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Home My WebLink About2858 AVENIDA VALERA; ; CB973861; Permit12/23/97 09:15 Page 1 of 1 BUILDING PERMIT Permit No: CB973861 Project No: A9202215 Development No: Job Address: 2858 AVENIDA VALERA Permit Type: ELECTRICAL Parcel No: Suite: 2501 12/23/37 o001 01 02 Lot#: 148 C-pR)fT 3-00 Valuation: u Construction Type: NEW Occupancy Group: Reference#: Status: ISSUED Description: MOVE 100 AMP METERED PEDISTAL Applied: 12/23/ : IRRIGATION,OPEN SPACE LOTS FOR FAIRWAYS Apr/Issue: 12/23/ Entered By: RMA Appl/Ownr : CALL DOUG ELECTRIC 619 277-2315 4901 MORENA BLVD SAN DIEGO, CA 92117 *** Fees Required *** h _Fees Collected & Credits *** Fees : 3 Adjustments: Total Fees: Fee description ------------------- Enter "Y" for Elec Sinqle Phase Per3 - _- .oo .oo 35.00 Ext fee Data 10.00 Y 25.00 35.00 ----------------- x ELECTRICAL TOT 97 97 CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION I FOR OFFICE USE OMLY IPLAN CHECK NO. 4 73 CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palrnas Dr., Carlsbad CA 92009 (760) 438-1 1 61 EST. VAL. Plan Ck. Deposit Validated Date / 'I Unit No. Phase No. Total # of units Lagal Dascription Lot No. Subdivision NamdNumbor . Assessor's Parcel I * Existing Use Proposed uw Name Address StateNp Telephone # Fax I .- (Sac. 7031.5 Business and Professions Code: Any Ci or County which requires e permit to construct, alter. improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signad statement that he is licansed pursuant to the provisions of the Contractor's Licenso Law Khepter 9. commending with Section 7000 of Division 3 of the Business and Professions Codel or that he is exempt therefrom, and the basis for tha allogad cii Burineaa Licanar # Name Address ci State License $A 7~ A-7 LiCOMeCIaSS cIu Designer Name Address ci statmp Td- state Licenae # Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 of the work for which thia permit is issued. issued. My worker's compe (THIS SECTION NEED NOT BE COMd IF THE PERMIT IS FOR ONE HUNDRED DOUARS I$1001 OR LESS) 0 to become subject to the Workers' Companaation Laws of California. I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performam I have and will maintain workers' compensation, as required by Section 3700 of tha Labor Code, for the performance of the work for which this pannit b e carrier and policy number are: Insurance Comwny C& # policy No. 69 7/ I =J 0 p7b Expiration Date 1- / -v8 CERTIFICATE OF EXEMPTION: I cartify that in the performance of the work for which this permlt is iaaued, I shall not employ any person in any mannar so aa I hereby affirm that I am exempt from the Contrector's Licensa Law for the following reason: 0 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 (Sac. 7044, Business and Profassions Code: The Contractor's Licema Law does not apply to en OWMI of propay who buudr 01 improves thereon, and who dow such work himself or through his own employees, provided that such impmds am not intended or offd for ule. If, however, the building or improvement b sold within one year of completion, the owner-buildar will haw the burden of proving that he did not build or improva for the purpaae of salel. 0 1, as owner of the property, am exclusively contracting with licensed contractors to construct the proj6ct (Sac. 7044, Business and Professions Code: Tha Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contmcts for such projects with contractds) licd pursuant to the Contractor's Licanaa Law). 0 1. 2. 3. I am exempt under Section I personally plan to provide the ma@ labor and materials for conswuction of the prm prop.rty improvement. 