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Home My WebLink About2873 HIGHLAND DR; ; CB900298; Permit► • 02/21/90 14:23 Page 1 of 1 B U I L D I N G P E R M I T Str: Permit Project Development Fl: Ste: No: CB900298 No: A9000393 No: --s 01 i.;-RMf Job Address: 2873 HIGHLAND DR Permit Type: ELECTRICAL Parcel No: 156-190-47-00 Valuation: 0 Construction Type: NEW Occupancy Group: Class Code: Status: ISSUED 02/21/90 02/21/90 JPY Description: TEMP POWER POLE OWNER DOAN, LARRY 725 NORHT AV VISTA, CA 92083 *** Fees Required *** Fees: Adjustments: Total Fees: Fee description 15.00 .oo 15 .00 *** Lie. Applied Apr/Issue Validated By: 758-0268 Fees Co l lected & Credits *** Total Payments : Balance Du e : Units Fee/Unit .00 .00 15.00 Ext fee Data ----------------------------------------------------------------------------Enter "Y" for Electric Issue Fee > Enter "Y" for Temporary Service > * ELECTRICAL TOTAL ($10 Minimum) CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 5.00 Y 10.00 Y 15.00 PERMIT APPLICATION ,A. V City of Carlsbad Building Department EST. VAL. ______________ _ 2075 Las Palmas Dr., Carlsbad, CA 92009 (6191 438-1161 1. A B C 2. PLAN CK DEPOSIT ___________ _ VALID. BY ______________ _ PERMIT TYPE DATE _______________ _ 0 COMMERCIAL TENANT IMPROVEMENT 0 INDUSTRIAL ONHI □TENANT IMPROVEMENT □RESIDENTIAL □APARTMENT QC0ND0 □SINGLE FAMILY DWELLING □ADDITION/ALTERATION □DUPLEX □DEMOLITION □RELOCATION □MOBILE HOME ~CAL □PLUMBING □MECHANICAL □POOL OSPA □RETAINING w'All □SOLAR F Address LEGAL DESCRIPTl<ll Lot No. Sutx:livision Name/Number Unit No. Phase Ho. CHECK BELO., If SUBMITTED: 3. 6. 7. 8. Q2 Energy Cales ASSESSOR'S PARCEL 02 Structural Cales OESERIPI ION Uf wORk BLDG. SQ. FTG. CONTACT PERSON ""5wx,k-l~t £,i? CITY e)S.0 Q SIGNATURE DESIGNER NAME CITY ½ TRACTOR WORKERS' COMPENSATION q2 Soils Report D 1 Addressed Envelope E)(!STJNG USE P'1:0POSEO USE # Of STORIES ADDRESS STATE c._,,.,.... ZIP COOE l2i 70s1..{, DAY TELEPHONE 0 AGENT FOR CONTRACTOR ADDRESS OowNER AGENT FOR O!JNER STATE~oJ\-ZIP COOE °' ""Z...DS\,o DAY TELEPHONE 0!JNER STATE STATE Ch-- . . □LESSEE ADDRESS ')2$' >')O\ll'I,'\~ DAY TELEPHONE ADDRESS lR '2,lo (z,(.../1.,~ ZIP CDDE °J?D5v DAY TELEPHONE □TENANT LICENSE CLASS ___.____ CITY BUSINESS LIC. # STATE TITLE ADDRESS ZIP CODE DATE DAY TELEPHONE STATE LIC. # Workers' Corrpensat1on Declaration: hereby affirm that have a certificate of consent to self·insure issued by the Director of Industrial Relations, ore certificate of Workers' Corrpensation Insurance by an adTiitted insurer, or an e11act 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 certificate of E11emption: 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 become subject to the Workers' Compensation Laws of California. SIGNATURE DATE OWNER-BUILDER DECLARATION Owner-Builder Declaration: I hereby affirm that I am e11empt 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 i.ork and the structure is not intended or offered tor sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or irJllroves 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.). ~ner of the property, am e11clusively 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 i.ith contractor(s) licensed pursuant to the Contractor's License Law). 0 I am exempt under Section ____________ Business and Professions Code for this reason; (Sec. 7031.5 Business and Professions Code: prior to its issuance, a~~-""-l' Contractor's License and the basis for the more than five Any City or County which requires a permit to construct, alter, irrprove, demolish, or repair any structure, licant for such permit to file a signed statement that he is licensed pursuant to the provisions of the g with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, elation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not SIGNATURE DATE Is the applicant or future building occupant required to submit a bus ess plan, acutely hazardous materials registration form or risk. management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Haz ous Substance Account Act? □YES 0NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Oves □No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Oves IF ANY OF THE ANS\E:11:S ARE TES, A FINAL CERTIFICATE Of OCOJP~CY MY NOT BE ISSUED AFTER JULT 1, 1989 UMLESS THE APPLICANT HAS PET OIi IS MEETING THE REQUIREMENTS OF THE OFFICE Of EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 9. CONSTRUCTION LENDING AGENCY hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(i) Civil Code). LENDER'S NAME LENDER'S ADDRESS 10. APPLICANT'S SIGNATURE I certify that I have read the application and state that the above information is correct. ! agree to comply with all City ordinances and State lai.s relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY Of CARLSBAD AGAINST All LIABILITIES, JLOGMENTS, COSTS AND EKPENSES WHICH KAY IN ANY MAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. E11piration. Every permit issued by the Building Official under the provisions of this Code shall e~pire by limitation and become null and void if the building or work authoriled by such permit is not conmenced i.ithin 180 days from the date of such permit or it the building or work authorized by such permit is suspended after the work Is cOl!fllCnccd for a period of 180 days (Section 303(d) Un1for. Building Code). □ O.JNER □ CONTRACTOR APPROVED 6Y: ______ _ DATE; WHITE: File YELLOW: Applicant -------· ~~--•"<" _________________________ _ .. UNSCHEDULED INSPECTION p. \ __ DATE INSPECTOR lfv\_-'L-~l.,5,.0 ¥ --------- PE RM IT#_______ PLANCK# ______ _ JOB ADDRESS __ ___,-z.,:::::...::...n...!.· _5L---..!.P--.-,0+L.::;_l.:,..o._""~~..::::...,_ _____ _ TIME ARRIVE: _____ TIME LEAVE: _____ _ CD LVL DESCRIPTION ACT COMMENTS ~-------f}{J ___ _