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Home My WebLink About1613 STARLING CT; TP; CB911602; PermitB ti I L D I N G P E R M ... T Permi t No: CB9llb02 ProJect No: Aa112U 7 Development No: 11/25/'::11 13 :o.,_ ~ Pc1ge 1 of /(R/ 7 Job Ad 'iresf:': ~ ~TARLING CT Permit Type: ELECTRICAL Par cel No: Vc1luat1on: 0 Const ruction Type : NEW TP Str: F'l: Ste : <!__/:: 0O.,?f-// o,·cup,=1ncy Group : Cl,ss Code: Status : ISSUED Applied : 11/2~,/Yl Apr/Issue : 11/25/ :¾1 Validated By: SBB Description : TEMPORARY POWER POLE Appl/Ownr : DAVIDSON COSCAN PARTNERS bl9 481-8500 1?.620HIGH BLUFF' DR ST~D.U 5405 .ti/25/91 0001 01 02 CONTRACTOR F'ees Fees: Adjustments : Totol Fees : Fee description Enter 'Y for Elec ·1c Iss • Enter "Y" for Temporary * ELECTRICAL TOTAL C--C'1HJ-48 -s2Q-QO .00 . () 0 20 .UO Ext fee :)ata FINAL APPROVAL INSP. DATE _,____ .._ ___ _ CLEARANCE --------- CITY OF CARLSBAD lD.UO V 10 .00 Y 20 .00 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION . • Pl.AN CHE City of Carlsbad Building Departllll!l'lt . 2075 Las Pal.as Dr •• carlsbad, CA 92009 (619) 438-1161 F.ST.VAL _____________ _ . PLAN CK DEPOSIT ________ _ VAUD. BY ___________ _ 1. PEit.MI i IYPE DATE _____________ _ A -U Commercial □ New Bu1idmg U Tenant Improvement B -D Industrial □ New Building D Tenant Improvement C -□ Residential O Apartment D Condo □ Single Family Dwelling U Addition/ Alteration □ Duplex □ Demolition □ Relocation □ Mobile Home U Electrical D Plumbing □ Mechanical O Pool D Spa D Retaining Wall □ Solar □ Other ____ _ 2. FOR OFFICE USE ONLY r // F', mt o. CAECR BEU5W IF SOBMll 1£0: D 2 Energy Gales □ 2 Structural Gales □ 2 Soils Report D 1 Addressed Envelope ASSESSOR'S PARCEL EXISTING USE PROPOSED USE DESCRIPTION OF WORK ( ' ( ' '--I SQ. FT. -~ # OF STORIES :,1-c::,. r 3. WN IACI PERSON (1f dIIierenf from apphcanl) NAME " I l 1.. ADDRESS I l)/1 CI1Y STATE ZIP CODE DAY 'IBLEPHONE ~O~ER ~£~\ FOR ~WiER ,/. 4. APPLICAN I NAME .,. \ I 0 CON I RACI OR □ AGEN I FOR CON I RACIOR I l AD~S CI1Y ( STATE ZIP CODE I I DAY TELEPHONE I S. PllOPEIOY OWNER NAME ) ADDRESS J DAY TELEPHONE ( CI1Y IJ!r STATE /. L ZIP CODE 6. am ntACtuk ri j ft DAY TELEPHONE NAME < I // 1 ,,ADDRESS ) ,,. STATE f ZIP CODE / -' /~ STATE UC. # t./~3 t/JI-LICENSE CLASS / > I CI1Y ,r;:,. J - CI1Y BUSINESS UC. # DESIGNER NAME ADDRESS CI1Y STATE ZIP CODE DAY TELEPHONE STATE UC. # 1. WOlucEJts' wMP£NS,(110N Workers' Compensation Declaration: I hereby alhrm that I have a ceruhcate of consent to sell-msure issued by the Director of 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 POUCYNO. EXPIRATION DATE Cemhcate of Exemption: I cerufy that m the performance of the work for which this penmt 1s issued, I shall not employ any person m any manner so as to become subject to the Workers' Compensation Laws of Galifomia. SIGNATIJRE DATE 8. OWNEk-BOuDEk Dlfi.AkA110N Owner-Bmlder Declarauon: I hereby athnn that I am exempt from the Contractor'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 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.). □ 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 pennit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such pennit 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 the applicant to a civil penalty of not more than five hundred dollars ($500]). SIGNATIJRE DATE COMPLETE 'rAIS sECIION FOR NON-RESIDENTIAL sottniNC PERMITS ONLY: Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration fonn or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? □ YES □ NO Is the applicant or future building occupant required to obtain a pennit from the air pollution control district or air quality management district? C YES □ NO ls the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ YES □ NO IF ANY OF ·IRE ANSWERS ARE YES, A FINAL CERTIFICATE OF oa:tJPANCY MAY Nar BE ISSUED AFJER JULY 1, 1989 UNLF.SS TIIE APPLICANT HAS MET OR IS MEETING nm RF.QUIREMENTS OF nm OFFICE OF EMERGENCY SERVICES AND 1lIE AIR POI.LU11ON CDNTROL DISTRICT. 9. WNsntoCnON L£NDlNG AGENCY I hereby afhnn that there 1s a construction lending agency for the performance of the work lor which this pennll 1s issued (Sec 3097(1) CIVIi Code). LENDER'S NAME LENDER'S ADDRESS to. APPUCAN't CEtt'ru1cAl1oN I certify that I have read the apphcauon and state that the above mlormauon 1s correct. I agree to comply with all City ordinances an<J :state laws relating to building construction. I hereby authorize representatives of the City of Garlsbad to enter upon the above mentioned prope.rty for inspection purposes. I ALSO AGREE ro SAVE INDEMNIFY AND KEEP HARMlJ'.SS THE CTIY OF CARLSBAD AGAINST ALL UABILfl1ES, JUDGMENTS, CX)S"fS AND EXPENSES WJ-00{ MAY IN ANY WAY ACDUJE AGAINST SAID 01Y IN CDNSEQlJENCE OF TI-IE GRANTING OF TIIlS 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 pennit issued 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 pennit is not commenced within 365 days from the date of such permit or if the building or work authorized by such pennit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 303(d) Unifonn Building Code). APPLICANTS SIGN~Turu:' '---/// DATE: 1 > / I / ----- WI-DTE:' File YELLOW: Applicant PINK: Finance