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Home My WebLink About1947 CAMINO VIDA ROBLE; BLDG A; CB900031; PermitBUILDING PERMIT 01/11/90 11:43 Page 1 of 1 Job Address: 1947 CAMINO VIDA ROBLE Str: Permit Type: ELECTRICAL Parcel No: Valuation: 0 Construction Type: NEW Occupancy Group: Description: TEMP POWER POLE Permit No: Project No: Development No: Fl: Ste: "'Sxi '•'-. ,'lf. A"Vl 'V'.-'V* :\J: CB900031 A9000033 Class Code:Status: Applied : Apr/Issue : Validated By. ISSUED 01/11/90 01/11/90 JPY CONTRACTOR *** RENE ELCT 5981 FAIRMOUNT AVENUE SAN DIEGO CA 92120 Fees Required *** *** Lie. C 373863 Collected & Credits ** * Fees: 15,00 Adjustments: .00 Total Fees: 15,00 Fee description Units . 00 .00 15.00 Ext fee Data Enter "Y" for Electric Issue Fee > Enter "Y" for Temporary Service > * ELECTRICAL TOTAL ($10 Minimum) 5. 00 Y 10.00 Y 15.00 CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 PERMIT APPLICATION City of Carlsbad Building Department 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-iiei 1. PERMIT TYPE A - G COMMERCIAL LJNEW LJ TENANT IMPROVEMENT _ B - D INDUSTRIAL QNEW QTENANT IMPROVEMENT c - DRESIOENTIAL C]APARTMENT QCONDO OSINGLE FAMILY DWELLING QADDITION/ALTERATION DDUPLEX noEMOLiiiON QRELOCATION n«OBRE HOME TJJ^ELECTRICAL n*ECHANICAL DP°OL D SPA QRETA1NING WALL QSOLAR EST. VAL PLAN CK DEPOSIT VALID. BY DATE 2 PROJECT INFORMATION PLAN Address iCftf 7 £ A/W M/C ViVA ftb&L£ Nearest Cross Streets J"~l •*_ CHECK No. C~Q 'rO-Si/ Building or Suite No> LEGAL DESCRIPTION Lot No. Subdivision Name/Number CHECK BELOU IF SUBMITTED: dU Energy Calcs Q? Structural Calcs ASSESSOR'S PARCEL DESCRIPTION OF Uofik _^_ - /) -^7~l£Mr rQ tvc* BLDG. SO. FTC. Q2 Soils Report F~] 1 Addressed Envelope EXISTING USE PC U& AO-^ CoA'S/^<-'C-/ l&f~* H OF STORIES FOR OFFICE USE ONLY Unit No. Phase No. PROPOSED USE 3. 4. CONTACT PERSON NAME JX\A^»CS Loll CITY SAtf L \J\ SIGNATURE VOl/U'ljO'VJe^V APPLICANT D CONTRACTOR NAME ^-^ CITY ADDRESS $?**' r/4~i STATE CA* ZIP CODE *? *-/"2- — G AGENT FOR CONTRACTOR QOWNER ADDRESS STATE ZIP CODE • £-t*Q - ^-T /4-f/ET DAY TELEPHONE ^^° '"J J D AGENT FOR OWNER DAY TELEPHONE 5. PROPERTY OWNER DLESSEE QTENANT ZIP CODE 6. CONTRACTOR NAME /?£X/<5 (? CITY 'C,.A/*J 0i£&t> SlGNATMRfXO^^M) tV* ADDRESS ZIP CODE ^ Z-/Z»S LICENSE CLASS TITLE DAY TELEPHONE CITY BUSINESS LIC. # *^ '^* DATE DESIGNER NAME ADDRESS DAY TELEPHONE STATE LIC. * 7. WORKERS' COMPENSATION Workers' Compensation Declaration: 1 hereby affirm that I have a certificate of 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 WO.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' Compensation Laws of California. SIGNATURE 8, OWNER-BUILDER DECLARATION Owner-Builder Declaration: I hereby affirm that I am exempt from the Contractor's License Law for the following reason: I as owner of the property or my employees uithWages 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: CSec. 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 Prolessions 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? DIES QNO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? DYES QNO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? DYES QNO IF AMY OF THE ANSWERS ARE YES, A FIMAL CERTIFICATE OF OCCUPANCY MAY MOT BE ISSUED AFTER JULY 1, 1989 UKLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTSOF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION COMTROL DISTRICT. 9. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued CSec 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. I ALSO AGREE TO SAVE INDEMNIFY 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 paorij t is not comnenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended "he work is commenced for a period of 180 days (Section 303(d) Uniform Building Code).abandoned at any tt I OWNER QCONTRACTOR APPROVED BYy__ DATE: ////"! WHITE: File YELLOW: Applicant PINK: Finance DATE UNSCHEDULED INSPECTION I fa !*?» INSPECTOR AM^ /PERMIT # <^& ^(Tb& 3/ PLANCK # JOB ADDRESS 'C^** / 9 TIME ARRIVE: TIME LEAVE: CD LVL DESCRIPTION ACT COMMENTS (33-