HomeMy WebLinkAbout2016 PALOMAR AIRPORT RD; ; CB910646; PermitR U I L D i N G p E R M
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2016 PALOMAR
ELECTRICAL
Construction : NEW
Occupancy Group: ~ · · Class Code:
0escr1 ion: MOVE 1rJ1J· Ai'.v10 • ' ~ • ;:;EflVICE~ iI'C) W'ES1'
: SIDE OF HANGAR
Sti: .. :
I T Permit
Project
De VF: 1 opmen t:
Fl: St1::':
No:
No:
No:
CB910646
A910~) 7r=~
StattlS: I~~:StJE[>
Applied: 04/23 91
Arr/Issue: 04/23/91
v·al:ic:la.t.e~J f3v: [)C~
/Ownr : (;REENWALD i M.Z\RTHA
2016 P/'T .. (_')1',!l.4._P,. "J-R"1·,Rr
619 438-7603 •
rt-' ·1--·" ,'"'i • -J: <_,,_ ' : ROAD
CARL3BI~.D,
'f'"' , J::{equ.ired
Fee::.,:
Adju::1tments:
Total Fees:
Fee descri ion
Enter "Y" for Ele
5Hl(Jle Phase Per
i ELECTRICAL "J:'OTA
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161
.00
.00
30,00
Ext fee Datct
S.00 Y
25.00
~lO. OU
PERMIT APPLICATION -•
City of Carlsbad Building Department
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
1. PERMIT TYPE
PLAN CK DEPOSIT _________ .-::;;_,. __ ::...----:-: -= VALID. BY __ :;.;;;-----,-~--------
DATE ---7:-,,..--~-----------
0 COMMERCIAL NEIi 0TENANT IMPROVEMENT A
(8'..INDUSTRIAL ONEIi ,~ TENANT IMPROVEMENT
C 0RESIDENTIAL 0APARTMENT 0CONDO 0SINGLE FAMILY DI/ELLING 0ADDITION/ALTERATION
0DUPLEX 0DEMOLITION 0RELOCATION 0MOBILE HOME ~ELECTRICAL 0PLUMBING
0MECHANICAL 0POOL 0SPA 0RETAINING I/All 0SOLAR
2. PLAN CHE K No.
Nearest Cross Streets
LEGAL DESCRIPTION Lot No. Subdivision Name/Number Unit No. Phase No.
CHECK BELOII IF SUBMITTED: 0 2 Energy Cal cs 02 Structural Cales D 2 Soi ls Report D 1 Addressed Envelope
ASSESSOR'S PARCEL
DESCRIPTION OF WORK ,1J J' . /
t<:.e-tt>~e
BLOG. SQ. FTG.
3. CONTACT PERSON
NAME µ,cr-'fk-Cr~-L"'-v41.(
CITY C. ,11/c 6~
SIGNATURE
EXISTING USE PROPOSED USE
# OF STORIES
ADDRESS
STATE ~ ZIP CODE
2o1 (e, /1,c._ /ct..,.A.r /J,,'r/~efll,(
DAY TELEPHONE
43'iJ' .... ?6o3
4. APP!,.ICANT . . D CONTRACTOR
NAME l4 I" I Ho..c.,s 0 AGENT FOR CONTRACTOR
ADDRESS
OowNER ~GENT FOR OWNER
5.
6.
CITY >, \c. O STATE t:;._
PROPERTY OWN
NAME M }! ffll~ W-e J' ,r
C !TY _(°' <ll., "'"' £Jr E!. 0
/) J, OWNER rh:>f.e,.. n'v s ·
CONTRACTOR
NAME Ov->Vve ,;-
CITY
SIGNATURE
DESIGNER NAME
STATE (J.._
STATE
STATE LIC. # ____ _
ZIP CODE DAY TELEPHONE
D LESSEE D TENANT
ADDRESS 0 ~ I S-'Ft a.-.....f f~ Pr 0l ~ 1 Jo
DAY TELEPHONE 'i So-3/5 S ZIP CODE
ADDRESS
ZIP CODE DAY TELEPHONE
LICENSE CLASS------CITY BUSINESS LIC. #
TITLE DATE
ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE STATE LIC. #
7. WORKERS' COMPENSATION
Workers• Compensation Declaration: hereby affirm that.I have a c.ertificate of consent to self-insure issued by the Director of Industrial Relations,
or a certificate of Workers• Compensation Insurance by 'an a<iTii tted insurer, or an exact copy or duplicate thereof certified by the Di rector of the
insurer therebf filed with the Building Inspection Department (Section 3800, Lab. Cl.
INSURANCE COMPANY POLICY NO. EXPIRATION DATE
Certificate of Exemption: I ce~tify 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:
~ I as ow~er of t~e.property or 'my ~mployees with wages as thei'r sole compensation, will do the work and the structure is not intended or offered for sale
(Sec. 7044, Bus i.ness and Pr.ofess ions Code: The Cont ractbr • s L.i cense 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 i's sold within pne"year oi. completion, the owner-builder will have the burden of proving that he did not build or improve. for the purpose
of sale.).
