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Home My WebLink About1374 SHOREBIRD LN; MP; CB981651; Permit05/29/98 12:33 Page 1 of 1 8 U I L D I N G Jot) Address: 1374 SHOREBIRD LN Permit Type : E~E TRICAL Parcel No: Valuation: 0 PERMIT Permit No: CB981651 Suite: 1-1\:f Lot#: ProJect No: A9802199 Development No : Occupancy Group: Reference#: Construction Typ~: NEW Status: ISSUED Applied: 05/29/98 Apr/Issue: 05/29/98 Entered By : B1 619-481-81518 05/29/98 0001 01 02 Description: 100 AMP PEDESTAL METER Appl/Ownr : BROOKFIELD HOMES 12865 POINTE DEL MAR DEL MAR CA 92014 Fees Required ---------------------------- Fees: AdJustrnents: Total Fees: Fee description Enter "Y" for Elect Single Phase Per C-PRMT 35. 00 Credit:; ------------------------- .OU .00 35.00 Ext fee Data 10.00 Y 25.00 PROVAL INSP.-li,,,,,,li~.,__-DATE (2-/ -7? CLEARANCE CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION FOR OFFICE USE ONLY (4 /1 PLAN CHECK NO. 1 ii?~ CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 EST. VAL. __________ _ Plan Ck. Deposit ________ _ Validated By __________ _ Date _______________ _ '2..i= , Business Name (at this address) u::u-A U:e:iO Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use ~~ mere¥$ ~'0i/1 MP....'.':,'"'"''" # of Bedrooms # of Bathrooms 2. CONTACT RSON (If different from appllc:11nt) <!:. Telephone# Fax# ,_ /\.Mt2!?{::iei.. Telephone# Name Address S.tate/Zip Telephone# 6. CONTRACTOR • COMPANY NAME (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, commending with Section 7000 of Division 3 of the Business and Professions Code] or that he is exempt therefrom, and the basis for the alleged tion. Any violation of Section 7031.5 b any applicant for a permii~ethe a;plicant to a civil penalty of not more than five hundred dollars I$5001),:.,.,z__ Address City State/Zip Q Telephone# tJ/eJ( 8f::f:X::> State License # """[31,,232-License Class B City Business License # I I 2. {o5+Q Designer Name Address City State/Zip Telephone State License # _________ _ 6. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance f work for which this permit is issued. have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is d. My worker'sn~P/nsa ·o~urance carrier and policy number are: 5{ zaQ Insurance Company .:.f"'\l __ v \~-=---------------Policy No. ei-1-] ()e:> -Z..((J Expiration Date J 5 _ _.1_-l. (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$100] OR LESS) 0 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 become subject to the Workers' Compensation Laws of California. WARNING: Fai m 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. 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). 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 improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). 0 I am exempt under Section ______ Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials tor construction of the proposed property improvement. 0 YES ONO 2. I (have/ have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name I address / phone number / contractors license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone number/ contractors license number): ______________________________________________ _ 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type of work): ________________________________________________________ _ PROPERTY OWNER SIGNATURE _______________________ _ COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY 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 25605, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES ,)I/ NO 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 y NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES ~ NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 8, CONSTRUCTION LENDING AGENCY I 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 9. ~PPLl~NT CERJl~ATION I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the Cit\! 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, 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 5'0" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issue by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit · c mmenced wi 65 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after 1 0 days (Section 106.4.4 Uniform BuildinDgACToEde!&:J~rJ JnV' APPLICANT'S SIGNATURE ~(..>f ['J.Q__ WHITE: File YELLOW: Applicant PINK: Finance CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB981651 FOR 07/02/98 DESCRIPTION: 100 AMP PEDESTAL METER TYPE: ELEC JOB ADDRESS: 1374 SHOREBIRD LN APPLICANT: BROOKFIELD HOMES CONTRACTOR: OWNER: REMARKS: C/PERRY/ SPECIAL INSTRUCT: TOTAL TIME: PHONE: PHONE: PHONE: INSPECTOR AREA PS PLANCK# CB981651 OCC GRP CONSTR. TYPE NEW STE: LOT: 619-481-8500 CD 32 LVL DESCRIPTION ACT COMMENTS EL Const. Service/Agricultural ~ a k lt,c _,.,, e-1~/ Re-k9s--e -------------------------------------------------------- ***** INSPECTION HISTORY***** DATE DESCRIPTION 060398 Const. Service/Agricultural ACT INSP NR PS COMMENTS