HomeMy WebLinkAbout2432 LA COSTA AVE; ; CB951100; PermitB U I L D I N G P E R M I T Permit No : CB951100
Project No : A9501598
Development N o :
08/11/95 07:40
Page 1 of 1
Job Address: 2432 LA COSTA AV Suite:
Permit Type: ELECTRICAL
Parcel No: 216-160-09-00 Lot#:
Valuatio n: O
Construction Type: NEW
Occupancy Group: Reference#:
Description: ADD 2-50 AMP CIRCUITS/CONDENSR
: INSTALL 2-5 TON CONDENSERS
Appl/Ownr : TORREY PINES PLUMBING
8580 PRODUCTION AV
SAN DIEGO, CA 92121
Status: ISSUED
Applied: 08/10/95
Apr/Issue: 08/11/95
Entered By: RMA
619-566-4533
*** Fees Required ***
Fees: 78 .00
Adjustments:
Total Fees:
Fee description
Enter "YII for Electric
!::>ingle Phase Per AMP
Enter 11y11 for Remodel
Other
* ELECTRICAL TOTAL
Jc A*
>
>
>
>
Fees Collected & Credits ***
Total Credits:
Total Payments :
Balance Due:
Units Fee/Unit
100 .25
33.00
.00
.OU
78 .00
Ext fee Data
10.00 y
25.00
10.00 y
33.00 MECH
78.00
3141 08/11/95 0001 01 o:
PERM
C -f'RMT J • ~•/')
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
PERMIT APPLICATION ~ ~
PLAN CHECK NO.
City of Carlsbad Building Department
2075 Las PallllBS Dr •• Carlsbad, CA 92009 (619) 438-1161 EST.VAL. __________ _
I. P£kMI I IYPE PIAN CK DEPqSIT1--------
VAIID. BY _ _....1 -'---------
DATil
From Llst 1 (see back) give code of Permit-Type: MECH/ELEC
For Residential Projects Only: From List 2 (see back) give
Code of Structure-Type: ------=S.:Fc..D=---------------
Net Loss/Gain of Dwelling Units
Z. PRQJF.CT INHJRMATION FOR OFFICE USE ONLY
Address 2432 LA COSTA AVE.
Budding or Suite No.
Nearest Cross Street
LEGAL DESCRIP lloN Lot No. Subd1v1S1on Name/Number Omt No. Phase No.
D 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope
ASSESSOR'S PARCEL EXISTING USE PROPOSED USE
DESCRIPTION OF WORK INSTALL ( 2 ) 5 TON CONDENSERS & ADD ( 2) 50 AMP CIRCUITS FOR
SQ. FT. # OF S1DRIES # OF BEDROOMS # OF BATHROOMS CONDENSE!
3. WN JACI PERSON (11 d!Uerent from a_l)phcang
NAME (last name first) MONTES ATHYADDRESS 8580 PRODUCTION AVE
CITY SAN DIEGO STATE CA ZIPCODE 92121 DAYTELEPHONE 566
4. APPIJCANI OCDNIRACIOR XMGENI FORCONIRACiOR DOWNER DAGEN! FOR OWNER 4533
NAME (last name first) SAME AS ABOVE ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE
NAME (last name first) ROCKNEJAD, ROCKY ADDRESS 2432 LA COSTA AVE
942-6761 CI'IY ~~rSRAD STATE CA 6. UJNI c.:
ZIPCODE 92QQR DAY TELEPHONE
NAME (last name first) TORREY PINES PLUMBING ADDRESS 8580 PRODUCTION AVE
CITY SAN DIEGO STATE CA ZIP CODE 9 21 21 DAY TELEPHONE 566-4533
STATE UC. # 6 3 0 7 6 0 LICENSE CLASS C 3 6 CITY BUSINESS UC. # JQ3Q7Q0
0£SiGNEk NA.ME (last name first) ADDRESS
N/A
CITY STATE ZIP CODE DAY TELEPHONE STATE UC.#
7. WORREHS' UJM!'ENSA I ION
Workers' Compensation Declarat1on: I hereby afhrm that I have a cernhcate of consent to sell-msure issued by the Director of lndustnal
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).
INSURANCECOMPANY ALLIANZ INS POLICYN~CN219694 EXPIRATIONDATE 1-1-96
□
□
□
c ara ton: ere y a inn a am excmp rom e o owing 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).
I am exempt under Section ________ Business and Professions Code for this reason:
(Sec. 7031.5 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 permit
subjects the applicant to a civil penalty of not more than five hundred dollars [$500]).
SJGNATIJRE DATE
COMPL£ IE !HIS Sf'.ClloN FOR NON-RESIDEN IIAL BUILDING PERMI IS 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
ls the applicant or future building occupant required to obLain a permit from the air pollution control district or air quality management district?
DYES □ NO
ls the facility to be constructed within 1,000 feet of rhe outer boundary of a school site?
0 YES ONO IF ANY OF TIIEANSWERS ARE YES, A FINAL CERTIFICATE OF 00'.:UPANCY MAY NOT BE L')SUED AJo"l"ERJULY 1, 1989 UNLESS 11IB APPUCANT
HAS MIT OR IS MFJITING THE REQUIREMENTS OF 11IB OFFICE OF EMERGF.NCY SERVICES AND TIIE AIR POU.UTION OONTilOL DIS11UCT.
9. WNSIRUCIION ffiNiJING AGENCY
I hereby afhnn ihat there_1s a construction lendmg agency for the peffonnance of the work for which tfos permit 1s issued (sec 3097(1} CIVIi Code).
LENDER'S NAME LENDER'S ADDRESS
10. APPUCAN I CERIIFICAIION
I certify that I have read the apphcat10n and state that the above mformat10n 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 AlSO AGREE 1D SAVE INDEMNIFY AND KEEP HARMLESS 11IB CflY OF CARISBAD AGAINSf AIL IJABIUilES, JUDGMENTS, CXJSTS
AND EXPENSES Wlll□f MAY IN ANY WAY AOCRUE AGAINSf SAID CflY IN OONSEQUENCE OF TIIE GRAN"IlNG OF 1111S 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 or work aut orized bys
such permit is sus ded or a d
APPUCAN"I'S SI NATURE