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HomeMy WebLinkAbout2002 CORDOBA PL; ; CB920112; Permit•01/3V92 15 05 BUILDING Page l of i JOD Address- 2002 CORDOBA PL Permit Type ELECTRICAL Parcel No Valuation 0 Construction Type SMEW Occupancy Group" Clas* Description 40 AMP METERED PEDESTAL^" Appl/Ownr DANIELS CABLEVISION P O BOX 344 CARLSBAD, CA 92008 PERMIT Str Permit No CB920112 Project No A9200333 Development No Fl "ste 31 Code 6200 01/31/92 0001 01 02 StaChPRMT ISSUE20.00 Applied 01/31/92 Apr/Issue. 01/3.1/92 Validated By DC 619 438-5241 *** Fees Required A**A •*! *Fees Collected & Credits - A * Fees Adjustments Total Fees Fee description Enter "Y" for Electro Single Phase Per AMP * ELECTRICAL TOTAL 20 00 . 0 U 2 0 . 0 U Total Credits Total Payments. 3 filance Due • Unite Fee/Unit Issue Fee > 00 00 20 00 Ext fee Data 1C) 00 Y 10 00 20 00 !NSP. PROVAL DATE In/ CITY OF CARLSBAD 2075 Las Palmas Dr , Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION City of Carlsbad Building Department 3075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 1 PEKjVUT A yEl Commercial U New Building B - D Industrial D New Building U Tenant Improvement D Tenant Improvement C - D Residential D Apartment D Condo D Single Family Dwelling D Addition/Alteration D Duplex D Demolition D Relocation D Mobile Home D Electrical D Plumbing D Mechanical D Pool D Spa D Retaining Wall D Solar D Other 2 PROJECT INFORMATION PLAN CHECK NO. EST VAL PLAN CK DEPOSIT. VAIJD BY DATE FOR OFFICE USE ONLY building or Suite No Nearest Cross Street /fe> blinfl fQg_ LEGAL DESCRIPTION Lot No Subdivision Name/Number Unit No Phase No CHI£K HtlxJW 1J-1 SUBMI'l'l'tll) D 2 Energy Calcs G 2 Structural Calcs D 2 Soils Report D 1 Addressed Envelope ASSESSOR'S PARCELS i>O DESCRIPTION OF WORK t/Q SQ FT PROPOSED USE # OF STORIES 3 uuNlAd P lit different irom applicant; ADDRESS DAY TELE'"NE b 6 APPULANT JACONIKACTOK UAUENfNAME fafyn tejj £#bleiJii(os\ <Xn@#e,/l&#<J STATE f)j PKOPEKITf OWNIiK - . NAME^7 / j-y 0-P C#<£AfJ/9<Z CITY STATE CONTKACJIUK , CITY STATE STATE UC # FOR CONlliACIUK QOWNER U AGENT FOK OWNIiK ADDRESS fJ £) . AoX 3jW <$- ZIP CODE <$<2OO'$ DAY TELEPHONE */J£$ ~~^e^y/ ADDRESS ZIP CODE DAY TELEPHONE -^- ADDRESS ZIP CODE DAY TELEPHONE LICENSE CLASS CITY BUSINESS LIC # LJESTCiNtK NAMt CI'IY STATE ZIP CODE DAY TELEPHONE STATE LIC # 7 WOHKIiKS' UUMI'UN.'vAIHJN Workers Compensation Declaration I hereby affirm that I have a certificate ot consent to self-insure issued by the Director ot 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 YM. |4- KL fjYlUJGtfP&Si POLICYlJO EXPIRATION DATE j — / Certificate ot Exemption I certify (hat in lire performance ol the work lor which this permit is issued, I shall not employ any person in any manner so as to become subject tothe Workers' Compensation Laws of California SIGNATU ATE 8 OWNl'-R-BUHDER DfcOAR Owner-Builder Declaration I hereby affirm that! am exempt Irom the Contractor's License Law for the following reason 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 builds or improves thereon, and who docs 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) 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 (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 703] 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 THIS SECTION FOR NON-RKSIDF.NTIAI, BUILDING PERMITS ONLY Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or nsk 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 district7 D YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES D NO IF ANY OF TIIE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT IIASi METOR.IS MEETING THEREQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT 9 CONSTKUCJT1ON UiNIJlNCi ACiKNCY I hereoy amrm that there is a construction lending agency ror tne performance ot the work tor which mis permit is issued (,Sec 30971.1) Civil Code) I£NDER'S NAME LENDER'S ADDRESS 10 APPLK-ANI CLRITl'ICAnON 1 certify mat I nave read tne application and state that me above information is correct I agree to comply with all Cily ordinances and State'Taws 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 KF.EP HARMLESS THE OTY OF CARISBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT OSIIA An OSHA permit is required for excavations over 5'0" 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 180 days (Section 303(d) Uniform Building Code) APP:DATE WHITE File YELLOW Applicant PINK: Finance CITY OF CARLSBAD INSPECTION REQUEST PERMIT* CB920112 FOR 05/22/92 DESCRIPTION: 40 AMP METERED PEDESTAL TYPE: ELEC JOB ADDRESS: 2002 CORDOBA PL APPLICANT: DANIELS CABLEVISION CONTRACTOR: OWNER: REMARKS: MH/SHERRY/967-6920 SPECIAL INSTRUCT: PHONE; PHONE: PHONE: INSPECTOR AREA MP PLANCK* CB920112 OCC GRP CONSTR. TYPE NEW STR: FL: STE: 619 438-5241 INSPECTOR j/J TOTAL TIME: CD LVL DESCRIPTION 39 EL Final Electrical ACT COMMENTS DATE DESCRIPTION ***** INSPECTION HISTORY ***** ACT INSP COMMENTS CITY OF CARLSBAD ELECTRIC AND CAS METER CLEARANCE INTER-DEPARMENT ADDRESS:. SEO Service Equipment Only Reason, If Denied ELECTRIC METER COMMERCIAL RESIDENCE NEW SERVICE RELOCATE TSPB TEMP P/P UP-GRADE TEST METER IRR PEDESTAL GAS METER C ^ ' COMMERCIAL RESIDENCE TEST METER Building lnspector,Signature Called In To YES NO YES NO YES NO Date Time Date Time o J-