HomeMy WebLinkAbout1131 LAS FLORES DR; TP; CB910034; Permit' . ~
B U I L D I N G P E R M I T Permit No: CB910034
Project No: A9002203
Development J:
01/07/91 12:58
Page 1 of 1
Job Address: 1131 LAS FLORES
Permit Type: ELECTRICAL
Parcel No: 155-160-12-00
Valuation: O
Construction Type: NEW
Occupancy Group:
Description: TEMPORARY POWER
Appl/Ownr : ESCANO, RAY
DR
Class Code:
CT 89-35
800 GRAND AVENUE #Al
CARLSBAD, CA 92008
** Fees Required
Fees:
Adjustments:
Total Fees:
Fee description
Enter "Y" for Ele
Enter "Y" for Tern
· ELECTRICAL TOTA
Str:
619
CITY OF CARLSBAD
Fl: Ste: ,f
0203 01/0 '/91 <X v-,..
S._atu :
Applied:
Apr/Issue:
Validated By:
720-1000
:..,...,JED
01/07/91
01/07/91
DC
t
. 00
.00
15.00
***
Ext fee Data
5.00 Y
10.00 Y
15.00
2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161
PERMIT APPLICATION
•
City of Carlsbad Building Department EST. VAL _____________ _ 2075 Las Palmas Dr., Carlsbad, CA 92009 (6I9J 438-1161 .. PLAN Cl( DEPOSIT ___________ _
VALID. BY _____________ _
1. PERMIT TvPE DATE _______________ _ . A COMMERCIAL TENANT IMPROVEMENT
0 INDUSTRIAL □TENANT IMPROVEMENT
□RESIDENTIAL □APARTMENT □CONDO □SINGLE FAMILY DI/ELLING OADD!TlON/ALTERATJ0N
□DUPLEX □DEMOLITION □RELOCATION □HOOILE HOME O([EcTR!CAL □PLUMBING
□MECHANICAL □POOL □SPA □RETAINING IIAll OSOLM 00TH R _____ _
2. PROJECT INFORMATION PLAN CHECK No.
Address / / 3 J 1. AS F"L-.e ~ on.,ve_
Nearest Cross Streets TvrrJ.. ,e_
LEGAL DESCRIPTION Lot No. Subdivision Name/Nl.ffl:>er Unit No. Phase No.
CIIECIC BElllll If SUlll'IITTED: 02 Energy Cales 02 Structural Cales 0 2 Soi ls Report
ASSESSOR'S PARCEL
6LDG. SO. FTGJ ,.P f'Y'\ f fo~
01 Addressed Envelope
EXISTING USE PROPOSED USE
3. CONTACT PERSON
NAME
# OF STORIES ~
ADDRESS
CITY STATE ZIP CODE DAY TELEPHOIIE
SIGNATURE
4. AP£.LICANT □CONTRACTOR
NAME I\AY (SCtMJo
0 AGENT FOR CONTRACTOR □DYNER {i31(6E:T FOR OIINER
ADDREss Joo 6RAov6 A-ve.. A-I
CITY CP,,e l$ bAg. STATE £A,, ZIP CODE 'f..k,10 P DAY TELEPHONE 7t::f-C,-j(J0
5. PRQPERTY~OWNER
HAME Kr\Y ~seo,,..;o DYNER □LESSEE □TENANT
ADDRess ~oo Gf.l,qr..Jd... A vc L-'-1?
cm Ctttt Ls b,t a STATE M .zrP cooE q;..,.-lf oAr TELEPHONE
6. CONTRACTOR
7.
8.
NAME
CITY STATE
STATE LIC. # ____ _
ADDRESS
ZIP CODE
LICENSE CLASS ____ _
DAY TELEPHONE
CITY BUSINESS LIC. #
SIGNATURE Tl TLE DATE
DESIGNER NAME
CITY
WORKERS' COMPENSATION
STATE
ADDRESS
ZIP COOE DAY TELEPHOIIE STATE LIC. #
l.lorkers• Compensation Declaration~ I hereby affirm that f have a certificate of consent to self-insure 1ssued by the Director of Industrial Relat1ons,
or a certificate of 'l.lorkers• C00pensation Insurance by en ad-nltted insurer, or an e1.act copy or duptlcate thereof certified by the Director of the
insurer thereof filed with the Building rnspection Department (Sect ior 3600, Lab. C).
