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Home My WebLink About2102 CARLSBAD VILLAGE DR; ; CB911664; PermitBUILDING PERMIT 12/10/91 15 09 Page 1 of 1 Job Address: 2102 ELM AV Str Permit Type- ELECTRICAL Parcel No- Valuation 0 Construction Type: MEW Occupancy Group- Class Code Description. 40 AMP METER PEDESTAL Permit No- CB911664 Pro3ect No. A9102113 Development No Fl- Ste 5550 12/10/91 0001 01 02 C-PRMT 20-00 Appl/Ownr . DANIELS CABLEVISION P O BOX 344 CARLSBAD, CA 92008.- **A Fees Required A**/ Fees . Adjustments Total Fees• Fee description Status ISSUED Applied- 12/10/91 Apr/Issue: 12/10/91 Validated By DC 619 438-52*1 A ** Toir.l1 ,- 'v- \ ID til X atlO Enter "Y" for Elecjrrjc Single Phase Per A ELECTRICAL TOTAL Fe< 40 . 00 00 20.00 Ext fee Data 10.00 Y 10 00 20 00 //" <! R CLEARANCE OVAL CITY OF CARLSBAD 2075 Las Palmas Dr , CarJsbadf CA 92009 (619) 438-1161 PERMIT APPLICATION City of Carlsbad Building Department 2075 Las Palmas Dr , Carlsbad, CA 92009 (619) 438-nei 1. , RERHIT TYPE A J^COMHEfiClAL QNEU QTENANT IMPROVEMENT B - Q INDUSTRIAL QNEW QTEMANT IMPROVEMENT C Q RESIDENTIAL QAPARTMENT Q CONDO QSINGLE FAMILY DWELLING D ADD IT ION/ALTERAT ION DOUPLEX DEMOLITION DISLOCATION QMOBILE HOME QELECTRICAL nPLUMBING DMECHANICAL D^OOL QSPA QRETAINING WALL QSOLAR D°THER- 2.PROJJECT INFORMAInow PLMj CHECK No.FOR OFFICE USE ONLY EST VAL PLAN CK DEPOSIT, VALID. BY DATE Address 'j^S/it" •— • Nearest Cross Streets BuiIding or Suite No LEGAL DESCRIPTION Lot No Subdivision CHECK BELOU IF SUBMITTED. II~l2 Energy Calcs D2 Structural Calcs ASSESSOR'S PARCEL ft INSCRIPTION Oh UOkk Name/Number Unit No D2 Soils Report Q 1 Addressed Envelope EXISTING USE Phase No PROPOSED USE BLtlG SO FTG # OF STORIES 3. CONTACT. PERSON ADDRESS ^T/f DAY TELEPHONE SIGNATURE 4 APPLICANT CONTRACTOR QAGEVT FOR CONTRACTOR (-/I •?/<& Si ADDRESS ZIP CODE DOWNER DAGENT FOR OWNER DAY TELEPHONE 5. PROPERTY OWNER . NAME £;-r)S &P (3/?£A CITY ^ . OWNER ;&?&? STATE ADDRESS ZIP CODE DLESSEE DTENANT DAY TELEPHONE 6. CONTRACTOR CITY ZIP CODE DAY TELEPHONE STATE LIC #LICENSE CLASS CITY BUSINESS LIC # SIGNATURE DESIGNER NAME ciry 7. WORKERS' COMPENSATION TITLE ADDRESS sraic zip COOE DATE WV TELEPHONE STATE LIC #f'jG?Sfl4 Workers' Conpensation Declaration I hereby affirm that 1 have a certificate of consent to self insure issued by the Director of Industrial Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an enact copy or duplicate thereof certified by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab C) A" /INSURANCE COMPANY EXPIRATION DATE Certificate of Exemption I (ertify that in the performance of the uork for which this permit is issued, I shaiI not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California 8 0~WNER-BUILDER^fECLARATION Owner Builder Oeclaratron J hereby affirm tfiat I am exetrrpc from Che Contractor's License lau for the following reason [7] 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 saie (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 ) (Zj I, as owner of the pr-operty, am exclusively contracting with licensed contractors to construct the project (Sec ?04-i, 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)licensed pursuant to the Contractor's License Law) C] I am exempt under Section Business and Professions Code for this reason SIGNATURE DATE COMPLETE THIS SECTION FOR NON-RESJDENTlAL 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, 255J3 or 25534 of the Presley Tanner Hazardous Substance Account Act' DYES QNO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district' DYES DNO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site' DYES QNO IF MY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY HAT HOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS MET OR IS MEETING Tl)E REQUIREMENTSOj THE OFFICEJ3F EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 9. CONSTRUCTION LENDING AGENCY 1 hereby affirm that there is B construction lending agency for the performance of the work for which this permit is issued (Sec JQ97O) Civil Code) LENDER'S NAME LENDER'S ADDRESS 10. APPLICANT'S SIGNATURE I certify that 1 have read the application and state that the above information is correct 1 agree to comply with all City ordinances and State laws relating to building construction I hereby authome representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes I ALSO AGREE TO SAVE tmenHcrr AUO KEEP HARMLESS THE c/rr OF CARLSBAD AGAIWSJ Ait LIABILITIES, JLBCMEWTS, cosrs AND EXPENSES WHICH MAT IN AWT WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE 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 ,f the building or- work authorized by such permit is not comnenced 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 time after the work is commenced for a period of 160 days (Section 303fd) Uniform Building Code) PHONE APPROVED BY. DATE _2 WHITE File YELLOW Applicant PINK Finance CITY OF CARLSBAD INSPECTION REQUEST PERMIT! CB911664 FOR 02/26/92 DESCRIPTION: 40 AMP METER PEDESTAL TYPE: ELEC JOB ADDRESS APPLICANT: CONTRACTOR: OWNER: 2102 DANIELS ELM AV CABLEVISION PHONE: PHONE: PHONE: INSPECTOR AREA PD PLANCK# CB911664 OCC GRP CONSTR. TYPE NEW STR: FL: STE: 619 438-5241 REMARKS: MH/LARRY/438-7741X609 SPECIAL INSTRUCT: INSPECTOR TOTAL TIME: CD LVL DESCRIPTION 39 39 ACT COMMENTS EL Final Electrical EL Final Electrical DATE DESCRIPTION ***** INSPECTION HISTORY ***** ACT INSP COMMENTS