The URL can be used to link to this page

Home My WebLink About1925 CAMINO VIDA ROBLE; ; CB920902; Permitv- BUILDING PERMI 09/01/92 11:57 Page 1 of 1 _ ..nJob Address: 1925 CAMINO VIDA ROBLE Suite Permit Type: ELECTRICAL _••... i.' O t TT •Parcel No: Valuation: • 0 Construction Type: NEW Occupancy Group: Reference*: Description: TPP Appl/Ownr : TEMPORARY UTILITY 1167 LAW STREET SAN MARCOS, CA *** Fees Required * * *. Fees : Adjustments: Total Fees: Fee description 619 Permit No: CB920902 Project No: A9201976 Development No: 9115 09/01/92 0001 01 02 C-PRMT 20 "00 Status: ISSUED Applied: Apr/Issue: 09/1)1/92 Validated By: DC 471-5494 Enter " Y" for Elec Enter "Y" for Temp * ELECTRICAL TOTAL cted & Credits * * * .00 .00 20.00 Ext fee Data 10.00 Y 10.00 Y 20.00 APPROVAL CLEARNCE CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION City of Carlsbad Building Department 2075 Las Palnes Dr., Carlsbad, CA 92009 (619) 438-1161 1. PEHMTTYPE A - htcommercial U New Building 0 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 G Duplex D Demolition D Relocation D Mobile Home BiElectrical D Plumbing D Mechanical DPool 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 Address Nearest Cross Street far 1I- *v O V J flfc. ouaamg or suite wo. e- y* .SuEdivLEGAL DESCRIPTION Lot nvision Name/Number unit No.Phase No. CHECK BtLUW It- iUBMll IbU: D 2 Energy Calcs D 2 Structural Calcs D 2 Soils Report D 1 Addressed Envelope ASSESSOR'S PARCEL EXISTING USE PROPOSED USE DESCRIPTION OF WORK SQ.FT.OF STORIES UUN1HL.1 NAME CITY in aiiieFeni irom applicant^ STATE ADDRESS ZIP CODE DAY TELEPHONE NAME*V\.v C. CITY it, 1UK LJ AbLN 1 i-OK (JUW 1 HAL. 1UH LJ UWNtK LJ AGEN T FOR OWNER ADDRESS /( fe<7 - tOS STATE ZIP CODE DAY TELEPHONE V *7 t~ 5. PHUPEKIT OWNER NAME STATE ADDRESS ZIP CODE \DAY TELEPHONE 6. CONTRACTOR CITY ' S^ATE ^A^jMAn***STATE uc ADDRESS ZIP CODE LICENSE CLASS "7 V 7/~^^^DAYTELEPHONE J • CITY BUSINESS LIC. # CITY STATE ZIP CODE DAY TELEPHONE STATE UC. # 7. WUHKK1U? tUMPENSAITOfl Workers (Compensation Declaration: t Hereby atiirm tnat i nave a certificate or consent to sell-insure issued by the Director ofihaustriai Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certifiedby the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C). INSURANCE COMPANY POLICY N03OI-.35'Z.S" EXPIRATION DATE / f - / - 7 Z~ .Certificate or hxemption: 1 certify tnat in the performance ot tne worn tor wnicn tnis permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California, SIGNATURE DATE 8. OWNER-BUILDER DECLARATION Owner-Builder Declaration: 1 hereby attirm that I am exempt trom the Contractors License Law for the following reason: D 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 buildsor 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 burdenof proving that he did not build or improve for the purpose of sale.). D I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and ProfessionsCode: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projectswith contractor(s) licensed pursuant to the Contractor's License Law). D 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 he 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 that 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 'J'HllS'SiJCTlOH FOR NON-RESIDENTIAL 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? 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 NOIs 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 JiaYl, 1989 UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 9. UOHSlKUUi'iOl'l LENDING AUKTKJY I hereby attirm that there is a construction lending agency tor the performance or the work lor which this permit is issued (Sec 3097(U Civil code). LENDER'S NAME LENDER'S ADDRESS 10. APPLICANT CERTIFICATION 1 certify that I have read the application and state that the above information is correct. 1 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 CTTY OF CARLSBAD AGAINST AIXIIABIIJTIES, JUDGMENTS, COSTSAND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID 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 ISO days (Section 303(d) Uniform Building Code). APPLICANTS SIGNATURE DATE: WHITE: Fife YELLOW: Applicant PINK: Finance PERMIT* CB920902 DESCRIPTION: TPP CITY OF CARLSBAD INSPECTION REQUEST FOR 09/04/92 TYPE: ELEC JOB ADDRESS: 1925 CAMINO VIDA ROBLE APPLICANT: TEMPORARY UTILITY CONTRACTOR: OWNER: REMARKS: RS/MICHELLE/471-5494 SPECIAL INSTRUCT: INSPECTOR AREA MC PLANCK* CB920902 OCC GRP CONSTR. TYPE NEW STR: FL: STE: PHONE: 619 471-5494 PHONE: PHONE: INSPECTOR TOTAL TIME: _ CD LVL DESCRIPTION 32 EL Const. Service/Agricultural ACT COMMENTS Mf*S ***** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP 090292 Const. Service/ Agricultural NR MPC COMMENTS