HomeMy WebLinkAbout1297 AVIARA PY; ; CB980278; PermitBiJILDT.NG PERMIT Permit Nu: CEi98u278
tr,/cr2/9t: 09:;3 Pro2ect No: A38UU35L
F'atJe 1of 1 De v e I r:,pnien t N u :
Job Addre~s : 1.29 7 AVIAkA FY Suite:
Permit lvpe : ELECTRICAL
Valuation: U Construction Type: NEW
c3ccupancy Group : kef erenee#: Status: ISSUED
Description: 4u AM?? METERED PEDJSTAL-'N
Parcel No: Lot# :
App1 i ed : 0 2 / i I 2 /' 9 8
: DANIEL'S CAELEVISION Apr / 1 s s lie : 13 2 / 0 2 / 9 8
Entered By: KMA
Appl/Ownr : PANIEL ' 5 CABLEVISION 760 438-7741
E.0, BOX 344
CAhLSEIAU CA 92008 s Collected s( Credits A** *h~ Fer39 Required *** ___________________--------
. 00 Fees :
Ad ]us tnierit s :
Total Fees: 02102/98 oooi 01 u"02
Enter ' Y I' for Ele 1 I) . I, 0 Y
Sinqle Phase Per 10. 0u
c-pf$fpo ~dlo Fee rlescript ion Ext fee Data
_______-___--__--I- ____________--___--
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
L
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad CA 92009
(760) 438-1 161
FOR OFFICE USE ON
PLAN CHECK NO.
EST. VAL.
Plan Ck. Deposit
U
Legal Description Lot No. Subdivision NamelNumber Unit No. Phase No. Total # of units
Assessor's Parc # Proposed Use
scription of Work SO. FT. #of Stories # of Bedrooms # of Bathrooms
ydA*nP E&L mm P&?>$Y h~. LAW
Name Address City Statelzip Telephone # Fax #
Telephone # State/Zip Name Address City
Name Address City State/Zip Telephone #
(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, commending with Section 7000 of Division 3 of the Business and Professions Code] or that he is exempt therefrom, and the basis for the alleged penalty of not more than five hundred dollars [$5001).
&.92t'N 96 7-6930
Name Address Statelzip Telephone # City
State License # b 7f WZ License Class AL- 7 City Business License # 11 qgdfy
Designer Name Address City Statelzip Telephone
Section 7031.5 by any ap 11 a 466 hb%!?a
State License #
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
0 of the work for which this permit is issued.
0 issued. My worker's compensation insurance carrier and policy number are:
Insurance Company Policy No. Expiration Date
[THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS IS1001 OR LESS)
0 CERTIFICATE OF EXEMPTION: I certify that in the 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.
WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred
thousand dollars ($100,000). in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees.
SJGNATURE DATE
I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance
I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
hereby affirm that I am exempt from the Contractor's License Law for the following reason:
0 I, as owner of the property or my employees with wages as their sole compensation, WIII 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).
0
1.
2.
3.
I am exempt under Section
I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES UNO
I (have I have not) signed an application for a building permit for the proposed work.
I have contracted with the following person (firm) to provide the proposed construction (include name I address I phone number I contractors license number):
Business and Professions Code for this reason:
4.
number I contractors license number):
5. of work): 1
I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone
I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number I type
PROPERTY OWNER SIGNATURE DATE 2- Z-TP
Is the applicant or future building &cupant required
program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES 0 NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES 0 NO
IF ANY OF THE ANSWERS ARE YES. A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE
REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
submit a business plan, acutely hazardous materials registration form or risk management and prevention
YES 0 NO
ac
LENDERS NAME LENDER'S ADDRESS
I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all
City ordinances and State laws relating to building construction. I hereby authorize representatives of the Citt of Carlsbad to enter upon the above mentioned
property for inspection purposes. I ALSO AGREE TO SAVE. INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES,
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 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 af of 180 days (Section 106.4.4 Uniform Building Code).
APPLICANT'S SIGNATURE DATE z-z-vf
YELLOW: Applicant PINK: Finance
CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB980278 FOR 03/26/98 DESCRIPTION: 40 AMP METERED PEDISTAL-TV
DANIEL'S CABLEVISION TYPE: ELEC
JOB ADDRESS: 1297 AVIARA PY
APPLICANT: DANIEL'S CABLEVISION
CONTRACTOR:
OWNER:
REMARKS: C/pCrCK/FISHEL CO/967-6930 SPECIAL INSTRUCT: SECOND REQUEST.
INSPECTOR AREA PS PLANCK# CB980278
OCC GRP CONSTR. TYPE NEW
STE : LOT: PHONE: 760 438-7741
PHONE :
PHONE :
INSPECTOR
TOTAL TIME:
CD
33
LVL DESCRIPTION
EL Service Change/Upgrade
ACT COMMENTS
DATE DESCRIPTION 031998 Final Electrical
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***** INSPECTION HISTORY *****
ACT INSP COMMENTS co PS CAN NOT FIND
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