HomeMy WebLinkAbout1915 ASTON AVE; ; CB891956; Permitc. t L
BUILDING 12/19/89 08:53
Job Address: 1915 ASTON AV
Permit Type: ELECTRICAL
Parcel No: 212-120-19-00
Valuation: 0
Construction Type: NEW
Occupancy Group: Class
Description: TEMP POWER POLE
I Page 1 of 1
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PERMIT Permit No: CB891956 Project No: A8903527 Development No:
Str: Flu40 ~~2/1~W~OOl 01 02
C-PFtMT 15.00
Code : Status: ISSUED
Applied : 12/19/89 Apr/Issue : 12/19/89
Validated By: PY
CONTRACTOR : HOLLENBECK GROU Lic. C 468088 438-3710
5751 PALMER WY
*** Fees Required ted & Credits ***
Adjustments: .oo
Total Fees: .oo 15.00
_------__-_-_________ .....................
Fees :
Fee description Ext fee Data -------___________ -----------------
Enter “Y ‘I for Ele 5.00 Y
Enter “Y“ for Tern 10.00 Y * ELECTRICAL TOTA 15.00
1
CrrY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161
PERMIT APPLICATION City of Carlsbad Building Department - 2075 Las Palrnas Dr., Carlsbad, CA 92009 (619) LX-II~I
1. P~IT TYPE /
A - WMERClAL 5EU UTEWAN1 IMPROVEMENT
EST. VAL
PUI U DEF%Xll
VILID. BY
MTE
B - 0 IYDUSTRIAL OUEU OTENANT IMPROVEMENT
C - I RESIDENTIAL nAPARTMEW1 OCWDO OSINGLE FWILY
ODUPLEX ODEMOLlTlDN ORELG€AlICU OnaSlLE HCUE
OMECHANICAL ow01 USPA ORETAlNlNG YALL OSOLAR OOTHER ~~ ~
2. PROJECT INFORMATION PLAN CHECK No. FOR OFFICF USF ON1 Y wilding or Suite No.
BLDG. SO. FlC. #OF STORIES
3. CONTACT PERSON
MDREss c7</ /3&..ukqy 5m 6-
STATE& LIP CCOE 92&98 DAY TELEPHCUE A/? &5&c 97)a
OAGENT FOR CWlRAClOR OWNER
ADDRESS
CIlY STATE zip cmf D&I TELEPHONE
OLESSEE OTENANT
DAY TELEPHONE
CITY BUSINESS LI
7. WORKERS' COMPENSATION Uorkers' ConpmsafimDeci8refim: i her& affirm that I have a Cerflficafe of cmrcnt to self-insure iooued by the Dimcfol of Indutrial Relafims.
or a ceifificate Of workers' C-rnsfim lm~rllrre by an adnitfed insurer, or an exact cw or aplicate thereof certified by the Director of the
irnurer themof filed with the Building Inspctim DePrtmnt (section 3@QD, Lab. E).
INSURANCE CQPANY /dP= /& WLlCY YO. EXPIRATION DATE Certificate of Exenprlh: so as to kcm subject to the Yorkc~s~ C~nrefim Lam of California. I certify that in the p7formarrc of the work for vhich this pmif is issued, I shall mf nploy my prsm in any mmr
SIWAIURE DATE
8. OWNER-BUILDER DECLARATION Owner-Builder Declaration: I hereby affirm that I en ex91 frm the Contractor's License Lay for the following reason:
0 I LIS mner of the proprty Or w enployerr with wager as fhrxr sole c-n~afim. will do the mrk and the PfrUCtYPe is not infenjed or offered for sele
(Src. 7044. 8usincSs and PTOfFOOiOnB Code: The ConfraCfOl'S License Law does mf apply CO an mner of proplty uhq builds o? inproves thereon,, and who does such mrk himelf 01 through his wn enploycer, provided that such inprov-nfr are not intended or offered for sale. If, houevev, the wilding
or inprovnmt is sold within me year of cnpietion, the ouner-wilder will have the burden of proving that he diu not brild or inprove for the pulpoEe of *ale.).
