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Home My WebLink About217 OLIVE AVE; ; CB941497; Permit11/16/94 1 4:12 Page 1 of 1 B U I L D I N G 1 Job Address: 217 OLIVE AV Permit Type: ELECTRICAL Parcel No: 206-092-16-00 Valuation: O Construction Type: NEW P E R M I T Suite : Lot#: Permit No: CB941497 Project No: A9402194 Development No : 9600 11/16/94 0001 01 C-PRHT 02 25-00 Occupancy Group : Reference#: Status : ISSUED 11/16/94 11/16/94 MOP Description: 0/H TO U/G CONVERSION Appl/Ownr : FREDRICKS ELECTRIC 2211 NEWCASTLE AVE CARDIFF , CA . 92007 ¾-I<* Fees Required Fees : Adjustments : Total Fees : Fee description Enter "Y" for Elec t fi Remodel/Alter Per AMP * ELECTRICAL TOTAL *** Applied : Apr/Issue: 619 Entered By: 436-9172 Fees Co l lected & Credits Total Cre dits : Total Payment s : Balance Que: .00 .Ou 25.00 * )( * Vnits Fee/Unit Ext fee Data .2 5 10.00 Y 15.00 25 .00 ~J-APPROVAL / 11NS~ DATE /•/; ·f S jcLEARANCE ___ _ CITY OF CARLSBAD 2075 Las Palinas Dr., Carlsbad, CA 92009 (619) 438-1161 ' ~ PERMIT APPLICATION PLAN CHECK NO. t1f v( _ l ~\ '17 City of tarlsbad Building D-rt...t Z075 Las PalES Dr., carlsbad, CA 92009 (619) 438-1161 i. PmlMl i IWR From Llst 1 (see back) give code of Pennie-Type: ___________ _ l ~V~DEPOSIT _______ _ VAIID. BY __________ _ DAU! For Residential Projects Only: From Llst 2 (see back) give Code of Structure-Type: ____________________ _ Net Loss/Gain of Dwelling Units 2. PROJF.C'f INFORMATION FOR OFFICE USE ONLY Address Z/1 Nearest Cross Street 8u1ldmg or Suite No. Ce..~ i J e It c. e. am um r mt o. CHECK BEWW IP SOBMII IEO: □ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope ASSESSOR'S PARCEi. EXISTING USE DESCRIP'TIONOFWORK o./ ff ~-J;i; (..(.,/ G-No SQ. Ff. # OF STORIES # OF BEDROOMS PBOPQSED USE lfl.cre4. s-e # OF BAlllROOMS 3. WN IACI PERSON (I[ dufefeni from appltcan0 NAME (last.name first) s ..... "' e.. ADDRESS CI1Y STATE ZIP CODE DAY TELEPHONE 4. APPilCANI QtONIRACIUR UAGENI FORCONIRACIOR DOWNER OAGENI FOR OWNER NAME (last name first) 5 ..._ W\ e_ ADDRESS CI1Y STATE 5. PROPFJtli OWNER NAME (last name first) 'f::o... r k C\. 5 CI1Y STATE 6. CDN iitACluk p 1 • I-NAME (last name first) r C4 JI" I C. J' S CI1Y CA,,. J,' f. f'-STATE Cl/- STATE I.IC.# as name 1rst CI1Y 7. WOkkl!RS' WMPENSAIION N.6n e. STATE ZIP CODE DAY TELEPHONE ADDRESS ZIP CODE DAY TELEPHONE E'!ec~1~DR1.ss z.z..11 Newc...dt..s-f-l e. Cl ve. ZIP CODE '1zoo1 DAYTELEPHONE '1.3 &-'71 7 ~ r LICENSE CLASS C -/ 0 CI1Y BUSINESS I.IC. # C> A/ :f ~ 1.-<:: ZIP CODE DAY TELEPHONE STATE I.IC.# Workers' Compensation Declaranon: I hereby afhrm ihat I have a certthcate of consent to self-msure issued by the D1rector of industnal 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 I Certthcate of Exemptton: I certify that m the performance of the work for which ibis penn1t IS JSSued, I shall not employ any person many manner so as to become subject to the Workers' Compensation Laws of c.alifomia. SIGNATURE DATE 8. OWNPJt-BOttnm ITuCDUtAJION □ □ □ Owner-Builder Declaration: I hereby afhrm that I am exempt from the Confradofs Llcense Law for the ioiiowmg 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 Llcense 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 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 DAU! COMP11.!IE IHIS SECilON FOR NON-RESIDEN IlAt BOILDING PEkMIIS 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? □YES □NO Is the applicant or future building occupant required to obtain a permit from the air pollution control disoict or air quality management disoict? DYES □NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ YES □ NO IF ANY OF 1llE ANSWERS ARE YES, A FINAL CERTIFICATI! OF oa:IJPANCY MAY NOT Bl! ~ AFTI!R JULY 10 1989 UNLESS 1111! APPLICANT HAS MET OR IS MmIDIG 1llE REQIJIREMENTS OF 1llE OFFICE OF EMERGENCY SERVICES AND 1111! AIR POLLIJ110N CDNTilOL D1511UCT. 9. WNSIRUCIION LRNillNG AGENCY I hereby afhrm fiat inere 1s a construcuon lend mg agency for ine performance of ine work for which in1s permit 1s ISSUed (Sec 3097 (I) CivU Code). LENDER'S NAME LENDER'S ADDRESS 10. APPIJCANI cmtlll'JCAiiUN I certUY ilia[ I have read ine apphcauon and state that the above mformac1on 1s 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 AUD AGREE lU SAVE INDl!MNIFY AND Kl!EP HARMLESS 1llE CTIY OF CARISIIAD AGAINSf All IJABIIJTIES, JUDGMENTS, CXlSTS AND EXPENSES WIIlCH MAY IN ANY WAY A£DUJE AGAINSf SAID CTIY IN CDNSEQ\JENCE OF 1llE GRAN11NG OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over S'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 withm 36S days from the date of such permit or if the building or work authorized by such permit is suspended or abandon,<! a ny ti after the wo is commenced for a period of 180 days (Section 303(d) Unifonn Building Code). APPLICANTS SIGNATURE DATE: 0 PERMIT# CB941497 DESCRIPTION: 0/H TO U/G TYPE: ELEC CITY OF CARLSBAD INSPECTION REQUEST FOR 01/11/95 CONVERSION INSPECTOR AREA PD PLANCK# CB941497 OCC GRP CONSTR, TYPE NEW JOB ADDRESS: 217 APPLICANT: FREDRICKS CONTRACTOR: OLIVE AV ELECTRIC STE: LOT: PHONE: 619 436~9172 OWNER: ~:g~:; ~ I ""\' /JI/ REMARKS: MW/MIKE/436-9172 SPECIAL INSTRUCT: WILL CALL IN AM TO SET INSPECTOR(.7)/(;(~ ' TIME TO MEET YOU TOTAL TIME: LVL DESCRIPTION ACT coMMpTs CD 39 EL Final Electrical 4zQ_ V. Al A--t---------fl-------'-'+"-"'--'--'---=----- ------------------ ***** INSPECTION HISTORY***** DATE DESCRIPTION 010995 Final Electrical ACT INSP CO PD COMMENTS DOGS IN YARD