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HomeMy WebLinkAbout1901 CAMINO VIDA ROBLE; ; CB900662; PermitStr BUILDING PERMIT 05/03/90 15:39 Page 1 of 1 Job Address: 1901 CAMINO VIDA ROBLE Permit Type: ELECTRICAL Parcel No: 212-092-20-00 Valuation: 0 Construction Type: NEW Occupancy Group: Class Code: Description: TEST METER PERMIT 89-799 Permit No: CB900662 Project No: A8901387 Development No: Fl: Ste: Lie. C NO Status: ISSUED Applied : 05/01/90 Apr/Issue : 05/03/90 Validated By: DC 619 464-1754CONTRACTOR : ARCON ELECTRIC LTD p O BOX 1754 LA MESA, CA 92041 *** Fees Required *** *** **®^S 'Collected & Credits *** Fees: Adjustments : Total Fees : Fee description Total Credits: Un its \j***F Enter "Y" for Enter "Y" if Test * ELECTRICAL .00 . 00 30. 00 Ext fee Data 5.00 Y 25.00 Y 30 . 00 FINAL APPROVAL INSP. -M CLEAfjANC CrTY OF CARLSBAD 2075 Las Palmas Dr., Carisbad CA 92009 (619) 438-1161 PERMIT APPLICATION City of Carlsbad Building Department 2075 Las Palmas Dr., Carlsbad, CA 92009 438-nei 1. PERMIT TYPE A - Q COMMERCIAL [3NEW Q^ANT IMPROVEMENT B - Q INDUSTRIAL D«EW QTENANT IMPROVEMENT c - PRESIDENTIAL QAPARTMENT ncoNoo QSINGLE FAMILY DUELLING QDUPLEX DDEMQLITION QRELOCATION DM°BILE HOME [^ELECTRICAL Q MECHANICAL QPOOL QSPA QRETAINING WALL DSOLAH BOTHER QPLUMBING 2. PROJECT INFORMATION PLAN CHECK No. EST. VAL r^» PLAN CK DEPOSIT ^ VALID. BY ^ — DATE ^"^ ™ FOR OFFICE USE ONLY Address 1901 Cariaino Vida Roble Building or Suite No. Nearest Cross Streets LEGAL DESCRIPTION Lot No. Subdivision Name/Number- 6 81-4* CHECK BELOW IF SUBMITTED: [~\2 Energy Calcs Q2 Structural Calcs Q2 Soils Report ASSESSOR'S PARCEL 212~092-20 Unit No. i 1 Q1 Addressed Envelope EXISTING USE Phase No. PROPOSED USE Electrical test meter BLOG. SO. FTG.# OF STORIES 3. CONTACT PERSON NAME Mike Beringhaus cm La Mesa SIGNATURE ADDRESS ZIP CODE DAY TELEPHONE 454^754 4. APPLICANT fotf^TOR NAME ARGON Electric Ltd? CITY La Mesa Q AGENT FOR CONTRACTOR D°WNER ADDRESS p p. -Rrtv 1 STATE CA ZIp CODE 92041 Q AGENT FOR OWNER 754 DAY TELEPHONE ifiA— 17S4 5. PROPERTY OWNER NAME Fox/Croft Partnership CITY San Diego, OWNER DLESSEE QTENANT ADDRESS4Q4 Camino Del Rio South STATE CA ZIP CODE 92108 DAY TELEPHONE 291-9002 6. C NAME ectric Ltd. CITY La Mesa STATE LIC. # ADDRESSp.O. BOX 1754 STATE CA ZIP CODE 92041 416387 LIcENSE CLASS OiO DAY TELEPHONE 464~1754 CITY BUSINESS LIC. # 20176 SIGNATURE /, DESIGNER NAME *" CITY 7. WORKERS' MsfMtAjsA-S f / LA COMPENSATION UgM^*-^ TITLE Accti ADDRESS STATE ZIP CODE ig DATE f-ju-yu DAY TELEPHONE STATE LIC. * Workers' Compensation Declaration: ! hereby affirm that 1 have a certificate of consent to self-insure issued by the Director of Industrie* 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 California Casualty POLICY NO.WC6 8000353-03EXP1RATION DATE 10-1~90 Certificate of Exemption: I 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' Compensation Laws of California. 8.OWNER-BUILDER DECLARATIONMNLK-DUILULK ULILHKM I JUIN Owner-Builder Declaration: ] hereby affirm that I am exempt from the Contractor's Li g that he did not build or improve for the purpos 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 contraetor(s) licensed pursuant to the Contractor's License Law). I am exempt under Section Business and Professions Code for this reason: SIGNATURE DATE COMPLETE THIS SECTION FOR NON-BESIOEHT1AL 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 DNO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? DYES QNO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? DYES QNO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY HAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS WET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTIOM CONTROL DISTRICT. 9. CONSTRUCTION LENDING AGENCY I hereby affirm that, there is a construction lending agency for the performance of the work for which this permit is issued CSec 3097(i) Civil Code). LENDER'S NAME LENDER'S ADDRESS 10. APPLICANT'S SIGNATURE I certify that 1 have read the application and state that the above information is correct. ] agree to comply with all City ordinances and State laws relating to building construction. 1 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 CITT OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AKD EXPENSES WHICH HAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. 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 uithin 180 days from the date of such permit or if the building or uork 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). Q OWNER jf] CONTRACTOR BY PHONE APPROVED BY: DATE: WHITE: File YELLOW: Applicant PINK: Finance DEVELOPMENTAL SERVICES Q Assistant City Manager (714)438-2596 ^T Building Department O Engineering Department O Housing & Redevelopment Department (714)438-5611 Q Planning Department 1 €itp of Cartebafc 2075 Las Palmas Dr. CARLSBAD, CALIFORNIA 92008 (619) 438-1161 SUBJECT:TESTING ELECTRIC METER ON PERMANENT BASE CLEARANCE OF THE METER LOCATED AT 1901 CAM1NO VIDA ROBLE IS FOR TESTING PURPOSES ONLY. THIS DEPARTMENT RESERVES THE RIGHT TO REMOVE THE METER AT ANY TIME IF THE REQUIREMENTS OF ALL ..DEPARTMENTS ARE NOT COMPLIED WITH EITHER DURING CONSTRUCTION OR AT THE TIME THE PROJECT IS COMPLETED. PLEASE RETURN THIS STATEMENT WITH'YOUR SIGNATURE TO THIS DEPARTMENT. THE METER WILL THEN BE CLEARED THROUGH THE SAN DIEGO GAS AND ELECTRIC COMPANY. THANK YOU FOR YOUR COOPERATION. MARTIN OREMYAKT— BUILDING OFFICIAL APPLICANT: DATE: