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HomeMy WebLinkAbout1998 BASSWOOD AVE; MP; CB911647; PermitE: U I: L [I I N G P E R M 1'1' Permit No: CB911b47 i2/otj(3i 10: 43 Project Nn: A91(;2095 Pernu t Type : ELE TRICAL Parcel No: Construction Type: NEW I Page 1 of 1 Development No : Ste: F1: Job Address: 197 BASSWOOD AV Str : 20.00 Valuation: u Occupancy Group : Class Co1:le: Description: 40 AMP METER Appl/Ownr : DANIELS CABLEVISION Validated By: SBE 629 438-5241 P.O. BOX 344 CARLSBAD, CA rtk~ Fees Requirecl * ____-------__---___---- Fees: Ad jus tmeti t s : Total Fees: Fee description Enter "Y" for Elcc Single Phase Per 3: ELECTRICAL TOTAL -_---------------I_ I CLEARANCE I CITY 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) 438-1161 1. PEWIT TYPE .I A -- MERCIAL UNEU UTENANT IMPROVEMENT B - O INDUSTRIAL ONEU UTENANT IMPROVEMENT c - ORESIDENTIAL OAPARTMENT OCONDO OSINGLE FAMILY DUELLING ~ADDITION/ALTERATION ODUPLEX ODEMOLITION ORELOCATION OMOBILE HCHE ELECTRICAL OPLMBING UMECHANICAL OPOOL OSPA ORETAINING UALL SOLAR OOTHER 2. PROJECT INFDRMATION . PLAN CHECK No. EST. VAL PLAN CK DEPOSIT VALID. BY FOR OFFICF USF ONLY CHECK BELW IF SUBIIITTED: n2 Energy talcs 02 Structural Catcs 2 Soi Is Report nl Addressed Envelope PROPOSED USE ASSESSOR'S PARCEL)( EXISTIHG USE STATE LIC. 1 LICENSE CLASS CITY BUSINESS LIC. Y SIGNATURE TITLE DATE DESIGNER NAME ADDRESS CITY STATE ZIP CODE DAY TELEPHONE STATE LIC. Y 7. WORKERS' COMPENSATION Uorkers' CompensationDeclaration: I hereby affirm that I have a certificate of consent to self-insure issued by the Director of Industrial Relations, or a certificate of Workers' Canpensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified by the Director of the insurer thereof filed uith the Buildina lnswction Demrtment (Section 3800. Lab. C). -. &.Os floHh k IflB POLICY NO& 56?89/-/ EXPIRATION DATE 1 Certificate of Exemtion: I certify that in the wrformance of the uork for uhich this Dermit is issued. I shall not mlov any DersOn in any mamer . . .. so as to become sudject toJhe Uorkers' Conpensation Laws of California. I DATE /2 -y-9) SIGNA- 8. OWNER-BUILDER DMARATION Owner-Builder Declaration: I hereby affirm that I am exempt from the Contractor's License Lau for the follouing reason: I as ouner of the property or my employees uith uages as their sole compensation, uill do the uork and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Lau does not apply to an ouner of property who builds or improves thereon,, and who does such uork himself or thrwgh his oun employees, provided that such improvements are not intended or offered for sale. If, houever, the building or improvement is sold uithin one year of completion, the ouner-builder uill have the burden of proving that he did not build or improve for the purpose of sale.). 0 I, as ouner of the property, am exclusively contracting uith licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Lau does not apply to an ouner of property uho builds or improves thereon. and contracts for such projects uith contractorts) licensed pursuant to the Contractor's License Lau). 0 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, klish, 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, conmencing uith Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefran, ami 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 mre than five hundred dollars [55DOI). SIGNATURE DATE CCHPLETE THIS SECTION FOR NOW-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? Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Is the facility to be constructed uithin 1,000 feet of the outer boundary of a school site? DYES 0 NO OYES 0 NO 0 YES I7 NO IF ANY OF TIE ANSLERS ARE YES, A FIYM CERTIFICATE OF OCCUPANCY MAY NOT BE ISQlED AFTER JULY 1, 1989 WLESS THE APPLIUYT Ius ET OR IS EETtffi THE REUJllMElTS OF THE OFFICE OF EI€RGENCY SERVICES AND TIE AIR POLLUTION COYTRCA DISTRICT. 9. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for uhich this permit is issued (Sec 3D97(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 uith all City ordinances and State laus relating to building construction. 1 ALSO AGREE TO SAVE INDaYlFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JWJGMENTS, COSTS AND EXPENSES UHlCH MAY IN ANY UAY ACCRUE ACAHIST SAID CITY IN COllSEPUENCE 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 comnenced 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 uork is commenced for a period of 180 days (Section 303(d) Uniform Building Code). I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspectton purposes. WHITE: File YELLOW: Applicant PINK: Finance f PERMiT# CB911647 DESCRIPTION: 40 AMP METER TYPE: ELEC JOB ADDRESS: 1998 BASSWOOD AV APPLICANT: DANIELS CABLEVISION CONTRACTOR: OWNER: REMARKS: MH/LARRY/438-7741X609 SPECIAL INSTRUCT: CITY OF CARLSBAD INSPECTION REQUEST FOR 02/26/92 INSPECTOR AREA MP PLANCKB CB911647 OCC GRP CONSTR. TYPE NEW STR: FL: STE : PHONE: 619 438-5241 INSPECTOR TOTAL TIME: CD LVL DESCRIPTION ACT COMMENTS 39 EL Final Electrical mot5 Cwf L' # fl -- - ***** INSPECTION HISTORY ***** DATE DESCRIPTION 021992 Final Electrical ACT INSP COMMENTS CO MP 1 4 "& OI z W