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Home My WebLink About1901 CAMINO VIDA ROBLE; ; CB891484; PermitBUILDING PERMI T Permit CB891484 10/02/89 16=06 Page 1 of 1 Job Address: ij>nj rfiJiTNfl UTQQ. Rfmi F Permit Type: ELECTRICAL Parcel No= 212-692-20-00 V a 1 u a t i o n * 0 Construction Type5 N E U 0 c c u p a nc y Group: Class Code5 Description: TEMPORARY PQJJE.R Str Project No: PJ8901387 Deuel opment No » FT" Ste« CONTRACTOR : ARCON P 0 BOX LA MESA **•* Fees Required Fees: Adjustments: Total Fees * Fee descri pti on 1754 Cft 92041 15.00.ao 15.00 Status^ ISSUED ftppl led : 10/02/89 flpr/Issue " 10/02/89 Ual idated By - DC Lie. C 416387 *##)ected & Credits Enter "Y" for Electr ic Issue Fee Enter "Y" for Temporary Seru i ce * ELECTRICAL TOTAL ($10 Minimum) 1 Bal Units 5700 Y 10.00 Y 15.00 CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 PERMIT APPLICATION __iji_ City of Carlsbad Building Department ^j^^jEJJW 2075 Las Palmas Dr., Carlsbad, CA 92009 (EIS) 438-nei ^y^^^^V 1. PERMIT TYPE ! ^&hf^^ A - JT] COMMERCIAL QNEU QTENANT IMPROVEMENT ^ff^f/T B - O INDUSTRIAL QNEw1 QTENANT IMPROVEMENT c - QRESIDENTIAL QAPARTMENT QCONDO QSINGLE FAMILY DUELLING [^ADDITION/ALTERATION QDUPLEX QDEMOLITION QRELOCATION QMOBILE HOME J]ELECTRICAL QPLUMBING HMECHANICAL PI POOL FlSPA FlRETAlNING WALL flsOLAR (~10T"ER 2. PROJECT INFORMATION PLAN CHECK No. fy^^- 1 #$<*-/- EST. VAL PLAN CK DEPOSIT VALID. BY (£$ <?_ , DATE /&y~**'s£*? FOR OFFICE USE ONLYAddress BJTlding or Suitt No. 1901 Camino Vida RobleNearest Cross Streets LEGAL DESCRIPTION Lot No. Subdivision Naine/Number Unit No. Phase No. 6 1CHECK BELOW IF SUBMITTED: Q2 Energy Calcs Q2 Structural Calcs Q2 Soils Report Ql Addressed Envelope ASSESSOR'S PARCEL 212~ 092~ 20 EXISTING USE PROPOSED USE DESCRIPTION OF WORK electrical temporary power BLDG. SO. FTG. # OF STORIES 3. CONTACT PERSON NAME ADDRESS CITY STATE ZIP CODE DAY TELEPHONE SIGNATURE 4. APPLICANT [CONTRACTOR Q AGENT RQH CONTRACTOR QOUNER Q AGENT FOR OWNER N*HE ARGON Electric, Ltd. ADDRESS P.O. Box 1754 CITY La Mesa. ST*TE CA ZIP CODE 92041 DAY TELEPHONE 464-1754 5. PROPERTY OWNERNAME Fox /Croft Partnership'/ CITY San Diego CA OLESSEE QTENANT ADDRESS 404 Camino del Rio S. #106 ZIP CODE 92108 DAY TELEPHONE 291~9002 6. 7. CONTRACTOR NAME ARGON Electric, Ltd. ADDRESS P.O. Box 1754 C1TY La Mesa 5TATE CA ZIP COOE 92041 / STATE. LIC. # 4J.O.JO/ LICENSE CLASS C~10 (J l~ ^~ (-^T SIGNATURE Y^^L/^ J*J NL- DESIGNER NAME1" - - - - f CITY WORKERS' COMPENSATION Workers' Condensation Declaration: or a certificate of Workers' Come* S/l *</^<-<< ^ TITLE Acctng . tS fl ADDRESS STATE ZIP CODE 1 hereby affirmthat 1 have a certificate of consent to self =nsation Insurance by an admitted insurer, or an exact copy DAY TELEPHONE 464~1754 Cm BUSINESS LIC. # 20176 DATE 9-28-89 DAY TELEPHONE STATE LIC. i nsure or dupl * issued by the Director of Industrial Relations, icate thereof certified by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C). INSURANCE COMPANY California Casualty POLICY NO.8000353-OaxPJRATioN DATE 10-1-90 Certificate of Exemption: 1 certify that in the performance of the work for uhich 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 9-28-89 8. OWNER-BUILDER DECLARtfTflON Owner-Builder Declaration: 1 hereby affirm that I am exempt from the Contractor's License Lay for the following 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 uhich 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 5 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 NONRESIDENT IAL BUILDING PERMITS ONLY: Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk manageinent and prevention program under Sections 25505, 25513 or 25534 of the Presley-Tanner Hazardous Substance Account Act' DYES DNO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? DYES DNO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? DYES QNO IF ANY OF THE ANSWERS ARE TES, A FINAL CERTIFICATE OF OCCUPANCY HAY MOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS NET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AHO THE AIR POLLUTION CONTROL DISTRICT. 9. CONSTRUCTION LENDING AGENCY 1 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 I certify that I have read the application and state that the above information is 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. 1 ALSO AGREE TO SAVE INDEHNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY UAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF 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 the building or work authorized by such permit is not commenced within 180 days from the date of such permit 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 30i(d) Uniform Building Code). OWNER CONTRACTOR BY PHONE APPROVED BY: DATE: I/' WHITE: File YELLOW: Applicant PINK: Finance