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Home My WebLink About1060 PALOMAR AIRPORT RD; ; CB980597; Permit02/24/98 15:09 Page 1 of 1 8 U I L D I N G P E R M I T Job Address: 1060 PALOMAR AIRPORT RD Suite: Permit Type: ELECTRICAL Parcel No: Lot#: Valuation: 0 Occupancy Group: Reference#: Descr'iption: 100 AMP IRR. PED. Permit No: CB980597 Project No: A9800758 Development No: 4352 02/24/98 0001 01 02 C-PRMT 35-00 Construction Type: VN Status: ISSUED Applied: 02/24/98 Apr/Issue: 02/24/98 Entered By: MDP Appl/Ownr : R.E.HAZARD P.O. 229000 SAN DIEGO, CA. 619 587-3600 *** Fees Required *** Fees: Adjustments: Total Fees: Fee description Enter "Y" for Ele r· Single Phase Per AM 92192 it ---- CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 *** .00 .00 35.00 Ext fee Data 10.00 y 25.00 FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO. 1~·scc2 CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 EST.VAL. _________ _ Plan Ck. Deposit --------- Validated By __________ _ Date _____________ _ . ---·. Address (Include Bldg/Sun, II Busineu Neme let thi1 eddfasl 1. PROJEC~RMAA Id~ ~MAR AtRfbter 120 Legal Descnpuon Lot No. Subclivillon Heme/Number Unit No. Phese No. Total I of units Assessor·s Parcel I Existing Q 1co AMP I a.g \6Atl01'J HEJE ra:l:t5JA.:L PrOl)C)Hd u .. ti of Bedrooms fl of Bethrooms Description of Work SQ. FT. lof St- ~&~te;'"i:, a Df'P.O~PJ):X, '223oov :~~~;c4q;jqirei,,q)m-t«>i{ R::,Q Name Addfns Ctty Stete/Zip Te'riphone '-t Fax , · o owne;-o Aveni ioi 0wner Kt:.~~~J.Dl~aM.l.U.:~:!..E.JLl,A_~~L..;;a~~~~~~~~p:zl.J...:.._;~o Name Address PR,_PERTY OWNER '°:: uCTY Of: G.412l.!2!.1~ '. 4. City Stete/Zip Telephone ti Ii. CONTRACTOR • COMPANY NAME (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demoliah or repeir any structure, prior to its issuance, also requires the applicant for such permit to file e eigned stetement thllt he ia lic-.d punuent to the provisions of the ContM1ctor'1 License Lew !Chapter 9, commending with Section 7000 of Division 3 of the BUlinen end Profes1ions Code) or thet he 19 exempt therefrom, and the besis for the alleged emption. Anv violation of Section 7031.5 by eny epplicant for a per it · s the ~icent to a civil penelty of not,,_, then five hundred dollerl lt500JI. 'J:; . q 1 ~ City Stete/Zip Telep State UcenH I 12>] rz. Lie-• Cleu City BusinNs Ucwe I I \(d{J] (X) Designer Neme Address City Stete/Zip Telephone State Licen1e I--------- 6. WORKERS' COMPENSATION --. ·. , ....... ··--·-··---.... ,... . ... .... ~ ,-,I, I Workers' Compen11tion Declaretion: I hereby effirm under peneity of perjury one of the following dect.,.tiom: 0 I have and will maint1in a certificlte of consent to self•lnsure for workers' compeneetion II provided by Section 3700 of the Lllbor Code, for the performance of the work for which this permit is iasued. 0 I have and will m1int1in workers' compensation, es required by Section 3700 of the Lllbor Code, for the performance of the work for which this permit Is issued. My worker's compenHtion insurence cemer end policy number ere: I _ Insurance Compeny9:£Nffil {t-..:l~CE:. aa Policy No.'ti1}4,J /'2.53:Y2. Expiration Dete ,a.)$ I iql(' (THIS SECTION NEED NOT IE COMPLETED IF THE P£RMIT IS FOR ONE HUNDRED DOLLARS 1noo1 OR LESS) I 0 CERTIFICATE OF EXEMPTION: I certify thlt in the performance of the worlt for which this permit is inued, I 8heN not employ eny perlOn In eny manner so es to become subject to the Workers' Compensation Lew, of Celifomie. WARNING: worll 'compenNtlon-..,. 19 un6ewful, end .... eullject en employer to crtmnil ......... end cMI fines up to -hunchcl thous~ ERDECLARAOON thecoetof~.--:-~~~~,~~~T~~1.~=i~~-=·.~: ~ I hereby affirm the I em exempt from the Contrector's Uc-• Lew for the following r11son: 0 I, es owner of the property or my employees with weges •• their 1ole comperwetion, will do the work end the etruc:ture 19 not intended or ott•ed for eele (Sec. 7044, Bueineu end Profesei11n1 Code: The Contrector's Uc.we Lew «low not apply to en o-of property who bullde or Improves therlW!, end who doN such work himaelf or through l'lis own emplov-, provided thet such lmprovemenu ere not intended or offered for Ille. H, ho-. the bulldlng or lffl.