HomeMy WebLinkAbout1088 CHESTNUT AVE; ; CB961305; PermitBUI L D;T, N G P.. E- R MIT ; Permit, No : CB9613,05
1)7/16/96 12:29 ... ' '. .''•'.' , Project No: 'A9601859
Page >1 of 1 ' . '.'. : '. < Development No: • '
Job. Address: 1088 CHESTNUT AV •„•;,;•- . ; Suite: :. " '•' .; ' ,,
Permit Type: ELECTRICAL . . . • ' 355307/16/96000101 ''&>'
Parcel No: 20.5-112-18-00 . ' • ,'Lot#:
Valuation: . . '0 '- ,. •, . Construction $ypfciT NEW 35.00
Occupancy" Group: .' Reference*: Status: ISSUED
Description: REPLACE FUSE BOX W/100 AMP •' Applied: 07/16/96
.: PANEL •... , • •": Apr/Issue: 07/16/96
• • . ... . • :.. '" ' /; Entered By: RMA •'
Appl/Ownr : SPANO, JOSEPH .'•'•. . ' 619-729-8584,
: ' . - 2390' SPRUCE ST ' , ' . -. : .
CARLSBAD-'CA 92008. - ' . • , - '
Fees Required **** < * ••--.fees Collected & Credits •* *
-•: • •, - Fees : ' . 35.00 ";-,.'"
Adjustments: .' ,00".. '
- Total' Fees : ' .-- 3£;.00 -'^.
Fee description .'_''-- •- •
Enter '"Y" for Electric "jL-ssue Fsee' • >';-'
Single Phase Per AH& . -, •>
'* ELECTRICAL TOTAL
Total .Credits-:
fbtal . Payments ;
, Balance^lDue :
• ".--Units' "Fee/Unit
,100' .-.: "; ;. 25'-
• .00
.00
35,. 00
Ext fee
10.00
25, QO
35. 00
Data
Y
CLEARANCE '•
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
PERMIT APPLICATION
City of Carlsbad Building Department
2075 Las Palaas Or., Carlsbad, CA 92009 (619) 438-1161
1. fhKMlT "1TFK
From List 1 (see back) give code of Permit-Type:
For Residential Projects Only: From List 2 (see back) give
Code of Structure-Type: _ £ 4- E*-
Net Loss/Gain of Dwelling Units Al 'A _ ;
PLAN CHECK NO.
EST.VAL
PLAN CK DEPOSIT
VALID. BY (WV
DATE "J/f^1Wr-
2. PROJECT INFORMATION FOR OFFICE USE ONLY
Address Building or Suite No.
LEGAL DESCRIPTION Lot No.Subdivision Name/Number Unit No.Phase No.
CHECK BtLOW If SUBMITTED:
D 2 Energy Gales D 2 Structural Calcs D 2 Soils Report D1 Addressed Envelope
ASSESSOR'S PARCEL EXISTING USF.PROPOSED USE
SQ.FT.
O/ZCU/T
# OF STORIES # OF BEDROOMS
3. UUN I AL.I FtKiiUN fir uitterent trom applicant;
STATE3 /"HO ZIP CODE DAY TELEPHONE
4. APPLICANT U CONTRACTOR U AGENT FOR CON ITtAC I OR
NAME (last name first) <-„.. .ADDRESS
CITY STATE ZIP CODE
WNfcH LJ AGhN F FOR OWNhR
DAY TELEPHONE
5. PROPERTY OWNER
NM1E (last name first}-
CITY STATE ZIP CODE DAY TELEPHONE ~7~?-? —
0. (JUNIKACIUK
NAME (last name first)
CITY A/ A-STATE
STATE LIC. #
ZIP CODE
LICENSE CLASS
ADDRESS
DAY TELEPHONE
CITY BUSINESS LIC.# ' • '
LJESIGNER NAMb (last name first)
CITY - STATE ZIP CODE DAY TELEPHONE STATE LIC. #
7.
Workers' Compensation Declaration: 1 hereby affirm mat I nave a certificate or consent to self-insure issued by the Director ot Industrial
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
Certificate of Exemption: 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner
so as to become subject to the Workers' Compensation Laws of California.
SIGNATURE DATE
8. OWNER-BUILDER DECLARATION
Owner-Builder Declaration: I hereby alarm that 1 am exempt trom the contractors License Law tor tne following reason:
Jjf. 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.).
D 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).
O 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_apolicant to a civil penalty/>f not more than five hundred dollars [$500]). .
SIGNAT<JRE ^r^?^_.. ^'^^e?^£>..\'..'. PATE "'//iCJOMPLbTh l>flS 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
prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act?
D YES D NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
D YES D NO ,
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
D YES • D NO
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAYNOT BE ISSUED AFTER JULY 1,1989 UNLESS THE APPLICANT
HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
9. UJIMi)!RUCTION LENDING AGENCY
I hereby altirm that there is a construction lending agency tor the performance ol the work tor which this permit is issued (t>ec 3097 (i) Civil codej.
LENDER'S NAME LENDER'S ADDRESS
10. APPLICANT
1 certify that 1 have read the application and state that the above mtormation is correct. I agree to comply with 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 TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL UABIUTIES, JUDGMENTS, COSTS
AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SATO CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA permit is required for excavations over S'O" 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 abandoned at any time after the work is commenced for a period of 180 days (Section 303 (d) Uniform Buildingy
APPLICANT'S/SIGNATURE-, 7 DATE:
Z-
WHITE: File YELLOW: Applicant PINK: Finance
City of Carlsbad
Building Department
OWNER-BUILDER VERIFICATION
Attention Property Owner:
An 'owner-builder' building permit has been applied for in your name and bearing your signature.
Please complete and return this information at your earliest opportunity to avoid unnecessary delay in
processing and issuing your building permit. No building permit will be issued until this verification is
received.
1, I personally plan to provide the major labor and materials for construction of the proposed property
improvement (yes or no) Vga .
2, I (have/have not) fa *gy-e signed an application for a building permit for the
proposed work.
3, I have contracted with the following person (firm) to provide the proposed construction:
Name
Address City
Phone Contractors License No.
4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise,
and provide the major work:
Name
Address City
Phone Contractors License No.
5. I will provide some of the work but I have contracted (hired) the following persons to provide the
work indicated:
Name Address Phone Type of Work
Signed:
Property Owner _
Date: //_
2O75 Las Palmas Drive • Carlsbad, California 92OO9-1 576 • (619)438-1161
;; CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT* CB961305 FOR 08/23/96
DESCRIPTION: REPLACE FUSE BOX W/100 AMP
PANEL
TYPE: ELEC
JOB ADDRESS: 1088 CHESTNUT AV
APPLICANT: SPANO, JOSEPH PHONE:
CONTRACTOR: PHONE:
OWNER: PHONE:
REMARKS: MW/729-7599
SPECIAL INSTRUCT:
TOTAL TIME:
CD LVL DESCRIPTION
33 EL Service Change/Upgrade
INSPECTOR AREA PD
PLANCKtf CB961305
OCC GRP
CONSTR. TYPE NEW
STE: LOT:
619-729-8584
INSPECTOR
ACT COMMENTS
***** INSPECTION HISTORY *****
DATE DESCRIPTION
081596 Final Electrical
ACT INSP
CO PD
COMMENTS
ND LADDER