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Home My WebLink About1368 CYNTHIA LN; ; CB900766; PermitBUILDING 05/10/90 08 19 Page 1 of 1 Job Address 1368 CYNTHIA LN Permit Type ELECTRICAL Parcel No Valuation 0 Construction Type NEW Occupancy Group PERMIT Str Permit No CB900766 Project No A8903540 Development No Fl Ste 53f5 05/10/90 OOQl OJ 02 C-FRHT 10.00 Class Code Description TEMP POWER ON PERM BASE Status ISSUED Applied 05/10/90 Apr/Issue 05/10/90 Validated By JPY *** Fees Required **** * *Fees Collected & Credits * * * Fees Adjustments Total Fees Fee description Enter "Y" for Electric * pr.RrTRTrAr. TOTAL rSi 10 10. l£ n \ 00 00 00 3sue Fee > Minimum ) Total Credits Total Payments Balance Due Units Fee/Unit 10 Ext fe 5 10 00 00 00 ?e 00 00 Data Y FINAL APPROVAL IMSP ^4n pATf CLEARANCE CITY OF CARLSBAD 2075 Las Palmas Dr, Carlsbad CA 92009 (619) 438-1161 PERMIT APPLICATION City of Carlsbad Building Department 2075 Las Palmas Or , Carlsbad, CA 92009 (519) «a-ii6i 1 PERMIT TYPE A Q COMMERCIAL D INDUSTRIAL Q~NEWQTENANT IMPROVEMENT QNEW QTENANT IMPROVEMENT DAPARTMENT QCONDO QSINGLE FAMILY DWELLING QDUPLEX QDEMOLITION QRELOCATION QMOBILE HOME QELECTRICAL QMECHANICAL QPOOL QSPA DETAINING WALL QSOLAR QOTHER. PROJECT INFORMATION PLAN CHECK No 4- Address 1368 Cynthia Ln. Nearest Cross Streets BuiTiding^ or'Suite wo EST VAL PLAN CK DEPOSIT, VALID BY DATE S^ ^kR OFFICE USE ONLY LEGAL DESCRIPTION i/Nutnber Unit No Phase No CHECK BELOW IF SUBMITTED D2 Energy CaLcs n? Structural Calcs Q2 Soils Report Q1 Addressed Envelope 150-230-60-3 EXISTING USEASSESSOR'S PARCEL DESCRIPTION OF UOB PROPOSED USE Temporary power on a permanant base BLDG SQ FTG # OF STORIES 3 CONTACT PERSON NAME Patrick Kelley ADDRESS 1622 Tremont CITY _ ._ STATE ZIP CODE DAY TELEPHONE Oceanside Ca 92054 433-5139 SIGNATURE „ o o 4 APPLICANT DCONTRACTOR Q AGENT FOR CONTRACTOR QOUHER Q AGENT FOR OUNE! ~ """^ " NAME Same as above CITY DAY TELEPHONE 5 PROPERTY OWNER NAME Same as above CITY OWNER STATE ADDRESS ZIP CODE DLESSEE OTENANT DAY TELEPHONE 6 CONTRACTOR NAME Edgar Mullen Const. ADDRESS P.O. BOX 1480 CITY Carlsbad STATE LIC # STATE ZIP CODE CA 92008 LICENSE CLASS DAY TELEPHONE 434-2233 CITY BUSINESS LIC # SIGNATURE DESIGNER NAME CITY 7 WORKERS'COMPENSATION TITLE ADDRESS STATE ZIP CODE DATE DAY TELEPHONE STATE LIC # 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 POLICY NO EXPIRATION DATE 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 SIGNATURE 8 OWNER-BUILDER DECLARATION Owner Builder Declaration I hereby affirm that I am exempt from the Contractor s License Law for the following reason I [ 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 )u r baie t II 1 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 DUlldS Or improves thor^nn anH rnnrrartc fnr cnrh nrnifrl-Q ulth rnntrartnr^ licensed pursuant to the Contractor s License Law) I am exempt under Section ruct the project (Sec 7044 Business and Professions Code thereon and contracts for such projects with contractor(s) 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 License 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 the applicant to a civil penalty of not more than five hundred dollars [$500]) SIGNATURE DATE COMPLETE THIS SECTION FOR NON RESIDENTIAL BUILDING PERMITS 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 Acf DYES QNO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district7 DYES DNO Is the facility to be constructed within 1 000 feet of the outer boundary of a school site' DYES QNO IF ANY OF THE ANSWERS ARE YES A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY \ 1989 UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT CONSTRUCTION LENDING AGENCY I hereby affirm 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 S NAME LENDER S ADDRESS 10 APPLICANT'S SIGNATURE I certify that I have read the application and state that the above information is correct 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 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 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 connienccd for a period of ISO days (Section 303(d) Uniform Buildinq Code) APPLICANT'S^SIGNATURE , ,T^. 0?OWNER Fl CONTRACTOR H BY PHONE APPROVED BY —^_^—«==^ L(QV r<i DATE WHITE File YELLOW Applicant PINK Finance