0 YES ON0 I (have / have not) signed an apppIic.tlon for a buildw permit for the pmpomd work. I have contracted with the following person Ifirm) to provide tha proposed construaion (indude name / addmu I phorn number / contractors liwnw number): Buri and Professions Coda for thia reason: 4. number / contractors license number): 5. of work): PROPERTY OWNER SIGNATURE DATE I plan to provide portions of the work, but I have hired the following person to coordinate. supafvisa and provide the major work (include name I addraaa I phona I will provide some of the work, but I have contracted thimdl tha following persons to pro- tha worlc indicated (include name I address / phona numkr I typa Is the applicant or future building occupant required to submit a buainass plan, acutely hazardous matariala registdon form or ri.k management and prawntion program under Sections 25505,25533 or 25534 of the Rwley-Tannw Hazardous Substance Account Act? Is the applicant or future building occupant required to 'obtain a permit from the air pollution control dimict or air quality managamant dwrict? 0 YES 0 NO Is the facility to be constructed within 1 .OOO feet of the outer boundary of a sdrod sita? 0 YES 0 NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPUCANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POUWTWN CONTROL DISTRICT. 0 YES 0 NO I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sac. 309711) Civil Code). LENDER'S NAME LENDER'S ADDRESS I certify that I have read the application and state that the above information is correct and that the information on tha plans is accurate. I egrw to comply with all City ordinances and State laws relating to building construction. I hereby authorize reprewntativea of tha Ci of Carlabad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE. BNlFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST AU UABIUT1ES. JUDGMENTS. COSTS AND EXPENSES WWCH MAY IN ANY WAY ACCRUE AGAINST SAID CrrY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0' deep and demolftion or construction of structures over 3 atoriea in height. EXPIRATION: Every permit issued by the Building Official under the provisions of this Coda shall expire by limitation ahd become null and void if the buildingor work authorized by such or if the building or work authorized by such permit is suspecdad or abandoned at any time APPLICANT'S SIGNATURE Uniform Building Code). DATE /;?cA#n?T : File YEUOW. Applicant PINK: Finance CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB973861 FOR 06/01/98 INSPECTOR AREA PD DESCRIPTION: MOVE 100 AMP METERED PEDISTAL PLANCK# CB973861 TYPE: ELEC CONSTR. TYPE NEW JOB ADDRESS: 2858 AVENIDA VALERA STE : ID": 148 APPLICANT: CALL DOUG ELEmIC PHONE: 619 277-2315 IRRIGATION,OPEN SPACE LOTS FOR FAIRWAYS OCC GRP INSPECT0 CONTRACTOR: OWNER: SPECIAL INSTRUCT: REMARKS: B/DAVE/ AM PLEASE TOTAL TIME: CD LVL DESCRIPTION 19 ST 29 PL 39 EL 49 ME -- -- -- Final Structural Final Plumbing Final Electrical Final Mechanical ACT COMMENTS ***** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP COMMENTS 011298 Const. Service/Agricultural AP PD NOT FINAL 010798 Final Electrical CO PD NO PERMIT,NOT GROUNDED,NO ADD P.Bl I I I I i . -.-. . ~ ACORD, CERTIFICATE OF LIABILITY INSURANCE asl 01/09/97 PRODUCER Wateridge Insurance Services lo525 Vista Sorrento Pkwy #SO0 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Call Doug Electric, Inc. Jeff Ferree 4901 Morena Blvd., #318 San Diego CA 92117 ".-n Diego CA 92121 ~- ~ COMPANY C COMPANIES AFFORDING COVERAGE I coMIANY 2 DhocwNa. 619-452-2200 F8xNa. 619-452-6004 NSURED 1% had S. Galloway COMPANY A California Compensation Ins. COMPANY B co .TR I TYPE OF INSURANCE I I UMBRELU FORM OTHER THAN UMBRULA FORM WORKEM COMPENSATION AND EMPLOYERS' uABluTY THE PROPRETOW PARTNERSEXECUTIVE OFFICERS ARE OTHER POUCY EFFECTIVE DATE (MMIDDIVY) c POLICY EXPIRATION DATE (MM/DD/YYt 91cnON OF OPERATKHYSILOCAT#ONSNI GENERAL LlAWKlY - COMMERCIAL GENERAL LIABILITY 1 CLAIMS MADE OCCUR OWNER'S 81 CONTRACTOR'S PRO1 - AUTOMOBILE UABlUTy - ANY AUTO ALL OWNED AUTOS SCHEDULE0 AUTOS HRED AUTOS NON-OWNEO AUTOS - - - - - JCH POLIC~ES. LIM~TS SHOWN MAY 01/01/97 POLICY NUMBER Ol/Ol/9S 4971130870 *10 DAYS NOTICE FOR NON-PA- OF PREMIUM I PERSONAL&ALlVlMRY I* I 8 BOOlLY MJURY Ipr Bemnl BODILY INJURY Ikr weld.m) $ 8 0 PROPERTY DAMAGE AUTO ONLY - €A ACCIDENT OTHER THAN AUTO ONLY: EACHACCIOENT $ AGGREGATE I$ I ~~ - EACH OCCURRENCE 0 I b Accurate Permit Co. 1249 mIP Streat