HomeMy WebLinkAbout1328 PINE AVE; MULTI-PERMIT FILE; CB920089; Permit.,
01/24/92 16:06
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B U I L D I N G P E R M I T Permit No: CB920089
Project No: A9200275
Development No:
Job Address: 1328 PINE AV
Permit Type: ELECTRICAL
Parcel No: 205-020-10-00
Valuation: O
Construction Type: NEW
Str: Fl: Ste:
6076 01/24/92 0001 01 02
C-PRtfT
CR 53l-(
35.00
Occupancy Group: Class Cocte:
Description: INCREASE TO 100 AMP SERVICE
Status: ISSUED
Applied: 01/24/92
Apr/Issue: 01/24/92
Validated By: SBB
Appl/Ownr : BROPHY, DONNA 619 729-230~
2945 HARDING ST, STE. 1.0_s_________
CARLSBAD, CA 92,9Jl8-----,=, !'.), ---~
_::~---~~~~-~~~~=~~~---;:>:::::;~~~:~~j~~~):~_:{~~-=-=~~~==~------:::
Fees : ,:3 5 . 0 0\. \_}) -' r ( · r~ \
Adjustments: 1/ (\ 00 '-_//...,..~-T9t:a--i"}:\'e\dtts: \ . 00 ' \ ,...,,../ ' -' -'\ _ _., / f\ \ \ Total Fees: / 3.5.:..,8.0 / //t,~· 1 T_oJ:;_al Pa.;ym_ep,-cs: . 00 I '<....._ -J / r j {\f'-~"\ Balance \Q_{~: \ 3 5. O O
___ Fee_ description -f-2~::~~. / '~~~,:-~~~-i¥;? \\~l:;Jhi \ ____ Ext_ fee __ Data
En~er "y'" for Elec r~ :issue Fee· >· . 1 •• ••• , rr=c==;l·-; \ 10. 00 Y
Single Phase Per MP~ 1qo /,S::. ~}5 25. 00
* ELECTRICAL TOTAL (; C .. >. 3 5. 0 0
CITY OF CARLSBAD
'2075 Las Palmas Dr., Carlsbad, CA 9200') (619) 438-1161
PERMIT APPLICATION PLAN CJ-ffiCK NO.
City of carlsbad Building Deportment
2075 Las Pal-Dr •• C&rlsbad. CA 92009 (619) 438-1161
VAIJD.~~~~======= 1. PltRM..t 1 IYPR DATE'--+---=-~----''--=:::_---~
A -LI Commercial LI New Buildlng LI Tenant Improvement
B -LI Industrial D New Building LI Tenant Improvement
C -D Residential LI Apartment LI Condo D Single Family Dwelling D Addition/ Alteration
D Duplex D Demolition LI Relocation D Mobile Home LI Elecnicai LI Plumbing
D Mechanical LI Pool D Spa D Retaining Wall D Solar D Other ___ _
2. PRClJECT INFORMATION FOR OFFICE USE ONLY
Address 13;2.. i p I n.e.. A-v .e_ t'\ l). ,e__Bwldlng or suite No.
Nearest Cross Street Pl O p i (. 0
LEGAL bE.SCRIP'noN Lot No. Subdivision Name/Number Onlt No. Phase No.
CHRCR BEWW IF sOBMII IED:
D 2 Energy Cales D 2 Structural Cales D 2 Soils Report D 1 Addressed Envelope
DESCRIPTION OF WORK~ /CJO ~~~
SQ. FT. # OF STORIES
3. WN 11v.;I PERSON (ii dilferenf from apphcant)
NAME l ADDRESS
CITY STAIB ZIP CODE DAY TELEPHONE
4. ~~"(\~OON~~p~AGENI FOR ~~~l~qtf ~vr~; m~~
CITY C.0-V-(s btt.& STATE CA: ZIP CODE Q DAY TELEPHONE '1 -
Ll<tdQI u.pc. Gome z.. ADDRESS '-4~o w. G.r-Cv)-id Blvd.·
CITY De+ro; ~
6. wN'l1L\C'luR
NAME
STAIB Ml: ZIP CODE Yi'~L(p DAYTELEPHONE (3L3) <o4~-YJle5
ADDRESS
CITY STATE
STATE UC.#
ZIP CODE DAY TELEPHONE
LICENSE CLASS CITY BUSINESS UC. #
DESIGNER NAME ADDRESS
CITY STAIB ZIP CODE DAY TELEPHONE STAIB UC.#
1. WORICERs' UlMPF.NSAnON
Woriceii' Compensation Declaration: I hereby affirm that I have a ceriihcate of consent to self-insure 1SSuect by the Director of tridusfrial
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 DAIB
Ceriificate of Exempnon: I certify that m the performance of the work for whidi this penmt Is wued, I shall not employ any person m any manner
so as to become subject to the Workers' Compensation laws of California.
