HomeMy WebLinkAbout2026 PALOMAR AIRPORT RD; ; CB950158; PermitB •U .:t 'l D 'I N G P E R M I T
01/27/95 08: :1~;
Paqe 1 of l
Job Address: 2026 PALOMAR AIRPORT RD
Permit Type: ELECTRICAL
Par c e 1 No : .:i \ ~ a o\.O l 1f O "D
Valuation: O
Construction Type: NEW
Suite:
Lot#:
Occupancy Group: Reference#:
Description: 0/H TO U/G CONVERSION
Permit No: C895015B
Project No: A9c;oo:!t.1:l
Develop.ment No:
0454 01/27/95 0001 01 02
G-PRMT 60.00
Status: ISSUED
Applied: 01/27/95
Apr/Issue: 01/27/95
Entered By: MDP
Appl/Ownr : TOM HULETT ELECTRIC 619 743-12.41
1105 HIDDEN SPRINGS TRAIL
ESCONDIDO, CA. 92-
* * f( Fees Required
Fees:
Adjustments:
Total Fees:
Fee description
Enter "Y" for Ele
Other
* ELECTRICAL TOTA
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
.00
.00
60.00
Ext fee Data
10.00 Y
50.00 PERMIT
60.00
PERMIT APPUCATION
City of Carlsbad Building Department
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
1. PEltMl'l' 1YPE
From list 1 (see back) give code of Permit-Type: -------------
For Residential Projects Only: From list 2 (see back) give
Code of Structure-Type:---------------------
Net Loss/Gain of Dwelling Units------------------
2. PRQJECT INFORMATION
Address~ 6-4 C t/7-7/~h"-4,t,, J9-,.i.A!:.j"'d;,..g or Suite No.
Nearest Cross Street
LEGAL DESCRIPTION wt No. Subd1vmon Name/Number
cHEcR BEIDW IF SUBMl'l'l'Eb:
D 2 Energy Cales D 2 Structural Cales D 2 Soils Report D 1 Addressed Envelope
ASSESSOR'S PARCEL
DESCRIPTION OF WORK
EXISTING USE C
~V~'C."'-..
PLAN CHECK NO. C{, ~ -( !:(" ~
FSf.VAL _____________ _
PLAN CK DEPOSIT _______ _
VAIJD.BY __________ _
DATE. _____________ _
FOR OFFICE USE ONLY
Omt No. Phase No.
PROPOSED USE e(ff fo
SQ. FT. # OF STORIES # OF BEDROOMS # OF BATIIROOMS
3. WN IACI PERSON (II dmerenf from applicant)
NAME (last name first) Ci A-re. -.I/, IJ.-tA-ADDRESS
CI1Y&~/s i STATE&_
NAME (last name first)7'"D ~ //t,.s-4,/eu.,., st"' ........ .:..J" -r:7e~/
5.~~=k ZIP CODE 7 ;2.., oz_(. DAY TELEPHONE ? Y 3 /2-9"/
NAME (last name first) {!_ I _., e ~ A ADDRESS
CI1Y STATE ZIP CODE DAY TELEPHONE
6. CDNTRAclUR
NAME (last name first) ADDRESS
CI1Y STATE ZIP CODE DAY TELEPHONE 7Y..! -I~ Y'( ?s-.?-/.,J / ~
STATE IJC. # ~,22//7 IJCENSE CIASS C / 0 CI1Y BUSINESS IJC. #
DESIGNER NAME (last name hrst) AbbR£Ss
CI1Y STATE ZIP CODE DAY TELEPHONE STATE IJC. #
1. WORKERS' ciJMPENSATION
Workers' Compensation Declaration: I hereby afhrm that I have a ceruhcate of consent to self-msure issued by the Director of lndustnal
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 POIJCY NO. EXPIRATION DATE
Ceruhcate of Exemption: I certify that m the performance of the work for which this permit 1s issued, I shall not employ any person m any manner
so as to becom subjec o the Workers' Compensation Laws of California.
DATE /-
Owner-Builder Declaration: I hereby afhrm that I am exempt from the ContractoPs License Law for the followmg reason:
D 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 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 completion, the owner-builder will have the burden
of proving that he did not build or improve for the purpose of sale.).
D I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Busin~ and Professions
Code: The Contractor's License Law does not apply to 13n owner of property who builds or improves thereon, and contracts for such projects
with contractor(s) licensed pursuant to the Contractdr's License Law).
D 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 licen~ pursuant to the
provisions of the Contractor's License Law (Chapter 91 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 7031.5 by any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars [$500]).
SIGNA11JRE DATE
COMPLETE 11f1s sECnoN FOR NON-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? DYES D NO . .
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality:management district?
DYES D NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
DYES D NO •• • ; 1
IF ANY OF TI1E ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAYNOf BE~ AFfER JULY 1, 19~9 ~ TIIE APPUCANT
HAS MIIT OR IS MEETING TIIE REQUIREMENTS OF TIIE OFFICE OF EMERGENCY SERVICFS AND TIIE AIR POIJ.lf111ot{ OONTROL DISllUCT.
9. WNS'IROCIION LENDING AGENC.-V :; •. • I ;
I hereby afhrm that there 1s a constructmn lendmg agency':tor the performance of the work for which this permit 1s 1ss~cii ~sec 3097(1) CIVIi code).
LENDER'S NAME LENDER'S ADDRESS
to. APP11CAN I CEkliFICAIIDN · i •
YELl.OW: Applicant
and put
no new dwellin
SFD
SFD
. ~
DA.TE -:z-bz/q~ 7 7
\il!SQ!~OUt.EO IllS~ECTIO?I /)
INSPECTOR .u ~.,------------~
?ERMIT f --------PI..NiCI\ # -------
TIME ARRIVE: TIME L..E>.VE: ~------------
co LVL DES~RIPI'ION
P~TS
6/l~/89
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