HomeMy WebLinkAbout1170 CAPE AIRE LN; ; CB900369; PermitBUILDING PERMIT
03/05/90 10:31
Page 1 of 1
Job Address: 1170 CAPE AIRE LN Str:
Permit Type: ELECTRICAL
Parcel No: 206-140-27-00
Valuation: 0
Construction Type: NEW
Occupancy Group: Class Code:
Description: UPGRADE FROM 100 TO 200 AMPS
Permit No:
Project No:
Development No:
Fl: Ste:
3778 03/05/90 0001 OJ
C-PRMT
CB900369
A9000468
Status:
Applied :
Apr/Issue
Validated By:
ISSUED
03/05/90
DC
OWNER : FARMER, JIM
CONTRACTOR : LIBERTY ELECTRIC
3710 YONGE STREET
SAN DIEGO, CA
*** Fees Required *** ***
Fees: 30.00
Adjustments: .00
Total Fees: 30.00
Fee description
Enter "Y" for Electric Issue Fee >
Single Phase Per AMP >
* ELECTRICAL TOTAL ($10 Minimum)
Lie.
Lie. C NO
Fees Collected &
Total Credits:
Total Payments t
Balance Due:
Units Fee/Unit
100.00 .25
619 2
Credits
. 00
.00
30.00
Ext fee
5.00
25. 00
30.00
31-24
***
Data
Y
INSP.
CLEARANCE
APPROVAL
JJAIL&
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161
PERMIT APPLICATION
City of Carlsbad Building Department
2075 Las Paltnas Dr., Carlsbad, CA 92009 (619) 438 UBI
1. PERMIT TYPE ____
A - rj COMMERCIAL O»fU ^" El TENANT IMPROVEMENT
B - O INDUSTRIAL DNE" QTENANT IMPROVEMENT
C - PRESIDENTIAL QAPARTMENT Q CONDO QSINGLE FAMILY DUELLING fj ADDITION/ALTERATION
DDUPLEX DOEMOLITION DRELOCATION OMOBILE HOME U&^LECTRICAL
QMECHANICAL QPOOL DSPA DETAINING UALL QSOLAR QOTHER
2. PROJECT INFORMATION PLAN CHECK No.
EST. VAL
PLAM CK DEPOSIT_
VALID. BY
DATE ...
FOR OFFICE USE ONLY7/70 Building or Suite No.
Nearest Cross streets
LEGAL DESCRIPTION Lot No. Subdivision Name/Number Unit No.Phase No.
CHECK BELOU IF SUBMITTED:
Q2 Energy Calcs [~~l2 Structural Calcs I I 2 Soils Report [~1 1 Addressed Envelope
ASSESSOR'S PARCEL EXISTING USE PROPOSED USE
DESCRIPTION OF WORK ^ — -. , ^ ^, _
BLDG. SO. FTG.
3. CONTACT PERSON
CITY
SIGNATURE
ADDRESS
ZIP CODE DAY TELEPHONE
4. APPLICANT
NAME
n.
D AGENT FOR CONTRACTOR
ADDRESS
Z,P
DAGENT FOR OWNER
DAY TELEPHONE
5. PROPERTY OWNERNAME OWNER
6. CONTRACTOR
NAME
CITY
ADDRESS
ZIP CODE DAY TELEPHONE
ADDRESS
ZIP CODE
LICENSE CLASS
TITLE
DAY TELEPHONE
O- *"CITY BUSINESS LIC. * && / ~& / D
»TE 3 "J "
DESIGNER NA ADDRESS
DAY TELEPHONE STATE LIC. #
7. WORKERS' COMPENSATION
Workers' Compensation Declaration: I hereby affirm that I have a certificate of 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 •l^f /»the perfo
POLICY NO.EXPIRATION DATE
Certificate of Exemption: I certify that in tfie 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 affirm that I am exempt from the Contractor's License Law for the following reason:
[~| 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.}.
["") 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).
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 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?
DYES QNO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
DYES QNO
Is the facility to be constructed within 1fOOO feet of the outer boundary of a school site?
DYES Q]NO
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS Nfcl UR IS HtbllNG THE REQUIREMENTS
OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
9. CONSTRUCTION LENDING AGENCY
I 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 information 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 10 SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES UHICH MAY IN ANY UAY ACCRUE AGAINST SAID
CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
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 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 after the work is commenced for a period a^ 180 days (Section 303(d) Uniform Building Code).
OWNER [g CONTICONTRACTOR fjBV PHONE APPROVED BY:
DATE:
WHITE: File YELLOW: Applicant PINK: Finance