HomeMy WebLinkAbout2893 CARLSBAD VILLAGE DR; ; CB911681; PermitBUILDING PERMIT
12/12/91 11.26
Paqe 1 of
Job Address.:ARLSBAD VILLAGE DR Str
Permit Type- ELECTRICAL
Parcel Wo .
Valuation- 0
Construction Type NEW
Occupancy Group: Class Code
Description- 40 AMP METERED PEDESTAL
Appl/Ownr DANIELS CABLEV1SION
P O BOX 344
CARLSBAD, CA 9200J5
A A A Fees Required A \ AX (\
Fees
Adjustments•
Total Fees-
Fee description
Permit No- CB911681
Project No A9102140
Development No:
Fl Ste
5593 12/12/91 0001 01 02
Status ISSUED
Applied: 12/12/31
Apr/Issue . 12/12/51
Validated By SBB
619 438-5241
.ected & Credits JC\ A
•-Units
00
. 00
20.00
Ext fee Data
Enter "Y" for Elec-
Single Phase Per j
+ ELECTRICAL TOTAL
rue Feex >10.00 y
10 oo
20 . 00
FINAWPROVAL
INSR
CLEARANCE
CITY OF CARLSBAD
2075 Las Palmas Dr , Carlsbad, CA 92009 (619) 438-1161
PERMIT APPLICATION
City of Carlsbad Building Department
2075 Las Palmas Dr , Carlsbad, CA 92009 (619)
1. PERMIT TYPE
A JJrfCOMMERCIAL
B - Q INDUSTRIAL D^EU QTENANT IMPROVEMENT
c - PRESIDENTIAL DAPARTMENT QCONDO DANGLE FAMILY DUELLING [^ADDITION/ALTERATION
n DUPLEX QDEMOLITION ^RELOCfdlOH Q MOBILE HOME Q ELECTRICAL npLUMBING
QMECHANICAL QPOQL DSPA DRETAINING WALL QSOLAR
2 PROJECT INFORMATION PLAN CHECK No.FOR OFFICE USF QNL Y
EST VAL
PLAN CK DEPOSIT,
VALID. BY
DATE
Nearest Cross Streets Q/"j#TKA-fV\
LEGAL DESCRIPTION Lot No Subdivision Name/Number Unit No
CHECK BELOW IF SUBMITTED:
|~~]2 Energy Calcs [7]2 Structural Calcs Q2 Soils Report Ql Addressed Envelope
^ASSESSOR'S PARCELX' EXISTING USE
Phase No
\
PROPOSED USE
BLDG SO FTG ft OF STORIES
CONTACT PERSON
ADDRESS
STATE £?/T ZIP CODE My TELEPHONE
4 APPLICANT.te/3 CJrf D AGENT FOR CONTRACTOR
ADDRESS
C?#
Q AGENT FOR OWNER
DAY TELEPHONE *5 <?•*//
5. PROPERTY OWNER.^ ,
CITY
1 1 OWNER^frct
STATE
ADDRESS
ZIP CODE
QLESSEE QTENANT
DAY TELEPHONE
6. CONTRACTOR
STATE
ADDRESS
ZIP CODE DAY TELEPHONE
STATE LIC #LICENSE CLASS CITY BUSINESS LIC #
DESIGNER NAME
DAY TELEPHONE STATE LIC
7. WORKERS' COMPENSATION
Workers' Compensation Declaration I hereby affirm that I have a certificate of consent to self insure issued by the Director of Industrial 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 Department (Section 3800, Lab C)
INSURANCE COMPAHVVZ/K & <jf POLICY NO EXPIRATION DATE /-/-%*.
Certificate of Exemption
so as to become subject
1 certify that in the performance of the work for which this permit is issued, 1 shall not employ any person in any manner
the Workers' Compensation Laws of California
-11
8 OWNER^BUILDER DECLARATION
Ouner Builder Declaration I hereby affirm that I am exempt from the Contractor's License Law for the following 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 License Law does not appiy 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 contractor(s)
licensed pursuant to the Contractor's License Law)
F] I am exempt under Section Business and Professions Code for this reason
CSec 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 appi icant to a civi I penalty of not
more than five hundred dollars [$500])
SIGNATURE DATE
COMPLETE THIS SECTION FOR NON RESIDENTIAL 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 2SS05, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act'
DYES DNO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district'
DYES GNO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site'
DYES QNO
IF AHY OF THE ANSUERS ABE YES, A F1HAL CERTIFICATE OF OCCUPANCY MAT HOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS HET OR IS MEETING THE REQUIREHEHTSOF THE OFFICE OF EHERGEMCYSERVICES HID THE AIR POLLUT1OM COMTROL DISTRICT
9. CONSTRUCTION LENDING AGENCY
1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097Ci) Civil Code)
LENDER'S NAME LENDER'S ADDRESS
10 APPLICANT'S SIGNATURE
I certify that 1 have read the application and state that the above information is correctI agree to comply with all City ordinances and State laws relating
to building construction I hor<|by authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes 1 ALSO
AGREE 70 SAVE IMOEHHIFY AKD KEEf} HARMLESS THE CITf OF CARLSBAD AGAJKST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY III AHY MAY ACCRUE AGAINST SAID
CITT IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT
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 180 days from the date of such permit or if the building or work authorized by such permit is suspended
or abandoned at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Buildina Code)
ONTRACTOR QBY PHONE APPROVED BY
DATE ^
WHITE File YELLOW Applicant PINK Finance
^ CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT* CB911681 FOR 02/26/92
DESCRIPTION: 40 AMP METERED PEDESTAL
TYPE: ELEC
JOB ADDRESS
APPLICANT:
CONTRACTOR:
OWNER:
2793 CARLSBAD VILLAGE
DANIELS CABLEVISION
DR
PHONE:
PHONE
PHONE
INSPECTOR AREA PY
PLANCKtf CB911681
OCC GRP
CONSTR. TYPE NEW
STR: FL: STE:
619 438-5241
REMARKS: MH/LARRY/438-7741X609
SPECIAL INSTRUCT:
INSPECTOR
TOTAL TIME:
CD LVL DESCRIPTION
39 EL Final Electrical
ACT COMMENTS
***** INSPECTION HISTORY *****
DATE DESCRIPTION
022092 Final Electrical
ACT INSP
CA PY
COMMENTS