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Home My WebLink About1945 CAMINO VIDA ROBLE; H; CB920128; Permit02/04/92 12:17 Page i Of i BUILDING PERMIT ; --- VIDA ROBLEValuation: . Q Construction Type: NEW Occupancy Group: on ADD SEVERftL Appl/Ownr : MACDONALD , KEVIN *°'° "ORENA BOULEVARD « SAN DIEGO ~~ -- --*""""1 nPermit No: CB920128 Project No: A9200366 01 £,n619 270 CA 92 * * *Fees Required Fees : Adjustments: Total Fees: __Fee Description Enter "Y" for~Elec Enter "Y" for Remo * ELECTRICAL TOTAL & Credits Status: ISSUED Applied: 02/04/92 w 1^r/Issu^= 02/04/92Validated By: DC 9892 * * .00 . 00 20.00 Ext fee Data 10.00 Y 10.00 Y 20. 00 —flHAtPPROVAL 1NSP. C 207^12075 Us OF CARLSBAD ^ PERMIT APPLICATION City of Carlsbad Building Department 2075 Las Palans Dr., Carlsbad, CA 92009 (619) 438-1161 1. PERMIT TYPE A - U Commercial U New Building U tenant Improvement B - D Industrial D New Building D Tenant Improvement C - D Residential D Apartment DCondo D Single Family Dwelling D Addition/Alteration D Duplex D Demolition D Relocation D Mobile Home ^Ufrectrical D Plumbing D Mechanical DPool D Spa D Retaining Wall D Solar Q Other 2. PROJECT INFORMATION PLAN CHECK NO. EST.VAL PLAN OC DEPOSIT. VALID. BY DATE FOR OFFICE USE ONLY Nearest Cross Street LECALDUiJc'RlP'liON Building or auue no. Lot No. Subdivision Name/Number Unit No.Phase Mo. CHECK BELOW Ir SUBMIT ItD: D2 Energy Calcs D2 Structural Calcs D 2 Soils Report Q1 Addressed Envelope ASSESSOR'S PARCEL EXISTING USE PROPOSED USE DESCRIPTION OF WORK # OF STORIES 4. 4. b. <>. f uuNTAui VfeHtMuN 1.11 airiereni irom appncanij NAME ADDRESS CITY STATE ZIP CODE DAY TELEPHONE AWlJUtNT UUJNTHAC1UK UAUENT NAME CITY STATE PKUrttKI Y UWWtK NAME CITY STATE CUNnUUL'lUK NAME •—=^5^Cny--^^ STATE STATE LIC. # HJK (JUN1HAL.1UH U UWWtK LJ AUtHI FUK UWWEH ADDRESS ZIP CODE DAY TELEPHONE ADDRESS ZIP CODE DAY TELEPHONE ADDRESS ZIP CODE DAY TELEPHONE LICENSE CLASS CITY BUSINESS LIC. # ZIP CODE *?^ / / -7 DAY TELEPHONED ^fo -^jppa^STATE LIC.f - Workers' Compensation Declaration: I hereby affirm that 1 have a certificate of consent to sen-insure issued by the DirectororTndustrial 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 ol Exemption: I certirytnat in the performance or the worlclor which this permit is issued, I shati not employ any person in any manner so as to become subjecuotthe Workers'^omgeivation Laws of California. _ SIG.NAT'<JRE B. OWHEK-BU Owner-tfuIIder Declaration; I hereby affirm that I am exempt from the Contractor's License Law For the following reason: Q 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.). 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) 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 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 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 COMPLETE1 THIS 5ELT1UH fUR NON-RESIDENTIAL BUILDING" PEftMIIS UMLYJ 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? Q 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? D YES D NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1, 19«9 UNLESS THE APPLICANT i1^ MOT QR K MEE™0 T™ REQUIREMENTS OP THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 9. UJHSTHUCTlbN LEHDlfKi AUEHCY I hereby atfirm that there is a construction lending agency tor the performance ot the work for which tms permit is issued (bee 3O97UJ Uvii codej. LENDER'S NAME LENDER'S ADDRESS 10. APPLICANT CEKTIPICAllON I certify tnat t have read the application ana 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. I ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE QTY OF CARLSBAD AGAINST ALL LIABIUTTES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID 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 the building 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 abandoned at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code). APPLI'DATE: it PINK: Finance CITY OF CARLSBAD INSPECTION REQUEST PERMIT* CB920128 FOR 02/05/92 INSPECTOR AREA MC DESCRIPTION: ADD SEVERAL OUTLETS PER CAMERO PLANCK* CB920128 OCC GRP TYPE: ELEC CONSTR. TYPE NEW JOB ADDRESS: 1945 CAMINO VIDA ROBLE STR:** FL:**** STE: H APPLICANT: MACDONALD, KEVIN PHONE: 619 270-9892 CONTRACTOR: PHONE: OWNER: PHONE: — LtREMARKS: MH/270-9892 INSPECTOR _ SPECIAL INSTRUCT: YOU HAVE TO GO TO SUITE "OH TO GET DOOR OPEN FOR SUITE "H" TOTAL TIME: —RELATED PERMITS— PERMIT* TYPE STATUS CO920017 COFO ISSUED CD LVL DESCRIPTION ACT COMMENTS 39 EL Final Electrical ***** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP COMMENTS UMSCHflpUl^p, INSPECTION -—•—DATE -2V-7/12,- INSPECTOR PERMIT » PLANCK JOB ADDRESS TIME ARRIVE; TIME LEAVE: CD LVL DESCRIPTION ACT COMMENTS PERMITS 6/15/S9