HomeMy WebLinkAbout2300 ALGA RD; ; CB921129; PermitHl.lTLliING PERMIT Permit No: CB921129
Permit Type: ELECTRICAL C-FRMT 20.00
Pax-cel No : Lot#:
Valuation: 0
Construction Type: NEW
Occupancy Group : Reference#: St.atus: ISSUElj
Description: TEMP POWER POLE Appl i ed :
Validated By: PD
Apr/Issue: 1(1/2i/92
Appl/Ownr : BLACK HAWK ELECTRIC 619-286-0360
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CITY OF CARLSBAD
2075 Lss pplmps Dr., CarlM, CA 92009 (619) 438-1161
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PERMIT APPLICATION
City of Csrlsbad Building Depnrtmt 2075 Las Palms Dr., Carlsbsd, U 92009 (619) 438-1161
1. Yclu.u, ,,YE
A - U Commercial U New Bulldlng U Tenant Improvement
B - 0 Industrial 0 New Building OTenant Improvement
C - 0 Residential 0 Apartment OCondo 0 Single Family Dwelling 0 AdditioWAlteratian
0 Duplex 0 Demolition 0 Relocation 0 Mobile Home NElectrical DPlumbing
0 Mechanical OPool 0 Spa ORetaining Wall OSalar OOther
2 PRCMXTINFQRMA'IlON
Add-Ld 7 fi -,,c/o heldlng or Sulte NO.
PLAN CHECK NO.
FOR OFFICE USE ONLY
Neamt Cm Street ,@A
bt No. Subdmslon NamWNumber Unlt No. Phase No.
0 2 Energy Calm 0 2 Structural Calcs 0 2 Sails Report 0 1 Add& Envelope
DESCRlPllON OF WORK
G USE PROPQSEO USE
/ &nP .L%.ELG&c- @OW€& PO& r
SQ. FT.
NAME C
I # OF STORIES
A0 kN /=dAJLl€.e.&uLrL ADDRESS
(It anterent trom apphcant)
CllK
NAME ADDRESS
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STATE &/9-2€?6 ZIP M)DE DAY TELEPHONE - 0360
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CITY STATE ZIP CODE DAY TELEPHONE STATE LIC. #
Workers' Compensation Ueclarataon: I hereby yattlrm that 1 have a certlhcate ot consent toselt-Insure kssued by the Dlrectarot lndustnal Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof cenitied by the Director of the insurer thereof tiled with the Building Insption Department (Section 3800, Lab. C).
INSURANCE COMPANYSTAFF- e#& WUCY NO.&//L~ I g $&IRATION DATE 7 - 9 7
Certlklcate ot txemptlon: I certlty that 8" the performance ot the worK tor whleh this permlt 1s Issued, 1 Shall not employ any pemn In any manner
so as to become subject to the Workers' Compensation Laws of California.
SIGNATURE DATE
0 I, as owner of the properly or my employees with wages as their sole compensation, will do the work and the StmcNre is not intended or
Owner-Bullder Declaration: 1 hereby attlrm that I am exempt trom the Contractor's UcenSe Law tor the toiiowmg mason:
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.).
0 I, as owner of the properly, am exclusively contracting with licensed contractors to construct the project (Sec. 7W4, Business and Professions
Code: The Contractor's license Law does not apply to an owner of properly who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's license Law).
0 I am exempt under Section Business and Professions Code for this reason:
any structure, prior to its issuance, also requires the applicant for such permit to tile a signed statement that he is licensed pursuant to the (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish, or repair
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 [SSOO]).
SIGNATUFIE DATE
~ 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 Pmley-Tanner Hamrdous Substance Account Act?
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
IPANYOFTHEANSWERSAREYE$AFINAL~~~TEOFOCCUPANCYMAYNOTBElSSUEDAPIFJ(JULY1,1989UNLEiSTHE~~ HAS OR Is -G TIlE REQ- OF TME OFFICE OF EMERGENCY SFRVICFS AND THE AIR POILUTION ODNlRoL DKIWCT.
1 hereby attlrm that there IS a construction lendlng agency tor the performance ot the Work tor Whlch thls permrt 1s lssued (SeC 3UY7(1J UVII Code).
0 YES 0 NO
0 YES 0 NO
0 YES 0 NO
LENDER'S NAME LENDER'S ADDRESS
1 certlty that 1 have read the applrcatlon and state that the amve lntormatlon IS correct, 1 agree to comply wlth all Clty omlnances and state laws relating to building construction, I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned properry for inspection
AND EKPENSFS WIIIUI MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN mNseQUENCX OF THE GRANTING OF THls F"lT. pu'pmes. IAISOAGREETO~~INDE"AND~l~THE~OFCARISBADAG~~AU.~JUDG~oDsls
CS€v\: An OSHA permit is required for excavations over SO" 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
such permit is suspended or abandoned at any time after the work is commenced for a period of 180 day (Section 303(d) Uniform Building Code). building or work authorized by such permit is nor commenced within 365 days from the date of such permit or if the building or work authorized by
APPLICANTS SIGNATURE DATE: /a -2 / -9z
mTE: File YELLOW: Applicant PINK: Finance
UNSCHEDULED INSPECTION
DATE 13(2( I < INSPECTOR
PERMIT # qr- PLANCK #
TIME
CD
ARRIVE : TIME LEAVE : -
LVL DESCRIPTION ACT COMMENTS