HomeMy WebLinkAbout245 TAMARACK AVE; ; CB930367; PermitSuite
,- BUI L D ING P E R
04/26^93 14 15
Page 1 of 1
Jof> Address 215 TAMARACK AV
Permit Type ELECTRICAL
Parcel Mo 206-020-03-00 Lot*
Valuation. 0
Construction Type NEW
Occupancy Group Reference*
I T Permit No
Project No
Development No
CBS 30367
A3 300551
2056 04/26/93 0001 03 01
escription CHANGE OVERHEAD TO
SERVICE FEED
Appl/Ownr : NOBLE, JIM
262 PLYMOUTH DR
VISTA CA 32083
A k * Fees Required ***
Fees 35.00
Adjustments- uO
Total Fees- 3b (;;;
Fee description
Enter "Y" for Electric Issue F
Single Phase Per A.M?
* ELECTRICAL TOTAL
UNDERGROUND
619-630-1390
A >. A F^es Collected
Total Credit;::;:
Total Payments:
Balance Due .
Units Fee/U;..:
ee > 0 •
> -. • : 100 : .25
"'••-".-. o :
Applied
Apr/Issue
Entered 3y
& Credits
^ (7J J
t Ext f
10
25
35
04/26/93
. 04/26/93
TP
A A' k
00
00
00
ee Data
.00 Y
00
00
CITY OF CARLSBAD
2075 Las Palmas Dr , Carlsbad, CA 92009 (619) 438-1161
PERMIT APPLICATION
City of Carlsbad Building Department
2075 Las PaImas Dr., Carlsbad, CA 92009 (619) 438-1161
1 PlillMIT TlrPE
A - U Commercial U New Building U Tenant Improvement
B - D Industrial D New Building D Tenant Improvement
C - {^Residential D Apartment DCondo D Single Family Dwelling D Addition/Alteration
D Duplex D Demolition D Relocation D Mobile Home £1 Electrical D Plumbing
G Mechanical D Pool D Spa D Retaining Wall D Solar D Other
2 PROJECT INFORMATION
PLAN CHECK NO.
^ 3 -
EST VAI.
PLAN CK DEPOSIT,
VALID BY
DATE
FOR OFFICE USE ONLY
Addr Building or Suite No
Nearest Cross Street
LEGAL DESCRIPTION Lot No Sutxlivision Name/Number Unit "No Phase No
CHECK miM IF SUBMITTED
D 2 Energy Calcs D 2 Structural Calcs D 2 Soils Report D 1 Addressed Envelope
ASSESSOR'S PARCEL EXISTING USE PROPOSED USE
DESCRIPTION OF WORK
SQ FT # OF STORIES
O/H
NAME
CITY
\\\ uiiicrcni rrom
STATE
ADDRESS
ZIP CODE DAY TELEPHONE
4 APPL1LAN1 JJiLONlKALlUR UAtihNl K)H LOR1RAL1OR QOWNLR rJACil-.Nl FOR OWNET
NAME \|«^v «AlVfe,» tf ADDRESS — - - — ... - - —
CITY STATE ZIP CODE DAY TELEPHONE -" \ 1*f-\ Q
5 PRUPhKll UWN
NAME
CITY
_,
£>'5TRfcMDOST ADDRESS 2.4 1?
STATE ZIP CODE DAY TELEPHONE
o CQNTRACrUr
CITY
ADDRESS 2.0^—
STATE ZIP CODE DAY TELEPHONE C 3 <^— / 3
STATE UC #6261*^2. LICENSE CLASS Q- VQ CI'IY BUSINESS LIC #
DESIGNER NAME
CITY STATE
AJJUKLbb
ZIP CODE DAY TELEPHONE STATE LIC #
WUHKliHb UUMFliNJjAIION
Workers Lompensation Ueclaranon I hereby atlirm that 1 nave a certilicate ol consent to sell-insure issued by the Director o( Industrial
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 POLICY NO EXPIRATION DATE
Lertiticate ot hxemption I ccrtily mat in the performance ot the work lor which this permit is
so as to become subject to the Workers' Compensation Laws of California
, I shall not employ any person in any manner
SIGNATURE /Z.C, /138 OWNER-
iuilder Declaration I hereby attirm that I am exempt from the Contractors License Law for the lollowing 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 I jccnsc 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 loan owner of property who builds or improves thereon, and contracts for such projects
with contractor(s) licensed pursuant to the Contractor's License Law)
D 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 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, commencing with Section 7000 ol 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])
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'
D YES D NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district7
D YES D NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
D YES D NO
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY HUT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT
HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT
9 CUNSTKUCTllUN LLNL)UM(i ACiKNCY
I hereby allirm that there is a construction lending agency lor the pcrlormance ot the work lor which this permit is issued (Sec 3097(i) Civil Code)
LENDER'S ADDRESSLENDER'S NAME
10 APPIJCANT CMTU-'lCATlUN
I certily that 1 have read the application and stale that the above inlormation is correct I agree to comply with all City ordinances 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 TO SAVE INDEMNIFY AND KEEP HARMLESS THE CTIY OF CARLSUAD AGAINST AIL LIABILITIES, JUDGMENTS, COSTS
AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF HIE GRANTING OF THIS PERMIT
OSHA An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stones 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 authonzed by
such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code)
APPLIC/^TS SIGNATURE. /| J f\ DATE
WHITE: File YELLOW: Applicant PINK: Finance
CITY OF CARLSBAD
INSPECTION REQUEST
PERMITS CB930367 FOR 05/18/93 INSPECTOR AREA
DESCRIPTION: CHANGE OVERHEAD TO UNDERGROUND PLANCK# CB930367
SERVICE FEED OCC GRP
TYPE: ELEC CONSTR. TYPE NEW
JOB ADDRESS: 245 TAMARACK AV STE: LOT:
APPLICANT: NOBLE, JIM PHONE: 619-630-1390
CONTRACTOR: PHONE:
OWNER: PHONE:
REMARKS: MH/JIM/630-1390
SPECIAL INSTRUCT:
INSPEC
TOTAL TIME:
CD LVL DESCRIPTION
39 EL Final Electrical
ACT COMMENTS
DATE DESCRIPTION
***** INSPECTION HISTORY *****
ACT INSP COMMENTS