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Home My WebLink About1813 TAMARACK AVE; MP; CB911650; PermitB U I L D I N G 1~/06/91 10:49 Pc1qe 1 of 1 Job Address: 1813 TAMARACK AV t,.hf> Permit Type: ELECTRICAL Parcel No: Valuation: 0 PERMIT P~rn No: ~oj1l~~ • Proje,-:t No: A91J2Uq DevPl r-prni:>nt-No: S r: F~: ..:>te. 5520 12/06/91 0001 01 02 C-PRMT 20. 00 Construction Type: NEW Occupancy Group: Class Code: Status: ISSUED Atplied: 12/0o/qt Apr/Issue: 12/Jb/91 Validated By: SBB Description: 40 AMP METER Appl/Ownr : DANIELS CABLEVISION P.O. BOX 344 CARLSBAD, CA **~ Fees Enter "Y" for Elec Single Phase Per * ELECTRICAL TOTAL 619 438-5241 CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 . (l () .00 20.00 Ext fee t>at~ -----------------10 . CJ,) Y 10.00 2 0 . c ll PERMIT APPLICATION ~ '11:I City of Carlsbad Building Department EST. VAL. ______________ _ 2075 Las Pal mas Dr., Carlsbad, CA 92009 (619) 438-1161 1. A • C 2. D INDUSTRIAL 0 RESIDENTIAL O APARTMENT □DUPLEX OoEM0LITI0N □MECHANICAL □POOL TENANT IMPROVEMENT 0 TENANT IMPROVEMENT □CONDO □SINGLE FAMILY DWELLING □ADDITION/AL TE RATION □RELOCATION □MOBILE HOME □ELECTRICAL □PLUMBING □SPA □RETAINING WALL □SOLAR □OTHER CHECK No. Building or Suite No. PLAN CK DEPOSIT, ___________ _ VALID. BY, ______________ _ DATE _______________ _ Unit No. Phase No. CH BELOW' If SUBMITTED: Q2 Energy Cales Q2 Structural Cales q2 Soils Report D 1 Addressed Envelope ASSESSOR'S PARCEL,( EXISTING USE PROPOSED USE BLDG. SC. FTG. # Of STORIES 3. SIGNATURE 4. AP~LICA NAME /.1/1-n ,els C!n cm0111t-/:1,hp.d 0 AGENT FOR CONTRACTOR p □~ER QAGENT FOR OWNER ADDRESS .<'.) 1jtJ¥ 3~'f STATE C!,.IJ-ZIP coo, 9j.oo $' DAY TELEPHONE L/3i-6'J-~/ 5. PRQPERTY OWNER j 6 . .../ NAME l'' ry cit C /'I fl 1 H<.J O\.INER ADDRESS □LESSEE □TENANT Cl TY STATE Z!P COOE DAY TELEPHONE 6. CONTRACTOR NAME 511 e CITY 11? ADDRESS 7. SIGNATURE DESIGNER NAME CITY STATE LIC. # ____ _ STATE WORKERS' COMPENSATION ZIP CODE LICENSE Tl TLE ADDRESS ZIP COOE DAY TELEPHONE CLASS CITY BUSINESS lIC. # DATE DAY TELEPHONE STATE LIC. # Workers• Corrpensat1on Declaration: hereby affirm that have a certificate of consent to self·1nsure issued by the Director of Industrial Relations, or a certificate of Workers' Compenset ion Insurance by an achi tted insurer, or an exact copy or duplicate thereof certified by the DI rector of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C). INSURANCE Clll4PANY.U?1.d, CJf (/ot_+/1 f/l(J:!!LKJ/1 POLICY NoG 05to9'i9/-/ EXPIRATION DATE Certificate of EKemption: I certify that in the performance of the work for which this permit is issued, I shalt so as to become .sl.bject to the Workers' Compensation Laws of California. /-/-9,;l not eill)loy any person in any manner SIGNAT~~ATE 8. OWNER-BUILDEROLARATION owner-Builder Declaration: I hereby affirm that I am exempt from the Contractor's License Law for the tot lowing reason: D 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 ilfllrovement 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.). D 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). O 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, irrprove, demolish, or repair any structure, prior to its issuance, al so requires the applicant for such permit to f i te a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, conmencing 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 oot more than five hundred dollars [S500] ). SIGNATURE DATE COMPLETE THIS SECTION FOR NON·RESIOENTIAL BUILDING PERMITS ONLY: Js the applicant or future building occupant required to subnit 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? Oves □No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □YES 0NO Is the facility to be constructed within 1,000 feet of the outer bm.n::lary of a school site? Oves □No IF ANY OF THE AIISUERS ARE YES, A FINAL CERTIFICATE OF DCCll'ANCY MAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS NET OR 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 IS ADDRESS 10. APPLICANT'S SIGNATURE ! certify that I have read the application and state that the above information 1s correct. I agree to comply with al\ 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 ALSO AGREE TO SAVE INDEMNIFY ANO KEEP HARflllLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, Jll)QIENTS, COSTS ANO EXPENSES I.IHICH MAY IN ANY I.IAY ACCR\JE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. Expiration. Every permit issued by the Building Officia\ under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not cOOIOOnced within 180 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 the work is coomenced for a period of 180 days (Section 303(d) Uniform Building Code). □ O'wNER ~OR Dev PHONE APPROVED BY:-~------ DATE: WHITE: File YELLOW: Applicant PINK: Finance --0 Hit:}{ R\\kL A'JL . ~ ~ 0 --1 ~ i (' -~ ~ t~ ~ ~ N ~-!~~1 --~ ii~ n 7-B. ll :t\-!l ~ ~ z ~ f'l