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HomeMy WebLinkAbout2016 PALOMAR AIRPORT RD; ; CB910646; PermitR U I L D i N G p E R M o 4,/ 2 91 o e = s 2 1 of 1 .Job Add.res:::,: :-·) ..._.r · ,• .L.. 1~·, ,c" (;;;;,L,ml I_ l ype: Pa~rc<~l i\J(): \/1::L l u.a ti ()!l: 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