HomeMy WebLinkAbout2693 VANCOUVER ST; ; CB960175; Permit)2/01/96 11 : 17
Pacre 1 of 1
B U I L [, I N G
1 Job Address: 2b93 VANCOUVER ST
Permit Type: ELECTRICAL
Parcel Ne,: 167-441-3.c:-uc
Valuation: o
P [-< fYI l T Pe.rmit Nt>: ( . .'bYbOl7r:-
Suite :
Lot#:·
Project N0: A$b00~7~
Development No:
Occupancy Gruu~: Reference#:
Const1uction Type: NEW
::.tatu:::: ISSUED
Applied: 02/01/96
Apr/Issue: 02/01/9b
Entered E\y: RMA
619-260-5705
Description : RUN GAS & ELECT TO FIRE RING &
: FUTURE SPA & LIGHTS
Appl/Own1 SANTY , PAUL
2693 VANCOUVER ST
CARLSBAD , CA 92008
Fees Required **A Fees Collected & Credits
Fees:
Adjustment::;:
Total Fees:
Fee description
62.00
.00
6 2 .Q'O
Total Credits :
Total Paymehts:
Balance Due:
Uni ts Fee/Unit
Enter "Y" for Electric Issue Fee >
Enter ·• Y" if Test Me ter
Other
* ELECTRICAL TOTAL
>
> 2 7 . () 0
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1 161
.00
.00
t:>2 .00
Ext fee Data
i0 .ll0 Y
25.00 Y
27.00 GAS PERMIT
62.00
PERMIT APPLICATION
City of Carlsbad Buildi~ Departaent
PLAN CHECK NO. bD /7.S-
2075 Las Pal-Dr., Carlsbad, CA 92009 (619) 438-1161
t. PERMIT IYPE
From List I (see back) give code of Permit-Type: ____________ _
For Residential Projects Only: From List 2 (see back) give
Code of Structure-Type: _____________________ _
Net Loss/Gain of Dwelling Units __________________ _
2. PROJF.Cf INFORMATION FOR OFFICE USE ONLY
Address ;z ~ 'o/ ~ j?A.,,,,cc tt p~ Sy Building or Suue No.
Nearest Cross Street Co ,-v (!_0.4ii!. 'l) .5,:
LECAL btscR!PtioN Lot No. sutxhv1S1on Name/Number Unit No. Phase No. ~ f'IN/V-4-~ j&/,,c,q·_.
CHECK BEWW IF sOSMII 1£0:
□ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ I Addressed Envelope
I
NAME (last name first) ADDRESS
NAME (last name first) ".s ~C?J~ v'~ 5'-r,
CITY ~,&A-0 STATE G,4-s. PROPER ER
NAME (last name first) ~§"
ZIP CODE 9.2.do l?° DAY TELEPHONE ~/9 · ,;u; t:J -~"-7 'l> .S-
ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE
6. mN'i:'RAC'luR
NAME (last name first) ADDRESS
CITY STATE
STATE LIC. #
ZIP CODE
LICENSE CLASS
DAY TELEPHONE
CITY BUSINESS LIC. #
DEslGNER NAME (last name first) ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE STATE LIC. #
1. WoRXERS' mMPENSAtioN
Workers' Compensation beclarauon: I hereby affirm that I have a ceruf1cate of consent to sell-insure issued by the Director ol lndusmal
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 POLICY NO. EXPIRATION DATE
Ceru!Jcate of Exemption: I certify that m the performance of the work tor which this permit 1s issued, I shall not employ any person m any manner
so as to become subject to the Workers' Compensation Laws of California.
SIGNATIJRE DATE
8. oWNEk-SOuDEk OECtARA11oN
Owner-Builder Declaration: I hereby alhrm that I am exempt from the Confractoi's License Law for the ioiiowmg reason:
lf 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
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).
□ 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 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
sub· e pl" a civil nalty of not more than five hundred dollars [$500)).
SIGNA -r7/,,JA/ )hC-?4-1~..... DATE 2-/ C/6
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? □ YES □ NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quali ty management district?
□ YES □ NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
□ YES □ NO
IF ANY OF nm ANSWERS ARE YES, A FINAL CER"ImCATE OF cxx:uPANCY MAY Nar BE~ AFTER JULY 1, 1989 ~ nm APPLICANT
HAS MET OR IS MEETING nm RF.QUIREMENTS OF 11-IE OFFICE OF EMERGENCY SERVIOS AND TIIE AIR POU.UTlON a>NTROL DISTRICT.
9. WNSIRUC110N ll'.NDlNG AGENCY
I hereby all1rm that there lS a construcuon lending agency for the perlonnance of ihe work for which this permit 1s issued (Sec 3097(1} C1VJI Code).
LENDER'S NAME LENDER'S ADDRESS
IO. APP□CAN 1 U1t 11FICA I ION
I cerufy that I have read the applicauon and state that the above miormat1on 1s correct. I agree to comply wnh 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 1U SAVE lNDEMNIFY AND KEEP HARMLESS TIIB CTlY OF CARLSBAD AGAINST All. UABIUTIES, JUDGMENTS, <DSTS
AND EXPENSES WI-DOI MAY lN ANY WAY ACX:RUE AGAINST SAID QTY lN CDNSF.QUENCE OF 11-IE GRANTING OF nos 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 bx h permit is not commenced within 365 days from the date of such permit or if the building or work authorized by
such permit is pe ed r cloned at a time after the work is commenced for a period of 180 days (Section 303(d) Uniform Bui~~
APPL! E DATE: (
TE: File YEll.OW: Applicant PINK: Finance
CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT# CB960175 FOR 04/09/96
DESCRIPTION: RUN GAS & ELECT TO FIRE RING &
FUTURE SPA & LIGHTS
TYPE: ELEC STE:
INSPECTOR AREA PY
PLANCK# CB960175
OCC GRP
CONSTR. TYPE NEW
LOT: JOB ADDRESS: 2693 VANCOUVER ST
APPLICANT: SANTY, PAUL
CONTRACTOR:
PHONE: 619-260-5705
PHONE:
OWNER:
REMARKS: BJN/PAUL/434-2503
SPECIAL INSTRUCT:
TOTAL TIME:
CD
39
LVL DESCRIPTION
EL Final Electrical
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PHONE:
INSPECTOR ----'l✓~~Y ______ _
r/
ACT COMMENTS
AR ------
***** INSPECTION HISTORY*****
DATE DESCRIPTION
032696 Gas/Test/Repairs
ACT INSP
AP PY
COMMENTS