The URL can be used to link to this page

Home My WebLink About1289 POINSETTIA LN; ; CB911025; PermitB U I L D I N G 07/15/91 10:45 Page 1 of 1 Job Address: 1289 POINSETTIA Perm1 t Type: ELEC'""RICAL Parcel No : Valuation: 0 Construction Type : NEW LN P E R M I T Str: Permit No: CB911025 ProJect No: A9101262 Development No: Fl: Ste: 3467 07/15/91 0001 01 02 C-PRHT 15-00 Cf_ 11 <i( Occupancy Group : Class Code: Sta.,.us: Applied: ISSUED 07/15/91 07/15/~H DC Description: ENTRY WAY LIGHTING AVIARA Appl/Ownr : CARLACIO LANDSCAPING 1785 SAMPSON AVENUE CORONA, CA 91719 Fees Required fees : Adjustments : Total Fees: 714 Apr/Issue : Validated By: 279-5300 .00 .00 15 .00 I_* I Fee description Ext fee Data Enter "Y" for Electric Issue Fee Enter "Y" for Remodel ~ ELECTRICAL TOTAil ($10 Minimum Fllllftll.'"PPROVAL INSP. µI DATE __ CLEARANCE ____ _ CllY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 5.00 Y 10.00 Y 15.00 PERMIT APPLICATION City of carlsbad Building Departaent 2075 Las Pal..s o, •• ca,tsbad, CA 92009 (619) 438-1161 I. P£kMI I IYPR A -U Commercial Li New Bulidmg U tenant Improvement B -□ Industrial □ New Building □ Tenant Improvement C -U Residential □ Apartment □ Condo □ Single Family Dwelling □Addition/Alteration 0 Duplex □ Demolition □ Relocation □ Mobile Home □ Electrical □ Plumbing □ Mechanical D Pool □ Spa □ Retaining Wall □ Solar □ Other 2. PRCllECT INFORMATION Add/'] tfJ / jb/ fo ,AJJ,e rl,A Nearest C~ Street Bu1@mg or Sulle No. LEGAL DESCRIJ91 iuN Lot No. Sutxl1V1s1on Name/Number CHECK BEWW IF SUBMI I I ED: □ 2 Energy Cales O 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope ASSESSOR'S PARCEL EXISTING USE D~RIPTION °m°f u°G Ali~ b /SQ. IT. EN # OF STORIES 3. WN IXC:I PFJtSON (II duiereni from apphcanl) NAME ADDRESS ;o;;>.5 PLAN CHECK NO. q /-ft,~ f5" HST.VAL. ___________ _ PIAN CK DEPOSIT. ________ _ VAIJD.BY. ___________ _ DATI! FOR OFFICE USE ONLY 0nu No. Phase No. PROPOSED USE CI1Y STATE ZIP CODE DAY TELEPHONE 4. APPIJCAN I NAME UWNIKACIOk UAGENI FORWNIRACIUk DOWNER DAGEN I FOR OWNER ADDRESS CI1Y STATE ZIP CODE DAY TELEPHONE NAME CI1Y STATE ADDRESS ZIP CODE DAY TELEPHONE · NAMEC/t>YL,4-c10 Uft<t,:j.'1'<:/11'~ ADDRESS /7 8'5 s It /'VI I'S 0111-17-V C ZIP CODE 9 /} /~ DAY TELEPHONE 7/'f-~7'7~ 00 cI Cov-0,-J.A-sTATE c,4- sTATE UC.# UCENSE CIASS CI1Y BUSINESS UC. # CI1Y STATE ZIP CODE DAY TELEPHONE STATE UC.# 7. WOkkRRS' WMPP.NSAIIUN Workers; Compensation 0edarat1on: I hereby afiirm that I have a cert1hcate of consent to self-msure issued by the Director of lndustnai 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 COMPANY POUCY NO. EXPIRATION DATE Ceruhcate of Exempuon: I certUY that m the performance of the work for which this permit 1s issued, I shall not employ any person m any manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE 8. OWNER-B0nnmt mn:AkAliuN Owner-Builder Oeclarat10n: I hereby affirm that I am exempt from the Contractoi's Llcense Law for the followmg 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 Llcense Law does not apply 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.). 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 Llcense 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 Llcense Law). D I am exempt 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 ics 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 Llcense 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 applicant to a civil penalty of not more than five hundred dollars ($500]). SIGNATURE DATI! COMPLEIE 'IRIS SECIION FOR NON-RESIDEN IIAt BOIIDING PERMll's 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 Presley-Tanner Hazardous Substance Account Act? □YES ONO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? CYES □NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □YES ONO IF ANY OF THE ANSWERS ARE YES, A FINALCERTIFICATI! OF OCDJPANCY MAY NOT BEISSLIED AFTl!RJULY I, 1989 IJNIBSS THEAPPUCANT HAS MET OR IS MEimNG THE REQIJIREMENTS OF nm OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION WNTROL DI511UCf. 9. WNSIR0CIION LF.NDING AGENCY I hereby afhnn that there as a constructmn lend mg agency for the performance of the work for which tfos permit 1s issued (Sec 309?(1) CiVJI Code). LENDER'S NAME LENDER'S ADDRESS 10. APPUCKNI CFJllfillCAliON I certify that I have read the apphcauon and state that the above mformauon 1s correct. I agree to comply with all City ordmances and State laws relating to building construction. I hereby authorize representatives of the City of c.arlsbad to enter upon the above mentioned property for inspection purposes. I AISO AGREE 1U SAVE INDEMNIFY AND KEEP HARMLESS TIIB C11Y OF CARISBAD AGAINST AU. lJAIIILITlES, JUDGMENTS, CDSTS AND EXPENSES WIIlCH MAY IN ANY WAY ACCRUE AGAINST SAID C11Y IN WNSEQUENCE OF TIIE GRANTING OF TIIlS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0" 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 the building 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 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 Building Code). DATE: _____ _ WHITE: File YEIJ.OW: Applicant PINK: Finance