HomeMy WebLinkAbout2525 EL CAMINO REAL; 9024; CB951252; Permit09/11/95 17:01
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B U I L D I N G
Job Address: 2525 EL CAMINO REAL
Permit Type : ELECTRICAL
Parcel No: 156-302-09-00
Valuation: 0
P E R M I T
Suite:
Lot#:
Permit No: CB951252
Project No: A9501853
Development No:
9024
3613 09/11/95 0001 01 02 :-r-:·· T
Construction Type:
o.oo
Occupancy Grou p: Reference#: Status:
NEW
ISSUED
09/11/95
09/11/95
RMA
Description: SPLIT 1 OUTLET INTO 2+ TELPHN Applied:
Appl/Ownr : SCHROEDER CONSTRUCTIOJN
7957 REPRESA CIR
CARLSBAD, CA 92009
*** Fees Required
Fees:
Adjustments:
Total Fees:
***
20 .00
,00
2 0.00
Apr/Issue:
Entered By:
619-942-5694
Total Credits:
Total Payments:
Balance Due:
.00
.00
20 .00
***
Fee description Units Fee/Unit Ext fee Data
Enter "Y" for Electric Issue Fee >
Enter "Y" for Remodel >
* ELECTRICAL TOTAL
10.00 Y
10.00 Y
20.00
~APPROVA.lr d /.,
!NS~ DATE r::t-tl.f
CLEARANCE -----1
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
PERMIT APPLICATION PLAN CHECK NO.
City of Carlsbad Buildi~ Department
2075 Las Palms Dr., carlsbad, CA 92009 (619) 438·1161
1. PERMl't 1WE
From List 1 (see back) give code of Permit-Type: ------------
VAUD.BY-"""""~-~--,.--~----
DATE,__~~~~~4-+-l..H""++-~-
For Residential Projects Only: From List 2 (see back) give
Code of Structure-Type:---------------------
Net Loss/Gain of Dwelling Units------------------
2. PROJF.Cf INR>RMATION FOR OFFICE USE ONLY
Addresszs-z.$ ~L CA-"'11no ~i:;AI..-
Nearest Cross Street tkJY' "1-e,
Build mg or Siilie...&ii. ""4<:f O 2.'f-
LEGAL DESCRIPTION toe No. Subd1V1s1on Name/Number Unit No. Phase No.
CHECK BEtbW IF sOBMII IEO:
0 2 Energy Cales O 2 Structural Cales O 2 Soils Repon O 1 Addressed Envelope
DESCRIPTIO,N,OF WORK ~l.oc.A-""[G (Zj 1:..U-C.. Oc.flU..-""15 t l) ~~ft ~
K lc:$.K.._
SQ. IT. # OF STORIES # OF BEDROOMS
PROPOSED USE
t/.fA!)lf't4WJ Con CI f51? 6£. .Sf..€~
# OF BATHROOMS
3. WN I.ACI PEl&)N (if dulerenf from applicant)
NAME (last name first) ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE
4. Al'l'UCArfl !!CON IRAclOR UAlit:N 1 .1-Ull CUN IHAC!Ull DOWNER DAGEN I FDR OWNER
NAME (last name first) SC~ ~~cn:,./ADDRESS ~$"~ ~f)ZcSA C1,u:u;;
CITY c',bqec.r-,t3,f.>o0 STATE CA ZIP CODE Gf~ DAY TELEPHONE C,t&j
NAME (last name first) tAJt;::StP!b-"'ZA? /,JC, ADDRESS
CITY STATE 4-\. ZIP CODE DAY TELEPHONE
6. OONTRAc'luk
ADDRESS -=,ei51 feEF~ t::-/e NAME (last name first)
STATE ('A ZIP CODE <:/Z00'7 DAY TELEPHONE ~&/) 9'12• St;. &/1
STATE UC.# 4:.:i41~ UCENSE CI.ASS !:!}, 1 CITY BUSINESS UC. # \ 7-J:f?.._,. $"(._
ast name 1rst
CITY STATE ZIP CODE DAY TELEPHONE STATE UC.#
1. WoiOMts' wMPENSAnoN
Workers' Compensauon Declarauon: I hereby afhrm that I have a ceruhcate ol consent to sell-msure issued by lhe Director ol 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 Depanment (Section 3800, Lab. C).
Owner-Builder Declaration: I hereby afhrm that I am exempt from the Contractor's License Law for the ioliowmg reason:
0 I, as owner of the propeny 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 propeny 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.).
0 I, as owner of the prope.ny, 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 propeny 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 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 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]).
SIGNATIJRE DATE
CoMPLE IE 1Als SECl'ION FOR NON-RESIDENTIAL BOIWING 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?
0 YES CJ NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
0 YES CJ NO
ls the facility to be constructed within 1,000 feet of the outer boundary of a school site?
0 YES CJ NO
IF ANY OF TIIE ANSWERS ARE YF.S, A FINAL CERTIFlCATE OF OCDJPANCY MAY NUf BE ~ AFTER JULY 1, 1989 UNLESS TIIE APPLICANT
HA.5 MET OR IS MEETING TIIE RF.QUIREMENTS OF TIIE OFFICE OF EMERGENCY SERVICFS AND TIIE Am POlllJTION CDNlROL DISI'RJCT.
9. WNSIROCnON LENDlNG AG£PKV
I hereby affirm iliac iliere IS a construcuon lending agency for ilie performance of the work for which this permit 1s issued (sec 3097(1) C1V1I Code).
LENDER'S NAME LENDER'S ADDRESS
I 0. APPUCAN I Cflt itFICXnON
I cemfy that I have read the appllcaaon and state that the above mlormauon 1s correct. I agree to comply with au City oramances an<I State laws
relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned propeny for inspection
purposes. I AlSO AGREE m SAVE INDEMNIFY AND KEEP HARMLESS TIIE Cl1Y OF CARISBAD .AGAINST AU. UABI.UllE.5, JUDGMENTS, CDSI'S
AND EXPENSES WHIOI MAY IN ANY WAY ACXllUE .AGAINST SAID Cl1Y IN OONSF.QUENCE OF TIIE GRANTING OF TIDS PERMIT.
OSHA: An OSHA pe.rmit 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 Official under the provisions of this Code shall expire by limitation and become null and void if the
building or work authorized by ~uch pe · s not commenced wit · 365 days from the date of such permit or if the building or work authorized by
such permit is suspended abando rty time after the o.i is menc for a period of 180 days (Section 303(d) Uniform Build~[
APPUCANTS SIGNA DATE: · /, 5
WHITE: File YEU.OW: App 1cant PINK: Finance
92/16/96 INSPECTION HISTORY LISTING
FOR PERMIT# CB951252
DATE INSPECTION TYPE INSP ACT COMMENTS
09/25/95 Rough Electric PD AP
09/25/95 Final Electrical PD NR
09/22/95 Rough Electric RI RI MW/TOM/969-7288
09/22/95 Rough Electric PD co UTL/CALLED CON~~RACTOR
09/22/95 Final Electrical RI RI MW/TOM/969-7288
09/22/95 Final Electrical PD co
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