HomeMy WebLinkAbout1509 ALGA RD; ; CB930853; PermitY
Y
* APPROVAL
INSP. DATE
CLEARANCE Y-m-? 3
PERMIT APPLICATION
City of Carlsbad Buildinn Departlent 2075 Las Pal- Dr., Carlsbad, U 92wP (619) 438-1161
A - U Commeraal U New Bulldmg
B - Dlndusnial 0 New Building
U Tenant Improvement
OTenant Improvement
C - OResidential OApanment OCondo 0 Single Family Dwelling OAdditioMAlreration
0 Duplex 0 Demolition 0 Relocation 0 Mobile Home ')I(Flectrical DPlumbing
OMechanical OPool 0 Spa ORetaining Wall OSalar nother .I
~ 2 PR~INpoRMAnoN
Address ulldlng or bulte NO.
FOR OFFICE USE ONLY
Nearest Cm Street
Lot No. Unlt No. Phase No.
SQ. FT. X OF STORIES I'
(11 anterent rmm appllcantJ NAME ADDRESS
CITY STATE ZIP CODE DAY TEIEPHONE STATE UC. X
Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof cenified Workers' Cornpensatton Ueelaratlon: I hereby attlrm that 1 have a certmcate ot consent to selt-msure mued by the U~rectorol lndwtnal
by the Director of the insurer thereof filed with the Building Inspection Department (Section 38W, lab. 0.
INSURANCE COMPANY s &L& T-d POUCY N03~6-%'zSEXl'IRATlON DATE ti-/ - f 3 . Certlhcate ot Exemption: I ceNty that ~n the pertormance ok the work tor whlch thls permlt IS Issued, I shall not employ any person I" any manner
so as to become subject to the Worken' Compensation laws of California.
SIGNATURE DATE
0 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
Owner-Bullder Ueelaratlon: 1 hereby altlrm that I am exempt lrom the COntraCtOrS Ucense law tor the toliowlng reason:
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.).
0 I, as owner of the property, am exclusivelycontracting with licensed contractors to consVUct the project (set. 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 conrractor(s) licensed pursuant to the Contractor's license law).
0 I am exempt under Section Business and Professions Code for this reason:
any SImCNre, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the (Sec. 7031.5 Business and Professions Code: Any City or County which quires a permit to consrmct, alter, improve, demolish, or repair
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 provisions of the Contractor's license law (Chapter 9, commencing with settian 7000 of Division 3 of the Business and Professions Code)
subjects the applicant to a civil penalty of not more than five hundred dollars [SS00l).
SIGNAlllRE DATE
COMPC
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 hunt Act?
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 IO be constructed within 1,000 feet of the outer boundary of a rhml site?
IPANYOF~~SWERSARE:Yff,AFINAI.~~~TEOFOCCUPANCYMAYNOTBE~AFIERJULYl.l989~~APPUCANT HAS =OR 1s MIXlTNG THE RFQ- OP THE OFFICE OF EKEXGENCY sERvI(ss AND TKE AIR POLLUTION OJNIROL DISI'IUCX.
1 hereby altum that there IS a constructmn lendlng agency lor the perlormance Ot the work tor whlch thls permlt IS Issued (SeC 3097UJ Clnl We).
om
0 YES
0 YES
0 NO
0 NO
0 NO
LENDER'S NAME LENDER'S ADDRESS
relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned pmperry for inspection 1 cenrty that 1 have read the appllcatlon and State tnat the above lnlormatlon IS correct. 1 agree to comply wlth all Clty orarnances and State laws
purposes. IAISOAGREETOSAVEINDEMNIFYAND~lAIIMIESS~IE(3nOFCARISBADAG~mAU.IIAB~JUDGMPFIS.OOSlS AND EKPENSFS WlUffl MAY IN ANY WAY ACCRUE AGAIN= SAID (3n IN OONSFQUENCE OF lTIE GRANTING OP 'IHIS PERMlT.
CSHA An OSHA permit is required for excavations over SO" deep and demolition or construction of structures over 3 stories in height,
APPLICANTS SIGNATURE
c
DATE: - WHITE: File YELLOW: Applicant PINK: Finance
a - , CITY OF CARLSBAD
PERMIT# CB930853 DESCRIPTION: TEMPORARY POWER POLE AVIARA INSPECTOR AREA TP
OCC GRP PLANCKW CB930853
TYPE: ELEC CONSTR. TYPE NEW
INSPECTION REQUEST
FOR 09/09/93
JOB ADDRESS: 1509 ALGA RD APPLICANT: TEMPORARY UTILITY SERVICE
CONTRACTOR: PHONE :. OWNER : PHONE :
STE: D PHONE: 619 471-5494
REMARKS: MH/MICHELLE/471-5494
SPECIAL INSTRUCT:
INSPECTOR /&
TOTAL TIME:
CD LVL DESCRIPTION ACT COMMENTS
32 EL Const. Service/Agricultural &
" -
"
" - -
***** INSPECTION HISTORY *****
DATE DESCRIPTION ACT INSP COMMENTS
082493 Const. Service/Agricultural NR TP