HomeMy WebLinkAbout1655 BUENA VISTA WAY; ; CB891695; Permit4 J
BUILDXNG PERM Peqmit No: CB891695 10/27/89 11:02 Project No: A8902874
Page 1 of 1 velopment No:
Job Address: 1655 BUENA VISTA WY
Permit Type: ELECTRICAL
Parcel No:
Valuation: 0
Construction Type: NEW
Occupancy Group: Class Code: Status: ISSUED
Description: 100 AMP 3PHASE FOR GARAGE Applied : 10/27/89
Apr/Issue : 10/27/89
Validated By: JPY
CrrY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161
PERMIT APPLICATION
City of Carlsbad Building Department 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
1. PERMIT TYPE I
A - OCOMMERCIAL UTENANT IMPROVEMENT
B - 0 INDUSTRIAL ONEU OTENANT IMPROVEMENT
C - PESIDENTIAL OAPARTMENT OCONDO OSINGLE FAMILY DWELLING OADDITION/ALTERATION
0 DUPLEX 0 DEMOLITION 0 RELOCATION MOB1 LE HOME BELECTRICAL 0 PLUnEl NG
OMECHANICAL ~PCOL OSPA ORETAINING UALL OSOLA~OTHER //9 1//1
EST. VAL
BLDG. SO. FTG. # OF STORIES
3. CONTACT PERSON
ADDRESS bTq Wdfl dm v\lm @h
STATEQ ZIP CmEq~q DAY TELEPHONE 724 ~s1-1
SIGNATURE
0 AGENT FOR CONTRACTOR OOUNER OAGENT FOR OWNER
ADDRESS
CITY STATE ZIP CWE DAY TELEPHONE 724 537
clir la STATE ZIP CODE 97- DAY TELEPHONE 4/35 CcPzLf
OUNER LESSEE 0 TENANT
ADDRESS &= #- ah', 5. PROPERTY OWNER NAW~NS~M~JJO mNA
ADDRESS 6. CONTRACTOR NAME--
CI TI STATE ZIP CODE DAY TELEPHONE
STATE LIC. # BL-% LICENSE CLASS CITY BUSINESS LIC. #
TITLE DATE
ADDRESS
CITY L' STATE ZIP CODE DAY TELEPHONE STATE LlC. #
7. WORKERS' COMPENSATION 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 Uorkers' Campensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified by the Director of the
insurer thereof filed uith the Building Inspection Department (Section 3800, Lab. C).
m0M- POLICY NO. EXPIRATION DATE 7/90
Certificawof Exemption: I certify that in the performance of the uork for uhich this permit is issued, I shall not hloy any person in any mamr
so as to&m subj ct to the Uorkers' Compensation Laus of California. f
DATE 10 77 /s 4
8. OWl&k-BU~LDEsdDECLARATION - I
pClr)er-EuiIder Declahation: I hereby affirm that I am exempt from the Contractor's License tau for the follouing reason:
0 &/is ouner of the property or my employees uith uages as their sole canpensation, uiil do the uork and the structure is not intended or offered for sale
(Sec. 7044, Business and Professions Code: The Contractorls License Lau does not apply to an ouner of property uho builds or improves thereon,, and uho
does such uork himself or through his own enployees, provided that such improvements are not intended or offered for sale. If, houever, the building
or improvement is sold uithin one year of cotrpletion, the ouner-builder will have the burden of proving that he did not build or improve for the purpose
of sale.).
0 I, as Ouner of the property, am exclusively contracting uith licensed contractors to construct the project (Sec. 7044, Business and Professions Code:
The Contractor's License Lau does not apply to an ouner of property uho builds or improves thereon, and contracts for such projects with contractor(s)
licensed pursuant to the Contractor's License Lau).
0 I am exempt under Section Business and Professions Code for this reason:
(Sec. 7031.5 Business and Professions Code: Any City or County uhich 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, cmencing uith Section 7000 of Division 3 of the Business and Professions Code) or that he is exenpt therefrun,
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
mare than five hwdred dollars [f5001).
SIGNATURE DATE
COMPLETE THIS SECTICU FOR ION-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 Substame Account Act?
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES 0 NO
OYES 0 NO Is the facility to be constructed within 1.000 feet of the outer boundary of a school site?
0 YES 0 NO
IF ANY OF THE ANSLlERS ARE YES. A FINAL CERTIFIUTE OF OCWANCY MY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE AF'PLIUNT HAS ET OR IS MEETING THE REQIIREMENTS
OF THE OFFICE OF EMERGENCY SERVICES AU) THE AIR POLLUTION COYTROL DISTRICT.
9. CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the uork for uhich this permit is issued (Sec 3097(i) Civil Code).
LENDER'S NAME LENDER'S ADDRESS
10. APPLICANT'S SIGNATURE
I certify that I have read the application and state that the above information is correct. I agree to comply uith all City ordlnances and State laus relating
to buiLding construction. I ALSO
AGREE TO SAYE INDEMNIFY AW KEEP HARMLESS THE CITY OF CARLSEMI AGAINST ALL LIABILITIES, JIDOIENTS, COSTS AN0 EXPENSES YHICH IUY IN ANY MY ACCRUE AGAINST SAID
CITY IN CONSEWENCE OF THE GRANTING OF THIS PERMIT.
I hereby authorize representatives of the City of Carisbad to enter upon the above mentioned property for inspection purposes.
or abandoned at any time
APPLICANT'S SIGNATURE 0 WNER &CONTRACTOR BY PHONE
CITY OF CARLSBAD
INSPECTION REQUEST
PERMET# C8891695 FOR 10/30/89 INSPECTOR AREA PK
DESCRIPTION: 100 AMP 3PHASE FOR GARAGE PLANCK# CB891695
OCC GRP
CONSTR. TYPE NEW
JOB ADDRESS: 1655 BUENA VISTA WY STR: FL: STE:
CONTRACTOR: PHONE :
OWNER: PHONE :
REMARKS : T3/RS/CONERY/ 7 2 9 -5 5 17 INSPECTOR
SPECIAL INSTRUCTIONS:
APPLICANT: CONERY, LARRY PHONE: 729-5517
J
TOTAL TIME:
CD LVL DESCRIPTION
39 EL Final Electrical
ACT COMMENTS
***** INSPECTION HISTORY *****
DATE DESCRIPTION ACT INSP COMMENTS