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Home My WebLink About2628 EL CAMINO REAL; ; CB911442; Permit• • i'ot'25/91 12: 30 Page 1 of 1 B U I L D I N G Job Address: 2628 EL CAMINO REAL Permit Type: ELECTRICAL Parcel No: Valuation: 0 Construction Type: NEW P E R M I T Str: Permit Project Development Fl: Ste: No: CB91144'> Nn: '\) 1 f\ /)(_cG?V~ 4984 10/25/91 0001 01 02 C-PRHT 20.00 Occupancy Group: Class Code: Status : ISSUED Applied: 10/25/91 Apr/Issue: 10/25/91 Validated By : DC Description : TEMPORARY POWER POL Appl/Ownr : TEMPORARY UTILITY SERVICES 1167 LAW STREET SAN MARCOS, CA 92069 *** Fees Required *** Fees: Adjustments: Total Fees: 619 471-5494 ,00 .00 20.00 * * j, Fee description Ext fee Data Enter "Y" for Elec Enter ."Y" for Temp * ELECTRICAL TOTAL 10 .00 Y 10.00 Y 20.00 APPROVAL INSP.""'---__ DJat:.Lf ., '1 f CLEARANCE ____ _ CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION ~ V /-/C/</J.- City of Carlsbad Building Department EST. VAL _______________ _ 2075 Las Pal mas Dr., Carl sbad, CA 92009 (619) 438 1161 PLAN CK DEPOSIT ____________ _ VALID. BT ______________ _ 1. PERMIT TYPE DATE---------------- A O COMMERCIAL TENANT IMPROVEMENT 8 0 INDUSTRIAL ONEIi 0TENANT IMPROVEMENT C O RESIDENTIAL 0APARTHENT 0CONDO 0SINGLE FAHi LY DI/ELLING 0ADDITION/ALTERATION 0DUPLEX 0DEHOLIIION 0RELOCA110N 0HOBILE HOME 'i)ELECTRICAL 0PLUMBING 0MECHANICAL 0POOL 0SPA 0RETAINING IIALL Os6LAR 00THER _____ _ 2. PROJECT INFORMATION PLAN CHECK No. F Address ~"'~<iJ E.L c....A,n I IUO lcl"I-L Bu, lding or Suite No. Nearest Cross Streets LEGAL DESCRIPTION Un1 t No. Phase No. CHECK BELOII IF SUBIIITTED: 3. D 2 Energy Cales 02 Structural Cales D 2 so, ls Report D 1 Addressed Envelope ASSESSOR'S PARCEL EXISTING USE PROPOSED USE BLDG. SC. FTG. # OF STORIES CONTAC~ PEfSO~ l NAME V'\ll. \ C.. £,\ -e l -(_. SLotl CITY 0 a...,.,.__~(l,~ SIGNATURE DESIGNER Cl TY ADDRESS l { b 7 L C(..w st . q 'Z O b er ' DAY TELEPHONE L/ 7 ZIP COOE 0 AGENT FOR CONTRACTOR OOIINER OA~FOR OIINER ADDRESS /1_ /,7 ~ ~L. STATE <::A . ZIP COOE Cf7--0 6 1 DAY TELEPHONE 4 71-S</ q ~, ADDRESS 2.. ZIP COOE STATE ZIP COOE OAT TELEPHONE STATE LIC. # 7. WORKERS' COMPENSATION \Jork.ers• COfll)ensation Declaration: hereby afflrm that have a certlficate of consent to self·1nsure issued by the 01rector of Industrial Relations, or a cert, f icate of llorkers' C°"""nsat, on Insurance by an adni tted insurer, or an exact copy or duplicate thereof cert 1 f 1 ed by the D 1 rector of the insurer thereof filed with the Building In pect1on Department (Section 3800, Lab. C). INSURANCE COMPANY 5 fi POLICY NO. 3 -3S--z...._s--;XPIRATION DATE / /-I.-9 Certificate of Exefl'4)!1on: I certify that in the performance of the work for which this permit 1s issued, I shall not efl'4)loy any person 1n any manner so as to become st.bJ ect to the llorkers' C°"""nsat, on Laws of Cal I torn, a. SIGNATURE OATE 8. OWNER-BUILDER DECLARATION Owner Bu1lder Oeclarat1on: I hereby affirn that I am exeq:,t from the Contractor•s License Law for the following reason: 0 I as owner of the property or my efll)loyees with wages a<; the1r sole c~nsat1on, will do the work and the structure 1s 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 i~roves thereon,, and who does such work himself or through his own eo-ployees, provided that such '""rovcments are not intended or offered for sale. If, however, the building or i""rovemcnt 1s sold w1th1n one year of con.,let1on, the owner-builder will have the burden of proving that he did not build or '°"rove for the purpose of sale.). 