HomeMy WebLinkAbout1216 CAMINO DE LAS ONDAS; ; CB971295; PermitPage i of
BUILDING
DE
PERMIT
Parcel No:
Valuation:
Occupancy Group:
Ascription: „ AMp
Appl/Ownr : DANIELS CABLEVISION
P.O. BOX 344
CARLSBAD CA 92noft
*** Fees Required *** 92°°8
Fees :
Adjustments:
Total Fees:
20,0
description
Enter "Y" for Elect
Single Phase Per A
* ELECTRICAL TOTAL
Suite
Permit No: CB971295
Project No: A9701672
Development No:
5068 05/19/97 0001 01 02
Construction Type: NEW ^
Status: ISSUED
Applied: 05/19/97
Apr/Issue: 05/19/97
760
Collected & Credit ***
.00
.00
20.00
Ext fee Data
10.00 Y
10.00
20.00
APPROVAL
CITY OF CARLSBAD
2075 Las ftumas Dr., Ottbtad, CA 92009 (619) 438-1161
PERMIT APPLICATION
City of Carlsbad Bui Iding DctwrtMnt
2075 Las PalBM Dr., Carlsbad, CA 92009 (619) 438-1161
I. »KMITTYPE
A-GCommercial UNew Building LJTertant Improvement
B-Dlndustrial DNew Buflding DTenant Improvement
C - D Residential D Apartment DCondo O Single Family Dwelling D Addition/Alteration
D Duplex D Demolition D Relocation O Mobile Home B-fifectrica] D Plumbing
D Mechanical DPool D Spa D Retaining Wall DSolar OOther
2. PROJECT INFORMATION
PLAN CHECK NO. <7 7 /3~ *?S~"
EST.VAL
PLAN CK DEPOSIT
VALID. BY .
DATS C /
FOR OFFICE USE ONLY
Address
Nearest Cross Street
ing or auite no.
LEGAL DESCRIPTION MiDatvision name/NumDer
CHBJK BELOW If &UBM11 1ELK
Q2EnergyCalcs G 2 Structural Calcs D 2 Soils Report D 1 Addressed Envelope
ASSESSOR'S PARCEL PRO SB
DESCRIPTION OF WORK
SQ.FT.# OF STORIES Tu
NAME
CITY
nuraun 1,11 oinereni trom applicant;
STATE
ADDRESS
ZIP CODE DAY TELEPHONE
4. APPULJUNT
NAME
CITY £AJLL$6tb
1 rOK UJH 1MAL.1UH
STATE D//-
ADDRESS
ZIP CODE 4240?
run uwnut
DAY TELEPHONE
5. FHUTIIK
NAME
CITY
O. UUH1HA
NAME *
CITY
ITUWNKK
STATE
frfcn^
STATE
STATE LIC. #
ADDRESS
ZIP CODE
ADDRESS
ZIP CODE
LICENSE CLASS
DAY TELEPHONE
DAY TELEPHONE
CITY BUSINESS LIC. #
CITY STATE
ALIlJKtWS
ZIP CODE DAY TELEPHONE STATE UC. #
7.
woncerr Compensation Declaration: I hereby affirm tnat i nave a certificate ot consent to stir-Insure issued by me 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).0muXJt>tJ>cWOPOLICY NOT EXPI1INSURANCE COMPANY 410 EXPIRATION DATE /-/-
Ceruncate or Exemption: Tcerury that in the performance ot tne wont tor wnrcn this permit is issued, 1 snail not employ any person in any manner
so as to become subject to the Workers' Compensation Laws of California.
SIGNATURE DATE
8. UWNER-BUIIJJEK DBUARATKJN
Owner-Bunder Declaration: I hereby attirm that I am exempt trom the Contractors License Law for tne following reason:
Q 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).
Q 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 k 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
jiiiis FC*R NON-RESIDETA BUILDING PEMITS UL:
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 O NO
D? ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OP OCCUPANCY MAY NOT BE ISSUED AFIZRJ1HY!, 1989 1JNI£SS THE AinKANT
HAS MET OR IS MEETING TtffiBJQMREMENTS OF THE OP^^
9. UUHSiKUUlKJH UJJIiJtflU AUEHUY ^ .-u ..--i.!-. «_-.-. uu_i.-_r_ ._.._....I hereby amrm that there is a construction lending agency tor tne performance ot the work tor which this permit ts issued
LENDER'S NAME LENDER'S ADDRESS
i certify that i nave read the application and State that the aoove information is correct. I agree to comply with all uty 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. IAISO AGREE TO SAVE INTJEMNIFY AND KEOT HARMLESS THE CTTV OF
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 5*0" 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).
APPLICANT'S SIGNATURE DATE:
WFflTE: FaeYELLOW: Applicant PINK: Finance
CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT! CB971295 FOR 07/01/97 INSPECTOR AREA
DESCRIPTION: 40 AMP METERED PEDISTAL-CABLE PLANCK* CB971295
TV OCC GRP
TYPE: ELEC CONSTR. TYPE NEW
JOB ADDRESS: 1216 CAMINO DE LAS ONDAS STE: LOT:
APPLICANT: DANIELS CABLEVISION PHONE: 760 438-7741
CONTRACTOR: PHONE:
OWNER: PHONE:
REMARKS: VSTEVE/967-6930
SPECIAL INSTRUCT:
INSPECTOR
TOTAL TIME:
CD LVL DESCRIPTION
39 EL Final Electrical
ACT COMMENTS
DATE DESCRIPTION
***** INSPECTION HISTORY *****
ACT INSP COMMENTS
SENT BY=
+16194388461 DflNIELS CftBLEUISION
1- 8-97 ; 9:29AM ;
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