HomeMy WebLinkAbout1330 CHUPAROSA WAY; ; CB931163; PermitBUILDING PERMI
10/28/93 1-3,: 40
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Job Address: 1330 CHUPAROSA WY Suite
Permit Type: ELECTRICAL
Parcel No: 156-110-73-00 Lot*:
Valuation: 0
Construction Type: NEW
Occupancy Group: Reference**:
Description: TEMP. POWER ON EXISTING
: HOUSE
Permit No: CB931163
Project No: A930166Q
Development No:
4476 10/28/93 0001 01
C-PWT
Status
Applied
Apr/Issue
02
20-00
ISSUED
10/28/93
10/28/93
Entered By: MDP
Appl/Ownr : JOHNSON, EDMOND
3211 IBSEN STREET
SAN DIEGO, CA. 9
*** Fees Required
Fees :
Adjustments:
Total Fees:
Fee description
619 450-9800
Enter "Y" for Ele
Enter "Y" for Tern
* ELECTRICAL TOTA
cted & Credits * * *
,00
. 0 0
20.00
Ext fee Data
10.00 Y
10.00 Y
20 00
CITY OF CARLSBAD
2075 Las Patmas Dr., Carlsbad, CA 92009 (619) 438-1161
PERMIT AmJCATION
City of Carlsbad Building Depertnent
2075 Las Palm Dr., Carlsbad, CA 92009 (619) 438-1161
1. PERMIT TYPE
A - LJ Commercial U New Building LJ Tenant Improvement
B - D Industrial D New Building D Tenant Improvement
C - D Residential D Apartment DCondo D Single Family Dwelling D Addition/Alteration
D Duplex D Demolition D Relocation D Mobile Home D Electrical 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
Nearest Cross Street
miiiaing or auite no.
LEGAL DESCRIPTION Lot No.Subdivision iName/MumDer Unit No.Phase No.
CHECK BLLOW If bUBMlI ILD:
D 2 Energy Calcs D 2 Structural Calcs P 2 Soils Report D1 Addressed Envelope
ASSESSOR'S PARCEL EXISTING USE PROPOSED USE
DESCRIPTION OF WORK
SQ.FT.OF STORIES
a. (JUM lAt-i PKKSUN (.11 ditierent irom applicant;
NAME ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE
4. APPLICANT U CONTRACTOR^ Q AGENT ruK UJM1KAIIUR yHUJWNhR U AGENT FOR OWNbR
NAME, T=^ „•*_«» u.^TE>. ^T^LLIA>*»"- ADDRESS - --^ —• —- **-
CITY STATE D-0- ZIP CODE DAYTELEPHONE
6.
},
PHUPEKIT OWNtK
NAME
CITY
UUWTKAtJTUK
NAME
CDiCITY *"x
CITY
WUKKKKS' UUMPEWS
STATE
^j/j*t_0 —
STATE
STATE LIC. #
STATE
ADDRESS
ZIP CODE
ADDRESS
ZIP CODE
LICENSE CLASS
ALJLWtbb
ZIP CODE
DAY TELEPHONE
DAY TELEPHONE
CITY BUSINESS LIC. #
DAY TELEPHONE STATE LIC. #
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 POLICY NO.EXPIRATION DATE
certificate ot Exemption: I certify that in the performance ot tne work tor 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 1 am exempt from the Contractors 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^) 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 exeffot therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit
subjects Uribapplcint to a civil penalty of not more than five hundred dollars [$500]).
SIGNATURE t* ^L ' ^ DATE tCOMPLETE T
Is the applicant
prevention pro;
N FOR NON-RES1DE.N UAL BUILDING PbKMlla ONLY:
re building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and
nder Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act?
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 D 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 MET OR IS MEETING THE REQUIREMENTS OP THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
UJHSiHUCillHM LENDING"AtiEHCY ' """ ' '""""
I hereby affirm that thereis a construction lending agency tor the pertormance oi the worKTof whichT tfiis permit is issued tsec 30970) Civil Code).
LENDER'S NAME LENDER'S ADDRESS
10. APPLICANT CERTIFICATION
Tcertiry that t have read the application and state that tne aooye 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 INDEMNIFY AND KEEP HARMLESS THE CTTY OF CARLSBAD AGATNST AIJ. LMBHJTIES, JUDGMENTS, COSTS
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).
APPLICANTS DATE:
WHITE: File YELLOW: Applicant PDNK: Finance
CITY OF CARLSBAD
INSPECTION REQUEST
PERHITf CB931163 FOR 11/09/93 INSPECTOR AREA PY
DESCRIPTION: TEMP. POWER ON EXISTING PLANCK* CB931163
HOUSE OCC 6RP
TYPE: ELEC CONSTR. TYPE NEW
JOB ADDRESS: 1330 CHUPAROSA WY STE: LOT:
APPLICANT: JOHNSON, EDMOND PHONE: 619 450-9800
CONTRACTOR: PHONE:
OWNER: PHONE:
REMARKS: RS/ED JOHNSON/450-9800
SPECIAL INSTRUCT:
INSPECTO
TOTAL TIME:
—RELATED PERMITS-
CD
32
PERMIT* TYPE
CB930724 RAD
LVL DESCRIPTION
EL Const. Service/Agricultural
STATUS
ISSUED
ACT COMMENTS £
DATE DESCRIPTION
***** INSPECTION HISTORY *****
ACT INSP COMMENTS
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. I personally plan to provide the major labor and materials for construction of the proposed property
improvement (yes or no) ^>o .
2. I (have/have not) lntf*.v!>c~~ signed an application for a building permit for the
proposed work.
3. I have contracted with the following person (firm) to provide the proposed construction:
Name
Address City
Phone Contractors License No.
4. 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 City
Phone Contractors License No.
5. 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 Owne
Date:
2O75 Las Palmas Drive • Carlsbad, California 92OO9-1 576 • (619)438-1161