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: