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Home My WebLink About2412 ALTISMA WAY; C; CB940153; PermitI BUILDING PERMIT Permit No: CB940153 02/14/94 1O:lO Project No: A9400220 Page 1 of 1 Development No: Job Address: 2412 ALTISMA WY Suite: C Permit Type: ELECTRICAL Parcel No: 215-240-17-36 Lot# : Valuation: 0 Construction Type: NEW Occupancy Group: Reference#: Status: ISSUED Description: ADD CIRCUIT TO EXISTING Applied: 02/14/94 : PANEL Apr/Issue: 02/14/94 I 57% 0:./:4 '?.\ ?,>,c.. I.%_,, !>.,. .. '"..:>p,U'7 .:r I..", r ># . : ..,,- ?. 1 Entered By: MDP Appl/Ownr : CROTEAN, RUSSELL 619 431-7417 2412 ALTISMA WAY #C x** Fees R **X """""""""""- """""""""- Adjustments: Fees : Total Fees: Fee description Ext fee Data """""""""" Enter "Y" for Elect 10.00 Y Enter "Y" for Remod 10.00 Y * ELECTRICAL TOTAL ""_""""" CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERM~T ApPucAnos City of Carlsbad Building Departmt 2075 Las Palms Dr., Carlsbd, u 92009 (619) 4yI-1161 PLAN CHECK NO. vc( - (6 I I rm A - U Commercnal U New Butldmg B - 0 Industrial 0 New Building U Tenant Improvement OTenant lmprovcmcnr 0 Apartment Condo 0 Slngle Famdy Dwelling 0 Additian/Altcration 0 Duplex 0 Demolition 0 Relocatlon 0 Mobk Home 0 Electrical 0 Plumbing 0 Mechanical OPml 0 Spa ORetaining Wall OSalar OOrher F : : 2. PRCUm INFORMAnON FOR OFFICE USE ONLY Address 2il , - A Lr, ~ uldq or Sure No. Nearest Crass Street A qC&,,j LEGAI. DESC- Lot No. Sulxl~wrton Name/Number Unlt No. Phase No. CITY sr.m ZIP CODE DAY TEYPHONE NAMERJzsELc tKo/TAJ d.NJ" F.3 L ULOr?TRXTOK UA -8.40 STATE C'A . ZIP CODE 720 a'{ DAY TELEPHONE 4&- 79 17 NAMEDO j~s ~d~~~,.~ U~~~~~DRESS r/8 w A/M~&IA NAME r: U&6R ADDRESS STATE FLA ZIP CODE DAY TELEPHONE CITY smm ZIP CODE DAY TELEPHONE STATE UC. # LICENSE CLASS CllY BUSINESS UC. # IJMlti~ CITY STATE ZIP CODE DAY TELEPHONE STATE UC. # ON Relations, or a cenificate of Worken' Compensation Insurance by an admirtcd insurer, or an exact copy or duplicate thereof Worken'Cumpensatwm IXclaratlon: 1 herebyallmn [hat I haveacrrullcatcot consent tosell~!nsure mucd by the Ulrectorol ~~d~~t~~~l by the Director of the insure[ thereof filed with the Building Inspection Wpartment (Section 3800, Iah. c). INSURANCE COMPANY POIJCY NO. EXPIRATION DATE Cert1l1care 01 Exrrnptlon: I certlty that In the perlormance 01 the work lor whlch thm perm11 IS Issued, I Shall not emplay any penon any manner so as 10 became sut>jecr to the Worken' Compensation Laws of California. SIGNATURE DATE ON Owner-Budder Ikxlaratlon: 1 hereby atl~rm that I am exempt lrom [he Contractor's Llcense Law lor rhe lollow~ng reason: offered far sale (Sec. 7044, Business and Professions Cdr: The Contractor's License Law dm not apply to an owner of properry who builds I, as owner of the property or my employen with wag= as their sole compensation, will do the work and the structure is not intended or or improvcs thereon, and who dm such work himself or through his own employees, provided rhar such improvements are not intended or offered for sale. If, howevcr, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not huild or improve for the purpose of sale.). 