0 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 '°"roves thereon, and contracts for such proJects with contractor(s) licensed pursuant to the Contractor's License Law). 0 I am exeo-pt under Section-----------Business and Professions Code for this reason: (Sec. 7031.5 Business and Professions Code: Any Cl!y or County which requires a permit to construct, alter, '°"rove, demol ish, or repair any structure, prior to 11s issuance, also requires the applicant for such permit to file a signed statement that he ,s licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, coom<'nc>ng with Section 7000 of D1vis1on 3 of the Business and Professions Code) or that he 1s exefl'4)t therefrom, and the basis for the alleged Uefl'4)t1on. Any v1olat1on of Section 7031.5 by any applicant for a perml! st.bJects the applicant to a civil penalty of not ..,re than five hundred dollars [S500J ). SIGNATURE DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY: ls the applicant or future building occupant required to st.bm1t a business plan, acutely hazardous materials reg1strat1on form or risk management and prevention program under Sect 1 ons 25505, 25533 or 25534 of the Presley· Tanner Hazardous St.bstance Account Act> Ons ONo Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? DYES ONO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site> DYES IF ANT Of THE ANSl,IERS ARE TES. A FINAL CERTIFICATE OF OCaJPANCT IIAT NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS NET OR I S IIEETIIIG THE RECIUIREIIENTS OF THE OFFICE OF EIIERGENCT SERVICES AIIO THE AIR POLLUTIOII CONTROL DISTRICT. 9. CONSTRUCTION LENuING AGENCY hereby affirm that there is a construction lending agency for the performance of the work for which this permit IS issued (Sec 3097Ci) Civil Code). LENDER'S NAME LENDER'S ADDRESS 10. APPLICANT 'S SIGNATURE I certify that I have read the appl1cat1on and state that the above 1nformat1on 1s correct. I agree to COIY1)1y with all City ordinances and State laws relating to building con-;trucllon. I hereby authorize repre..,cntat1vcs of the City of Carlsbad to enter upon the above mi:nt1onc-d pr,Jperty for 1nspcct1on purposes. I ALSO AGREE TO SAVE INOEMIIIFT AIIO KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JWQ!ENTS, COSTS ANO EXPENS(S IIHICH ICAY IN ANY IIAY ACCRUE AGAINST SAID CITT IN CONSEQUENCE OF THE GRANTING OF THIS PER"IT. Exp1rat1on. Every permit issued by the Building Official under the prov1s1ons of this Code shall expire by I1m1tat1on and become null and void if the building or work authorized by such permit ,snot conT'W'nced w1th1n 180 days from the date of such permit or of the bu1ld1ng or work author12ed by such permit 1s suspended or abandoned at any time alter the work 1s commenced for a p<'r>od of 180 days (Section 303(d) Uniform Bu1ld1ng Code>. 0 O\INER P'CONTRACTOR OBY PHONE APPROVED BY: DATE: WHITE: File YELLOW: Applicant PINK: Finance PERMIT# CB911442 DESCRIPTION: TEMPORARY POWER TYPE: ELEC CITY OF CARLSBAD INSPECTION REQUEST FOR 11/06/91 XMAS TREE LOT EL CAMINO REAL UTILITY SERVICES PHONE: INSPECTOR AREA PY PLANCK# CB911442 CCC GRP CONSTR. TYPE NEW STR: FL: STE: 619 •471-5494 JOB ADDRESS: 2628 APPLICANT: TEMPORARY CONTRACTOR: OWNER: REMARKS: RS/MICHELLE/471-5494 SPECIAL INSTRUCT: PHONE: PHONE: ~ 't/_ INSPECTOD4.,.......· TOTAL TIME: CD LVL DESCRIPTION 32 EL Const. Service/Agricultural I ***** INSPECTION HISTORY***** DATE 110491 103191 103091 DESCRIPTION Const. Service/Agricultural Const. Service/Agricultural Const. Service/Agricultural ACT INSP CO PD CO PD CA PY COMMENTS