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Home My WebLink About2288 CAMINO ROBLEDO; ; CB983234; Permit0 - * - BUILDI 09/25/98 09:18 Page 1 of 1 Job Address: 2287 "CABLE BARCELONA Permit Type: ELECTRICAL Parcel No: Valuation: Occupancy Group: Description: 100 AMP METER PED : LA COSTA VALLEY Appl/Ownr : VILLAGES OF LA COSTA 450 B STREET #620 SAN DIEGO CA 92101 Fees Required *** NG PERMIT Suite Permit No Project No Development No CB983234 A9804217 Reference#: Construction Type Status Applied Apr/Issue Entered By 760 929-2701 ** *lected & Credits Fees : Adjustments: Total Fees: Fee description Enter "Y" for Electri Remodel/Alter Per AM NEW ISSUED 09/25/98 09/25/98 JM *** .00 .00 35.00 Ext fee Data 10.00 Y 25.00 /25/9B 0001 01 02 C-PRMT 35-00 FINAL APPROVAL INSR.DATE CLEARANCE CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 'ERMIT APPLICATION CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760)438-1161 1. PROJECT INFORMATION 2287 Camino Robledo FOR OFFICE USE ONLY PLAN CHECK NO. EST. VAL. Plan Ck. Deposit Validated By Date Address (Include Bldo/Sulte *) Tract 13386 Legal Description1 255-272-72 480 Arroyo La Business Nam* Ut this address) Costa / 88-03 2 Lot No.Subdivision Name/Number Unit No.Phise No.Total * ol units Open Space Assessor's Parcel *100 AMP,Existing Usa Proposed Use Single Phase Electrical meter pedistal irrigation controller Description of Work SO. FT.fof Stories i of Bedrooms * of Bathrooms [a.-' "CONTACT PERSON III different from epplcant) ^»3NI«W^ : -T U '.-' Tim O'Gradv P.O.Box 9000-685 CArlsbad CA QSnift-QQQQ (7fiQ )Q2Q-37(11 Name Neme 4. Addraas City Stale/Zip Telephone * Fax *-. ri^ Villages of La rost-.a finiij-.hw^Bi- T..T..P. <mn "P" .en- #620 i^ Vi 1 lagp.g nf T.a Addresa City T..T..P State/Zip ' Telephone I L;3iM((;6fl 9<)S1 5-563 #62Qj.San Diego 921Q1 Address Clly State/Zip Telephone *Neme 6. 'CONTRACTOR- (Sec. 7031.6 Business and Professions Code: Any City or County which requires a permit to construct, altar. Improve, demolish or repair eny structure, prior to (is Issuance, also requires the applicant for such permit to tile e signed statement that he Is licensed pursuant to the provisions of the Contractor's Means* Lew [Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or thet he Is exempt therefrom, and the basis for tha alleged exemption. Any violation of Section 7031.6 by any applicant for a permit subjects the applicant lo a civil penalty of not more than live hundred dollars 1*6001). Scnillincr Corpo Name "Cljt^A^fc State License f 4Rp1 53 ration P.n. Address License Class Rnv 71QQ02 A ^ante*3 nh OSQ?"3 (619)-448-5392 City ' "Stale/Zip Telephone I City Business License f 770300 EXP. 5/31/QQ Address City Slala/Zip TelephoneDeslaner Name | State License * r 6. WORKERS'COMPENSATION : < i ; ,, • Workers' Compensation OeclefeUon: I hereby affirm under penally ol perjury one of the following declarations: Q I have and will maintain a certificate of consent to sell-insure for workers' compensation as provided by Section 3700 of the Labor Coda, for tha performance of the work for which this permit Is Issued. Q I have andjjvill maintain workers' compensation, as required by Section 3700 of tha Labor Coda, for the performance of the work for which this porniit is issued. My worker's compensation Insurance carrier and policy number are: Insurance Company Policy No.Expiration Data (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS IMOOI OR LESS) Q CERTIFICATE OF EXEMPTION; I certify thet In the performance of tha work for which this permit Is issued, I shall not employ any parson in any manner so as to become subject to the Worker*' Compensslion Lawa of California. WARNING: Failure to aecure workers' compensation coverage Is unlawful, and aha* subject an employer to criminal penalllaa and civil llnaa up lo one hundred thousand dollars 1(100.000), In addition lo the cost of compensation, damages ee provided for In Section 3706 of the Labor coda, Interest and attorney's foes. SIGNATURE DATE 7. OWNER-BUILDER DECLARATION 'f ? • ••"••.•'_ - •' v-.u '^••••••l! f.,/.;.,,.,...:, . ... .: -fi^. jrni. , .,*•)••• I hereby affirm that I am exempt from the Contractor's License Law for the following reeson: ' ; Q I, es owner of the properly or my employees with wages aa their sole compensation, will do the work and the structure is not intended or offared lor sain (Sec. 7044, Business and Professlona Coda: The Contraclor'a License Law does not apply lo an owner of property who builds or Improves thereon, end who dons such work himself or through his own employees, provided that such improvements ere 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 thet he did not build or Improve for the purpose of sale). B I, as owner of the property, am exclusively contracting with licensed contractors lo construct tha project (Sac. 7044, Business end Professions Coda: The Contractor's License Law doas not apply to an owner of properly who builds or improves thereon, and contracts for such projects with contractor!).) licansad pursuant to tha Contractor's License Lew). D I am exempt under Section Business and Professions Coda for this reason: 1. I personally plan to provlda lha major labor and materials for construction ol lha proposed properly Improvement. Q YES (UNO 2. I (have / have not) signed an application lor • building permit for the proposed work. 3. I have contracted with the following person (firm) to provide tha proposed construction (include name / address / phone number I contractors license number): Schilling Corporation (see above) 4. I plan to provide portions of the work, but I have hired the following person lo coordinate, supervise and provide the major work (include name / address / ptiona number I contractors license number): . ,_-,,...-—. 6. I wlH provide some of the work, but I have connected (hired) the following persons lo provide the work Indicated (include name / address / phona number / type of work): PROPERTY OWNER SIGNATURE 'COMPILE THIS BECllON FOR WJWttfcibfl^ :H'' f ': :. M '» . Is tha applicant or future building ocAupfnl required to submit e business plan, acutely hazardous materials registration form or risk management and pravantion program under Sections 26BOB, 25633 or 26534 of the Presley-Tanner Hazardous Substance Account Act} Q YES Q HO Is the applicant or future bidding occupant required to obtain e permit from the air pollution control district or air quality management district? Q YES Q t-IO Is the facility lo be constructed within 1,000 feet of lha outer boundary of e school site? O YES Q NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OH IS MEETING THE REQUIREMENTS OF THE OFFICE OP EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. (8," ^CONStBOCTlOlirUMblNofAOEMCV^ • '"'"'' '' '•-'•! ' • ' . ' ! . I hereby affirm that there Is e construction lending agency for the performance of the work for which this permit Is Issued (Sac. 3097|i) Civil Codol. LENDER'S NAME LENDER'S ADDRESS IB. ~ APPUCANf CERtlFICAti6N'1?Hll^W •'• ••'"• * '•• ' '' •' I certify that I have reed the application end stale lhat the ebova Information la correct end that the tnlormetlon on the plans la accurate. I agrtte lo comply wiih all City ordinances and State lews relating to building construction. I hereby authorize representatives of lha CUV of Carlsbad lo enter upon lha above mentioned property for Inspection purposes. I ALSO AGREE TO SAVE. INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST AIL LIABIIITIES. 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 6'0' deep end demolition or construction of structures over 3 stories EXPIRATION: Every permit Issued by the Building Official under lha provisions of this Code sheH expire by limitation and become null and void if Ilia building or work authorlied by such permit Is not commenced within 366 days from the date of such permit or if the building or work suihomuJ by such permit is or abandoned et eny time after the wfltkJi commenced for a period of 180 days (Section 106.4.4 Uniform Building Coda). APPLICANT'S SIGNATURE DATE