0 1, as owner of the property, am exclusively contracting with licensed contracton 10 construct the project (See. 7044, Business and Professions Cod?: The Contractor's License Law doer not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractar(r) licensed punuant to rhe Contracror's Licensc Law) 0 I am exempr under Section Business and Professions Code for this reason: any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed punuant IO the (Sec. 7031.5 Business and Proirssions Code: Any City or County which requires a permit to construct, alter, improve, demolish, or repair or that he is exempt therefrom, and the basis for the alleged exemplian. Any violation of Section 7031.5 by any applicant far a permit provisions of the Contractor's Licrnsc law (Chapter 9, commencing with Section 7000 of Division 3 of the Business and Professions Me) Is the applicant or future building occupint required to submit a business plan, acutely harardous materials registration form or risk management and prevention program under Secrions 25505, 25533 or 25534 of the Pmlcy-Tanner Hazardous Substance Account Act? Is the applicant or future building occupant required 10 obtain a permit from rhe 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 whwl Site7 IFANYOFnlEAN.~~AREYES,AFINN.~~~~OFOCCUPANCYMAYNDTBElSSUFDAF7ERJULY1,1989UNIESS7fDAPPUU\NT HAS hWT OR IS MEETING IlW. RFQUIRFMENIS OF "IlE OFFICE OF FMF.RGENCY SWIVICFS AND THE AIR POLLUTION CONTROL DJSIRICT. I hereby atllrm thal there IS a construct~~n lendmg agency lor the perlormancc 01 rhe work lor whlch 1111s perm11 IS !ssUed (Sec 30Y7( IJ Llvll Code). 0 YES 0 NO 0 YES 0 NO 0 YES 0 NO LENDER'S NAME I.ENDERB ADDRESS 1 cerrlly that I have read the appl~eatlon and state that the above Inlormat~on IS correct. I agree to comply wllh all Cny ordmances and state laws relating to huilding construction. I hereby authorize rcprncntatives of the City of Carlshad to enter upon the above mentioned propem forinspection purposes. I AIS0 AGRFX 7n SAVE INDFMNIIY AND KTJP IIAR"5S THE OF CMl9Bno AGAINST ALL LuBUlTIES, "ENTS, DDsls AND EWI:NSFS wmnr MAY IN ANY WAY ~XUE AGAINST SND my LN CDNSFQUFNCE OF nlE CRANTINC OF nns P-. OSIIA: An OSHA permit is required for excavalions over 5'0" deep and demolition or construction of structures over 3 stories in heighr 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 wirhin 365 days irom the date of such permit or if the building or work authorized by such permit is suspendcd or abandonrd at any time after thr work is commenced for a period of 180 day (Section 303(d) APPl*S SIGNAIURE /)- DATE: __ / \ / "E: File YELLOW Applicant PINK: Finance , CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB940153 FOR 02/15/94 DESCRIPTION: ADD CIRCUIT TO EXISTING PANEL TYPE: ELEC JOB ADDRESS: 2412 ALTISMA WY APPLICANT: CROTEAN, RUSSELL OWNER : CONTRACTOR : REMARKS: RS/RUSSELL/431-7417 SPECIAL INSTRUCT: TOTAL TIME: --RELATED PERMITS-- PERMIT# CB931349 CD LVL DESCRIPTION 34 EL Rough Electric INSPECTOR AREA OCC GRP PLANCK# CB940153 CONSTR. TYPE NEW PHONE: 619 431-7417 STE: C LOT : PHONE : PHONE : INSPECTOR TYPE - STATUS PLUM ISSUED ACT COMMENTS ***** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP COMMENTS OWNER-BUILDER VERIFICATION Attention Property Owner: An 'owner-builder' building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. 2. 3. 4. 5. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) I (have/have not) .#A !IF signed an application for a'building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction: - - Name Address City Phone Contractors License No. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. work indicated: I will provide some of the work but I have contracted (hired) the following persons to provide the Name Address Phone Type of Work 2075 Las Palrnas Drive - Carlsbad, California 92009-1576 - (61 9) 438-1 161 @