0 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 bui Ids or improves thereon, and contracts for such projects with contractor(s)
licensed pursuaf)t to· the contract Or's Li C:ense Law).
0 I am exempt und~r Section------'-------Business and Professions Code for this reason:
(Sec. 7031.5 Bus}ness and Professions Cod!': Any City or County which requires a permit to construct, alter, improve, demolish, or repair any structure,
prior to its issuance, al~o requi ,:es the, applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the
Contractor'.s Lic:ense 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 exe.;µtion. Any violation of Section7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not
more than five h:ur*1J dol-la9?[.$~.0 Oll)).. • /.·.
SIGNATURE 1
~ •• ,~·("'~ DATE L.J 1-fr~f
COMPLETE THIS stc'Jioi FOR NON·R'EsID.ENhAL BUILDING PERMITS ON.l Y: . . I
Is the applic.ant or ~;u~ure',builC:fin~·~cfHpant r1equired to sutjmi't a 'business plan, acutely hazardous materials registration form or risk management and prevention
program under Sectio~s 25505, 25533 .orf5534 of the Presley-Tanner Hazardous Substance Account Act?
DYEt. ~No . ,
Is the applicant or ~uture·;builPin~::oc~
1
Upant required to obtain a permit from the air pollution control district or air quality management district?
Q\'Et ~O
Is the facility to be construct~ with.fn 1,000 feet of the outer boundary of a school site?
! ' ~o
If ANY Of THE ANS\IERS:, ARE YE~, A FINAL :1sfRTIFICATE OF OCClJPANCY MAY NOT BE ISSUED AFTER
OF THE OFFICE OF EHE~GENCY.;sERVICESi~Ntj;,JHE AIR POLLUTION CONTRQL DISTRICT.
9. CONSTRUCTION LlENDI~G !!AGENCY
JULY 1, 1989 UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS
hereby affirm that :there .'is a cons~ry7tion lending agency for the performance of the work for which this permit is issued (Sec 3097(i) Civil Code).
#o-v..& :, '
LENDER'S NAME LENDER'S ADDRESS.
10. APPLICANT'S SIGNATURE
I certify tha~ I'h'avei)re~d t~.e aJ)plicatjon and state that the ·,~bove information ls correct. I agree to comply wlth all Clty ordinances and State laws relating
to building cons.tr~ctilon.' I: hereby autHorize r:epresentatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO
AGREE TO SAVE .INDEMNifY A~D.:KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JWGMENTS, COSTS ANO EXPENSES 1/HICH HAY IN ANY 1/AY ACCRUE AGAINST SAID
CITY IN CONSEql.lENCE 0~ THE GRANTING' OF THIS PERMIT. . ,,
Expiration. Every pe~mit i~sued 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
or abandoned at any dme after the work is corrmenced for a period of 180 days (Section 303(d) Uniform Building Code). ,: . .
APPLICANT' u 4,. ('.. ~IINER o CONTRACTOR 0BY PHONE
HITE: File YELLOW: Applicant PINK: Finance
10/07/91
DATE
05/13/91
05/10/91
04/26/91
04/26/91
INSPECTION HISTORY LISTING
FOR PERMIT# CB910646
INSPECTION TYPE INSP ACT
Final Electrical RI RI
Final Electrical RI RI
Underground/Conduit-Wir RI RI
Underground/Conduit-Wir MPC PA
HIT <RETURN> TO CONTINUE ...
COMMENTS
RES/MARTHA/438-7603
MH/MARTHA/238-7603
MH/PM PLEASE
AP NEW SERVICE
PERMIT# CB910646
DESCRIPTION: MOVE
SIDE
TYPE: ELEC
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 10/21/91
100 AMP SERVICE TO WEST
OF HANGAR
JOB ADDRESS: 2016 PALOMAR AIRPORT RD
APPLICANT: GREENWALD, MARTHA PHONE:
CONTRACTOR: PHONE:
INSPECTOR AREA MC
PLANCK# CB910646
OCC GRP
CONSTR. TYPE NEW
STR: FL: STE:
619 438-7603
OWNER: PHONE:
REMARKS: MH/MARTHA/438-7603 INSPECTOR ~
SPECIAL INSTRUCT: RECEIVED EXPIRATION LETTER.THOUGHT YOU~
INSP EARLY PM-ELECTRICIAN WILL BE THERWTHEN.
TOTAL TIME:
CD LVL DESCRIPTION ACT COMMENTS
=39== =EL ==F1=·n=a=l==E=l=e=ct=r=i=c=a=l===========j)J 'fi}f;J~~MU
***** INSPECTION HISTORY*****
DATE DESCRIPTION
042691 Underground/Conduit-Wiring
ACT INSP
PA MPC
COMMENTS
AP NEW SERVICE
~ !f-S:-?I