-ovement Is sold within one y11r of completion, the owner-builder win hive the burden of proving thet he did not build or Improve for the purpoee of Alel. 0 I, H owner of the property, em exclueively contrecting with Wcwed contrectcn to construct the project !Sec. 704,t, lueineu end Profenionl Code: The Contractor's LicenH Lew dou not 1pply to en owner of property who build8 or improyn ther--., end contrec:te for such projecU with contr.ctorl1) ..._ pursuant to the Contr1ctor'1 UcenH Lewi. 0 I am exempt under Section ------BusinNs end Profn1111n1 Code for this reeson: 1. I per1on1lly plen to provide the major labor end meteriei9 for construction of the propoeed property Improvement. 0 YES ONO 2. I (hive I hive notl signed en epplicetion for • building permit for the proposed work. 3. I have contrectld with the following person lfirml to provide the propo11d construction (Include neme / lddr-I phone number I contrectcn llcenH number): 4. I plen to provide portions of the worlt, but I hive hifed the followfng person to c:oordinlte, SupeMN end provide the mejor work Cinclucle neme / lddr-/ phone number I contrectora lic-• number): ___________________________________________ _ 5. I will provide 1ome of the work, but I hive contrected (hired) the following penons to provide the work lndiceted !Include neme / 1ddrN1 I phone number I type ofworkl:. _____________________________________________________ _ PROPERTY OWNER SIGNATURE------------------------- Is the 1pplic1nt or future building occupent required to lubmlt I buaiwa plen, ecutely haurdous meterille reglstretio.'I form or rilk mwgement end p,9Ylfltion progrem under Sections 25505, 25533 or 215534 of the Presley-Tenner Huerdoul Subltenc. Account Ac:t7 0 YES O NO Is the applicant or future building occupent required to obtein e permit from the llr pollution control diltri:ct or llr queflty mwgement district 7 0 YES O NO Is the facility to be constructed within 1,000 Ifft of the outer bound1ry of 11chool 1ite7 0 YES O NO IF ANY OF THE ANSWERS ARE YES. A FINAL CERTIFICATE Of OCCUPANCY MAY NOT IE ISSUED UNLESS TH£ APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POUUTION CONTROL DISTRICT. :a.. CONSTRUCTION LENDING AGENCY . ,.. ~·~-~· ~--· -, ?•--:·-.. ~;.-........ ...,.._., ~~--~ -~ --~-~r---· ··- I hereby affirm that there is a construction lending egency for the performenc, of the work for which this permit 11 lnued ISec. 3097Cil Clvil Codel. LENDER'S NAME --------------LENDER'S ADDRESS------------------------ :9 . APPLICANT CERTIFICATION -· . ~--···· ---.---~...,-.,..---.,..,... I certify that I have reed the 1pplic1tion ind st1t1 thlt the 1boV1 informetion i1 correct end thet the informetion on the plel'II la 1ccur1te. I lllfH to comply with ell City ordinances ind Stet, lews releting to building construction. I t.1by euthorlz1 reprenntltives of the Cltt of C1rilbed to enter upon the 1bove mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMMFY AND ltEEP HARMLESS THE CITY OF CARLSBAD AGAINST AU LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS P£RMIT. OSHA: An OSHA permit is required for excevltions over 5'0" deep end demolition or construction of ltructures over 3 1tories In height. EXPIRATION: Every permit issued by the Building Offici1I under the provisions of this Code lhlll expire by limit1tion end become null 1nd void ii the building or work 1uthorized by such permit is not commenced within 385 deys from the dete of such permit or If the building or work 1uthorized by such permit is suspended or abandoned at any time efter the work is commenced for I period of 180 deys !Section 108.4.4 Uniform Building Code). APPLICANT'S SIGNATURE -------------------------DATE WHITE: File YELLOW: Applic1nt PINK: Finence PERMIT# CB980597 DESCRIPTION: 100 AMP IRR. PED. TYPE: ELEC CITY OF CARLSBAD INSPECTION REQUEST FOR 04/23/98 STE: INSPECTOR AREA PLANCK# CB980597 OCC GRP CONSTR. TYPE VN LOT: JOB ADDRESS: 1060 PALOMAR AIRPORT RD APPLICANT: R.E.HAZARD PHONE: 619 587-3600 CONTRACTOR: OWNER: REMARKS: C/ROBERT/619/899-1478 SPECIAL INSTRUCT: TOTAL TIME: CD LVL DESCRIPTION 32 EL Const. Service/Agricultural PHONE: PHONE: ACT COMMENTS ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS 18 1J2Q1~J...> M£T'E-12 'fEOE/~l"A-L toC,<!7)01-J~ ,r:JP ~ PALOMAR INDEX & KEY MAP fillliiji111i111Mllliilillli.~-.~ SC ALE : 1 "= 400 ' PROJECT LOCATION THIS PROJECT IS LOCATED WITHIN ASSESSORS PAF NUMBERS 211-022-10. 11. 16 AND 211-023-15 THE CALIFORNIA COORDINATE INDEX OF THIS PROJEC - N 346,000 E 1. 671. 000