HomeMy WebLinkAbout1824 OAK AVE; ; CB891697; Permit)
10/27/89 16:15
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B U I L D I N G P E R M I T
Str:
Permit No: CB891697
Project No: A8801475
Development No:
Fl : Ste:
+ 10 1 01 02 ~-PRMT 15-00
Job Address: 1824 OAK AV
Permit Type: ELECTRICAL
Parcel No: 156-220-32-00
Valuation: 0
Construction Type: NEW
Occupancy Group: Class Code: Status: ISSUED
10/27/89
10/27/89
DC
Description: TEMPORARY POWER
*** Fees Required
Fees:
Adjustments:
Total Fees :
***
15.00
.oo
15.00
***
Applied
Apr/Issue
Validated By:
Fees Collected & Credits
Total Credits:
Total Payments:
Balance Due:
.00
.00
15.00
***
Fee description Units Fee/Unit Ext fee Data
Enter "Y" for Electric Issue Fee >
Enter "Y" for Temporary Service > * ELECTRICAL TOTAL ($10 Minimum)
5.00 Y
10.00 Y
15.00
INSP.~~-..
CLEARANCE ____ _.
CITY OF CARLSBAD
2075 Las Palmas Dr .• Carlsbad CA 92009 (619) 438-1161
PERMIT APPLICATION -V
City of Carlsbad Building Department EST. VAL _______________ _
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PLAN 0:: DEPOSIT ___________ _
VALID. BY ______________ _
1. PERMIT TYPE DATE-----------------
A COMMERCIAL TENANT IMPROVEMENT
B O INDUSTRIAL 0TENANT IMPROVEMENT
C ·'jlORESIOENTIAL 0APARTHENT 0CONOO jg,<;INGLE FAMILY OIIELLING 0ADDITION/ALTERAT ION
0DUPLEX 0DEHOLITION 0RELOCATION 0MOBILE HOME )QELECTRICAL 0PLUMBING
0HECHANICAL 0POOL OsPA 0RETAINING IIALL 0SOLAR OoTHER _____ _
2. PROJECT INFORMATION PLAN CHECK NO. F
A~ress J e C)A \('
Nearest Cross Streets
LEGAL DESCR I PT I ON Lot No. Subdivision Name/NI.Mliler Unit No. Phase No.
CHECK BELOII IF SUBIIITTED: D 1 A~ressed Envel"f"' 02 Energy Cales 02 Structural Cales 02 Soils Repcrt
ASSESSOR'S PARCEL EXIST I NG USE PROPOSED USE
pawert-
BLOG. SQ. FTG. ' OF STORIES
NAME
3.
ADDRESS ~Q ~ C,
SIGNATURE
ZIP CODE 9~0~ DAY TELEPHONE
--,20-9Co 9 7 CITY
4. APPLICAN CONTRACTOR
ADDRESS
OIINER D AGENT FOR OIINER
NAME
CI TY STATE ZIP CODE DAY TELEPHONE
5. PROPERTY OWNER OIINER 0LESSEE 0TENANT
NAME ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE
6 . CONTRACTOR ADDRESS ~erf-ens~~ NAME ,,.,_ ~ ' ,-... ~ ,t)E. S° H'.n ~
CITY DAY TELEPHONE ZIP CODE
C--.S~ LICENSE CLASS --11 ..... ~--CITY BUSINESS LJC. #
TITLE DATE
ADDRESS
CITY ZIP CODE DAY TELEPHONE STATE LJC. #
7. WORKERS' COMPENSATION workers' CCJOl)ensetion Declaration: hereby affirm that I have a certificate of consent to self·insure issued by the Director of Industrial Relations,
or a certificate of llorkers' CCJOl)enset ion Insurance by en aani tted insurer, or en exact copy or duplicate thereof certified by the Di rector of the
insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C).
INSURANCE COMPANY POLICY NO. EXPIRATION DATE
Certificate of Exemption: certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner
so as to become subject to the Workers' CCJOl)ensat ion Laws of Ca Li forni a.
SIGNATURE DATE
8. OWNER-BUILDER DECLARATION
rer·Builder Declaration: I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
l,CJ I as owner of the property or my employees with wages as their sole compcnsat1on, wi Ll do the work and the structure ,snot 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 irrproves thereon .. and who
does such work himself or through h1s own employees, provided that such irrprovements are not intended or offered for sale. If, however, the building
or irrprovement is sold within one year of c°""let1on, the owner-builder will have the burden of proving that he did not build or irrprove for the purpose
of sale.).
0 I, es 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 irrproves thereon, and contracts for such projects with contractor(s)
licensed pursuant to the Contractor• s License Law).
0 I am exempt under Section-----------Business and Professions Code for th1s reason:
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, irrprove, demolish, or repair any structure,
prior to its issuance, al so requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the
Contractor Os License Law (Chapter 9, commencing with Section 7000 of Division 3 of the Bus 1 ness and Professions Code) or that he is exempt therefrom,
end 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 then five hundred dollars [S500J ).
SIGNATURE DATE
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY:
ls 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-Tamer 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
If ANY OF THE ANS\o'ERS ARE YES, A FINAL CERTIFICATE OF OCCll'ANCY MAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS IET OR IS IEETING THE REQUJREIENTS
OF THE OFFICE OF EIERGENCY SERVICES ANO THE AIR POI.LUTION CONTROL DISTRICT.
9. CONSTRUCTION LENDING AGENCY
hereby affirm that there is a construction lending agency for the performance of the work for which 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 appl1cat1on end state that the above informat1on 1s correct. I agree to c°""ly with all C1ty ordinances end State laws relating
to build1ng construction. I hereby author!Ze representatives of the C1ty of Carlsbad to enter upon the above mentioned property for inspection purposes . I ALSO
AGREE TO SAVE INDEMNIFY ANO 1:EEP HARMLESS THE CITY OF LSBAD AGAINST ALL LIABILITIES, JUDQIENTS, COSTS ANO EXPENSES IIIHCH MAY IN ANY IIAY ACCRUE AGAINST SAID
CITY IN CONSEQUENCE OF THE GRANTING Of THIS PERMIT.
cial under the provisions of this Code shall expire by Limitation and become null and void if the building
1th in 180 om the date of such permit or ,t the bu1 ldi ng or work author!Zed by such permit 1 s suspended Expiration. Every
or work authorized
or abandoned at any ed fo period of 180 days (Section 303(d) Uniform Building Code).
D BY PHONE APPROVED BY:
DATE:
YELLOW: Applicant PINK: Finance