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Home My WebLink About220 OLIVE AVE; ; CB941469; Permit• 11/15/94 12 :14 Page 1 of 1 B U I L D I N G P E R M I T Suit e: Permit No : CB941469 Project Nu: A~402163 Development No: 9575 11/15/94 0001 01 02 C-PRHT 35-00 1 Job Address : 22U OLIVE AV Permit Type : ELECTRICAL Parcel No: 206-091-06-00 Valuation: O Constructi on Type : NEW Occupancy Group: Reference#: S tatus: ISSUED 11/15/94 11/1 5/94 DC Description: OVERHEAD TO UNDERGROUND 100 A Applied: Appl/Ownr : POWERTRONICS 433 OCEANVIEW DRIVE VISTA, CA 9208 4 *** Fees Required *"'* Fees: Adjustments: Total Fees: Fee description Enter "Y" for Electric:e Issue Fee Single Phase Per AMP * ELECTRICAL TOTAL *** Apr/Issue : 619 Entered By: 726-8340 Fees.Collected & Credits Total Credits : Total Payments: Balance Que: .00 .Ov 35 .00 lt.*k Units Fee/Unit Ext fee Data .25 10.0U Y 25.00 35 .00 ,, ~ APPROV.r,1,.,, l~P.~c,1 DATE~ ..... ,, ,\NCE ________ 1 CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 . , .. t PERMIT APPLICATION PLAN CHECK NO. City of Carlsbad Building Department 2075 Las Palaas Dr., carlsbad, CA 92009 (619) 438-1161 F.Sr.VAL. __________ _ 1. PERMl'I' 1YPE PLAN CK DEPOSIT _______ _ VAllD.BY. ___________ _ DATE From List I (see back) give code of Permit-Type: ____________ _ --------------------------------------------------·------ For Residential Projects Only: From List 2 (see back) give Code of Structure-Type: _____________________ _ Net l.Dss/Gain of Dwelling Units 2. PROJECT INFORMA110N FOR OFFICE USE ONLY Address ,. ,z-z.o e>\1v~ Bu1ldmg or Suite No. Nearest Cross Street 'I/' nit o. CHECK BEWW IF s0BMI J l Eb: □ 2 Energy calcs □ 2 Structural calcs □ 2 Soils Report □ I Addressed Envelope ASSESSOR'S PARCEL EXISTING USE PROPOSED USE DESCRIPTION OF WORK I .. L I I c!.o . , • AJc:l. loo A S~i,viee... E; ,~~'fl'i c~\ 0\/U l,..e,,a.d. -~ . UY1oe"".j"°'\N\O. VI ve"' $/Dv'\) SQ. FT. # OF STORIES # OF BEDROOMS # OF BATI-IROOMS 3. WN IACI PERSON (u darlerent from applicant) NAME (last name first) ADDRESS CITY STATE ZIP CODE DAY TELEPHONE DOWNER OAGENI FOR OWNER 4. APPUcAN l O CON I RAC IOR LI ACEN I FOR CON I RACIOR ADDRESS NAME (last name first) CITY STATE ZIP CODE DAY TELEPHONE . t'\'8.,.'je"''c:. STATE {t. ZIP CODE ADDRESS 2.2.0 c, 1\ 1.1c. 4--'c. 4'1 2..00 g DAY TELEPHONE 7 '2. 'f - ADDRESS L( 3 3 0 c! ~'av\ \/ 1 '~ W I),.,,' ~ STATE Cft ZIPCODE'1~-b//"'7DAYTELEPHONE 7'2.i:.-'BJ'-(0 STATE UC. # S° 7 ~ 2.3 J UCENSE CLASS C. f O CITY BUSINESS UC. # I I~ b 7 33 DESIGNER NAME (last name hrst) ADDRESS CITY STATE ZIP CODE DAY TELEPHONE STATE UC.# 1. WOllkERs' mMPENsA'lioN Workers' Compensation beclarauon: I hereby alhrm that I have a cemhcate of consent to self-msure issued by the Director ot Industnal 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 S~ t'vY\ d POUCY NO. 1"35'0 947-'f..ixPIRATION DATE 7 /15 Certificate of Exemption: I certify that tn the performance of the work for which this permit 1s issued, I shaU not employ any person many manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE 8. oWNER-BUilDER OEd.ARA11oN Owner-Builder Declaration: I hereby alhrm that I am exempt from the Contractor's License Law for the loBowmg 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 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.). □ 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). D I am exempt under Section _______ Business and Professions Code for this reason: (Sec. 703 I .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 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]). SIGNATURE DATE COMPLE'IE tAls SECTION FOR NON-RESIDENTIAL BUILDING PERMli's oNCV: 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? □ YES □ NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ YES □ NO ls the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ YES □ NO IF ANY OF THE ANSWERS ARE YF.S, A FINAL CERTIFICATE OF cxx:uPANCY MAY N<Yf BE ~UED AFTER JULY 1, 1989 UNLF.SS THE APPUCANT HAS MET OR IS MEIITING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICF.S AND THE Am POU.UTION OONTROL DISfRlCT. 9. OONSI ilOCliON LENDCNG AGENCY I hereby athrm iliac ihere 1s a construction lend mg agency for ihe performance of ihe work for which this permit 1s tSSued (Sec 3097(1) C1V1! Code). LENDER'S NAME LENDER'S ADDRESS 10. APPUCAN l CEit liFICAIIDN I certify ihat I have read ihe apphcauon and state iliac the above mlormauon 1s correct. I agree to comply with ail City ordmances and State laws 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 ro SAVE INDEMNIFY AND KEEP HARMLESS THE CTIY OF CARI.SBAD AGAINST AIL UABILITlF.S, JUDGMENTS, CX)S'fS AND EXPENSE.5 WHICH MAY IN ANY WAY Aa:RUE AGAINST SAID CTIY IN OONSF.QUENCE OF THE GRANTING OF nos PERMIT. OSHA; 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 y time after the work is commenc r a period of 180 days (Section 303(d) Uniform Buildini Cod!~ APPUCANT'S SIGNATURE , DATE: 11/1'5'/_'f.L( OW: Applicant PINK: Finance • PERMIT# CB941469 DESCRIPTION: OVERHEAD TO TYPE: ELEC CITY OF CARLSBAD INSPECTION REQUEST FOR 11/16/94 UNDERGROUND 100 A JOB ADDRESS: 220 OLIVE AV STE: INSPECTOR AREA PLANCK# CB941469 OCC GRP CONSTR, TYPE NEW LOT: APPLICANT: POWERTRONICS CONTRACTOR: PHONE: 619 726-8340 PHONE: OWNER: INSPECTOR / REMARKS: MW/KEVIN/726-8340 SPECIAL INSTRUCT: OH TO UG AS EARLY AS PHONE: ~ POSS CALL WI_T_if/➔~T-I-+--------- TOTAL TIME: CD LVL DESCRIPTION ACT COMMENTS _33-_E_L _s_e_r_v_i_c_e_c_h_a_n_g_e_;_u_p_g_r_a_a_e ____ t4 ______________ _ ---------------------------------------- ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS