HomeMy WebLinkAbout1350 FOREST AVE; ; CB920118; Permit!llILD[NG PE~ML""
11/ ~ :/92 :!. : ():,
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Job Ad<1res.·: L J ..,0 FOREST AV
~erm4t Type: ELE:7R:CAL
P'l.rCE>l No:
V,-.~'.tdt1on: 0
construct :1.on "'ype: Nr.W
0cc u.panc;y urour,,: Clc.i..i: Co,.e:
De~ ript1or.: 40 AMP METERED FEDESTA:
Str:
rer~1~ No: ~63~01 B
.rt>ct ~c•: Aq2n '40
ueve lop:T'en t N< :
Fl: Stt?·
eR 37 :l ::t7
6200 01/31/92 0001 01 02
-t G-,P.RttT SS' lt.20·00
Appl1( 1: 11/ 1./
1\pr/I ~ :p: 01/ 1 /
V Hidt-ed i:. y: )(
App /Ownr : DAN:EL5 CABLFVI&ION
PO BOX J44
619 4 18-',i4!.
ARL~BA~), CA S:i:008
Fe·., Required
FE:es:
Adjustr'lents:
'!'otal rC'es:
Fee ,]escriE,;tior.
Enter Y for Elect
..,in<"le Phase Per
* [LECTRICAL TOTAL
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CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
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PERMIT APPLICATION PLAN CHECK NO. ~-011F
City of carlsbad Building Department
2075 Las Pal .. s Dr., carlsbad, CA 92009 (619) 438-1161
I. P~I IYP£
A7 mmerc1al Li New Building U Tenant Improvement
B -Cl Industrial D New Building D Tenant Improvement
C - D Residential D Apartment D Condo D Single Family Dwelling D Addition/ A1teration
DDuplex []Demolition
D Mechanical D Pool
D Relocation D Mobile Home O Electrical D Plumbing
D Spa D Retaining Wall D Solar D Other
2. PRCllECf INFORMATION FOR OFFICE USE ONLY
Mdresy J.!}<J ftJle1r-/1-ve. Bu1ld1ng or Suite No.
Nearest Cross Street ":5 'ttX!e
nit o. ase o.
D 2 Energy calcs D 2 Structural Cales D 2 Soils Report D 1 Add~ Envelope
ASSESSOR'S PARCEJ,K/;if"(e-C,-~:1-/.3 EXISTING USE
DESCRIPTION OF WORK '-/ti ,4/11 J !1Je, re,lBd k<lefrll).,, PROPOSED USE
SQ. FT. # OF STORIES
CITY STATE ZIP CODE DAY TELEPHONE
ADDRESS
CITY STATE
STATE LIC. #
ZIP CODE DAY TELEPHONE
LICENSE CLASS CITY BUSINESS LIC. #
CITY STATE ZIP CODE DAY TELEPHONE STATE LIC. #
Workers' Compensation Oeclarauon: I hereby afhrm that I have a cert1ftcate of consent to self-insure issued by the Director of lndustnal
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 ·,f IC, {E,(1'1 lo eM~~5' ~37:1-rv/J.~EXPIRATION DATE -I -'1-3
1c t 1s permit 1s 1ssu , s a not emp oy any person 1n any manner
DATE/ -Ji -c; f).._
rom
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 Llcense 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 Llcense 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 co 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.S by any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars [$500]).
SIGNATURE DATE
COMPLEIE IRIS SECIION FOR NON.RESIDEN IIAL BOIIDING PERMII'S ONLY:
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?
DYES ONO
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 [:J NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
DYES ONO
IF ANY OF THI! ANSWERS ARE YES, A FINAL CERTIFICATE OFOCDIPANCY MAYNITT BE ISfillJID AFil!RJULY I, 1989 UNLF.SS THI!APPUCANT
HAS MET OR JS MEETING nm REQUIREMENTS OP nm OFFICE OF EMERGENCY SERVICES AND THI! AIR POillJTION OONTII.OL DISl1UCT.
9. WNSJROCIION IENDING AGENCY
I hereby afilrm that there 1s a construcnon lending agency for the performance of the work for which this permit 1s issued (Sec 3097(1) C1vU Code).
LENDER'S NAME LENDER'S ADDRESS
10. APPilcAN I CF.ltffilcAilUN
I certify that I have read the apphcat1on and state that the above 1nformauon ts 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 AL50 AGREE TO SAVE INDEMNIFY AND KEEP HARMIBSS THI! CITY OF CARlSJIAD AGAINST AIL IlABIIJTIES, JUDGMENTS, CDSTS
AND EXPENSES WIIlCH MAY IN ANY WAY A£Ill.UE AGAINST SAID CITY IN illNSEQUENCE OP nm GRANTING OP TIIlS PERMIT.
OSHA: An OSHA permit is required for excavations over S'O" 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 Ccxle).
APPi ICANTS SIGNATU
~
WHITE: File YEll.OW: Applicant PINK: Finance
DATE: / -JJ -Cf,;J,
PERMIT# CB920118
DESCRIPTION: 40 AMP METERED
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 05/11/92
PEDESTAL
INSPECTOR AREA MP
PLANCK# CB920118
OCC GRP
TYPE: ELEC
JOB ADDRESS: 1350
APPLICANT: DANIELS
CONTRACTOR:
OWNER:
FOREST AV
CABLEVISION
REMARKS: MH/WALTER/438-7741X514
SPECIAL INSTRUCT:
TOTAL TIME:
CD LVL DESCRIPTION
CONSTR. TYPE NEW
STR: FL: STE:
PHONE: 619 43M.8-5•2f41~ PHONE:
PHONE:
INSPECTOR ~~----1J--~~~~~~~-
ACT COMMENTS
39 EL ~F-i_n_a_l~E_1_e_c_t_r_i_c_a_1~~~~~~-~ ~~~~~~~~~~~~~~~
***** INSPECTION HISTORY*****
DATE DESCRIPTION ACT INSP COMMENTS
!sr.111-lt> 0,'/ Pl:l"'1ER ~...,
w/ME.TER ~~--~-
i-:
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1--:-------------2.1,' -------------• 1 . /Vi>L'E-_
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!1720 EL CAMINO REAL
CAAL•BAO,CA. 9200&
16191 431!!-'l'Nt'
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