SIGNATURE DAIB s. dWNfut:mJDDRR D1d.ARA11dN
D
D
Owner-Bwlder DecJaranon: I hereby affinn that I am exempt from the Contractors License Law for the followmg reason:
I, as owner of the property or my employees with wages as their wle compensatioo, will do the work and the structure is not Intended or
offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License I.aw 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 ls 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 aty 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]).
SlGNA1URE DATE
COMPLETE nils SEGilON roR NON-RESIDENTIAL BUltbING PERMITS ONLY:
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration fonn or risk management and
prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner HamrdOUll Substance Account Act?
DYES LI NO
Is the applicant or future building occupant required to obtain a pennlt from the air pollution control district or air quality management district?
DYES CJ NO
Is the fact11ty to be constructed within 1,000 feet of the outer boundary of a school site?
DYES D NO . .
IF ANY OP 1lIE ANSWERS ARE YFS, A PINAL CERTIFICATE OF OCX:IJPANCY' MAY NOT BE~ AFI'ER JULY 1, 1989 UNLESS THE APPIJCANT
HAS MET OR IS MEETING 11IE REQUIREMEm'S OF 11IE OFFICE OF EMFJlGF.NCY SERVICES AND 11IE AIR POU.UTION CDN1ROL DISTIUCT.
9. OONSl1UJCl10N LENDING AGl!NcY
I hereby affinn that there IS a construction lendmg agency tor the performance of the work for which this permit is iasued (sec 3097(1) Ovit Ccxle).
LENDER'S NAME LENDER'S ADDRESS
to. APPIJcAN'I' CER11P1cA'l'loN
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 AISO AGREE ID SAVE INDF.MNIFY AND KEEP HARMLESS 11IE ClTY OF CARLSBAD AGAINST .AI.J.. UABlIJT1HS, .JUDGMENTS, CDSTS
AND EXPENSES WIDCH MAY IN ANY WAY AaltUK AGAINST SAID CI1Y IN CDNSF.QUENCR OF 11IE GRANTING OF 1lilS 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 bullding or work authorized by
such permit ls suspended or abandoned at any time after the work Is commenced for a period of 180 days (Section 303(d) Uniform Building Code).
DAIB: /-2,~CJ/
Applicant PINK: Finance
CI'fi OP-. CARLSBAD
INSPECT.ION REQUEST
PERMIT# CB920089 FOR 02/04/92
DESCRIPI'ION: INCREASE TO 100 AMP SERVICE
TYPE: ELEC
JOB ADDRESS:
APPI:.ICANT:
CONTRACTOR:
OWNER:
1328 PINE AV
BROPHY, DONNA
REMARKS: MH/DONNA/729-2304
SPECIAL INSTRUCT: PM PLEASE
TOTAL TIME:
CD LVL DESCRIPI'ION
33 EL Service Change/Upgrade
INSPECTOR AREA PD
PLANCK# CB920089
OCC GRP
CONSTR. TYPE NEW
STR: FL: STE:
619 729-2304
-***** INSPECTION HISTORY*****
DATE DESCRIPTION ACT INSP COMMENTS
--~~.· .
• Jf·. ;;'\:" ,, ~ ~,.:.: '
PLUMBING PERMIT APPLICATION
City of CARLSBAD,
Applicant to complete numbered spaces onlv.
Lli:GAL 1 Dt'5CR. I LOT MO. 1 ·LK ·I TRACT
CALIFORNIA
Permit No.A>
ZIP PHOH[
CDM~ACT~i' MAIL ADDRESII
:2/t '1 I ~T/1-Tt
PHONE LIC!:N&r. NO, · STATE CITY
3/7,/1·
AftCHITli:CT OR DE.SIGNf:R MAIL ADCft!:Sa
4
£HGIN[li:.R MAIL ADD"!.SS
5
COMPENSATION (N!5. CARRIER MAIL. ADD"E5S
6
USE OF' BUILDING
7
8 Glau of work: D NEW D ADDITION D ALTERATION
9 Describe work:
I ,
SPECIAL CONDITIONS:
PLANS CHECKED BY APPROVED FOR ISSUANCE BY APPLICATION A7CEP l'1J }y
,· / :._....,-,· /
DATE
NOTICE
THIS PERMIT BECOMES NULL AND VOi DI F WORK OR CONSTRUC-
TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-
MENCED.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS
APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
SIGN.A.TUR£ OF/coHTRACTOR oF( AUTHOR\ZILD AGl!'..NT ~DAHi
5/GNATIIIII~ nl" OWN!.R l!P' OWN£R 9UILD1!'..RI DAT!:)
PHON!: LICEN91. NO,
PHON!: LIC!:.N5E NO,
BJIIANCH
M REPAIR
PERMIT FEES
No. Type of Fixture or Item
WATER CLOSET (TOILET)
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK & DISP.
DISHWASHER
LAUNDRY TRAY
CLOTHES WASHER
WATER HEATER
URINAL
DRINKING FOUNTAIN
FLOOR--SINK OR DRAIN
SLOP SINK ,
/ GAS SYSTEMS: NO.OUTLETS
WATER PIPING & TREATING EQUIP.
WASTE INTERCEPTOR
VACUUM BREAKERS
LAWN SPRINKLER SYSTEM
SEWER
CESSPOOL
SEPTIC TANK & PIT
ROOF DRAINS
PERMIT
TOTAL FEE
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O.
INSPECTOR
Fee
$
$ / ~b .(__)
$ '/ '~::>
CASH
\ .
INSPECTION REPORTS
-DATE ITEM REMARKS INSPECTOR
I
\
-· ,
o,i/_L-~; b7 ( n~:/;>-'? -~ I ,~/ '~ }A a D _,.
//-/J. ) ,'l-?__,._.,_; -z,--L //~~ . 'r ,,.,_ T 7~--z:. ;-
USE SPACE BELOW FOR NOTES FbLLOW-UP E}-C
.,..-
------
)
/
CITY OF CARLSBAD SEWER
BUILDING DEPARTMENT PERMIT. APPLICATION
LEGAL
DESCRIPTION
BLOCK
USE OF
BUILDINGS
FOR APPLICANT TO FILL IN
LOT NO
TRACT
n •i q •. -
0 t_·~ :_
CONTRACTOR Brown & Snider Plumbing
ADDRESS 2691 state st.
c1TY Carlsbad• TEL. NO. 729-4914
CONTRACTOR'S STATE CARLSBAD BUSINESS
LICENSE NO. LICENSE NO.
-
NO. DESCRIPTION OF WORK FEE
HOUSE SEWER CONNECTING TO 1 00 PU$LIC SEWER @ $3.00
SEPTIC TANK, SEEPAGE PIT OR
PITS 0 t5.00
OVLP<f LOW SCEPAGE l'lT, DRAINFI.ELD EXTN.,
Cl'.SGPOOL, ORYWEl.L, MANHOLE -@ $!5.00
HOUSE SEWER CONNECTING TO
PRIVATE DISPOSAL SYSTEM @ $1.50
CONNECT ADDITIONAL BLDG. OR
WORK TO HOUSE SEWER @ $UIO
ALTER, REPAIR OR ABANDON HOUSE
SEWER OR DISPOSAL SYSTEM @ s2.oo
e '
~---
OWNER'S I PERMIT $ 2. 00
AUTHORIZATION TOTAL FEE 5 00
I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN
CONTRACTOR TO CONNECT THE ABOVE DESCRIBED BUILD·
ING TO THE PUBLIC SEWER.
SIGNED THIS DAY OF
OWNER OR
OWNER'S AGENT
ADDRESS -I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL CITY ORDINANCl!:S AND
STATE LAWS REGULATING PLUMBING AND SEWERS.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED
AND/OR LICENSED AS REQUIRED BY THE CITY OF CARLS·
BAD AND STATE OF CALIFORNIA OR THAT I AM THI!: LEGAL
BUILDING lJ28 ADDRESS Pine, Carlsbad
NEAREST CROSS ST.
OWNER Gerardo Arsnga
MAIL 1~8 Pine ADDRESS
ciTY Carlsbad TEL NO.
CONNECTION DATA
Lateral Charge Computation
30' H., 10' V. @ -4-" = __ 6" =--
Add. Horrz. @ -4-" -__ 6"=--
Add. Vert. @ 4" = __ 6"=--
Total Con~ruction Cost
10% Service Chorge
Toto! Lateral Charge
Lat. No.: t.ogged In Plot:
LINE COST DATA
A. D. & A,mit. No.
LINE COST:
C. C. @ __ I dwoUing
P. S. @ __ / dwelling
OTHER
TOTAL
Grand Tot11!, Lateral, etc.
FOR SEWER LOCATION
..: ..: V) V)
St.
OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROP. ENGINEERING SEWER DEPT. ERTY.
SIGNATURE
OF PERMITIEE Signed I Signed
This ii II Sew11t Permit When Proporly Filled Out, Signed and Valldated
luued By~~-~~~~~~~~-~~---~
PERMIT VALIDATION
NORTH