HomeMy WebLinkAbout2302 PASEO CANDELERO; MP; CB9000483; PermitB U I L D I N G P E R M I T
03/22/90 14:48
Permit No: CB900483
Project No: A9000582
Development No: DEV89063 Page 1 of 1
Job Address: 2302 PASEO CANDELERO MP Str: Fl: Ste:
Permit Type: ELECTRICAL
Parcel No: 215-480-15-00
Valuation: O
Construction Type: NEW
q~~4 03'~~ ~ v 01 02
C-PRMT 15°00
Occupancy Group: Class Code : Status:
Applied
Apr/Issue
Validated By:
ISSUED
03/22/90 Description: IRR ELEC PEDESTAL
*** Fees Required
Fees:
Adjustments:
Total Fees:
Fee description
***
15.00
.00
15.00
*** Fees Collected & Credits ***
Total Credits:
Total Payments:
Balance Due:
Units Fee/Unit
.00
.00
15.00
Ext fee Data ---------------------------------------------------------------------------
Enter "Y" for Electric Issue Fee >
Other >
* ELECTRICAL TOTAL ($10 Minimum)
10.00
5.00 Y
10. 00 IRRPEDSTl
15 .00
APPROVAL
!f 1)P. N\i~ .. =DATE --·
, __ ,\R~i: /o -'70
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161
PERMIT APPLICATION 4\ V
City of Carlsbad Building Department EST. VAL _______________ _
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PLAN CK DEPOSIT ____________ _
VALIO. BY ______________ _
1. PERMIT TYPE DATE _______________ _
A
•
2.
COMMERCIAL
D INDUSTRIAL □NEW
THilANT IMPROVEMENT
□TENANT IMPROVEMENT
□RESIDENTIAL □APARTMENT □CONDO □SINGLE FAMILY DWELLING □ADDITION/ALTERATION □DUPLEX □DEMOLITION □RELOCATION □MOBILE HOME ~LECTRICAL □PLUMBING
□MECHANICAL □POOL QSPA □RETAINING WALL □SOLAR □OTHER
PROJECT INFORMATION PLAN CHECK No.
Address Building or Suite No.
Nearest Cross Streets A--L &. A f+tvL, S • 2 3>0 2 PA--~
F
LEGAL DESCRIPTION Lot No. Subdivision Name/NU'l'ber
CHECK BELO., If SUBMITTED:
p2 Energy Cales 02 Structural Cales D 2 Soi ls Report
Pf;P.
BLOG. SQ. FTG. # OF STORIES
D 1 Addressed Envelope
EXISTING USE
r f'2..IL_
PROPOSED USE
3. CONTACT PERSON
"" Do1'.l bi r-Ac.,12:
CITY
SIGNATURE
4. APPLICANT 0 CONTRACTOR
NAME
CITY
5. PROPERTY OWNER
NAME
CITY
ADDRESS
STATE ZIP CODE
0 AGENT FOR CONTRACTOR
ADDRESS
STATE
OWNER
STATE
Z!P CODE
ADDRESS
Z!P CODE
DAY TELEPHOHE
OowNER 0 AGENT FOR OWNER
DAY TELEPHONE
QLESSEE □TENANT
DAY TELEPHONE
6. CONTRACTOR
7.
NAME
Cl TY STATE
STATE LIC. #, ____ _
SIGNATURE
DESIGNER NAME
CITY STATE
WORKERS' COMPENSATION
ADDRESS
ZIP CODE
LICENSE CLASS
TITLE
ADDRESS
ZIP CODE
DAY TELEPHONE
CITY BUSINESS l!C. #
DATE
DAY TELEPHONE STATE LIC. #
Workers• C~nsation Declaration: hereby affirm that have a certificate of consent to self-insure issued by the Director of Industrial Relations,
or a certificate of Workers' C~nsat ion Insurance by an adni t ted insurer, or an el\act copy or dupl i cate thereof certified by the O i rector of the
insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C).
INSURANCE COMPANY POLICY NO. EXPIRATION DATE
Certificate of Ellemption: I certify that in the performance of the work for which this permit is issued, I shall not e,rploy any person in any manner
so as to become subject to the Workers' C~nsation Laws of California.
SIGNATURE DATE
8. OWNER-BUILDER DECLARATION Owner-Builder Declaration: I hereby affirm that J am e.11empt from the Contractor's License Law for the following reason:
0 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 in-proves thereon,, and who
does such work himself or through his own employees, provided that such i,rprovements are not intended or offered for sale. If, however, the building
or irrprovement is sold within one year of corrpletion, 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 ellclusively 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).
0 I am e.11empt 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 licensed pursuant to the provisions of the
Contractor's License Law (Chapter 9, coomencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is ellempt therefrom,
and the basis for the alleged ellemption. 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
COMPLETE THIS SECTION 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?
QYES o,o
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
□YES 0N□
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
QYES
IF ANT OF THE ANSWERS ARE TES, A FINAL CERTIFICATE OF OCaJPANCY MY NOT BE JSSI.A:D AFTER JULY 1, 1969 UNLESS THE APPLICANT HAS 111:T OR IS 111:ETING THE REQUIREMENTS
OF THE OFFICE OF ENER6£NCY SERVICES ANO THE AIR POlLUTIOM CONTROL DISTRICT.
9. CONSTRUCTION LENDING AGENCY
hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(i) Civil Code).
LENDER I S NAME LENDER'S ADDRESS
10. APPLICANT'S SIGNATURE I certify that I have read the application and state that the above information is correct. I agree to comply with all C1ty ordinances and State \aws relating
to building construction. 1 hereby authorize representatives of the City of Carlsbad to enter upon the .ibove mentioned property for inspection purposes. I ALSO
AGREE TO SAVE INDElilNIFY AND KEEP HARlilLESS THE CITY OF CARLSBAD AGAINST All LIABILITIES, JLOGMENTS, COSTS AND EXPENSES WHICH lilAY IN ANY \IAY ACCRUE AGAINST SAID
CITY IN CONSEOUENCE Of THE GRANTING Of THIS PER:lillT.
iration. Every permit issued by the Building Official under the provisions of this Code shall e~pire by limitation and become null and void if the building
authorized by such permit is not conmenced within 180 days from the date of such permit or if the building or work authorized by such permit Is suspended
t ny time after the work is conmenced for a period of 180 days (Section 303(d) Uniform Building Code).
□ OWNER O CONTRACTOR □ BY PHONE APPROVED BY:
DATE:
WHITE: File YELLOW: Applicant PINK: Finance