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Home My WebLink About1950 HOSP WAY; ; CB900747; Permit(. " B U I L D I N G P E R M I T 05/07/90 11:05 Page 1 of 1 Job Address: 1950 HOSP WY Str: Permit Type: ELECTRICAL Parcel ~0: Valuation: 0 Construction Type: NEW Occupancy Group: Class Code: Description: ELEC PEDESTAL FOR CABLEVISION OWNER DANIELS CABLEVISION 5720 EL CAMINO REAL CARLSBAD,CA 92008 *** Fees Required *** *** Fees: Adjustments: Total Fees: Fee description Enter "Y" for Electric rJ:ssue Fee > Single Phase Per AMP > * ELECTRICAL TOTAL ($10 Minimum) CITY OF CARLSBAD Lie. Permit No: CB900747 Project No: A9000858 Development No : Fl: Ste: 5264 05/07/90 0001 01 02 C-PRMT 15.00 QA#loo7; Status: Applied Apr/Issue Validated By: ISSUED 05/07/90 05 -'07 /90 JPY 438-5241 .00 .00 15.00 *** Ext fee Data 5.00 Y 10.00 15.00 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 PERMIT APPLICATION 4\ V City of Carlsbad Building Department EST. VA.l _____ ~---------2075 Las Pal mas Dr., Carlsbad, CA 92009 1619) 438-1161 PLAN CK DEPOSIT ~ /5,--- 1. A B C 2. PERMIT TYPE TENANT IMPROVEMENT □NEW □TENANT IMPROVEMEIH OMMERC!AL 0 INDUSTRIAL □RESIDENTIAL □APARTMENT □CONDO □SINGLE FAMILY DWELLING □ADDITION/AL TERATJON □DUPLEX □DEMOLITION 0 MECHANICAL O POOL □RELOCATION □MOBILE HOME QELECTRICAL OSPA □RETAINING \.!ALL □SOLAR PROJECT INFORMATION PLAN CHECK No. Address HOsP W'I ,qn; Nearest Cross Streets foltr;.s, vlEW "'" VALID. 7' DATE LEGAL DESC11:IPTION Lot No. Sutx:livision Name/Nunber Unit No. Phase No. CHECK BELc.l IF SUBMITTED: Q2 Energy Cales ASSESSOR'S PARCEL 40 BLDG. SQ. FTG. s£1tv1cl:. 02 Soils Rep0rt foll # OF STORIES 01 Addressed Envelope EXISTING USE PROPOSED USE 3. CONTACT PERSON 4. 5. 6. 7. NAME («Al& ACi;11J Or\. CITY STATE SIGNATURE APPLICANT D CONTRACTOR 0 AGENT FOR NAME C!TY STATE PROPERTY OWNER Ol.lNER NAME CITY STATE CONTRACTOR NAME nANI E~S CM,U.VISJ0IJ ADDRESS ZIP COOE CONTRACTOR ADDRESS ZIP CODE ADDRESS ZIP COOE ADDRESS 0D'wNER S7"/..0 DAY TELEPHONE -'{2.-4, 0 AGENT FOR O.JNER DAY TELEPHONE □LESSEE □TENANT DAY TELEPHONE CITY CA/l(.,(!.IH:i 6t STATE Cf+ ZIP CODE '12.00i DAY TELEPHONE STATE LIC. # LICENSE CLASS CITY BUSINESS LIC. # SIGNATURE Od._-TITLE DATE DESIGNER NAME ADDRESS CITY STATE ZIP COOE DAY TELEPHONE STATE LIC. # COMPENSATION WORKERS' workers' Corrpensation Declaration: hereby affirm that have a certificate of consent to self-insure issued by the Director of Industrial Relations, or a certificate of Workers' Compensation Insurance by an a(l"llitted insurer, or an exact copy or duplicate thereof certified by the Director of the insurer thereof f i led with the Bui ld i ng Inspection Oepartment (Section 3800, Lab. C). INSURANCE COMPANY POLICY NO. /',N Certificate of Exemption: I certify that in the performance of the work for which so as to become subject to the Workers' Coopensation Laws of California. PH,.f, EXPIRATION DATE this permit is issued, I shall not etfl.)loy any person in any manner SIGNATURE c A, aL OATE 8. OWNER-BUILDE~ DECLARATION Owner·Builder Oeclaration: I hereby affirm that I am exempt from the Contractor's License Lai. for the follo.iing reason: DI 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 i.ho 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 oi.ner·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 i.ith 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 .iho builds or improves thereon, and contracts for such projects with contractor(s) /licensed pursuant to the Contractor's License La.i). ~ 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, cOllJilencing 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 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? □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 ls the facility to be constructed within 1,000 feet of the outer boundary of a school site' □YES IF ANY OF THE ANS\ERS ARE YES, A FINAL CERTIFICATE OF OCOJPANCY MT NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS MET OR IS N::ETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 9. CONSTRUCTION LENnING AGENCY hereby affirm that there is a construct ion lending agency for the performance of the work for which th is permit is issued (Sec 3097( i) Civil Code). LENDER'S NAME LENDER I S ADDRESS 10. APPLICANT'S SIGNATURE I certify that I have read the application and state that the abov information is correct. l agree to comply with all City ordinances and State lai.s relating to building construction. l hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE INOEIWIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, Jll)~NTS, COSTS ANO EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAIO 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 .iork author 1 zed by such permit is not coomenced within 180 days from the date of such permit or i f the bui ldi ng or i.ork author i zed by such per mi t is suspended or abandoned at any time after the .iork is cornnenced for a period of 180 days (Section 303(d) Uniform Building Code). APPLICANT'S SIGNATURE O a-.iNER ~NTRACTOR □BY PHONE APPROVED SY; DATE: WHITE: File YELLOW: Applicant PINK: Finance • PERMIT# CB900747 DESCRIPTION: ELEC PEDESTAL FOR TYPE: ELEC CITY OF CARLSBAD INSPECTION REQUEST FOR 08/08/90 CABLEVISION STR: JOB ADDRESS: 1950 HOSP WY APPLICANT: DANIELS CABLEVISION CONTRACTOR: PHONE: 438-5241 PHONE: OWNER: DANIELS CABLEVISION PHONE: 438-5241 INSPECTOR AREA PY PLANCK# CB900747 OCC GRP CONSTR. TYPE NEW FL: STE: REMARKS: T3/MH/JORETTA/438-5241 SPECIAL INSTRUCT: INSPECTOR -~t~r---------- TOTAL TIME: --RELATED PERMITS--PERMIT# 10644 TYPE ROW STATUS ISSUED LVL DESCRIPTION ACT COMMENTS CD 32 EL Const. Service/Agricultural ~.~A~~+------------- ------------------ ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS I l. Jjl ~ i"R~\~ 1b eiE 11,J DI~ ?811-JO $PE\NAU(. C..I) )II 0 CJ-~ 0 ~ 1JC0 i='T i ---~ G£N£RAL NOTES All trarrtc control devlct'S ""'st confor111 with tht' lates t edit ton or CAL !RANS lrarr le llanua I. lht' City Cnglnet'r or hts reprt'sentatlvt' has tht' authority to lnll latt' flt'ld changn to assurt' public safety. A II t raff le cont ro I dev ic~s sh., II be re,,,oved f ron, view wht'n not In USt'. llork hours to be restrlctt'd to 11:30 •·•· to 3:30 P·'"· I rrncht's '"'-'St be backf II led or p latt'd dur Ing non- work Ing hours. Pt'destrlan controls will be provided H shown. l""'l'Orary "NO PARKING" s lgns wl 11 be posted 24 hours pr lor to c°"""'nc Ing work . Access wl II be 1111lnlalnt'd to all driveways or other ~37>1:>V~ Vll3~0r l'15C J ~,~ ~ I l,i:j Z;Ji' ~,, NOTE ~ ~ SiC.N'> ~ ~ bl\ MIC.AO r;. '.l, I ~-'N ·t 1tue.1,· PiH\(-11.Jt;. () CO"-IE.':i i1990 ~LSBAL DF-1»-r 1-;-' :\vf\-<t , '}GO f-1 C. 2..2. ~ --------------· -· - < ':\ ~) c ~r~J ~ ')OD \'1 .:S\l>f;:Wl.\,),I,., c_2-'-t fl L 2., \vJY. ( .elCO ~ ') -Hos:> 4-~T_R)w'ER_;DP.PL '-f 4-25-.90 u.~. T.t>. \4, A::!, eno EL CAll'INO MAL CARL 98AO, CA. 92008 C6&9l 418-Tllll ~ ~