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Home My WebLink About1897 CHESTNUT AVE; ; CB920127; PermitBUILDING PERMIT 02/04/92 13:37 Page 1 of 1 Job Address: 1897 CHESTNUT AV Str: Permit Type: ELECTRICAL Parcel No: Valuation: • 0 Construction Type: NEW Occupancy Group; Class Code: Description: 40 AMP METERED PEDESTAL Permit No: CB920127 Project No: A9200353 Development No: Fl: Ste: 6244 02/04/92 0001 01 02 C-PRMT 20.00 Appl/Ownr DANIELS CABLEVISION P O BOX 344 CARLSBAD, CA 92008 Status: ISSUED Applied: 02/04/92 Apr/Issue: 02/04/92 Validated By: DC 619 438-5241 ***Fees Required *** *** Fees Collected & Credits * * * Fees: 20,00 Adjustments: .00 Total Fees: 20.00 Fee description Total Credits; Total Payments: Balance Due: Units Fee/Unit .00 ;oo 20.00 Ext fee Data Enter "Y" for Electric Issue Fee > Single Phase Per AMP,. , > * ELECTRICAL TOTAL 40 .25' 10.00 Y 10 . 00 20.00 APPROVAL DATE CLEARANCE CITY 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 A -.^Commercial d New Building U Tenant Improvement ~~ B - D Industrial D New Building D Tenant Improvement C - D Residential D Apartment D Condo D Single Family Dwelling D Addition/Alteration D Duplex D Demolition D Relocation D Mobile Home D Electrical D Plumbing D Mechanical D Pool D Spa D Retaining Wall D Solar D Other 2. PROJECT INFORMATION PLAN CHECK NO. EST.VAL PLAN CK DEPOSIT, VALID. BY ~_ DATE FOR OFFICE USE ONLY Huilaing or suite INO. Nearest Cross Street Lot No. Subdivision Name/Number Unit No.Phase No. CHECK BELOW It SUBMH 1EL): D 2 Energy Calcs D 2 Structural Calcs D 2 Soils Report D 1 Addressed Envelope ASSESSOR'S PARCEL ~^3 O ~ 3 ~7 EXISTING USE PROPOSED USE DESCRIPTION OF WORK SQ. FT. i # OF STORIES (il ditierent irom applicant; C CITY ?£< b ft-r STATE ADDRESS ZIP CODE DAY TELEPHONE CITY UACjENl rOR CONlRAClCJK ADDRESS P.O, ZIP CODE WNEH QACiENl FOR OWNER 0 DAY TELEPHONE 7 3 0 " 5. PROPER IT OWNER CITY STATE ADDRESS ZIP CODE DAY TELEPHONE 6. CONTRACTOR ADDRESS CITY STATE DESIGNER NAME CITY 7. WUKKEHb' COMPENSAI1UN STATE LIC. # STATE ZIP CODE LICENSE CLASS A1JURESS ZIP CODE DAY TELEPHONE CITY BUSINESS LIC. # DAY TELEPHONE STATE LIC. # &*?/?? flf 1 Workers Compensation Declaration: I hereby amrm that I have a certificate of consent to self-insure issued by the Director ot Industrial 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 EXPIRATION DATE trl-93 Certificate of Exemption: 1 certify that in the performance ot the work tor which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. SIGNATU: Owner-Builder IJecraration: 1 hereby affirm that f am exempt trom the Contractors License Law tor the following reason: 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 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.). 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 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). 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 lie 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 dlat 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 [$500]). SIGNATURE DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY: I 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? D YES D NO | 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 D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES D NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY jl, 1989 UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I I nereoy amrm tnat tnere is a construction lending agency lor the pertormance of the work for which this permit is issued (Sec 30V7W Civil Code). LENDER'S NAME LENDER'S ADDRESS 1U. ArFUCAN I 1 certify tnat i nave read tne 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 LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SATO CITY IN CONSEQUENCE OF THE GRANTING OF THIS 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 Code). APPLICANTS SIGNATURE WHITE: File YELLOW: Applicant PINK: Finance DATE: '« CITY OF CARLSBAD INSPECTION REQUEST PERMIT* CB920127 FOR 06/12/92 DESCRIPTION: 40 AMP METERED PEDESTAL TYPE: ELEC JOB ADDRESS: 1897 CHESTNUT AV APPLICANT: DANIELS CABLEVISION CONTRACTOR: OWNER: REMARKS: MH/MARK/967-6930 SPECIAL INSTRUCT: INSPECTOR AREA MP PLANCK* CB920127 OCC GRP CONSTR. TYPE NEW STR: FL: STE: PHONE: 619 438-5241 PHONE: PHONE: INSPECTOR TOTAL TIME: CD LVL DESCRIPTION 5<0" EL Rough Electric/ ACT COMMENTS DATE DESCRIPTION ***** INSPECTION HISTORY ***** ACT INSP COMMENTS ADDRESS:. CITY OF CARLSBAD ELECTRIC AND CAS METER CLEARANCE INTER-DEPARMENT f&fl S.E.O. Service Equipment Only YES NO Reason, If Denied: ELECTRIC METER: COMMERCIAL RESIDENCE NEW SERVICE }C YES NJ RELOCATE _ NO _ T.S.P.B. _ TEMP. P/P _ UP-GRADE _ _ TEST METER _ IRR. PEDESTAL _ GAS METER: COMMERCIAL . YES RESIDENCE NO TEST METER Building Inspector Signature Date Time "^^-^ (-/r-rjL 7/ Called In By {/ Date Time Called In To ,NJ . te ui | i » "^ t• 10 • -» « •i Ivn Y <flVhJr- 3ft *.'Soo. V^r