INSURANCE COMPANY POl!CY NO. EXP!RAT!DN DATE
Certificate of Ex"°"tion: I cert, fy that in the perfor!llllnce of the work for which this permit is issued, I shal I not "°"toy any pers0<1 in any manner
so as to become subject to the lt/orkers' C~nsation Laws of California.
SIGNATURE DATE
OWNER-BUILDER DECLARATION
Owner~Builder Declaration: J hereby affirm that J am exe"l)t from the Contractor 1s Lice-nse law for the fotlo-..ing reason:
0 I as owner of the property or my "°"loyees 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 i,rprovements are not intended or offered for sale. If, however, the building
or improvement is sold within one year of completion, the owner-builder .,;u have the burden of proving that he did not build or improve for the purpose
of sale.).
IJ I, as owner of the property, am exclusively contracting .,;th licensed c0<1tractors 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)
I icensed pursuant to the Contractor's License Law).
[J 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, conmencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is e,empt 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 ($5001).
SIGNATURE DATE
COMPLETE THIS SECTION FOR IION·RESI0ENTIAL BUILDING PERMITS ONlY:
1s 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-Tamer Hazardous Substance Account Act?
□ves □110 ts the applicant or future building occupant required to obtain a permit from the air pollution control district or air qualitv management district?
Ores □No
Is thi, facility to be constructed with; n 1,000 feet of the outer boundary of a school site7
□YES
IF NIT OF THE oVISUERS ARE TES, A FINAL CERTIFICATE OF OCCUPANCT NAT IIOT BE 1S5UED AFTER JUll 1, 19119 UNLESS THE APPLICNIT HAS IET 011 IS IEETIIG THE RECIJJREN:NTS
Of THE Off ICE Of EMERGENCY SERVICES AND TIE AIR POLLUTlllll CONTROi. 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(i) Civil Code).
LENDER'S NAME LENDER'S ADDRESS
10. APPLICANT'S SIGNATURE I certify that I have read the application and state that the above i nforrnati on is correct. I agree to comply with al I City ordinances ard 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 INDEl<llllfY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIABILITIES, Jl.Oli!ENTS, COSTS All!) EKPENSES IIHICH IIAY IN AIIY \IAY ACCRUE AGAINST SAID
CITY IN CllllSEQUENCf OF THE GRANTING DF THIS PERMIT.
Expiration. Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become nult and void if the building
or work authorized by such permit is not coomenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended
or abandoned at any time fter the work is coomenced for • period of 180 days (Section 303(d) Uniform Building Code).
□BY PHONE
PINK: Finance
APPROVED. BY.> • .. · •------"--"-------'...;.. ...
D~t{: -""'"'---""""-"-----
. ,.
CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT# CB910034 FOR 01/15/91
DESCRIPTION: TEMPORARY POWER CT 89-35
TYPE: ELEC
JOB ADDRESS: 1131 LAS FLORES DR
APPLICANT: ESCANO, RAY
CONTRACTOR:
OWNER:
REMARKS: MH
SPECIAL INSTRUCT:
TOTAL TIME:
--RELATED PERMITS--PERMIT#
PE290023
RW900123
CB901922
TYPE
GRADING
ROW
DEMO
PHONE:
PHONE:
PHONE:
STATUS
ISSUED
ISSUED
ISSUED
INSPECTOR AREA PY
PLANCK# CB910034
OCC GRP
CONSTR. TYPE NEW
STR: FL: STE:
619 720-1000
CD LVL DESCRIPTION ACT COMMENTS
32 EL Const. service/Agricultural 1\..{2_ ______________ _
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***** INSPECTION HISTORY*****
DATE DESCRIPTION ACT INSP COMMENTS