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HomeMy WebLinkAbout2707 LA DUELA LN; MP; CB901908; Permit.... B U I L D I N G P E R M I T rt!l.tnlt Project Development No: CB90190B No: A9002184 No: 12/06/90 11:25 Page 1 of 1 Job Address: 2707 LA DUELA LN Permit Type: ELECTRICAL Parcel No: Valuation: Construction Type: NEW Occupancy Group: 0 Description: IRRIGATION PEDESTAL Class Code: Appl/Ownr : RANCHO PONDEROSA HOA 2707 LA DUELA LANE CARLSBAD, CA 92009 **k Fees Required Fees: Adjustments: Total Fees: Fee description Enter "Y" for Ele tr Other * ELECTRICAL TOTA4 *** Str: 619 CllY OF CARLSBAD Fl: Ste: 9'18 ... 2 06 IQ " .. 01 M Status: Applied: Apr/Issue: ISSUED 12/06/90 12/06/90 DC Validated By: 436-4560 llected & Credits ,00 .00 15.00 *** t Ext fee Data 5.00 Y 10.00 IRRPEDSTi 15.00 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 PERMIT APPLICATION ~ "" City of Carlsbad Building Department EST. VAL ______________ _ 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PLAN CK DEPOSIT ___________ _ VALID. SY ______________ _ 1. DATE ________________ _ A PERMIT TYPE COMMERCIAL TENANT IMPROVEMENT 0 TENANT IMPROVEMENT 0 INDUSTRIAL □NEW □RESIDENTIAL □APARTMENT □DUPLEX 0oEMOLITION □MECHANICAL □POOL □CONDO □SINGLE FAMILY D\JELLING 0 ADDITION/AL TE RAT ION □RELOCATION □MOBILE HOME □ELECTRICAL □PLUMBING QsPA □RETAINING lJALL □SOLAR QOTHER INFORMATION PLAN CHECK No. Building Lot No. Subdivision Name/Nurber F Unit No. Phase No. CHECK BE LCM IF SlllMITTED: Q2 Energy Cales Oz Structural Cales qz Soils Report ASSESSOfl:' S PARCEL D 1 Addressed Envelope EXISTING USE PROPOSED USE ~~- BLDG. SQ. FTG. # OF STORIES 3. CONTACT PERSON 4. 6. 7. 8. NAME CITY SIGNATURE APPLICANT NAME NAME CITY SIGNATURE DESIGNER NAME CITY WORKERS' 0 CONTRACTOR STATE LIC. # COMPENSATION STATE ADDRESS ZIP CODE 0 AGENT FOR CONTRACTOR ADDRESS STATE OWNER STATE STATE STATE ZIP CODE ADDRESS ZIP COOE ADDRESS ZIP CODE LICENSE CLASS Tl TLE ADDRESS ZIP COOE DAY TELEPHONE □OWNER 0 AGENT FOR OWNER DAY TELEPHONE \vl DAY TELEPHONE DAY TELEPHONE C!TY BUSINESS LJC. # DATE 0AY TELEPHONE STATE LIC. # Workers' Con,>ensation Declaration: hereby affirm that have a certificate ot consent to self·insure issued by the Director of Industrial Relations, or a certificate of \Jorkers' C~nsation Insurance by an actnitted 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. E)(PIRATJON DATE Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to becooie subject to the \Jorkers' Coo-pensation Laws of California. SIGNATURE DATE OWNER-BUILDER DECLARATION Owner-Builder Declaration: I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 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 does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. !f, however, the building or improvement is sold within one year of CO!ll)letion, the owner·builder will have the burden of proving that he did not build or improve for the purpose of sale.). DI, 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 irrproves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). D 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, cOlllllencing with Section 7000 of Division 3 of the Business and Professions code) or that he is ex~t 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 CCJ,IIPLETE THIS SECTION fOR NON-RESIDENTIAL BUILDING PERMITS ONLY: Is the applicant or future building OCCl-pant 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 Pres\ey·Tanner Hazardous Substance Account Act? OYES ONO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0YES ONO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site' □YES 0,0 If ANY Of THE ANSWERS ARE YES, A FINAL CERTIFICATE Of OCaJPANCY NAY NOT BE ISSI.ED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS Of THE OFFICE Of EMERGENCY SERVICES ANO THE AIR POLLUTION CONTROL DISTRICT_ 9. CONSTRUCTION LEN3ING AGENCY hereby affirm that there is a construction lending agency for the performance of the work for lo'hich this permit is issued (Sec 3097(i) Civil Code). LENDER IS NAME LENDER'S ADDRESS 10. APPLICANT'S SIGNATURE J certify that I have read the application and state that the above information is correct. I agree to comply i.ith 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. 1 ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST AU LIABILITIES, JlDGMENTS, COSTS ANO EXPENSES WHICH NAY IN ANY \JAY ACCRUE AGAINST SAID CITY IN COMSECIJENCE OF THE GRANTING OF THIS PERMIT. Expiration. Every permit issued by the Building Official under the provisions of this Code shall eKpire by limitation and become null and void if the building or lo'Ork authorized by such permit is not c001Tienced lo'lthin 180 days from the date of such permit or if the building or work authorized by such permit is suspended fter the work is c00111enced for a pc~'od of 180 days (Section 303(d) Uniform Building Code). □ mmER CONTRACTOR □BY PHONE APPROVED BY: -------- DATE: HITE: File YELLOW: Applicant PINK: Finance .- CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB901908 FOR 12/13/90 DESCRIPTION: IRRIGATION PEDESTAL TYPE: ELEC JOB ADDRESS: 2707 LA DUELA LN APPLICANT: RANCHO PONDEROSA HOA CONTRACTOR: OWNER: REMARKS: MH/VERONICA/753-6789 SPECIAL INSTRUCT: TOTAL TIME: CD 39 LVL DESCRIPTION EL Final Electrical ------------------ ------------------ PHONE: PHONE: PHONE: . ··---~----·-•··------ INSPECTOR AREA PY PLANCK# CB901908 OCC GRP CONSTR. TYPE NEW STR: FL: STE: 619 436-4560 ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS