HomeMy WebLinkAbout234 TAMARACK AVE; ; CB930368; PermitI
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APPROVAL
INSP~__.___ DATE 5-/ 7 ·73
CLEARANCE _____ ,
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
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PERMIT APPLICATION PLANOIECKNO. "1J-3C8
City of carlsbad Building Departlllent
2075 Las Pal•s Dr., C&rlsbad, CA 92009 (619) 438-1161
I. PERMI I hPE
A -Li COmmercial U New Building U I enant Improvement
B -D Industrial □ New Building D Tenant Improvement
C -1'Residential □ Apartment D Condo □ Single Family Dwelling □ Addition/ Alteration
□ Duplex □ Demolition □ Relocation □ Mobile Home Qr'Electrical □ Plumbing
□ Mechanical □ Pool U Spa □ Retaining Wall □ Solar □ Other
2. PRQJECT INFORMATION FOR OFFICE USE ONLY
Address 2.34 l>tMAeAC~ BuUdmg or Su1le No.
Nearest Cross Street
LEGAL DESCHIPl ION Lot No. Suix11V1s1on Name/Number Omt No. Phase No.
CHECK BEWW IF SOBMII 1£0:
□ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ l Addressed Envelope
ASSESSOR'S PARCTI F.XTSTING USF. PROPOSED USE ~ £. \ ~ VT\ L. l T'} C!t>n\Je f S I b fl DESCRIPTION OF WORK
SQ. FT. # OF STORIES
3. WN IACI PFJ&JN (IC dulerenl from apphcanf)
NAME ADDRESS
Cl1Y STATE ZIP CODE DAY TELEPHONE
4. ~~ ~~8,ti, DAGEN! FOR';&'Dk~JO~~~NER:v,t'.~G~{:,o~~R "DR..
s. ;k¾,.;t.J~ STA~cA ZIP CODE 920<:>:i DAY TELEPHONE <tz3o-t3C\o
NAME•"'-"'~"" ~siclc\::. ADDREss -,,gc,7 E s-+a.W"\ c..,~ s1
a1Y C."-~ l ;"';>,BAD STATE CA z1P CODE 9zoo1:, DAY TELEPHONE °I 4 Z.. -04 ~7 6. wNIIW!luk
NAMEJLM \vCBL£., ADDRESS 2.<.-z.. "PL'j!N\.Ct~ -p~
Cl1Y \/,,~ STATECA ZIP CODE "\-z.o'\3DAYTELEPHONE ~ 30-\3~0
\ ~ STATE uc. # (e20192ucENSE CLASS C... \ D c11Y BUSINESS uc. #
Cl1Y STATE ZIP CODE DAY TELEPHONE STATE UC.#
7. WORkERS' WUPRNSAIION
workers· compensation uec1arat1on: I hereby aflmn that I have a cert1hcate of consent to self.insure issued by the Ulrectorof lndustnal
Relations, or a cenificate 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 POUCYNO. EXPIRATION DATE
□
□
□
Cert1llcate of Exempuon: I certify that m the peiiormance of the work for which this permit 1s issued, I shall not employ any person m any manner
so as to ome s 'ec o the Workers' Compensation Laws of California.
z...
ere ya inn t at am exempt rom e ntracto s cense w or t e o owmg reason:
, a wner of che property or my employees with wages as their sole compensation, will do the work and the structure is not intended or
red 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 noc 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 contraccs for such projeccs
with 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 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 pennit to file a signed statement thac he is licensed. pursuant to che
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 exempc therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a pennit
subjects the applicant to a civil penalty of not more than five hundred dollars [$500]).
SIGNATURE DATE
COMPL£1E IHIS SEGIION FOR NON-RESIDENIIAL B0IIDJNG PERMITS ONLY:
Is the applicant or future building occupant required to submit a business plan, acutely ha1.ardous materials registration fonn or risk management and
prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Ha1.ardous Substance Account Act?
U YES UNO
Is the applicant or future building occupant required to obtain a pennit from the air pollution control district or air quality management district?
CYES ONO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
□YES □NO
IF ANY OF THE ANSWERS ARE YES, A FINAI.CERllFICATl!OFoa:tJPANCY MAY NOT BEISSIJIDAFrnll.JUI.Y 1, 1989 UNLESS THEAPPUCANT
HAS MET OR IS MEETING THE REQllIREMENTS OF TIIE OFFICE Of EMERGENCY SERVICES AND THE AIR POillJTION OONTII.OI. DISIRICT.
9. WNSIROCIION UNDING AGENCY
I hereby afhnn that there 1s a construction lending agency for the perlormance of the work for which tfos penmt 1s issued (Sec 3097(1) C1vU Code).
LENDER'S NAME LENDER'S ADDRESS
10. AWl'.lCAN I cititiiFICXIJUN
I certify that I have read the application and state that the above mformallon 1s correct. I agree to comply w1lb 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 AI.50 AGREE ID SAVE INDEMNIFY AND KEEP IIARMIBSS THE Cl1Y OF CARLSBAD AGAINST ALL UABIIJTIES, JUDGMENTS, CDSrS
AND EXPENSES WIDCII MAY IN ANY WAY Aa:IUJE AGAINST SAID Cl1Y IN OONSEQUENCE OF TIIE GRANTING OF TIDS PERMIT.
OSHA: An OSHA pennit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height.
Expiration. Every pennit 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 pennit is not commenced within 365 days from the date of such pennit or if the building or work authorized by
such pennit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 303(d) Unifonn Building Code).
DATE: ,1 /z. G, /93 , I
TE: File YELLOW: Applicant PINK: Fmance
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 05/18/93 PERMIT# CB930368
DESCRIPTION: CHANGE OVERHEAD
SERVICE FEED
TO UNDERGROUND
TYPE: ELEC
JOB ADDRESS: 234 TAMARACK AV STE:
INSPECTOR AREA
PLANCK# CB930368
OCC GRP
CONSTR. TYPE NEW
LOT:
APPLICANT: NOBLR, JIM
CONTRACTOR:
PHONE: 619-630-1390
OWNER:
REMARKS: MH/JIM/630-1390
SPECIAL INSTRUCT:
TOTAL TIME:
CD LVL DESCRIPTION
::g::: /) J .. ·~ /} ;/
INSPECTOu ~efh ·
ACT COMMENTS
_39-_E_L _F_i_n_a_1_E_1_e_c_t_r_i_c_a_1 _______ f!f_ ______________ _
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***** INSPECTION HISTORY*****
DATE DESCRIPTION ACT INSP COMMENTS