HomeMy WebLinkAbout2908 JEFFERSON ST; ; CB911688; PermitBUILDING PERMIT
12/13/91 10:00
Page 1 of 1
Job Address: 2908 JEFFERSON ST Stn
Permit Type; ELECTRICAL
Parcel No;
Valuation: 0
Construction Type: NEW
Occupancy Group: Class Code:
Description: NO FEE TRAFFIC SIGNAL
Permit No: CB911688
Project No: A9102149
Development No:
Fl: Ste:
Appl/Ownr : LEKOS ELECTRIC
11911 FUERTE DR
EL CAJON, CA D2C
CONTRACTOR : LEKOS ELECTRI,
11911 FUERTE
EL CAJON,
*** Fees Required
Fees :
Adjustments;
Total Fees:
Fee description
Other
Status: ISSUED
Applied: 12/13/91
Apr/Issue: 12/13/91
Validated By: SBB
619 447-7661
588410
lane
INCORPORATED
1952
619-447-7661
& Credits ■k -k-k
. 00
. 00
.00
Ext fee Data
NO FEE
INSP.
AL APPROVAL
DATE
CLEARArp^O-Zo-1/
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
PERMIT APPUCATION
City of Carlsbad Building Department
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
1. PeiMIT'lVPE
A • U Commercial U New Building U Tenant Improvement
B - □ Industrial □ New Building □ Tenant Improvement
C - □ Residential □ Apartment □ Condo D Single Family Dwelling □ Addition/iMteration
□ Duplex □Demolition □ Relocation □ Mobile Home j^^ectrical □ Plumbing□ Mechanical □ Pool □ Spa □ Retaining Wall □ Solar ^Hother
2. PROJECT INFORMATION
PLAN CHECK NO.
ECT.VAL
f/-/i s'sr
PLAN CK DEPOSrr.
VALID. BY
DATE
FOR OFFICE USE ONLY
Address or Suite No.
Nearest Cross Street
Lot No. SuMivisLEGAL DESCRIPTION Lot No. SuMivision Name/Number / Unit No. Phase No
□ 2 Energy Calcs □ 2 Structural Calcs □ 2 Soils Report □ 1 Addressed Envelope
ASSESSOR'S PARCEL c.ajsiin«j use. fkuposeu USEDESCRIPTION OF WORK 'T'/MFfrC -
SQ FT. # OF STORIES /i? O AMP S^JS.U^C^CUNTALT PKHIiUN (it dillerent Irom applicantj TTTTTi—UNAMF -7-2//../ I AnnoFcc / QiJ DKiVC
EXISTING USE PROPOSED USR
irom applicant)
NAME ADDRESS F'umr^ MM37
CITY STATE4. APPLICANT ^^ON I RACTOR U AGEN T FOR CON'l'UAL'l'UR
ADDRESS
CITY STATE ZIP CODE
ZIP CODE JZ DAY TELEPHONE
□ OWNER U AGENT FUR OWNEI
DAY TELEPHONE
5. PUUPEinV OWNER
NAME
). comiiAcroa
F STATE
ADDRESS
ZIP CODE DAY TELEPHONE
ADDRESS AS i
CITY STATE ZIP CODE DAY TELEPHONESTATE UC.iMMl LICENSE CLASS
DESIGNER NAME
QTY B
ADDRESS
USINESS UC. #
CITY
7. WOlUOiHS'UUMPKNJiATlUN
STATE ZIP CODE DAY TELEPHONE STATE UC. #
Workers' Compensation Declaration: 1 hereby atlirm that I have a certilicate ot consent to sell-insure issued by the Director ot IndustrialRelations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certifiedby the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C).
INSURANCE COMPANY POUCY NO. EXPIRATION DATEGeniticate oi txempuon: 1 ceruty that m the perlormance oi Uie work tor which this permit >s issued, i shall not employ any person in any mannerso as to become subject to the Workers' Compensation Laws of California.
SIGNATURE DATE
6. OWNUll-DUILDEIl DEOAHAnON
uwner-buiider Declaration: 1 nereny aturm that 1 am exempt Irom the Contractors License Law lor 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 oroffered for sale (Sec. 7044, Business and Professions Code: The Contractor's Ucense Law does not apply to an owner of property who buildsor improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intendedor offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burdenof 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 ProfessionsCcxle: The Contractor's license Law does not apply to an owner of property who builds or improves thereon, and contracts for such projectswith contractor(s) licensed pursuant to the Contractor's License Law).
□ I am exempt under Section Business and Professions Code for this reason:
(Sec. 7031.5 Business and Professions Ccxle: Any City or County which requires a permit to construct, alter, improve, demolish, or repairany structure, prior to its Issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to theprovisions 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 permitsubjects the applicant to a civil 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 andprevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act?
□ YES □ NOIs the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
□ YES □ NOIs the facility to be constructed within 1,000 feet of the outer boundary of a school site?
□ YES □ NOIF ANY OF THE ANSWERS ARE YES, A FINAL CERTinCATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1,1989 UNLESS THE APPLICANT
HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
9. GUNb'i'llUG'1'iON LENDING AGENCY
1 Hereby attirm ttiat there is a construction lending agency tor tne perlormance ot the work tor which this permit is issued ;iU97(.U Cmi (Jode).
LENDER'S NAME
10. APPUCANT'CERTU'ICATION
LENDER'S ADDRESS
1 certity that l have read the application and stale that the above mtormation is correct, i agree to comply with ail City ordinances and State lawsrelating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspectionpurposes. I ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CTIY OF CARLSBAD AGAINST ALL UABII1T1ES. JUDGM^hs, COSTSAND EXPENSES WHiai MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS 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 thebuilding 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 bysuch permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code).torm Building Co
APPUCANTS SIGNATURE DATE:
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