HomeMy WebLinkAbout1359 NIGHTSHADE RD; ; CB961267; PermitB U I .rJDI NC P E R4 T Permit No: CB961267a
07/10/96 11:44 . - Project No: A9601786
Page • 1 of 1 Development No:
Job Address: 1359 NIGHTSHADE RD Suite: V
Permit Type: ELECTRICAL •. 8471 07/10/96 ®a Parcel No: 215-641-30-00 •Lot#: j. 01. .02
Valuation: ' 0 Construction Type: NEW
Occupancy Group: Reference#: Statu ISSUE00
Description: 220 ELECT FOR SPA & GAS TO BBQ. Appliedi 07/10/96
- Apr/Issue: 07/10/96
Entered By: VRMA
Appl/Ownr : ALLSCAPE 619-480-4041
905 LILAC CT
V SAN MARCOS CA 92069 V
*** Fees Required Fees ilected & Credits
Toial Fees: To s: .00
al 47.00
Adjustments: -,00 0 To r t .00
Enter "Y" for \ \ 10.00 Y V
Enter "Y" for Rem de . ->. ,..•. 10.00 1 V
Other
\
:;:27 00 cAs PERMr]
ELECTR1CAL ,TOTA
INCORPORATED
192
V .cV V
- - V
- -
FINAL APPROVAL .1
V V INSP. _T DATE i 1; it
V V CLEARANCE - •
V
V . CITY OF CARLSBAD V
2075 Las Palmas Dr., Carlsbad, CA 92009.(619) 438-1161
PERMiT APPLICATION
5' It City ofCartsbed Buitidilng Deçort.ent
2075 Las Pats Or., Cartsbed, CA 92009 (619) 438-1161
From List I (see back) give code of Permit-Type: ______
For Residential Projects Only: From List 2 (see back) give
Code of Structure-Type:
Net Loss/Gain of Dwelling Units
2 PROJECF INFORMATION
PLAN CHECK NO.
r. VAL
PLAN CE Dsrr
FOR OFFICE USE ONLY
jb't#5d? pjyaing or
rip,4 Nearest Cross Street
LEGAL DESCRIPTION Lot No. Subdivision Name/Number Unit No. Phase No. r -• eov 'i A
02 Energy Cabs 02 Structural Calcs 02 Soils Report 0 1 Addressed Etivelope - -
DESCRIPTION OF WORK 2.27V Lc1-'C Z fl1I 4— -scr 1..rI4
-
SQ. FT. # OF STORIES # OF BEDROOMS # OF BATHROOMS -
NAME (last name first) (/1 .-Y-t. ^14K (C ADDRESS
CITY /,(CJ STATE,.. ZIP CODE DAY TELEPHONE
. riturr.iu I UWNrJ( rt NAME (last name first) , ti C/ii(' (4,4-i ADDRESS
CITY STATE (4'. ZIP CODE l'2( DAY TELEPHONE
.AJi IIU'.L.iUit
NAME (last name first) $'iie# M91CP' ADDRESS C(()$ Li (.?4- Olt—
CITY STATE ZIP CODE f'20( DAY TELEPHONE
STATE LIC. # II'f(J(1 LICENSE CLASS - CITY BUSINESS LIC. # /e /) ] I /
CITY STATE ZIP CODE DAY TELEPHONE STATE LIC. #
7. WORXERS COMPENSATION
Workers' Compensation Declaration: I hereby affirm that I have a certificate of consent to self-insure issued by the Director of Inc1ustna1
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. Q.
INSURANCE COMPANY POLICY NO. EXPIRATION DATE
so as to become 513J)jeq to Atije Workers' Compensation Laws of California.
- SIGNATURE "V 4'J DATE
Uwner-luiIder Declaration: I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
0 1, 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.).
1, 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 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 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 [$5001).
SIGNATURE DATE
COMPLETE ThIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS 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?
DYES ONO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
DYES ONO
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 OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
ereoy affirm that there is a construction lending agency tor the performance of the Woit for which thWpflflitiSiSSiidSed 3097(i) CMI Code).
LENDER'S NAME LENDER'S ADDRESS
tO. APPUCANT CEItIII,ICP11'1UN gxam -
=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 ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL UABELfl'IES, JUDGMEN1S COSTS
AND EXPENSES WHICH MAY IN ANY WAY AWE 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 tune after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code).
APPLICANTS SIGNATURE A A4' DATE:
CITY OF CARLSBAD
INSPECTION REQUEST'
PERNIT# CB961267 FOR 07/12/96 INSPECTOR AREA
DESCRIPTION: 220 ELECT FOR SPA & GAS TO BBQ PLANCK# CB961267
OCCGRP
TYPE: ELEC CONSTR. TYPE NEW
JOB ADDRESS: 1359 NIGHTSHADE RD STE: LOT:
APPLICANT: ALLSCAPE PHONE: 619-480-4041
CONTRACTOR: , PHONE:
OWNER: PHONE:
REMARKS: BJN/
SPECIAL INSTRUCT:
INSPECTOR 2i-
TOTAL TIME:
CD LVL DESCRIPTION ACT COMMENTS
23 PL Gas/Test/Repairs
53 SW Electric/Conduit/Wiring
INSPECTION HISTORY *****
DATE DESCRIPTION ACT INSP COMMENTS