HomeMy WebLinkAbout2844 GLASGOW DR; ; CB911663; PermitE I : I L [, I N li ~· f R M r T r-•1m1+-Nl:,
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Perm1 Type~:
2 344 GLASGOW
ELEC RICAL
PalCE:L No:
Va. ... udtlon: C)
'-or. :,truL·t 10n 1Yl•e: NEW
o:cnpanc-y Group: Cl:1.s.:; C 1'it=>:
Des~ription: 40 AMP METER PEDESTA~
A~pl/Ownr : DANIELS CABLEVISION
PO BOX J44
CARLSBAD, CA Y2UU8
F't>es Requ i 1 eel
Fees:
A iju.:,trnent -:
Total Fees:
Fee descript1on
Enter Y for E ... ec
~-,ingle Pha-"' Per
* ELECTRICAL TOTAL
L> ,v l f mt:•nt-. . .~ .
~ t .r : rl 5549 12/10/91 0001 01
C-PRMT
02
20.00
AE-plied: 1 • I ' , 1 ~
AI?t I s.., .e : 1.... ~ 1 1
V n:. 1a t t->•'i E y : I ·
bl'i 438-':>241
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INSP. 'f'J\·
CLC:ARANCE
& Cred1ts
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CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
PERMIT APPLICATION
•
City of_Carlsbad Building Department
EST. VAL·---------------2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 .
A
B
C
2.
0 INDUSTRIAL
D RESIDENTIAL D APARTMENT
0DUPLEX QoEMOLITION
0MECHANICAL 0POOL
TENANT IMPROVEMENT
0TENANT IMPROVEMENT
0CONDO 0S1NGLE FAMILY DWELLING
•
.
0 ADD IT ION/ALTERATION
0RELOCATION 0MOBILE HOME QELECTRICAL 0PLUMB1NG
OsPA 0RETAINING \.IALL OsoLAII 0DTHER
CHECK No.
Bui Lding or Suite No.
PLAN CIC DEPOSIT, ___________ _
VALID. BY _____________ _
DATE---------------
Unit No. Phase No.
CHEO:: BELOW IF SUBNITTED: Q 2 Energy Cales pz Structural Cales q2 Soils Rep:>rt D 1 Addressed Envelape
ASSESSOR'S PARCEL X EXISTING USE PROPOSED USE
BLOG. SO. FTG. # OF STORIES
3.
ADDRESS /Jo. ~K 5~L/
STATE{!,4 ZIP COOE 9.;100 'ii' DAY TELEPHONE
SIGNATU
4. AP,RLI Nl; /1 , l jiia_coNTRAcro11 O AGENT FOR coNTRAcTOR p 0}.J'NER ~., 11 /0 AGENT FDR OWNER
NAME /J!lf/Je/$ c_/flp/t'l:J1:5t'6rJ ADDRESS '.C). J.:l6K .J--rT
CITY C 1/1//? l::Jb;'fd STATE Clf ZIP COOE 9,;;oe> 'ii' DAY TELEPHONE #~ -s ,;}fl
5. PR9fERTY OWNER ~ I l J OWNER
NAME(!/r;Y o..P c.:";1.tf /5.0l'kI ADDRESS
ZIP COOE
QLESSEE QTENANT
DAY TELEPHONE
6.
7.
8.
CITY STATE
CONTRACTOR /16 !111;!,e///'I NAMEJJ'/me r ADDRESS
Cl TY STATE ZIP COOE DAY TELEPHONE
STATE LIC. # l ICENSE CLASS Cl TY BUSINESS LJC. #
SIGNATURE Tl TLE DATE
DESIGNER NAME ADDRESS
CITY STATE ZIP COOE DAY TELEPHONE STATE LIC. #
WORKERS' COMPENSATION
Workers' Compensation Declaration: hereby affirm that have a certificate of consent to self·1nsure issued by the Director of industrial Relations,
or a certificate of Workers' Compensation Insurance by an aa!li t ted insurer, or an e11act copy or duplicate thereof cert it i ed by the Di rector of the
insurer thereof filed with the Building Inspection Department (Section 3800, Lab. Cl.
INSURANCE CrMPANYJ:in. {14_ of r/allM 8/f'I!?~ /CR POl!CY ,0W-f091/9J-/ m1RAT10, DATE /-/-CJ,;l.
Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner
so as to become slbject to the ~orkers' Coq>ensation Laws of California.
Id-& -9 I
that I am exempt from the Contractor's license Law for the following reason:
D I as owner of the property or my employees with 1,1a9es as their sole compensation, wi LL 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 irrproves 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.).
D 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).
D I am ex~t 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, conrnencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is ex~t therefrom,
and the basis for the alleged e,:~tion. 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
CC»i'IPLETE THIS SECTION FOR NON·RES!OENTIAL 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 Prestey·Tanner Hazardous Substance Account Act?
DYES ONO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
DYES ONO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
DYES o,o
IF ANY OF TKE ANS\ERS ARE YES, A FINAL CERTIFICATE OF OCOJPANCT Nll IKJT BE ISSUED AFTER JUlT 1, 1989 UNLESS THE APPLICANT KAS NET OR IS MEETING THE REQUIRENEIITS
OF THE OFFICE OF ENERGEIICY SERVICES AND THE AIR POlLUTION COMTROL DISTRICT.
9. CONSTRUCTION LENDING AGENCY
hereby aff i rm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097< i l Ci vi I Code).
LENDER'S NAME LENDER'S ADDRESS
10. APPLICANT'S SIGNATURE ! certify that I have read the application and state that the above information 1s 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 IIIDEIINIFY ANO KEEP HARflllESS THE CITY OF CARLSBAD AGAINST All LIABILITIES, JWGMENTS, COSTS All> EXPENSES WHICH IIAY Ill ANT IMY ACCRUE AGAINST SAID
CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
E,:piration. 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 conrnenced within 180 days from the date of such permit or if the building or wor~ authorized by such permit is suspended
or abandoned at any time after the work is c011J11enced for a period of 180 days (Section 303(d) Uniform Building Code).
AP DOWNER ~CONTRACTOR OBY PHONE
WHITE: File YELLOW: Applicant PINK: Finance
APPROVED BY: -------DATE:
,
CITY OF CARISBAD
INSPECTION REQUEST
PERMIT# CB911663 FOR 02/19/92
DESCRIPTION: 40 AMP METER PEDESTAL
TYPE: ELEC
JOB ADDRESS: 2844 GLASGOW DR
APPLICANT: DANIEIS CABLEVISION
CONTRACTOR:
OWNER:
REMARKS: MH/TOM/967-6930
SPECIAL INSTRUCT:
TOTAL TIME:
CD LVL DESCRIPTION
39 EL Final Electrical
PHONE: 619
PHONE:
PHONE:
INSPECTOR
INSPECTOR AREA MP
PLANCK# CB911663
OCC GRP
CONSTR. TYPE NEW
STR: FL: STE:
438-5241
***** INSPECTION HISTORY*****
DATE DESCRIPTION ACT INSP COMMENTS
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