HomeMy WebLinkAbout1947 CAMINO VIDA ROBLE; BLDG A; CB901784; PermitBUILDING PERMIT
11/08/90 08:23
Page 1 of 1
Job Address: 1947 CAMINO VIDA ROBLE Str:
Permit Type: ELECTRICAL
Parcel No:
Valuation: 0
Construction Type: VN
Occupancy Group: Class Code:
Description: ELEC TEST MTR FOR #101,107,108
: AUTHORIZED BY MERERDO CAMERO
Permit No: CB901784
Project No: A9002034
Development No:
Fl: Ste:
?28? 11/08/90 0001 01 02
IS-00
Appl/Ownr
CONTRACTOR
PACIFIC RIDGE COMMERCE CENTER
1947 CAMINO VIDA ROBLE
CARLSBAD, CA 92008
TULCHAN CO
7656 FORMULA
Status: ISSUED
Applied: 11/08/90
Apr/Issue: 11/07/90
Validated By: KZH
619-931-0723
C 352803
SAN DIEGO
OWNER : PALOMAR
*** Fees Required
Fees :
Adjustments:
Total Fees:
Fee description
Enter "Y" for Elec
Enter "Y" for Temp
* ELECTRICAL TOTAL
ER
619-695-1985
& Credits ***
.00
.00
15.00
Ext fee Data
5.00 Y
10.00 Y
15.00
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 (sis) 438-mi
1. PERMIT TYPE
A - Q COMMERCIAL DNEW [JTENAWT IMPROVEMENT
B - Q INDUSTRIAL QNEU DTENANT IMPROVEMENT
c - QRESIDENTIAL QAPARTMENT QCONDO QSINGLE FAMILY DWELLING QADOITION/ALTERATION
DDUPLEX QDEMOLITION n"ELOCATioN nMOB'LE HOME QELECTRICAL PPLUMBING
QMECHANICAL £\POQL DSPA QRETAINING WALL QSOLAR
2. PROJECT INFORMATIO CHECK No,
EST. VAL
PLAN CK DEPOSIT,
VALID. BY
DATE
FOR OFFICE USE ONLY
Nearest Cross Street;
LEGAL DESCRIPTION Lotjia.A i g. foerr Q p Phase No.
CHECK BELOW IF SUBMITTED: "^
Da Energy Calcs Qg Structural Calcs 2 Soi Ls Report Addressed Envelope
ASSESSOR'S PARCEL EXISTING USE PROPOSED USE
BLDG. SO. FTG.# OF STORIES
3. CONTACT PERSON
,4"ED /*Tp
ADDRESS
ZIP CODE DAY TELEPHONE
4. APPLICANT nAGENT FOR OWNER
7. WORKERS' COMPENSATION \ i
Workers' Compensation Declaration: 1 hereby affirm that [~have*<£rtnfTcate of consent to self-insure issued by the Director of Industrial delations,
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 EXPIRATION DATE
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.
SIGNATURE DATE
8. OWNER-BUILDER DECLARATION
Owner-Builder Declaration: I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
[7] 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 Lay 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 complet i on, the owner-bui Ider will have the burden of proving that he did not bui Id or improve for the purpose
of sale.).
[~1 I, as ouner 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 contractors)
licensed pursuant to the Contractor's License Law).
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 i 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 [1500]).
SIGNATURE DATE
COMPLETE THIS SECTION FOR NON-RESIDENT IAL 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'ES G"°
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
DYES UNO
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 MAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS
OF THE OFFICE OF EMERGENCY SERVICES AW) THE AIR POLLUTION CONTROL DISTRICT,
9. CONSTRUCTION LENDING AGENCY
1 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 UAY 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 uork authorized by such permit is not coirmenced within 180 days from the date of such permit or if the building or uork authorized by such permit is suspended
«r abandoned at any time after the wojk is commenced for a pcriodof 180 days (Section 303(d) Uniform Building Code).
OUNER :ONTBACTOR QBY PHONE APPROVED BY;
DATE: „
e\ YELLOW: Applicant PINK: Finance