HomeMy WebLinkAbout2823 AVENIDA DE ANITA; ; CB911644; PermitC BIJLLDING PERMIT Permit. No: CE911644
12/06/91 1u: 38
Page 1 of 1 sa
Job Address: -E-%XI AVENIDA DE AKITA
IJC-Lm11 t Type: ELECTRlCAL
Parcel No: Valuation : 0
Construction Type: NEW Occupancy Group: Class Code:
Pescription: 40 AMP METER
Pro3e-t No: ASil12l)Yr
Development No:
Str: €1: Ste: 5520 12/06/91 m101 02 :-Fwfr 20.00
Status: ISSUED
Applied : Apr/ I s sue :
12/11 6 /Y 1
12/Q b/:* 1
619 438-5241 Appl/Ownr : DANIELS CABLEVISION P.O. BOX 344
CARLSBAD, CA 92
ed b Crec1i.t.s * ** **x Fees Required ** - ......................
Fees :
Ail jus tment s :
Total Fees:
. OII . I!C
2 (1 . 0 <I Ext fee Data
1U.C)O Y
1 0 . 0 0
2 0 , I; I!
___________-___- Fee description
Enter "Y" for EleC
Single Phase Per * ELECTRICAL TOTAL
___________________
CITY OF CARLSBAD
2075 Lps Palmas Dr., CarlM, CA 92009 (619) 438-1161
~__~-
PERMIT APPLICATION City of Carlsbad Building Department 2075 Las Palnas Or., Carlsbad, CA 92009 (6191 438-1161
1. PEWT TYPE
A- MERClAL OUEU UTEUAHT IMPROVEMENT
B - OINWSrRlAL ONEU OTENANr IUPROVEHENT
C - ORESlDEN1lP.L OAPARTMENT OCONOO OSINGLE FAMILY DUELLING OADDITIONIALTERATION
ODUPLEX ODEMOLlllON ORELOCATION OMOBILE "DYE OELECTRICAL nPLMBlNG
9/49 @Y
EST. VAL
PLAY CK DEPOSIT
VALID. BY
OAY TELEPHONE CITY STATE ZIP CODE
&DURESS
ZIP CCOE DAY TELEPHMIE
6. CONTRACTOR
NAME Shmf #5 @fJ/ J*cfln T STATE CITY
STATE LIC. x LICENSE CLASS CITY BUSINESS LIC. X
SIGIUTURE TITLE DATE
DESIGNER NAME ADDRESS
CITY STATE ZIP CCOL DAr TELEPHONE STATE LIC. X &=@I?- /
7. WORKERS' COMPENSATION Workers' Conpensation Oeclaratlon: I hereby affirm fhaf I have a certificate of CDnsenf fa relf.lnrure issued by fhe Oirec~o~ af Industrial Relefians.
o? B certificate of uorkcrs' Ccnpensafion lns~rence by an adnitted insurer. or an exact cow or duplicate thereof certified by the ~irectar of the
Insurer thereof filed with the Buildirxl Inspection Demrtrnent Isccfion 3800. Lab. C).
SIGNATU ATE Id-q-9/
8. OWNER-BUILDER OEGhfRATION Owner-Builder Declsraflon: I hereby affirm fhaf I m exempt frm the Confracfoi's Licenre LBY for the following rearm:
0 I as owner of the property or "I "ployees Xifh wages a5 therr sole conpensation. will do the work and the sflmfure is not intended or offered far %ale
ISec. 7044. Business and Proferrions Code: The Contractor's Llcenre Law does not arply to an owner of property who builds or inproves thereon,, end yho
does such work himself or through his own nplayeen. provlded Chat such inpprovmnte are not intended or offered for sale. If, however. the building
01 inprovmnf is sold .!thin one year of cmpleflon, the owner-builder *Ill have the burden of proving that he did not build Or inprore for the prposc
of sale.).
0 I, BE omer of the property, an ex~lusi~ely ConfPacfing with licensed CMtia~fors fo ~msfrucf the project (Sec. 7GLL. Bus>ness and Professions Code:
The C~nfra~f~?'~ License Law doer mt apply Io an wner of properly rho builds or l~prover thereon, and cmfra~fs for such projects lifh confrscfor(r)
licensed prsuant to the Contractor's License tau).
0 I an exnpt under section Business and Professions Ccde for ch15 reason:
(lec. 7031.5 BYS~~FII and Professions Code: Any City or County uhich requires a pmif to CO~S~TYC~, alter, inprove. demlirh. or Pepair any structure.
prior to its issuance. elso requires the applicant for such permit to file a signed rfafmnt that he is licensed puirvanf to the provisions of the Contractor's License tar (Chapter 9. cmencing with Section 7DOO of oiririon 3 of the Business and Proferrions Code1 01 rhat he 1s exnpf therefrm. and the basis for the alleged erenpfion. Any vlolafion of section 7031.5 by any applicant for a permit wbjects the applicant fo a civil penalty of not
mw than five hundred dollars [SSOOI).
SIGNATURE DATE
CDYPLETE TKIS SECTION FOR ION~RESIDENTIAL BUILDING PERMITS ONLY:
Is the applicant or future buildin9 Occqanf required to rubnit a burlners Plan. scufely hazardous Faterials le(li8frefiOn form or risk FanaPmnt end PreVentian
program under Secfion~ 25505, 25533 Or 25134 of the Presle"-lanner Hazardous Substance lcraunf Act'
OYES 0 NO
OIES 0 NO
DYES 0 yo
Is the applicant or future building occupanr required to obtain a permit 110. the air wllufion cmlrol district or Blr qualify Fanagmnf district?
Is the facility fO be ConsllYcfed Mithin 1,000 feet of the outer bouwry of a schwl site?
or OFFICE OF EMERGEMU s~&ar AND TM AIR PULUTI~ cm~m DISDICT.
9. CONSTRUCTION LENDING AGENCY
I hereby affirm that There is a ~msfrucfion lending agency for the perfarmnce of the work for uhich this permit is isrued (Sec 309711) Civil Code1
LENDER'S NAME LEUDER'S ADDRESS
10. APPLICANT'S SIGNATURE I certify fhaf I have read the applicaflm and state thaf the above information is correcf.
10 buildlng conSIrYCfion.
CITY IY COISEWEWE OF THE GrWYTlYG OF THIS PERMIl.
Expiration. Every permit issued by the Building Official under the ptovirionr of this Code shall expire by limitation and becm null end void if fhe building
01 work authorized by such permit is not cmnced within 180 days fran the date of such permit or if the buildlng Or work authorized by such permit is SUSPeTded
or abndmpd 81 any t>m after-Hark is cmnced for a perlod of 180 days (Section 303(dI Uniform Building Code).
I agree to cmply with all City ordinances and Slate iaws relaring I LLyl I hereby authorize representatives of the City of Carlrbad to enter upn the above nenfloned property for inspection purp0res.
AWIEL TO UVL IMDEU~IFV IYO KEEP IIARMLLSS THE CI~I OF URLSBLD LWWIT ALL LIABILITIES. ILO~EYTS. oms uo EXPENSES WCH UY IY ANI w ACCPLE .wiw SAID
APPROMD BY:
DATE: OWNER 6 DBY PHONE
WHITE: File YELLOW: Applicant PINK: Finance
. CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT# CB911644 FOR 02/26/92 INSPECTOR AREA MP
DESCRIPTION: 40 AMP METER PUCK# CB911644
TYPE: ELEC CONSTR. TYPE NEW
JOB ADDRESS: 2523 AVENIDA DE ANITA STR: FL: STE : APPLICANT: DANIELS CABLEVISION PHONE: 619 438-5241
OCC GRP
CONTRACTOR: PHONE : n\ /, OWNER :
REMARKS: MH/LARRY/438-7741X609
SPECIAL INSTRUCT:
PHONE :
INSPECTOR
TOTAL TIME:
CD LVL DESCRIPTION ACT COMMENTS
39 EL Final Electrical
DATE DESCRIPTION
021992 Final Electrical
***** INSPECTION HISTORY *****
ACT INSP COMMENTS
CO MP