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Home My WebLink About1876 HIGH RIDGE AVE; ; CB931124; Permit43 0 0/ 9/93 A P ~ "A~ [. Wl F CITY OF CARLSBAD 2075 Las Palrnas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION PLAN CHECK NO. City of Carlsbad Building Departllleflt 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 EST.VAL. ___________ _ PLAN CK DEPOSIT ________ _ VAIID.BY __________ _ 1. PmtMll l"YP£ DATE'--------------- A -0 Commercial D New BUJ]dmg D Tenant Improvement B. D Industrial □ New Building □Tenant Improvement C D Residential □ Apartment O Condo D Single Family Dwelling D Addition/ Alteration D Duplex D Demolition D Relocation □ Mobile Horne D Electrical D Plumbing D Mechanical D Pool D Spa □ Retaining Wall □ Solar □ Other ____ _ 2. PROJECT INlURMATION FOR OFFICE USE ONLY Address l ~ I l£> H l h -1 7=< \ d_q-e QI.) ~uildmg or Suite No. Nearest Cross Street f I nH o. cnt-.cR BEWW IF SUBMI 11 ED □ 2 Energy Cales □ 2 Structural C,alcs □ 2 Soils Report □ 1 Addressed Envelope ASSESSOR'S PARCEL EX)STING USE PROPOSED USE DESCRIPTION OF WORK SQ. FT. # OF S1DRIES 3. WN IACI PERSON (if d11!ercnl from apphcanlJ NAME ADDRESS CI1Y STATE ZIP CODE DAY TELEPHONE 4. APPUCAN"I NAME □ CON I RAC !OR □ AGEN'1 l·OR CON 1 RAC !OR ADDRESS DOWNER DAGEN I FDR OWNER CITY STATE ZIP CODE DAY TELEPHONE s. ~~?1t.S6;';e~j{ 'f....C.1'v1TH-JA R_.q_{:us,PADDRESS c1TYCc..y ts by d sTATEC6... z1P cooE 1fl70 Ht'8A R, d7-e.. a ue 7 ~OD~ DAY TELEPHONE /"J 9-a {pt./ <? NAME CITY STATE STATE UC.# ADDRESS ZIP CODE UCENSE ClASS ADDRESS DAY TELEPHONE CITY BUSINESS UC. # DESIGNElt NAME CITY STATE ZIP CODE DAY TELEPHONE STATE UC.# 7. WollRElts' OOMPE'.NSA110N Workers' Compensation Dcclara11on: I hereby alhrm that I have a cert1!1cate al consent to sell-insure issued by the Director al lndustnal Relations, or a certificate of Workers' Compensation Insurance by an admicted 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 of Exemption: I cemly that m the performance of the work tor which this permit IS issued, I shall not employ any person m any manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE 8. oWNER-BOllDER DECl:ARA'l1oN Dwner.Bmlder Declaratmn: l hereby allirm that I am exempt from the Contractor's License Law for the followmg reason: c:r I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is nm 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 docs 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 conrractor(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 pennit 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 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 violacion of Section 7031.5 by any applicanc for a permic subjects the applicant to a civil penalty of not more than five hundred dollars [$5001). SIGNATIJRE ~ ~ Jrl~~ ~ DAln COMPLETE ml o ~REITS ONLY: ls 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? □ YES □ NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ YES □ NO Is the facility co be constructed within 1,000 feet of the outer boundary of a school site? □ YES □ NO IF ANY OF nu: AN~"WfillS ARE YES, A FINAL CERTIFICATF. OF CXX:UPANL-Y MAY NUf BE ISSUED AFfER JULY I, 1989 UNLF.SS TIIE APPLICANT HA'i MET OR IS MEETING TIIE RF.QUIREMF.NTS OF TIIE OFFICE OF EMERGENCY SERVJCF.S AND l1IE AIR POLLU'llON OONTI\OL DISl1UCT. 9. u>NS'IROCIION lliNDING AGENCY I hereby allmn that there 1s a cons1ruc11on lemlmg agency for the pcrlormancc al the work lor which this permit 1s issued (Sec 3097(1) C1V1l Code). LENDER'S NAME LENDER'S ADDRESS lo. APPUCANT crot'l1FicA'l1oR l cerllty that I have read the apphcauon and stale that the above mlormauon 1s correct. I agree to comply with all City ordmances 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 AI.'iO AGREE ID SAVE INDl::MNII'Y AND KEEP HARMIBSS lllE Cf1Y OF CARLSBAD AGAINST AU.. UABILITIES, JUDGMENTS, CXlSTS AND EXPENSES WIUCII MAY IN ANY WAY ACX:lUJE AGAINST SAID Cl1Y IN CDNSEQUENCE OF TIIE GRANTING OF TIIlS PERMIT. OSHA: An OSHA pennit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Expiration. Every pennit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 365 days from the date of such pennit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 303(d) Unifonn Building Code). APPLICANTS SIGNATURE t< ~ t'l:\.A~~-Fille ~plicant PINK: Finance DATE: ______ _ ., PERMIT# CB931124 CITY OF CARLSBAD INSPECTION REQUEST FOR 10/19/93 DESCRIPTION: 100 AMP CHANGE OUT TYPE: ELEC JOB ADDRESS: STE: INSPECTOR AREA PLANCK# CB931124 OCC GRP CONSTR. TYPE NEW LOT: APPLICANT: CONTRACTOR: 1876 HIGH RIDGE AV RAFUSE, WARREN PHONE: 619 729-2648 PHONE: OWNER: REMARKS: MB/CINDY SPECIAL INSTRUCT: TOTAL TIME: CO LVL DESCRIPTION -33-_E_L Service Change/U~~ ------------------------------------- PHONE: ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS