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B U I L D I N G P E R M I T Permit No: CB901172
Project No: A9001282
Development No:
07/12/90 12:09
Page 1 of 1
Job Address: 2431 UNICORNIO ST
Permit Type: ELECTRICAL
Str: Fl: Ste:
07 . , 1 2
Parcel No: 215-250-15-00
Valuation: O
Construction Type: NEW
Occupancy Group: Class Code: Status: ISSUED
07/12/90
07/12/90
DC
Description: OUTDOOR LIGHTING
OWNER
CONTRACTOR
*** Fees
KURWICK, ALLAN
MORSE , BRYAN
993C S. SANTA FE
VISTA, CA 92083
Required ***
Applied
Apr/Issue
Validated By:
Lie. OWNER
Lie. C NO 619 941-5450
Fees Collected & Credits *** --------------------------------------------
Fees:
Adjustments:
Total Fees:
Fee description
15.00
.00
15.00
Enter "Y" for Electric Issue Fee >
Other >
* ELECTRICAL TOTAL ($10 Minimum)
Total Credits:
Total Payments:
Balance Due :
Units Fee/Unit
.00
.00
15.00
Ext fee Data
5.00 Y
10.00 REMODEL
15 .00
I AL APPROVAL
INS ' DAT£ j. ~~£\O
CLE
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161
...
PERMIT APPLICATION ~ •
Ci t y of Carls bad Building Department EST. VAL. ________ .....,,,,c. ____ _ 2075 Las Pal mas Dr., Carl sbad, CA 92009 (619) 438-1161 PLAN CIC DEPOSIT ___ ~,c;._ ______ _
1.
A
B
C
2.
PERMIT
COMMERCIAL TENANT IMPROVEMENT
D INDUSTRIAL □NEW O TENANT IMPROVEMENT
□RESIDENTIAL □APARTMENT □CONDO □SINGLE FAMILY DWELLING O A00ITI0N/ALTERATI0N
□DUPLEX ODEMOLITI0N
□MECHANICAL □POOL
□RELOCATION O M08ILE HOME 4IIELECTRICAL
OSPA □RETAINING \/ALL □SOLAR □OTHER
PROJECT INFORMATION PLAN CHECK No.
Address d4 ~ \ 1 .. :H..} l C ~ Iv \0
Nearest Cross Streets
Bu1
□PLUMBING
VALID. BY ___ ....,.,.._ _________ _
DATE _______________ _
LEGAL DESCRIPTION Lot No. Subdi vis 1 on Name/N"1ber Um t No. Phase No.
CHECK BELOW IF SUBfllTTED: D 2 Energy Cales 02 Structural Cales
ASSESSOR 'S PARCEL
DESCRIPTION OF UoRi!
BLOG. SQ. FTG.
CJUT
0 2 Soi ls Report
# OF STORIES
D 1 Addressed Envelope
EX ISTING USE PROPOSED USE
3. CONTACT PERSON
4.
5.
6.
7.
8.
NAME c~YA~ KcrRsl.:r°'
CITY
SIGNATURE
NAME
CITY
D CONTRACTOR
PROPERTY OWNER
NAME Al-L A"-) K. \SR\µ\ e, K_
cm eA«.t..';; ~h-D
STATE
C /:::.
0 AGENT FOR CONTRACTOR
ADDRESS
STATE ZIP COOE
STATE e .4_ ZIP COOE
D 0\/NER
CONTRACTOR
NAME 6.:><PC.\1-SClPG. ~ \~ \l>..)C, ADDRESS °' <\, ~ C,
ZIPCOOE q~ CITY V) -E:,-""\ A..
STATE LIC. #S:\f?S8 (
~
CITY STATE
LICENSE CLASS ~
ADDRESS
ZIP COOE
DAY TELEPHONE
~4 I S4 S::'.')
D AGENT FOR 0\/NER
DAY TELEPHONE
□TENANT
~
DAY TELEPHONE
S .. SA~A-. ~€ A~
DAY TELEPHONE q~ \. S4 SO
CITY BUSINESS LIC. #
DATE
DAY TELEPHONE STATE LIC. #
WORKERS ' COMPENSATION Workers• CCX1'1)ensat1on Declaration: hereby aff1rm that 1 have a cert1f1cate of consent to self-1nsure issued by the 01rector of Jndustrul Relations,
or a certHicate of Workers• Coq:,ensation Insurance by an achitted insurer , or an exact copy or duplicate thereof certified by the Director of the
insurer t hereof filed with the Bui lding Inspection Department (Sect ion 3800, Lab. Cl.
INSURANCE COMPANY S\ ~ ,+ U~ POLICY NO. EXPIRATION DATE
Certificate of Ex~tion: I certify that in the performance of the work for which this permit is issued, I shall not efll)loy any person in any manner
so as to become subject to the Workers• Coq,ensation Laws of California.
SIGNATURE DATE
OWNER-BUILDER DECLARATION
Owner·Builder 0eclarat1on: I hereby affirm that I am exefll,t from the Contractor's License Law for the following reason:
D I as owner of the property or my e:tl1)loyees with wages as their sole COffl)enSation, 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 '""loyees, provided t hat such i"°"rovements are not intended or offered for sale. If, however, the building
or i""rovement is sold within one year of c°""letion, the owner-builder will have the burden of proving that he did not build or i""rove for the purpose
of sale.).
0 J, 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).
D I am ex"""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, alter, i"1)rove, 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, conmencing wi th Section 7000 of Division 3 of the Business and Professions Code) or that he is exerrpt therefrom,
and the basis for t he alleged ex"""tion. Any violation of Sect ion 7031.5 by any applicant for a permit subjects the applicant t o a civil penalty of not
more than five hundred dollars [S500J).
SIGNATURE DATE
COMPLETE THIS SECTION FOR N0N·RESIDENTIAL BUILDING PERMI TS 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 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act?
QYES QNO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
□YES O NO
Is the facility to be constructed with in 1,000 feet of the outer boundary of a school site?
□YES
I f ANT OF THE ANSWERS ARE TES, A FINAL CUTIFICATE OF OCaJPANCT NAT NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS NET OR IS MEETING THE REQIJIREIIENTS
OF THE OFFICE OF EIIERGENCY SERVICES ANO 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 informat1on is correct. I agree to cooply with all City ordinances and State laws relat1ng
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 INDEMNI FY ANO KEEP HARMLESS THE CITY OF CARLSBAD AGAINST Al l LIABILITIES, JUDQ4ENTS, COSTS AND EXPENSES 1/HICH NAY IN ANY 1/AY ACCRUE AGAINST SAID
CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
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 i s not comnenced 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 160 days (Section 303(d) Uniform Building Code).
APPLICANT'S SIGNATURE D 0\/NER jtcONTRACTOR OBY PHONE APPROVED BY: _______ _
DATE: __________ _
YELLOW: Applicant PINK: Finance
PERMIT# CB901172
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 10/10/90 INSPECTOR AREA MP
PLA NCK# CB901172
OCC GRP
DESCRIPTION: OUTDOOR LIGHTING
TYPE: ELEC
JOB ADDRESS: 2431 UNICORNIO ST
APPLICANT: EXPANDING HORIZONS
CONTRACTOR: MORSE, BRYAN
OWNER: KURWICK, ALLAN
REMARKS: T3/RS/BRIAN/941-5450
SPECIAL INSTRUCT:
TOTAL TIME:
--RELATED PERMITS--
LVL DESCRIPTION
PERMIT #
CB900319
CB900629
CD
39 EL Final Electrical
TYPE
POOL
RAD
CONSTR . TY PE NEW
STR: FL : STE:
PHONE: 619 941-5450
PHONE: 619 941-5450
PHONE: n ~N
INSPECTOR ~~"'-'",-.4~_A..J ________ _
STATUS
ISSUED
ISSUED
ACT COMMENTS
f---
***** INSPECTION HISTORY*****
DATE DESCRIPTION ACT INSP COMMENTS