HomeMy WebLinkAbout1285 CARLSBAD VILLAGE DR; ; CB931170; Permit..^ _ BUILDING PERMIT
10/29/33 15:17
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Job Address: 1285 CARLSBAD VILLAGE DR Suite.
Permit Type- ELECTRICAL
Pax-eel No- Lofctf.
Valuation 0
Construction Type- NEW
Occupancy Group- Referenced-
Description: TEMPORARY POWER FOR XMAS TREES
• NO FEE PERMIT
Permit No-
Project No:
Development No •
CB931170
A93Glb67
Status:
Applied
Apr/Issue;
Entered Bv :
ISSUED
10/29/93
10/29/93
DC
Appl/Ownr . ASCOT ELECTRIC
2382 CAMIMO VIDA ROBLE
CARLSBAD, CA 9200? -"
x'
*** Fees Required •'*,*x <« .'\**
Fees :
Adjustments:
Total Fees-
619 438-4663
Credits
.£au:"-Crtec^
& I PaViricnt c ? \
00
00
00
FINAL APPROVA
CLEARANCE
CITY OF CARLSBAD
2075 Las Palmas Dr , Carlsbad, CA 92009 (619) 438-1161
PERMIT APPLICATION
City of Carlsbad Building Department
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
I PERMIT
A - ^Commercial U New Building U Tenant Improvement
B - D Industrial D New Building D Tenant Improvement
C - D Residential D Apartment D Condo D Single Family Dwelling D Addition/Alteration
D Duplex D Demolition d Relocation D Mobile Home Q Electncal D Plumbing
D Mechanical DPool D Spa D Retaining Wall D Solar D Other
2 PROJECT INFORMATION
PLAN CHECK NO.
EST VAL
PLAN CK DEPOSIT_
VALID BY
DATE
FOR OFFICE USE ONLY
Address Building or Suite No ~™
Vacant lot adjacent to Fire Station No. 1 at 1285 Carlsbad Village Drive
Nearest Cross Street p-jn Pico
No Sulxlivision Wame/NumberLEGAL DESCRIPTION Lot
Assessor's parcel number 156-90-51
Unit No Phase No
CHUCK BELUW If
D 2 Energy Calcs D 2 Structural Calcs P 2 Sods Report D 1 Addressed Envelope
ASSFSSOR'S PARCEL EXISTING USE
DESCRIPTION OF WORK Temporary electrical service for seasonal Christinas tree lot
SQ FT # OF STORIES
'l ytKSUN Ijl dilterenl Irom applicant)
ADDRESS"CONTACTVEKSONTil dillerent Irom applicant)"
NAME A1 Griswold mjuncM Coimnercial Christmas Tree, PO Box 746
CITY Cardiff STATE CA ZIP CODE 92007 DAY IELEPHONE
4 APPLICANT LHJONTRAL'lOk U AUtiNT FOR CONTRACTOR U OWN EH—k&WENT WR OWNER
ADDRESS 4Q5 Qak Avenue
ZIPCODE92008 DAY TELEPHONE 434-2992
NAME chuck walden
CITY Carlsbad STATE CA
PROPEU'IVOWNIU
NAME city of Carlsbad
CITY Carlsbad STATE
ADDRESS 12Qo Carlsbad Village Drive
ZIP CODE 92008 DAY TELEPHONE 434-2992 (Chuck Walden)
6 QONTRAC.1UK
NAME Ascot Electric
CITY Car Is 1
ADDRESS mine Vida Roble
92009 DAY TELEPHONE 438-4663
STATE LIC # 263163 CITY BUSINESS LIC #8200
DLSIUNbR NAMh
ctfY n/a STATE ZIP CODE DAY TELEPHONE STATE LIC #
7. WORKCRS OOMPIJMSATION
Workers Compensation Declaranon I hereby aflirm that I rwve a certificate of consent to sen-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 POLICY NO EXPIRATION DATE
Certificate of Exemption Tcertity that in the performance ot the work lor 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-BU1LDLR DECLARAHUN
Owner-Builder Declaration I hereby affirm that 1 am exempt from the Contractors License Law for 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 )
5£ 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 tberefroTn, and the basis for the alleged exemption Any violation of Section 7031 5 by any applicant for a permit
subjects the 4pplu3nt/t^a civil penalty of not more than five hundred dollars [$500])
SIGNATURE /( //C)^-~^~^L DATE
COMPLETE TFHS/SECJIONTOR NUN-_RLSIDEN 11AL BUILDING PERMITS ONLY ' ' t
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or nsk management and
prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act7
P 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?
P 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 CUmFICATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT
HAS MET OR IS MEETING THE REQUIREMENTS Ofr THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT
I hereby atlirm that there is a construction lending agency tor the performance: of "the workTbfwhich this permU is issued (Sec 3Oy/UJ Civil Code)
UDDER'S NAMEAPPLICANT LENDER'S ADDRESS
Tff
I certify that I have read the application and state that Lhe 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 TO SAVE INDLMN1FY AND KLTP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, OOSTS
AND EXPENSES WHICH MAY IN ANY WAY ACCRUF AGAINST SAID CITY IN CONSEQUENCE OF 11 IE GRANTING OF THIS PERMIT
OSIIA 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 authonzed 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^ CB931170 FOR 12/01/93 INSPECTOR AREA PY
DESCRIPTION: TEMPORARY POWER FOR XMAS TREES PLANCK# CB931170
NO FEE PERMIT OCC GRP
TYPE: ELEC CONSTR. TYPE NEW
JOB ADDRESS: 1285 CARLSBAD VILLAGE DR STE: LOT:
APPLICANT: AL GRISWOLDR PHONE: 619 434-2992
CONTRACTOR: PHONE:
OWNER: PHONE:
REMARKS: MH INSPECTOR
SPECIAL INSTRUCT: AS EARLY AS POSS WANTS TO OPEN TOMORROW EVE
TOTAL TIME:
CD LVL DESCRIPTION ACT COMMENTS
32 EL Const. Service/Agricultural
***** INSPECTION HISTORY *****
DATE DESCRIPTION ACT INSP COMMENTS
112493 Final Electrical NR PY PANEL NOT COMPLETE
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
4.
I personally plan to provide the major labor and materials for construction of the proposed property
improvement (yes or no}
I (have/have not)
proposed work.
signed an application for a building permit for the
I have contracted with the following person (firm) to provide the proposed construction
Name _
Address
Phone
ft ^ffr City
Contractors License No
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
Phone
City
Contractors License No
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 92OO9-1576 - (619) 438-1161