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Home My WebLink About1175 HARBOR VIEW LN; ; CB951221; Permit. ' 09/06/95 16:39 Page 1 of 1 B U I L D I N G VIEW LN P E R M I T Suite: Lot#: Permit No: CB951221 Project No: A9501807 Development No: Job Address : 1175 HARBOR Permit Type: ELECTRICAL Parcel No: 206-140-10-00 Valuation: O Construction Type: NEW Occupancy Group : Description: CHANGE OUT Reference#: 200 AMP PANEL Status: Applied: ISSUED 09/06/95 09/06/95 DC Appl/Ownr : COZENS , THOMAS 1175 HARBOR VIEW LN CARLSBAD, CA 92008 *** Fees Required Fees: Adjustments: Total Fees: Fee description *** 60.00 .00 60.00 Enter "Y" for Elect17ic Issue Fee > Single Phase Per AMP > * ELECTRICAL TOTAL Apr/Issue: 619 Entered By : 720-4792 Fees Collected & Credits Total Credits: Total Payments : Balance Du, : .00 .00 60.00 **A Units Fee/1.init Ext fee Data 200 .25 10.00 Y 50.00 60.00 3546 09/06/95 0001 01 0'"' r: -F'Rf T t,O • "l I ~ iLAPPROVAL .,JS ~ DATE q ·Z1· 1J CLEARANCE "'/z ~1 r ,--'Au. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPUCATION PLAN CHECK NO. City of° Carlsbad Building D-rtlllent 2075 Las Palms Dr., carlsbad, CA 92009 (619) 438·1161 I. PF.kMI I h'PR PLAN CK DEPOSIT _______ _ l l!ST. VAL VAIID. BY __________ _ From Llst 1 (see back) give code of Pennit-Type: _ _,_lf'_....:..IM..._-""<------DATE --------------------------------------------------------- For Residential Projects Only: From List 2 (see back) give Code of Structure-Type: ____ __:_£,.,__O.c.....r./'J.-<.... _______ _ Net 1.Dss/Gain of Dwelling Units cz( l 2. PRUIECT INFORMATION FOR OFFICE USE ONLY Bmldmg or Suite No. Nearest Cross Street LEGAL DESCRJPI ION Lot No. Subd1VJs1on Name/Number Lime No. Phase No. CHECK BEWW IF SOBMII IED: • 2 Energy Gales • 2 Structural Cales • 2 Soils Report • 1 Addressed Envelope ASSESSOR'S PARCEL EXISTING~ PRO~P USE DESCRIPTION OF WORK C/4,v., e. ~~,;;., ·Za,..t_ ,,,, o;.J 00<=).,.a>-.,4.S-✓ ,r-.,,.,,._.r?c._p,-..r-e_ SQ. Ff. # OF SJ'ORIES # OF BEDROOMS # OF BATHROOMS 3. WN iACI PERSON (If dlilereni from applicant) NAME (last.name first) ADDRESS CITY STATE ZIP CODE DAY TELEPHONE 4. XPPUCAfd U CUN lH.ACJUK u Al.it;N 1 !'UK CUN lHAC-lUK 18UWNER DAGEN I FOR OWNER ADDRESS// "?'-S° ~/'.JorV7'"-ev ~e__ STATE c.;f--ZIP CODE 91l. tft)1¥ DAY TELEPHONE 7 .:l. 0 ~ ¥.79 Ji AME (lase name..&._t) Cioz 4fN.t' ✓ r.Tt!J ""'- CITY r"L.r~ NAME (last name first) ..£~Ja"ff!-- ADDRESS CITY STATE ZIP CODE DAY TELEPHONE NAME (last name first) CITY STATE STATE I.IC.# ZIP CODE LlCENSE CLASS ADDRESS DAY TELEPHONE CITY BUSINESS I.IC. # DESIGNER NAME (last name hrst) ADDRESS CITY STATE ZIP CODE DAY TELEPHONE STATE I.IC.# 7. WolUMts WMPF.NSAliuN Workers' Compensation Declarat1on: I hereby afhrm that I have a cert1hcate of consent to seli-msure issued by the Ulrector of lndustnai 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 POLlCY NO. EXPIRATION DATE Ceruhcate of Exemption: I certify that m the performance of the work for which this permit 1s issued, I shall not employ any person many manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE 8. OWNRk-B0llD£k DWAilAIION Owner-Builder Declaration: I hereby afhrm that I am exempt from the Confradofs License Law for the foiiowmg 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 Llcense 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.) . .IJ. 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 Llcense 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 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 Llcense 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~licant to a civil penalty of not more than five hundred dollars [$500]). SIGNA'J'IJRF......:_ ~ ,;?7 DATE "7'-~ p .J Is the applicant or future building occu nt 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? •YES •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 • NO Is the facility co be constructed within 1,000 feet of the outer boundary of a school site? • YES • NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCDJPANCY MAY NOT BE ISSUED AFIER JULY 1, 1989 UNLllSS THE APPLICANT HAS MET OR IS MEIITING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICF.S AND THE AIR l'OILUTION ffiNTilOL DISTRICT. 9. WNSIRUCliUN LRNDING AGENCY I hereby affirm that there 1s a construction lendmg agency for the performance of the work for which thIS permit 1s 1SSued (Sec 3097(1) dvil Code). LENDER'S NAME LENDER'S ADDRESS 10. XPPllCAN I CERIIFICAiiuN I certify that I have read the appUcauon and state that the above mformat1on 1s correct. I agree to comply with all City ordmances 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 AI.'iO AGREE 10 SAVE INDEMNIFY AND KEEP HARMLESS THE CflY OF CAR1SBAD AGAINST AIL UABILITIES, JUDGMENTS, CDSTS AND EXPENSES WlllCH MAY IN ANY WAY ACCRUE AGAINST SAID CflY IN OONSEQUENCE 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 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 permit is not commenced within 365 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 commenced for a period of 180 days (Section 303(d) Unifonn Building Code). APPLlCANTSSIGNATU~ ~ DATE::!'.-jjG-9;:t"' ~~/~/ _,,,_~ WHITE: . OW:Appicant PINK: Finance 0 PERMIT# CB951221 DESCRIPTION: CHANGE OUT 200 TYPE: ELEC CITY OF CARLSBAD INSPECTION REQUEST FOR 09/25/95 AMP PANEL STE: INSPECTOR AREA PLANCK# CB951221 OCC GRP CONSTR. TYPE NEW LOT: JOB ADDRESS: 1175 APPLICANT: COZENS, CONTRACTOR: HARBOR VIEW LN THOMAS PHONE: 619 720-4792 PHONE: p:::::CTUP1 OWNER: REMARKS: RS/TOM/720-4792 SPECIAL INSTRUCT: TOTAL TIME: CD LVL DESCRIPTION ACT COMMENTS 34 EL R~gh _3/,ectric r 6 J A-t- ...3l ---~~-~-{-~~------------------------------------------------------------------- ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS