HomeMy WebLinkAbout1110 CAMINO DE LAS ONDAS; ; CB951527; PermitPermit No: CB951527
Project No: A9200124
Development No: DEV90084
BUILDING PERMIT
10/20/95 14:05
Page 1 of 1
Job Address: 1110 CAMINO DE LAS ONDAS Suite:
Permit Type: ELECTRICAL
Parcel No: 214-140-40-00 Lot*:
Valuation: 0 Construction Type: NEW
Occupancy Group: Reference*: Status: ISSUED
Description: TEMP. POWER POLE Applied: 10/20/95
: COSTA DE SOL GREYSTONE HOMES Apr/Issue: 10/20/95
Entered By: MDP
Appl/Ownr : POWER PLUS 619 471-5494
1167 LAW STREET
SAN MARCOS, CA. 92069
*** Fees Required ***
Fees :
Adjustments:
Total Fees:
Fee description
Enter "Y" for Ele
Enter "Y" for Tern
* ELECTRICAL TOTA
^;>^f^toCollected & Credits ***
. 00
. 00
20. 00
Ext fee Data
10 .00 Y
10.00 Y
20. 00
4248 10/20/95 0001 01
C-PK'MT
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
PERMIT APPLICATION
City of Carlsbad Building Deportment
2075 Las Palies Dr., Carlsbad, CA 92009 (619) 438-1161
1. PERI*ITTYPE
From List 1 (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
PLAN CHECK NO.
EST.VAL
PLANCK DEPOSIT.
VALID. BY
DATE
2. PROJECT INFORMATION FOR OFFICE USE ONLY
Address \\\o
Nearest Cross Street
C Bunding or Suite No.
LEGAL DESCRIPTION Lot No.ivision Name/Number Unit No.Phase No.
CHECK BELOW IF SUBMITTED:
D 2 Energy Gales D 2 Structural Gales D 2 Soils Report D1 Addressed Envelope
ASSESSOR'S PARCEL
DESCRIPTION OF WORK
SQ.FT.
PROPOSED USE
# OF STORIES # OF BEDROOMS # OF BATHROOMS
3TIJUN IAUI FtKaUNtiTjujierent from applicant;
NAME (last name
CITY^iCUA) 1TY
ADDRESS \ Itel
ZIP CODE (\QjCA£P\ PAY TELEPHONE (.
4. APPLICANT DC
NAME (last name
U AGENT FOR OWNE
CITY.I DAY TELEPHONE (g
'NAME (last name
CITY
ADDRESS
ZIP CQDE^ |~?\<^ DAY TELEPHONE
O. CON
NAME (last name first)
CITY
PC t£?
STATE Oft ZIP CODE
ADDRESS \\Ut "7
DAYTELEPHONE Cfi
STATE UC.LICENSE CLASS
DESIGNER NAML (last name tirst)
CITY BUSINESS LIC. #
CITY
7. WORKERS' UUMPENSATION
STATE ZIP CODE DAY TELEPHONE STATE LIC. #
Workers Compensation Declaration: Ihereby arnrrntnat I have a certificate or consent to self-insure issued by the Director of 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 ((I | 1
yianyijcertificate of Exemption: I certify that in the performance or the work for which this permit is issued, I shall not emplo;
so as to become subject to the Workers' Compensation Laws of California.
person in any manner
SIGNATURE DATE
8. OWNER-BUILDER DECLARATION
owner-Builder Declaration: I Hereby affirm that I am exempt tromtne Contractors License Lawior the following reason:
D 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).
D 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]).
SIGNATURE DATE
COMPLETE THIS SECTION FUR NON-f(E51bENTlAL 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 MAY NOT BE ISSUED AFTER JULY 1,1989 UNLESS THE APRUCANT
HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
9. LJUlMb'lKUC.ilUM LENDING AGENCY
I hereby attirm that there is a construction lending agency for the pertormahce ot tne work tor which this permTt is issued (.Sec 3097UJ Civil Codej.
LENDER'S NAME LENDER'S ADDRESS
10. APPUCAN1 CEHnFlCAllUN
I certiry that 1 nave read the application and state that the above information is correct. I agree to comply witnall City ordinances and State laws
relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon die above mentioned property for inspection
purposes. I ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CTIY OF CARLSBAD AGAINST ALL [JABnJITES, JUDGMENTS, COSTS
AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID 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 Building Code).
APPLICANTS SIGNATURE DATE:
WHITE: File YELLOW: Applicant PINK: Finance
CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT* CB951527 FOR 10/27/95
DESCRIPTION: TEMP. POWER POLE
COSTA DE SOL GREYSTONE HOMES
TYPE: ELEC
JOB ADDRESS: 1110 CAMINO DE LAS ONDAS
APPLICANT: POWER PLUS PHONE:
CONTRACTOR: PHONE:
OWNER: PHONE:
INSPECTOR AREA PY
PLANCK* CB951527
OCC GRP
CONSTR. TYPE NEW
STE: LOT:
619 471-5494
REMARKS: MW/MICHELLE/471-5494
SPECIAL INSTRUCT:
INSPECTOR
TOTAL TIME:
—RELATED PERMITS—PERMIT*TYPE STATUS
GR950016 GRADING ISSUED
CD LVL DESCRIPTION ACT COMMENTS
32 EL Const. Service/Agricultural
DATE DESCRIPTION
***** INSPECTION HISTORY *****
ACT INSP COMMENTS
). —._.. ^_ — _ _LZ
«f:
$8 ?
^n
^i>-i £^5:
5£>Otf
SOBJf^duj
3-03-199B 11:34PM FROM P. 4
C IM9URAMOE
FUND
NCVSMcES 1
•'.r'.
". .CITV Cf- CA
P.O. BOX 420607, SAN FRANCISCO, CA 94142-0807
CERTIFICATE OF WOR^RS'COMPENSATIQN INSU FIANCE
PQLICYNUMBER:
CERTIFICATE expifi£&
,1200 £
CA , -?2CQb JO,?: ALL
sa-r.
TWs IB tq.cvtNV that we haw issued a valid Workers' ,Comp«rtMfion insurance policy in a farm approved by the California
:• JraiJranM'Comrtiia^n^ • ••••, -•-.'••••.
subject. to cancollatkih fay th« Fund iaxis*pt upon t*n dfy«' advance written notice to the employer. ; "• , '
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C3J\: PQWSP PUUS? T CMPO'RA.ftY S£5VICcS