0 I, as Wnr of the pr-rty. m exclusiveiy cmtmcfing with licensed cmtmctors to ~onsfrucf the project (I-. 7014, Bulin81 and Professlorn Code:
The ConfrDcfo~'I License tau does not apply to an mner of pmprfy who hrildr or illproves fherem. and CmtlllCfs for such projects with ContraCfOl(O)
licensed wrwmt to the Contiactor's license Law).
0 I m ex-t der section Buiinst end ProfePsims code for this reason:
(scc. 7031.5 BUS~WSS and Pmfessimt code: AV city or comfy *ti& requires a pennit to cmstruct, alter, inprore, d-iish, or r-ir any stwetwe.
prior to its issmme, also rewires the epplicanf for such pinif to file a sigd sfatwent that he is licensed pliwmt to the piovisi- of the Confmctol's Lirmsc La,* (Chapter 9, c-nsing with Sccfim 7000 of Divioim 3 of the Business and Plofessims C&) or that he is exenpt thrrefm. and the basis for the alleged exenpfion. any violation of secfim 7031.5 by my applicant for a pmif subjects the applicant to a civil vlfy Of mt
mope than five hundred dollars [S5001).
SIGNATURE DATE
CZMPLETE THIS SEClI(II VX YON-RESIDENTIAL BUlLDiNG PERMITS ONLY:
Io the epplicant or future building mc-nt rquired to subnit a hroimra pian,
p-ogran dr Sectiw 25505, 25533 or 25534 of the Prcaley-lamer HazarmYs Shfanse Iwmf Act7
0 YES 0 YO Is the applicant or future wilding mc-m wquired to obtain a pmif fm the air pDliufim cmfioi district or air qllalify (Mnagmnt disflict?
OIES 0 NO Is the facility to be CmstrYCted Mithin 1.000 feet Of the OY~C~ Wry of a school site?
hazav&~~ ~terials rqistrmtim fom or risk mmg-t and prevention
OIES 010
II M 1E USERS kCS IES. A FIUL PlllFlUlE OT WWT U1 MOT E IS9lfD AFlEl .UT 1. 198V ULES 1E HIUJ11 W El a IS Ellffi 1E IE(1111(1011S i~ TE OFFICE OF amm PIVICES rn TE AIR munIo* mim oisiiim.
9. CONSTRUCTION LENDING AGENCY
I hereby affirm that there is s Consfrucfim lending agency for the prfolmm~ of the mrk for which this pmif is issued (SrC 3097(i) Civil E&).
LENDER'S NAME LENDER'S NDRESS
10. APPLICANT'S SIGNATURE I certify that i have reed the application and state that the above informtion 7s carrrcf. I agree fO Enply with all City ordlnsrres and State laws lellltlng
to building Constr~~fi~n. i ALm
AmEE TO UVE ImWITI LYO KEEP HARMLESS THE ClTI OF URLSW L6LI#ST ALL LIABILITIES. IloM#TS, COSTS UD EXPENSES WiCH UI IN ANI WI KC%€ AMINST UID
I hereby aufhorize rep re sen fa five^ of the City of Carlsbad to enter ypon the above mnfioned proprfy for inspcfion purposes.
~ ~~ ~
CiTI IY MSE-UEYCE OF THE WTlNG OF THIS PEMIT.
Eipimtim. Every permit irswd by the Buildins Official der the provisim~ of this Code shall expire by limitation and becm Mil and void If the building
or work authorized by such permit is not c-nsed within 160 days frm the date of swh pmif 01 if the building Or work authorized by such P"!t is suspended or abandoned at any timkftcr the work is cmnced for a period of IW-dsyp (section 303(d) Uniform Building Code).
WNER &TO. 081 PHCUE APPROVED 81:
DATE! h
WHITE: File YELLOW: Applicant PINK: Finance
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