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Home My WebLink About2372 TERRAZA PANGA; ; CB910510; PermitPERMIT APPLICATION • City of Carlsbad Building Department 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 • . EST. VAL ______________ _ 1. A B C 2. PERMIT TYPE COMMERCIAL D I NOUSTRIAl □RESIDENTIAL D APARTMENT D DUPLEX D DEIIOL Ill ON □MECHANICAL □POOL TENANT IIIPROVEMENr 0 TENANT IMPROVEMENT . . . □CONDO ~ FAMILY DI/ELLING 0 ADOIHON/ALTERATION 0 RELOCA Tl ON O 1108 I LE HOME O ELECTRICAL O Pl\JNB I NG OsPA □RETAINING IIALL □SOLAR OoTHER ______ _ PROJECT INFORMATION PLAN CHECK No. Address 2 Nearest Cross Streets PLAII CIC DEPOSIT ___________ _ VAi.iD. BY ______________ _ DATE _______________ _ LEGA~ DESCIIIPTIOII Lot No. su&Jiv1s1on Nllffle/Hl.llt>et Unit No. Phase No. CHEO: BELOW If SUIIIITTED: 02 Energy Cales 02 Structural Cales ASSESSOII' S PARCEL BLDG. SQ. FTG. 3. CONTACT PERSON NAME 1:J~e; k-'~m A;...J CITY tff>:>~ SIGNATURE ~ D 2 Soi Is Report D 1 Addressed Envelope EX! ST I NG USE -fo # Of STORIES STATE ~ ADDRESS ZIP COOE DAY TELEPHONE PROPOSED USE 4. APPLICANT ~TRACTOR 0 AGENT FOR CONTRACTOR ADDRESS D O\INER □ AGENT FOR O\INER NAME £..tJA-f--e} ? '~.4-l:> CITY ZIP COOE l/1-186 .:,,A-µ~/ZA-t n-v "l,p?)l!J DAY TELEPHONE qJ t./-fJ '}1/_r- 5. PROPERTY OWN.ER /ILL NAHE ~t:,..A '2...-,t;,,"0 ,J trrT" □LESSEE □TENANT ADDRESS 6. 7. 8. Cl TY L'O/h) CONTRACTOR NAME Cl TY SIGNATURE DESIGNER NAME CITY tt)/U,,,tJ STATE LIC. WORKERS' COMPENSATION STATE ~ ZIP COOE ADDRESS STATE ZIP cooE # 0~52.l-B LICENSE CLASS TITLE ADDRESS STATE ZIP COOE 2.od~ DAY TELEPHONE DAY TELEPHONE 2, CITY BUSINESS LIC. # 1\-tA_.., DATE ~ u-,/11 DAY TELEPHONE STAT E LIC. # Workers' Co,rpensation Declaration: hereby affirm that I have a certificate of consent to self-Insure issued by the Director of Indust rial Relations, or a certificate of \lorkers' Co,rpensation Insurance by an aanltted Insurer, or an exact copy or duplicate thereof certified by the Ditectot of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. Cl . INSURANCE COMPANY SIGNATURE POLICY NO. f hetll)tion: I cert ify t hat in the performance of he 1o1ork for 1o1hich s.Jiject to the \lorkers' Co,rpensation Las of C ifornia. DATE ~ i,1,/, If/ EXPIRATION DATE th s permit is issued, I shal I not Ofll)loy any person In any manner I hereby affi rm that am exempt frO!'n the Contractor's License Law for the following reason: 0 I as owner of the property or my e,rployees with wages as the Ir sole co,rpensat ion, wi 11 do the wor and the structure Is not intended or offered for sale (See. 7044, Business and Profess Ions Code: The Cont rector• s License Law does not oppl y to an owner of property who builds or improves thereon,. and who does such work himself or through his own """loyees. provided that such improvements are not Intended or offered for sale. If, however, the bui lding or improvement is sold within OM year of co,rpletion, 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, em exclusively contracting with licensed contractors to construct the project (Sec. 7044, Bus iness 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 Low). 0 I em ex""l't 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, al ter, ifll)rove, demolish, or repair any st ructure, 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 La>< (Chapter 9, coomencing with Section 7DOO of Division 3 of the Business and Professions Code) or that he Is e,....,t therefrom, and the basis for the alleged e•l!fl"!'tion. Any violation of Section 7031.5 by any BpPlicant for a permit stbjects the applicant to a civil penalty of not mote than five hundred dol I ars [SS001). SIGNATURE DATE COMPLETE TKIS SECTION FOR NON·RESJOENTIAL BUILDING PERMITS ONLY: Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration fot111 or risk 11111nagement and prevention program Lnder Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Accou-,t Act? □YES O NO Is the applicant or future building occupant required to obtain a permit from the a ir pollution control district or air qual ity management district? O ves □No Is the faci l i 1y to be construct«! wl thin 1,000 feet of the outer boundary of a school site? Ores IF foJIT OF nE foJIS\jERS AAE TES, I\ FINAL Cl:ltTTFICATE OF OClll'foJICY NAY NOT BE ISSUED AFTER JUU 1. 1989 lMLESS THE N'PLICANT HAS IIET OR IS IIEETING THE REQUIREIIEIITS OF THE OFFICI: OF EMERGENCY SERVICES ANO THE AIR POLLUTION CONTROL DISTRICT. 9. CONSTRUCTION LENDING AGENCY hereby affirin that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(1) Civil Code). LENDER I S NAME LENDER 'S ADDRESS 10. APPLICANT'S SIGNATURE I certify that I have read the application and state that the above 1nfor1Mt1on 1s correct. I agree to co,rply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the City of Ca rlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGR E TO SAVE INOEMIIIFY ANO KEEP HARMLESS THE CITY Of CARLSBAD AGAINST ALL LIABILITIES, JIJ>GIIENTS, COSTS AND EXPENSES IIIIICH IIAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE Of TH GRANTING OF THI S P AMIT . or abandoned at any time fter the work is conmcnced for a period o O days (Section 303(d) Uniform Building Code). the building is suspended E,pltatlon. Every permh issued by the Building Official Under the provisions of this Code shall expire by limitation and become null and void if or work aut hor,zed by suctrm,t is not coomenced within 180 days from h date of such permit or if the building or work authorized by such permit APPLI CANr'S Sl~NATURE _ 0 O\INERA'CONTRACTOR 0BY PHONE APPROVED BY:--------DATE: _________ _ WHITE: File YELLOW: Applicant PINK: Finance .. PERMIT# CB910510 DESCRIPTION: ELECTRIC TO TYPE: ELEC CITY OF CARLSBAD INSPECTION REQUEST FOR 03/29/91 FOUNTAIN INSPECTOR AREA MP PLANCK# CB910510 OCC GRP CONSTR. TYPE NEW STR: FL: STE: JOB ADDRESS: 2372 TERRAZA PANGA APPLICANT: LORCO CONSTRUCTION CONTRACTOR: OWNER: i~g~;; 619 434-/!9;/ INSPECTOR ~,\ 'r \Y REMARKS: MH/LORK0/434-8945 SPECIAL INSTRUCT: AM PLEASE TOTAL TIME: CD 39 39 LVL DESCRIPTION EL Final Electrical EL Final Electrical ELECTRIC OUTLET IN BAc~f__._Y_A_R_D ________ _ ACT COMMENTS ~~-- -------------------------------------- ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS