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Home My WebLink About2801 VISTA MARIANA; ; CB951105; PermitB U I L D I N G 08/14/95 12:47 Page 1 of 1""2..>o\ Job Address: 2~ VISTA MARIANA Permit Type: ELECTRICAL Parcel No: 216-460-42-00 Valuation: 0 Construction Type: VN P E R M I T Suite: N\{ Lot#: Permit No: CB951105 Project No: A9501606 Development No: Occupancy Group: Reference#: Status: Applied: ISSUED 08/14/95 08/14/95 MDP Description : 100 AMP SERVICE PED. AND 20 : BOLLARDS FOR TRAIL LIGHTING Appl/Ownr : GRIFFITH ELECTRIC P.O. 1 011 GARDEN GROVE, CA. 92642-8969 *** Fees Required *** *** 714 Apr/Issue: Entered By: 530-8969 Fees Collected & Credits *** -------------------------------------------- Fees: Adjustments: Total Fees: Fee description 238 .00 .oo 238.00 Total Credits: Total Payments: Balance Due: Units Fee/Unit .00 .0 0 238.00 Ext fee Data --------------------------------------------------------------------------- Enter "Y" for Electric Issue Fee > Single Phase Per AMP > Other > * ELECTRICAL TOTAL 100 203.00 10.00 Y 25.00 203.00 BOLLARDS 238.00 3167 08/14/95 0001 01. 02 E INSP . - C-f-'RMT 238-00 PROVAL ~ DATE I 1 /1 3fas CLE ANCE-----• CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION PLAN CHECK NO. City of Carlsbad Building Department 2075 Las Paliaas Dr., carlsbad, CA 92009 (619) 438-1161 FST. VAL 18, C:Q:O .\ t 1. PERM1'1' 1YPE PLAN CK DEPOSIT 3,Z 8 -\<J' c:.. VAIJD.BY, ___________ _ From List l (see back) give code of Permit-Type: _...,,J::=L""f;":;_C...... _______ _ DATE --------------------------------------------------------- For Residential Projects Only: From List 2 (see back) give Code of Structure-Type: _____________________ _ Net Loss/Gain of Dwelling Units __________________ _ 2. PRQJF.Cf INFORMATION FOR OFFICE USE ONLY Address -z._t" ~7 Nearest Cross Street LEGAL DESCRIPTION Lot No. Subd1v1S1on Name/Number Unit No. Phase No. CHECK BEillW IF SOBMI 11 ED: □ 2 Energy calcs □ 2 Structural calcs □ 2 Soils Report □ l Addressed Envelope SQ. IT. # OF STORIES # OF BEDROOMS # OF BA TI-IROOMS 3. WN IACI PEJ&JN (1f daflerent lro.'l!. ~pphcant) NAME (last name first) "';:>6 If" -::U, If ADDRESS CITY STATE ZIP CODE DAY TELEPHONE 4. APPDCANI □cbNIRAciOR □ACENI fORcONIRACIOR ii.OWNER □AC£N1 FOR OWNER NAME (last name first) 6-RIF~ ,-rH, ~ ADDRESS P-~' ~ fcrl CITY STATE ZIP CODE qu, Iott DAY TELEPHONE 71'-/--5 30-i C:, '7 NAME (last name first) l-A (£,sr,,r A~-::,oe,. ADDRESS 5'-' (p5' /1o&,e6" ~~-D1t I 5'-' ,-r~ ~so CITY t:;· iJ'tu Dv:ez::o STATE CA ZIP CODE q ;2.J 1.1 DAY TELEPHONE 6. OON'I u n _ I NAME (last name first) G-~ I Ff= I ·p-f E:Lfic .. :r~t C.. ADDRESS P ,0 , 1-::::,;JX f 01 CITY 6,AIJ,~ &j:.oue STATE c.A-ZIP CODE qUL.IJ.-lo1YTELEPHONE "71(.f-5~-8<;~'7 sTATE uc. # Snllt.1s ucENsE cI.ASs c -,o c1TY Bus1NEss uc. # 0£SIGN£R NAM£ (last name hrst) ADOR£SS CITY STATE ZIP CODE DAY TELEPHONE STATE UC.# 1. WORKERS' dJMPENSAl1oN Workers' Compensauon Oeclarauon: I hereby alhrm that I have a cerulacate of consent to sell-insure issued by the Director of lndustnal Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate ther~f certified by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C). INSURANCE COMPANY M 13R1 b1A-#.J .:r,-J':> SI$. POUCY NO~ <i'f4ll~ EXPIRATION DATE □ □ D Owner-Builder Declaration: I hereby afhrm that I am exempt from the contractor's License Law for the following reason: 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 subjects the applicant to a civil penalty of not more than five hundred dollars ($500]). SIGNATIJRE DAn coMPLE'IE fflis sECIION FOR NON-RESIDEN'MAL 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 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 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 CERTIFICAn OF CXDJPANCY MAY NOT BE ISSUED AFfER JULY 1, 1989 UN1.F.SS THE APPUCANT HAS MET OR IS MEETING nm RF.QUIREMENTS OF nm omcr OF EMERGENCY SERVICES AND THE AIR POLLUTION OONTROL DISI'RJCT. 9. 00Ns1RUCl10N LENDING AGENCY I hereby alhrm ihat ihere 1s a constf~L. IE'~ff,ncy for ihe performance of the work for which this permit 1s issued (Sec 3097(1) CIVIi Code). LENDER'S NAME {;Jl'U..!> MR6-0 LENDER'S ADDRESS ')...{) ~ O ~ ..:,[j AJ 'r 1. t;. fl/ I ceruly that I have read the apphcauon and state that the above mlormauon 1s correct. I agree to comply w1ih ail Caty 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 AISO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CfIY OF CARlSBAD AGAINsr AIL UABillTIES, JUDGMENTS, cnsrs AND EXPENSES WlDCH MAY IN ANY WAY ACDlUE AGAINSf SAID CfIY IN OONSF.QUENCE OP THE GRANTING OF TIIIS 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 ab~~ at any tim~fterlh work is enced for a period of 180 days (Section 303(d) Uniform Building Code). APPLICANT'S SIGNATURE ~L(.._.,/ , , DATE: /.<J6-1l1 I 7 2$' WHITE: File YElL W: PINK: Finance 0 CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB951105 FOR 11/09/95 DESCRIPTION: 100 AMP SERVICE PED. AND 20 BOLIARDS FOR TRAIL LIGHTING TYPE: ELEC STE: INSPECTOR AREA PY PLANCK# CB951105 OCC GRP CONSTR. TYPE VN LOT: JOB ADDRESS: 2801 VISTA MARIANA APPLICANT: GRIFFITH ELECTRIC CONTRACTOR: PHONE: 714 530-8969 PHONE: OWNER: PHONE: REMARKS: BJN/TOM/714-268-5093 PAGER INSPECTOR f();»" SPECIAL INSTRUCT: EARLY AFTERNOON INSPECTION PLEASE I 0 TOTAL TIME: LVL DESCRIPTION ACT COMMENTS CD 34 EL Rough Electric if------------------------------------------ ------------------ ***** INSPECTION HISTORY***** DATE 081795 081695 DESCRIPTION Underground/Conduit-Wiring Underground/Conduit-Wiring ACT INSP AP PY CO PY COMMENTS OK TO COVER NOT AT THIS ADDRESS