HomeMy WebLinkAbout2733 OCEAN ST; MP; CB920033; Permitr u L D 1 N l., P r
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.unst1.ucti<.m 'ype: NEW
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~~scr1pt1on: 4C AMP METERED PEDESTAL
Appl/Ownr : DANIELS CABLEVISION
P.O . BOX 344
CARLSBAD, CA
fees Required
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CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
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PERMIT APPLICATION PLAN CHECK NO.
City of carlsbad Building Departaent
2075 Las PalES Dr •• C&rlsbad, CA 92009 (619) 438-1161 EST.VAL,__ _________ _
PLAN CK Dl!POSIT _______ _
VAIJD. BY __________ _
DATE
I. P~I iiPF.
A: mmerc1al U New Bu1ldmg Li I enant Improvement
B -□ Industrial □ New Building □ Tenant Improvement
C -□ Residential □ Apartment □ Condo □ Single Family Dwelling □ Addition/ Alteration
□ Duplex □ Demolition □ Relocation □ Mobile Home □ Electrical □ Plumbing
□ Mechanical □ PCX>l □ Spa □ Retaining Wall D Solar □ Other
2. PRWF.CT INFORMATION FOR OFFICE USE ONLY
1 xaa~7~ oe.eA n . •
Nearest Cross Street ee e.A
~ BuUdmg or Smle No.
mt o.
CHECK BEWW IF S0BMII IEO: □ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope
PROPOSED USE
SQ. FT. # OF STORIES
1 1 eren rom app 1can
"1-J" ,4 TH /c>
19-d STATE 0,1/ DAY TELEPHONE
DAY TELEPHONE
NAME J T'f o+ (} /lf/5b/1Cf ADDRESS
ZIP CODE DAY TELEPHONE CITY STATE
•· ~~3:1m£ /1:5 ~~CYJ,,, -r
CITY STATE
ADDRESS
ZIP CODE
LICENSE CLASS
DAY TELEPHONE
STATE LIC. # CITY BUSINESS LIC. #
CITY STATE ZIP OODE DAY TELEPHONE STATE LIC. # ~ !PT ,
7. WOk1CFJlS WMPF!NSXIION
Workers' Compensation Declarat1on: I hereby afurm that I have a certificate of consent to self-msure issued by the VI rector 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 the insurer thereof fil'f with the Buildi£'.! Inspection Department (Section 3800, Lab. C).
1NsuRANcEcoMPANY <!·• i:: ,c, 6 ('(I /o eR:5 ro&'CY l.C.17i769J.6EXP1RAnoN DATE / -/ -CJ-3
IC
SIGNATURE DATE
8. UWNEk-HOllDEil DPl!LARAiiON
0Wner-Hu1lder beclarauon: I hereby affmn that I am exempt from the Contracto?s License Law for the followmg 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 conrractor(s) licensed pursuant to the C.Ontractor'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 pennit 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
COMPLEIE IHIS SECIION FOR NON-RESIDEN IIAL B0IIDING PERMll'S 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?
□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 I,000 feet of the outer boundary of a school site?
□YES □NO IF ANY OF 1llE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY Nar BE ISSIIED AFIBRJULY 1, 1989 UNIJlSS 1llE APPLICANT
HAS MlIT OR JS MEETING 1llE REQUIREMENTS OF nm OFFICE OF EMERGENCY SERVICES AND 1llE AIR POILITTION WNTROL DJS'l1UCT.
9. WNS'IHUCIION I.ENDING AGENCY
I hereby afhrm that there 1s a construction lending agency for the performance of the work for which this perrmt 1s issued (Sec 3097 (!) Civil Code).
LENDER'S NAME LENDER'S ADDRESS
JO. AwllCAN 1 CkkliFICAIION
I cemfy that I have read the apphcatton and state that the above mformatmn 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 mendoned property for inspection
purposes. I AL'iO AGREE ID SAVE INDEMNIFY AND KEEP HARMLESS 1llE aIY OP CARL5BAD AGAINST ALL LIABIUl1ES, JUDGMENIB, mSTS
AND EXPENSES wmrn MAY IN ANY WAY NDUIE AGAINST SAID aIY IN WNSEQUENCE OF nm GRANTING OF 1lDS PERMIT.
OSHA: An OSHA permit is required for excavations over S'O" 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 permit is sus nded or abandoned at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code).
APPLICANTS SIG TURE ..----, DATE: / -9-9c?-,
YEIJ..OW: Applicant PINK: Fmance
•
CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT# CB920033 FOR 03/11/92 INSPECTOR AREA PY
PLANCK# CB920033
OCC GRP
DESCRIPTION: 40 AMP METERED PEDESTAL
TYPE: ELEC
JOB ADDRESS: 2733 OCEAN ST
APPLICANT: DANIELS CABLEVISION
CONTRACTOR:
OWNER:
REMARKS: MH/TOM/967-6930
SPECIAL INSTRUCT:
TOTAL TIME:
CD
39
LVL DESCRIPTION
EL Final Electrical
------------------------------------
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PHONE: 619
PHONE:
PHONE:
CONSTR. TYPE NEW
STR: FL: STE:
438-5241
JJ.17~ INSPECTOR -+~ __ r_1
_______ _
ACT COMMENTS _w ___ _
***** INSPECTION HISTORY*****
DATE DESCRIPTION ACT INSP COMMENTS
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