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HomeMy WebLinkAbout1947 CAMINO VIDA ROBLE; BLDG A; CB901732; PermitBUILDING PE 10/26/90 08:25 Pacre 1 of 1 „„„Job Address: 1947 CAMINO VIDA ROBLE Permit Type: ELECTRICAL Parcel No: Valuation: 0 Construction Type: NEW Occupancy Group: Class code Description: TEST METER STE 200,201,202 Appl/Ownr : PALOMAR VENTURE DEVELOPMENT ^ 701 PALOMAR AIRPORT RD CARLSBAD, CA 92009 *** Fees Required R M I T Permit No: CB901732 Project No: A9001507 Development No: Str: Fl: Ste: Status: ISSUED Applied: 10/26/90 Apr/Issue: 10/26/90 Validated By: KZH 619-931-4746 f^Lected & Credits Fees : Adjustments: Total Fees; Fee description Enter "Y" for Ele Other * ELECTRICAL TOTA *** .00 .00 80 . 00 Ext fee Data 5.00 Y 75.00 3 TESTMTR 80. 00 FINAL APPROVAL MSP. /U/b/x. PATF to CfTY 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 (ei9) 438~ii6i 1. PERMIT TYPE "A - ^COMMERCIALQNEUQTEWANT IMPROVEMENT B - Q INDUSTRIAL D^EW QTENANT IMPROVEMENT C - [^RESIDENTIAL QAPARTMENT Q CONOO QSINGLE FAMILY DWELLING Q ADDITION/ALTERAT ION COUPLE* QOEMuLmON OReiOCATrON n^OB'l-E HOME *gELECTRICAL QpLLWBING QMECHANICAL £]POQL QSPA DETAINING WALL QSOLAR QOTHER 2.PROJECT INFORMATION PLAN CHECK No.C a CTnifc FOR OFFICE USE ONLY Add Nearest Cross Streets EST. VAL fy (/ ) ( ^ PLAN CK DEPOSIT VALID. BY DATE go/l'D LEGAL DESCRIPTION Subdivision Name/Number Phase No. CHECK BELOW IF SUBMITTED; [~)g Energy Calcs Structural jalcs Q2 SoUs Reporj^|~1 1 Addressed Envelope ASSESSOR'S PARCEL DESCRIPTION OF WORK EXISTING USE PROPOSED USE OTPi«r &uiLt>»AjGr- BLDG. SO. FTG.# OF STORIES ™1<f SIGNATURE E(i/|-DAY TELEPHONE _ -jy _ 5, 4. APPLICANT. "^CONTRACTORNftMETV(-SM^ a^THPflM 5. PROPERTY OWNER NAME CITY , n AGENT V^ STATE OWNER STATE FOR CONTRACTOR QOWNER ZIP CODE ADDRESS ZIP CODE Q AGENT FOR OWNER DAY TELEPHONE QLESSEE QTENANT DAY TELEPHONE 6. CONTRACTOR STATE LIC. # ADDRESS ZIP CODE LICENSE CLASS DAY TELEPHONE CITY BUSINESS LIC. # - 2ft £5 DATE DESIGNER NAHE DAY TELEPHONE STATE LIC. # WORKERS' COMPENSATION yorkef-s1 Compensation Declaration: I hereby affirm that I have a certificate of consent to setf-insure issued by the Director of 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 POLICY NO.EXPIRATION DATE Certificate of Exemption; 1 certify that in ttie 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. SIGNATURE DATE 8. OWNER-BUILDER DECLARATION Owner-Builder Declaration: I hereby affirm that 1 am exempt from the Contractor's License Law for the following reason; Q I as owner of the property or my employees with uages es 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.). Lj 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: SIGNATURE DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY: la 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, 25535 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D YES Q NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? DYES n^o Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? DYES QNO IF ANT OF THE ANSWERS ARE TES, A FINAL CERTIFICATE OF OCCUPANCY HAT NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE *!_»_POLLUTION 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 (Sec 3097(i) Civil Code). LENDER'S NAME LENDER'S ADDRESS 10. APPLICANT'S SIGNATURE I certify that I have read the 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 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 within 180 days from the date of such permit or if the building or work authorized by such permit is suspended abandoned at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code). CONTRACTOR PHOWE APPROVED 8Y; DATE: YELLOW: Applicant PINK: Finance DEVELOPMENTAL SERVICES a Assistant City Manager (714) 438-5596 'fcrBuHdlng Department D Engineering Department D Housing & Redevelopment Department (714)438-5611 D Planning Department Citp of Cartebab 2075^Las Palmas Dr. CARLSBAD, CALIFORNIA 92008 (619) 438-1161 SUBJECT:TESTING ELECTRIC METER ON PERMANENT BASE *£ CLEARANCE OF THE METER LOCATED AT 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 ORENYA1 BUILDING OFFICIAL APPLICANT DATE:It)