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Home My WebLink About1709 BLACKBIRD CIR; ; CB910166; Permit'1 RUILDING PERMIT Permit No: CB910166 02/04/91 12:55 Project No: A9100207 Page- 1 of 1 /YO?' Development No: Job Address:-7 BLACKBIRD CR Str: F1: Ste: I Permit Type: ELECTRICAL Parcel No: 07i.2 @/3.it/9.j,. QClOl [>j. ti? alu tion- 0 ccupancy Group: Class Code: gonstruction Type: NEW Description: TEMPORARY POWER '3; j'~ C-P?;p?' I? Status: ISSUED Applied: 02/04/91 Apr/Issue: 02/04/91 Validated By: DC Appl/Ownr : TEMPORARY UTILITY SERVICE 619 471-5494 1167 LAW STREET SAN MARCOS, CA 9206.9 CITY OF CARISBAD 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 PERMIT APPLICATION City of Carlsbad Building Department 2075 Las Palrnas Dr., Carlsbad, CA 92009 (619) 438-1161 1. PERMIT TYPE I A - OCWHERCIAL DUEW UTENANT IMPROVEMENT EST. vai PLAN CK DEPOSIT VALID. BY E - nlNDUSTRrAL NEW OTENANT IMPROVEMENT c - ORESIDENTIAL OAPARTMENT OCDNDO OSINGLE FAMILY DUELLING ~ADDITION/ALTERATION ODUPLEX ~DEWQLITION ORELOCATION OMOBILE HWE @LECTRICAL OPLMBING FOR OFFICE USF ON1 Y (I;-[& Building or Suite No. Nearest cro+ LEGAL OESCRIPTIOY ' Subdivision Name/N&r Unit No. Phase No. CHECK BELW IF SU*IITTED: n2 Energy Calcs 02 structural Calcs 02 Soils Report nl Addressed Envelope PROPOSED USE ASSESSOR'S PARCEL EXISTING US€ WRY BLDG. SO. FTG. # OF STORIES CONTACT P RS 3' NAME ~~k~~ schw- b, *DTko6 4 5 3 ~~ STATE ZIP CrnE DAY TELEPHONE c 4. APPLICA T 0 AGENT FOR CONTRACTOR OWNER AGENT FOR OWNER NAME mc&1 1 c SwRACToR 6 7 LtuA 3% _. STATE a* ZIP CWE 9 2O' CITY BUSINESS LIC. # ' 17 SIGNATURE <T vx DATE /-3/*7/ DESIGNER aME - ADDRESS I CITY STATE ZIP COOE DAY TELEPHONE STATE LIC. # Workers' Compensation Declaration: 1 hereby affirm that 1 have a certificate of consent to self-insure issued by the Director of Industrial Relations, 7. WORKERS' COMPENSATION or a certificate of Uorkers' Cnpensation Insurance by an adnitted 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 ea&Fd . POLICY ~0.3'06-352F EXPIRATION DATE /)-) -91 Certificate of Exemption: I certify that in the performance of the work for uhich this permit is issued, 1 shall not enploy any person in any mamr so as to becane subject to the Workers' Compensation Laus of California. SIGNATURE DATE 8. OWNER-BUILDER DECLARATION Owner-Builder Declaration: 1 hereby affirm that I am exempt from the Contractor's License Lau for the follouing reason: 0 I as wner of the property or my employees with uages as their sole compensation, will do the uork 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 ouner of property uho builds or improves thereon,, and uho does such uork himself or through his oun employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold uithin one year of completion, the ouner-builder uill have the burden of proving that he did not build or improve for the purpose of sale.). 0 I, as owner of the property, am exclusively contracting uith licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an ouner of property uho builds or improves thereon, and contracts for such projects uith contractor(s) licensed pursuant to the Contractor's License Law). I am exempt der Section Business and Professions Code for this reason: (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to ccnstruct, 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, comnencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is exetrpt therefran, 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 mre than five hundred dollars [SSOOI). SIGNATURE DATE ~~~~~~~ ~ ~ ~ ~~ ~ ~ CWPLETE THIS SECTION FOR YON-RESIDENTIAL BUILDING PERMITS ONLY: IS the applicant or future building occupant required to subnit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tamer Hazardous Substance Account Act? 0 YES NO Is the applicant or future building occqxnt required to obtain a permit frm the air pollution control district or air quality mnagement district? UYES 0 NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? YES 0 NO IF MY OF THE MYSIIERS ARE YES. A FINN CERTIFICATE OF OCCLIPMCY MY Yo1 BE ISSUED AFTER JULY 1. 1989 UlLEM THE APPLICANT US IET OR IS IEETIYC TIE KQIIREBEWTS OF THE OFFICE OF EIERGEIKY SERVICES Ay) TNE AIR PaLLlTlOY tOYTROL DISTRICT. 9. CONSTRUCTION LENI)ING AGENCY I hereby affirm that there is a construction lending agency for the performance of the uork 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 amlication and state that the above information is correct. I aqree to comply with alk City ordinances and State taws relating .. to building construction. CITY IN CO(ISE9UENCE 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 uork authorized by such permit is not comnenced uithin 180 days from the date of such permit or if the building or uork authorized by such permit is suspended or abandoned at any time after the work is cannenced for a period of 180 days (Section 303(d) Uniform Building Code). I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection plrposes. I ALS6 AGREE TO SAVE imEwFr AUD KEEP HAUHLESS THE ciir OF URLSBM AGAINST nu LIABILITIES, JU)OENTS. COSTS AUD EXPENSES WICH MY IH ANY Iur ACCRUE AGAINST MID 0 BY PHONE 4PPROMD BY: OVNER FTRACTDR DATE: WHITE: File YELLOW: Applicant PINK: Finance 4 APPLICANT'S SIGNATURE CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB910166 FOR 02/08/91 INSPECTOR AREA MP DESCRIPTION: TEMPORARY POWER PLANCK# CB910166 TYPE: ELEC CONSTR. TYPE NEW JOB ADDRESS: 2067 BLACKBIRD CR STR: FL: STE: APPLICANT: TEMPORARY UTILITY SERVICE PHONE: 619 471-5494 CONTRACTOR: PHONE: OWNER: PHONE : OCC GRP REMAFUG: MH/MICHELE/471-5494 INSPECTOR SPECIAL INSTRUCT: , TOTAL TIME: --RELATED PERMITS-- PERMIT# TYPE CB901454 SFD CD LVL DESCRIPTION ACT COMMENTS 32 EL Const. Service/Agricultural -- ***** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP COMMENTS