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HomeMy WebLinkAbout1362 NIGHTSHADE RD; ; CB970665; PermitB U I L DI NC P ER N I T Permit No: CB970665. 03/5/97 10:08 Project No: A9700868 Page 1 of 1 Development No: - Job Address: 1362 NIGHTSHADE RD Suite: -' Permit Type: ELECTRICAL 3572 03/25/97 0001 01 02 Parcel.No: 215-641-21700 - Lot#: CPRMT 20.00 Valuation; 0 Construction Type: NEW Occupancy Group:- Refernce#: Status: ISSUED Description:. ELECTRICAL LINE TO FLOOD LIGHT . Applied: 03/25/97 Apr/Issue: 03/25/9.7 Entered By.: JM Appl/Ownr ALLSCAPE .- 619 480-4p41,. 905 LILAC COURT '-- - -. SAN MARCOS, CA 92069 *** Fees Required Collected &. Credits Fees: 20.0 Adjustments: 0 .00 Total Fees; ----- 200 ©T4 Fee description U. s \ Ex~ fee 'Data ------------------- -- Enter 'Y" for Electr c ue Fee > 10.00 Y Enter "Y" for Remod 1 * Y ELECTRICAL TOTAL 1 20.00 0 00 INCORPORATED 1952 r• FJEA[Z PROVA[ INS?DATE.4,X- CLEA;c:. - . CITY OF CARLSBAD . 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION city OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 FOR OFFICE USE ONLY PLAN CHECK NO.l75 EST. VAL. Plan Ck. Depos,... Validated By________________________ Date "Ø61ki - 3,(2 fr:j4. c4-;2. 4i1fe4',"E 1I9I elCAc cr S" Address (include Bldg/Suite'#) Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total S of units A,A..e Assessor's Parcel Existing Use Proposed Use 4'I 7-t'o Description of Work SQ. FT. Sot Stories S of Bedrooms S of Bathrooms RA Cc,4'fo'-v'i,, Name Address City State/Zip Telephone S Fax S LOU ~7EM'2MMg.Eir, Name Address City State/Zig Teleohone S Name Address City StetelZlp Telephone S (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 License Law (Chapter 9, commending 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 [$5001). /nA.ex ci .iA /)IISCA PE '7OJ i.')e?e r't.. S'6'. J"i5fci d4. 5-2c9c5' Name Address City State/Zip Telephone S State License S 21 / 4" License Class C 2 ? City Business License t /20 3/14' p14 'U' SA ;/( 54" 'C r4,. •f 9.4 fr-r Designer Name Address City State/Zip Telephone State License S Ell, 7277612 al-B=. Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: i have and will maintain a certificate of consent to self-Insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. P. I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My worker's compensation insurance carrier and policy number are: Insurance Company 574 TL fr 4 i'd' Policy No.)IJ5 Z 6'-? ' Expiration Date"? (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESS) CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure-workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars 18100,00 ), In lijon to the cost of compensation, damages as provided for In Section 3706 of the Labr cede, Interest and attorney's feds. SIGNATURE I DATE 3/2 r I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 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 Cods: 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: I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ONO I (have I have not) signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction (include name I address I phone number I contractors license number): I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name I address I phone number I contractors license number): - I will provide some of the work, but I have contracted (hired) the following persons to provide the-work indicated (include name / address I phone number / type of work): PROPERTY OWNER SIGNATURE DATE MScsEc'noNoR I- tho a;pli::nt or future building occupant required to óubinit 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 0 NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES 0 NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES 0 NO IF ANY OF THE ANSWERS ARE YES. A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I 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_____________________________________________________ LAPPUCANtCERTIFIcATION IF -' I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all 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 AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE 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 108.4.4 Uniform Building Code). APPUCANT'S SIGNATURE 2%J,.h1w DATE WHITE: File YELLOW: Applicant PINK: Finance CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB97 0665 FOR 05/02/97 INSPECTOR AREA DC DESCRIPTION: ELECTRICAL LINE TO FLOOD LIGHT PLANCK# CB970665 TYPE: ELEC JOB ADDRESS: 136.2 NIGHTSHADE RD APPLICANT: ALLSCAPE CONTRACTOR OWNER: REMARKS: RS/ SPECIAL INSTRUCT: TOTAL TIME: 0CC GRP CONSTR. TYPE NEW STE: LOT: PHONE: 619 480-4041 PHONE: PHONE: INSPECTOR CD LVL DESCRIPTION ACT COMMENTS / 39 EL Final Electrical J INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP COMMENTS 032697 Underground/Conduit-Wiring AP DC