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HomeMy WebLinkAbout1480 WINDROSE CR; MP; CB911675; PermitB U I L D I N G 12/12/91 11:19 Pa<:.1e 1 ot 1 Job Address: 1480 WINDROSE CR M-f Permit Type : ELECTRICAL Parcel No: Valuation : 0 Construction Type: NEW Occupancy Group : Class Description: 40 AMP METERED PEDESTAL Appl/Ownr : DANIELS CABLEVISION P.O . BOX 344 CARLSBAD, CA fees Required Fees: Adjustments: Total Fees: Fee description Enter "Y" for Elec Single Phase Per * ELECTRICAL TOTAL PERMIT Permit No: CB911b75 Project No: A91U2134 Development No: Str: fl.: Ste: 5590 12/12/91 0001 01 02 C-PRMT 20-00 Cocle : Status : ISSUED Applied: 12/12/91 Apr/Issue : 12/12/91 Validated By : SBB 619 438-5241 .00 .00 20 .00 **k Ext fee Dat.- 10.00 Y 10.00 20.00 F APPROVAL INSP. l . DATE--· CLEARANCE-----• CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION Ci ty of Carlsbad Building Department EST. VAL ______________ _ 2075 Las Pal mas Dr., Carlsbad, CA 92009 (619) 438-1161 PLAJj 0: DEPOSIT ___________ _ VALID. BT ______________ _ 1. ERMIT DATE ______________ _ A • COH11ERCIAL TENANT IMPROVEMENT 0 TENANT IMPROVEMENT B D INDUSTRIAL C 0 RESIDENTIAL □APARTMENT □CONDO □SINGLE FAMILY DI/ELLING OADDITION/ALTERATION OouPLEX O DEHOLITION □RELOCATION OHOBILE HOME □ELECTRICAL □PLUMBING □MECHANICAL □POOL □SPA □RETAINING \/ALL OsoLAR □OTHER _____ _ 2. 'if' a!:)e C:1 Q. e., ON PLAN CHECK No . Bu1 ld1ng or Su1t e No. F Nearest Cross Streets (}flt/ 1CJf11cJ/? (],te LEGAL DESCRIPTION Lot No. S<bd1v1s1on Na,ne/N<.llber Unit No. Phase No. 2 Structural Cales 1 Addressed Envel EXISTING USE PROPOSED USE BLDG. SO. FTG. # OF STORIES 3. CONTACT PERj._ON • NAH~111dy C.'.,v-,1·n41 o ADDRESS CITr01/t'.!J_j)/t~ STATE(_ff ZIP CODE SIGNATUR~~ 4. AP~LICANT /"J ~TRACTOR NAME J..J/Jr'I, e /-s Ll'1.bTev1:s1a" 0 AGENT FOR CONTRACTOR p. O9t1NJ.R •~_/• j]AGENT FOR 0\/NER ADDRESS • 0 . t:,VX 3, 't STATE tJlf ZIP CODE 1~B i' OAT TELEPHONE ~36 ~~I CITY (2,112 ljb!'l-d 5. PROPERTY OWNER h. J NAME{] ,ry ?ft Cfl ~ I j J'l<:r CITY 0\/NER STATE ADDRESS ZIP CODE □LESSEE □TENANT DAY TELEPHONE 6. CONTRACTOR ' NAME :St1me II-~ lf/Jf/,e.,4-n r CITY SIGNATURE DESIGNER NAME CITY STATE STATE LIC. # ____ _ STATE ADDRESS ZIP CODE LICENSE CLASS _____ _ TITLE ADDRESS ZIP CODE DAT TELEPHONE CITY BUSINESS LIC. # DATE DAY TELEPHONE STATE LIC. # ')<c';1'1pl 7. WORKERS' COMPENSATION 8 . Workers' COl'1l)eflsat1on Declaration: hereby affirm that I have a cert 1f1cate of consent to setf·1nsure ,ssved by the 01rector of Industri al Relations, or a certlfkate of \lorkers• C0ft1)ensation Insurance by an adnitted insurer, or an exact copy or duplicate thereof cert i fied by the Dfreetor of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C). INSURANCE COMPANW:,, -:1. Ch. ot IJot.fh time-~;~,,, POLICY NoGO~l:flY</1-/ EXPIRATION om 1-1 -9;J.. Certif icate of Exefll)tion: I certify that 1n the performance of the work for wtt1ch this perniit is issued, I shall not eq:,loy any person in any marv-ter so as to become-slbject to the Workers• C0ft1)eflsation Laws of California. DATE l,,;l-/-9/ Owner-Bu1lder 0eclarat1on: I hereby affirm that I am exeffl)t from the Contractor•s License law for the following reason: 0 I as owner of the property or my en'J)loyees with wages as their sole corrpensat1on, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor1 s license Law does not apply to an owner of property who builds or iq,roves thereon,, and who does such work himself or through his own """loyees. prov1ded that such iq,rovements are not intended or offered for sale. If, however, the building or iffl)rovement is sold within one year of con,:,letion, the owner·bu1lder w;ll have the burden of proving that he did not build or i~rove for the purpose of sale.). 0 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 iq>roves thereon, and cont racts for such projects wi th contractor(s) licensed pursuant to the Contractor•s License Law). O I am ex""'t ..-.der Section ___________ Business and Professions Code for this reason: (SK:. 7031.5 Business and ProfesS1ons Code: Any City or COUlty which requires a permit to construct, alter, iq>rove, demolish, or repair any structure, prior to its issuance, also requires the applicant for such per'9'11t to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, c~1ng with Section 7000 of Oh·ision 3 of the Business and Professions Code) or that he is exeq,t therefrom, and the basis for the alleged ex""'tion. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a c1vil penalty of not mre than five h..-.dred dollars [S5001). SI GNATURE 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 prevent ion program ..-.der Sections 25505, 25533 or 25534 of the Presler Tanner Hazardous Substance Accou,t Act? Ores □No ts the applicant or future building occupant req.J1red to obtain a permit from the air pollution control dutrict or air quality management district? Ores IS the facility to be constructed within 1,000 feet of the outer boundary of a school site? Ores If ANT Of THE Alj~RS ARE YES. A FINAL CERTIFICATE OF QCQS'AJjCY NAY IIOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS NET 011 IS MEETING THE REQUIREIENTS Of THE OFFICE Of EIERGE.NCY SERVICES AND THE AIR POLLUTION aJIITROL DISTRICT. 9. CONSTRUCTION LENDING AGENCY hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(iJ Civil Code). LENDER'S NAME LENDER'S ADDRESS 10 . APPLICANT 'S SIGNATURE 1 certify that I have read the application and state that the above 1nformat1on 1s correct. I agree to comply with all City ordinances and State laws relating to bullding construction. J hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGltEE TO SAVE IIIOEMNIFY AND KEEP HARNLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSIS AND EXPENSES IIHICH NAY IN ANT 1/AY ACCRUE AGAINST SAID CITY IN aJIISECIUENCE OF THE GRANTING OF THIS PERNIT. Exp;ration. Every pertnit issued by the Building Official \Xlder the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit 1s not conmenced within 180 days from the date of such permit or if the building or work authorized by such permit 1s suspended or abandoned at any tltt after the work is cOITTllCnced for a period of 180 days (Sect ion 303(d) Unlfor11 Building Code). O 0\/NER ~TRACTOR Oar PHONE APPROVED BY: _______ _ DATE: __________ _ WHITE: File YELLOW: Applicant PINK: Finance PERMIT# CB911675 DESCRIPTION: 40 AMP METERED TYPE: ELEC CITY OF CARLSBAD INSPECTION REQUEST FOR 02/28/92 PEDESTAL JOB ADDRESS: 1480 WINDROSE CR APPLICANT: DANIELS CABLEVISION CONTRACTOR: PHONE: PHONE: OWNER: PHONE: INSPECTOR AREA PD PLANCK# CB911675 OCC GRP CONSTR. TYPE NEW STR: FL: STE: 619 438-5241 REMARKS: MH/LARRY/438-7741X609 SPECIAL INSTRUCT: INSPECTOR ___________ _ TOTAL TIME: CD 39 LVL DESCRIPTION ACT COMMENTS EL _F_i_n_a_1_E_1_e_c_t_r_i_·c_a_1 _______ i ~7-0el ***** INSPECTION HISTORY***** DATE DESCRIPTION 022692 Final Electrical ACT INSP CO MP COMMENTS BONDING JUMPER