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HomeMy WebLinkAbout236 OLIVE AVE; ; CB941470; PermitB U I L D I N G P E R M I T PP1m1t No: C8941470 Project No: A9402164 Development No: 11/15/94 12:lti Pacre 1 of 1 1 Job Address: 23b OLIVE AV Permit Type: ELECTRICAL Parcel No: 206-091-06-00 Valuation: O Construction Type: NEW Occupancy Group : Suite: Lot#: Referen ce#: 9575 W15/94 0001 01 C-PRMT Status : 02 35-00 Description: OVERHEAD TO UNDERGROUND 100 A Applied: ISSUED 11/15/94 11/15/94 DC Appl/Ownr : POWERTRONICS 433 OCEANVIEW DRIVE VISTA, CA 92084 * "* Fees Required F'ees: Adjustments: Total Fees: Fee description Enter "Y" for Electric Single Phase Pel AMP * ELECTRICAL TOTAL *** Apr/Issuf•: Entered By: 619 72b-8340 CITY OF CARLSBAD .00 .00 35.00 Ext fee Data 10.00 Y 25.0IJ 35 .00 fl~Al)PPRO\I' \NSP.~ DATE ...,J.;r:......--, I \CLEARANCE-----, • 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 • . PERMIT APPLICATION e . . PIAN CHECK NO. City of tarlsbed Buildi~ Depart....t 2075 Las PalEs Dr., tarlsbed, CA 92009 (619) 438·1161 EST. VAL. __________ _ I. PEkMil fiPH PLAN CK DEPOSIT _______ _ VAIID. BY __________ _ DATE From List 1 (see back) give code of Permit-Type: ___________ _ For Residential Projects Only: From Lise 2 (see back) give Code of Structure-Type: ____________________ _ Net Loss/Gain of Dwelling Units 2. PROJECT INFORMATION FOR OFFICE USE ONLY Address 2 3 b c, [ Iv c. A ve. Bu1ldmg or Suite No. Nearest Cross Street G, a., .C / e \ J. LEGAL DESCRIF'IiaN lDt No. Subd1V1s1on Name/Number Lime No. Phase No. CHECK BEWW IF SOBMI I I Eb: □ 2 Energy Gales □ 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope ASSESSQR'S PARGBI EXISTING USE PROPOSED USE DJ;;:iCRIP110!'1 OF WORK J c-l.,e,+,,-,4 ~1 Qvy he 8-,\. V'IA.!Vjt'<'OVI.\. SQ. FT. # OF STORIES c.<>,,._V...,.~I O"\ # OF BEDROOMS J. WN IACI PERSON (II different from applicant) NAME (last.name first) CllY STATE ADDRESS ZIP CODE 4. APPUCXNI ULUNiHA.C1UK NAME (last name first) UAGENI FORWNIMCIUR ADDRESS CllY STATE ZIP CODE 5. PROPfiltli OWNEK ":'.....-• NAME (last name first) VO V 1 '5 J DAY TELEPHONE DOWNER OAGENI FUR OWNER DAY TELEPHONE ADDRESS 2 !,b O I I v <- CI1Y C e,r I ' lo-id STATE I!-,.. ZIP CODE 'f 2. 00 g' DAY TELEPHONE # OF BATHROOMS NAME (last name first) f'ovJ e.V' ti,..., ies. ADDRESS lf13 Oc ea" V r,._v.:, br; \le:_ CI1Y Vj Sta STATE c!../lt ZIP CODE "7-Z.011'f•&r11JAY TELEPHONE 7-Z.6 -fl 'Y"-(C STATEIJC. #$'7'f t.33 IJCENSECLASS C../0 CI1YBUSINESSIJC. # ll'U, 133 DESIGNER NAME: (last name Urst) ADDRESS CI1Y STATE ZIP CODE DAY TELEPHONE STATE IJC. # 7. WOitkf:lts' WMPENSAIION Workers' Compensation Deciaratton: I hereby affirm that I have a cerubcate of consent to selt-msure issued by the b1rector of lndusmal 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 7/9s- SIGNATURE DATE 8. UWNffi-BOHDm oocwtAiiON Owner-BuUder Declarafion: 1 hereby afnnn ilia[ I am exempt from the Confractofs License Law for the iollowmg 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 Llcense 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 Llcense Law). □ I am exempt under Section _______ Business and Professions Code for this reason: (Sec. 703 l .5 Business and Professions Code: Any City or County which requires a pennit 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 pennit subjects the applicant to a civil penalty of not more than five hundred dollars [$5001). SIGNATURE DATE COMPLEIE IRIS S£CIION FOR NON-R£S1DEN IIAt BOIWlNG PERMII'S ONLY: Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration fonn 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 Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ YES □ NO IF ANY OF 111EANSWERS ARE YES, AFINALCER11FICATE OF oa:uPANCYMAYNUf BE~ AFTER JULY 1, 1989 UNU!SS111E APPIJCANT HAS MET OR IS MElrrING 11lE REQUIREMENTS OF 11lE omCE OF EMERGENCY SERVICES AND 11lE AIR POU.IJTION illNTROL DISl1UCT. 9. WNSJROCJ10N LENDING AGENCY I hereby afhnn that there IS a construction lendmg agency for the perfonnance of the work for which th1S pernut IS tsSued (Sec 3097(1) C1vU Code). LENDER'S NAME LENDER'S ADDRESS 10. APPUCANI Cflllll'ICA'iiON I certify that I have read the application and state that the above mformat1on 1s correct. I agree to comply with all 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 AI.'iO AGREE TO SAVE INDEMNIFY AND I<EI!P HARMLESS 111E CTIY OF CARlSllAD AGAINSf AIL UAlllUTlES, J\lllGMENTS, CDSfS AND EXPENSES WHICH MAY IN ANY WAY ACDUJE AGAINSf SAID CTIY IN llNSEQLIENCE OF 11lE GRANTING OF 11IIS PERMIT. OSHA: An OSHA permit is required for excavations over S'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 pennit is suspended or aband ned at any time after the wor commenced. for a period of 180 days (Section 303(d) Uniform Buildin~ Code,). APPIJCANTS SIGNATURE • • DATE: II {_IS' /'1'1 WHITE: File YEU.OW: App 1cant PINK: Fmance PERMIT# CB941470 DESCRIPTION: OVERHEAD TO TYPE: ELEC CITY OF CARLSBAD INSPECTION REQUEST FOR 11/16/94 UNDERGROUND 100 A JOB ADDRESS: 236 OLIVE AV STE: INSPECTOR AREA PLANCK# CB941470 OCC GRP CONSTR. TYPE NEW LOT: APPLICANT: POWERTRONICS CONTRACTOR: PHONE: 619 726-8340 PHONE: OWNER: PHONE: REMARKS: MW/KEVIN/726-8340 INSPECTOR () 7 SPECIAL INSTRUCT: OVERHEAD TO UNDERGROUND AS EARLY AS--1/~PO--s1+I-B_L_E ______ _ TOTAL TIME: CD 33 LVL DESCRIPTION EL Service Change/Upgrade ------------------ ACT COMMENTS W------- ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS