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Home My WebLink About2634 EL CAMINO REAL; ; CB930591; Permit. . ., Es u : L D I N G P E R M I '" Permit Ne: C:B 3 159. C6/17/'-f3 15:09 P1ge f 1 J t> Al lr ('S-: 2.t> 34 E .... CAM NO REAL Permit Type: EL~CTR CA Ic1rce~ No: Vulu t1on: ur. trur·ticn Type: NEW >ccupdncy Gt OUE : 0 D scription: TEMP. POWER POLE Appl;Ownr : HEDENKAMP & ASSOC. 1 31 IN~IA STREET SAN DIEGO, CA. 9 l I-<"es Requ .LI ed t es: Adjustment..;: 'Iota~ Fees: FeE" description Ent.er· "Y for Elec F.ntei: "Y' for Terop * ELEC~RICAL TOTAL Suite: :::, t#: Ref •renC'E #: PI.OJCCt No: A9JvOe Devf•lo[) 1ent Ne,: 2785 <16/" 71cn: -.001 Ol 02 c_,"' \ :2..l~ ~-PRW-20-00 .:>tdtU. : Applied: Apr/ ssue: MDP 619 232 -3li En tE'rE" 1 By: 4 CITY OF CARLSBAD & ere ·ts .oo . 0 20.00 Ext f u Datu 10.00 Y 10.00 Y 20. Cl 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION PLAN CHECK NO. City of carlsbad Building Department 2075 Las Pal.u. Dr., tarlsbad, CA 92009 (619) 438-1161 L\t__c_ 1. PMM1 I i'YPE A • LI Commercial O New Building LI Tenant Improvement B -D Industrial D New Building O Tenant Improvement C -0 Residential O Apartment O Condo O Single Family Dwelling O Addition/ Alteration 0 Duplex O Demolition O Relocation O Mobile Home O Electrical O Plumbing 0 Mechanical O Pool O Spa O Retaining Wall O Solar D Other ___ _ 110N FOR OFFICE USE ONLY o. Lot No. Subd1V1s1on Name/Number Unit No. Phase No. CAECR BEWW IF SOBMII IEb: D 2 Energy Cales a 2 Structural Cales a 2 Soils Report D l Addr~ Envelope ~EL EXISTING USE PROPOSED USE 3. WN IAC'I PERSON (u dulerent lrom apphcanl) NAME ADDRESS CI1Y STATE ZIP CODE DAY TELEPHONE ~;J)g~~ff;f;tf6 ADDRESS /0/t:ff) ~(/_5, /?CJ//,/T ~ 1/5' ITY 5/;-µ/;?/GTGO STATE CP ZIP CODE cy-;;;y.;;;.J DAYTELEPHONE 5~C? -;;;J..(poo ADDRESS CITY C)lJ-' r-1 t.n__ STATE ZIP CODE DAY TELEPHONE D~NAME CITY STATE UC.# STATE LICENSE ClASS ADDRESS ZIP CODE CITY BUSINESS UC. # DAY TELEPHONE STATE UC.# 1. WOIUG:RS' CDMPENSAl10N Workers' Compensauon Oedarauon: I hereby all1rm that I have a certificate ol consent to sell-msure issued by the Director ol lndustnal 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 Ceruhcate of Exempuon: I ceruly ffiat in the performance ol ffie work tor which this permit 1s issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE 8. dWNER-BUllDER DF1:i.AltA11dN D D owner-Builder Declarauon: I hereby aihrm that I am exempt lrom the Contracto?s License Law for the following 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 License Law does not apply to an owner of property who builds or improves thereon, and who docs 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 ppr nt to a c· ·1 nalty of not more than five hundred dollars ($500)). SIGNATIJRE DATE 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? DYES ONO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES ONO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES ONO IP ANY OF nm ANSWERS ARE YES, A FINAL CERTIFICATE OF OCOJPANCY MAY NUT BE l5.5UED AFTER JULY 1, 1989 UNLESS TIIE APPUCANT HAS MET OR IS MEETING TIIE REQUIREMENTS OF TIIE OFFICE OF EMERGENCY SERVICES AND TIIE AIR POl1.lITION OONTROL DISTRJCf. 9. CDNS'IROCl10N LENOCNC At:ENcV I hereby all1rm that there 1s a construcuon lending agency for ffie performance of the work for which this permit 1s issued (Sec 3097(1) CIVli Code). LENDER'S NAME LENDER'S ADDRESS to. AJ>PUCAN't CER'rn1cA11dN I ceruly iliac I have read the apphcauon and state that ffie above inlormauon 1s correct. I agree to comply with au 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 AISO AGREE m SAVE INDEMND'Y AND KEEP IIARMLESS TIIE crrv OF CARISBAD AGAINST All. UABlUl1ES, JUDGMENTS, CDSTS AND EXPENSES WIDOI MAY IN ANY WAY Aa:RUE AGAINST SAID crrv IN CDNSF.QUENCE OF lllE GRANTING OF nos PERMIT. OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Expiratipn. Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the build" g or work authorized by such permit is not commenced within 365 days from the date of such permit or if the building or work authorized by su permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code). DATE: ___ ~--- YEU.OW: Applicant PINK: Finance UNSCHEDULED INSPECTION INSPECTOR~ z. PLANCK·------~ TIME ARRIVE: ____ TIME LEAVE: ____ _ co LVL DESCRIPTION -/=--:~/;>& &? I PERMITS 6/15/89 .~. ACT COMMENTS