT COMMENTS DATE DESCRIPTION ***** INSPECTION HISTORY ***** ACT INSP COMMENTS