HomeMy WebLinkAbout2303 TAMARACK AVE; MP; CB911680; PermitB U I L D I N G P E R M I T Permit
Project
Development
No: CB911b8l
No: A910213~
No:
12/12/91 11 :24
Page 1 of 1
Job Address: 2303 TAMARACK AV
Permit 1ype: ELECTRICAL
Pare-el No:
Valuation: ()
Construction Type: NEW
Occupancy Group: Class Code:
Description: 40 AMP METERED PEDESTAL
Appl/Ownr : DANIELS CABLEVISION
fees
P .U . BOX 344
CARLSBAD, CA
Enter '' Y" for Electr l'lZ
Single Phase Per AMP.
* ELECTRICAL TOTAL
Str:
619
CITY OF CARLSBAD
Fl: Ste:
5592 12/12/91 0001 01 02 C-PRHT 20-00
Statu::;:
Applied:
Apr/IsGue:
Validat.e l By:
438-5241
I S~,UH)
12/12/9.
12/12/Y
~BB
. 0 t,
.00
20.00
Ext fee Data
10.00 Y
10.00
20.00
tAPPROVAL
-1--DATE--,
2075 Las Palmas Dr., Carlsbad, CA 920()() (619) 438-1161
PERMIT APPLICATION ~ V
City of Carlsbad Building Department EST. VAL. ______________ _ 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 43s-11s1 PLAN CK DEPOSIT ___________ _
VALID. BY ______________ _
1. ~ RMIT TYPE DATE _______________ _
A COMMERCIAL TENANT IMPROVEMENT
B O INDUSTRIAL □NEW □TENANT IMPROVEMENT
C 0RESIOENTIAL □APARTMENT □CONDO □SINGLE fAMILY DWELLING 0ADDITION/ALTERATION
0DUPLEIC □DEMOLITION QRELOCATION □MOBILE HOME □ELECTRICAL □PLUMBING
OMECIIANJCAL □POOL □SPA QRETA!NING WALL □SOLAR Q0THER
2.
Building or Suite No.
Subdiv1sioo Name/NlMl'tler Unit No. Phase No.
CHECK BELCII IF SUBMITTED:
p2 Energy Cales 02 Structural Cales
ASSESSOR'S PARCEL/
D 2 Soi ls Report O 1 Addressed Envelope
EXISTING USE PROPOSED USE
BLDG. SQ. FTG. # OF STORIES
3. CON,1,ACT ,PER§.qN •
""'L',nd'( Cflu~,;+10
m,{!~12-hbt'-d _,,,---STATE (]If
ADDRESS
ZIP CODE DAY TELEPHOtrlE
SIGNATURE~<._)~
4. APRLICANT.l CA ulJr!'i;;;;,:;;;. ""' LJAn •e .S ,.J:lll:v 1s ,of\ 0 AGENT FOR CONTRACTOR □~NER 3 ~□AGENT FOR OWNER
AooRess f>.o. f:lOX L/'t
cm C! 11/l /.j bd d srATE C.!7-"'coo, <j;).oo"S ,., "'"''"' ,Y-31 -~ ,;i,,;,' I
s .... ~~7v ~E~A~ l:s bf'td OIJNER □LESSEE QTENANT
ADDRESS
CITY STATE ZIP COOE DAY TELEPHONE
6. CONTRACTOR lfjlf / 10/ln r ""'.::Sl'?m.::. It~ ADDRESS
CITY STATE ZIP COOE DAY TELEPHONE
STATE LIC. # LICENSE CLASS CITY BUSINESS LIC. #
SIGNATURE TITLE DATE
DESIGNER NAME ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE ~--'"-'-'c--,-,-,c-c--======c--------"='-------'"'-="-----------=--"':cs:.cec:_ ________ .:.•''.'.'~"c..!c'~"c.·--"'c..11::::::.~;;;;.m;,;fl1 7. WORKERS' COMPENSATION
Workers' Compensation Declaration: hereby affirm that I have a certificate of consent to self·1nsure issued by the Director of Industrial Relations,
or a certificate of Workers' Compensation Insurance by an actni tted insurer, or an el\8ct copy or dupt i cate thereof certified by the Di rector of the
insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C). -INSURANCE CDMPANt,L.rtj. ~ -,.I, POLICY No.60 (//-/ EXPIRATION DATE 1-1-9)-
not etrploy any person in any manner
SIGNATURE
8.
I hereby affirm that I am eKempt from the Contractor's License law for the following reason;
D I as owner of the property or my ~loyees with wages as their sole compensation, will do the worlo: and the structure is not intended or offered for sale
(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 who
does such worlo: 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 c~letion, the owner-builder will have the burden of proving that he did not build or ifll)rove for the purpose
of sale.).
D 1, as owner of the property, am eKclusively 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 ifll)roves thereon, and contracts for such projects with contractor(s)
licensed pursuant to the Contractor's License 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, ifll)rove, demolish, or repair any structure,
prior to its issuance, al so 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, conmencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is eKetrpt therefrom,
and the basis for the alleged eKemption. 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 cbllars (S500] ).
SIGNATURE DATE
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY:
Is the applicant or future bui ldi ng occupant required to sul:;rni t a business pl an, acutely hazardous materials reg i strati on form or risk management and prevention
program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substani::e AccolXlt Act?
0YES 0N□
Js the apptii::ant or future building oi::cupant required to obtain a permit from the air pollution control distrii::t or air quality management district?
□YES □,o
1 s the fac i l; ty to be con st rvcted within 1 • 000 feet of the outer boundary of a school site?
0YES □ND
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCClJPMCY MAY NOT BE ISSUED AFTER JULY 1, 1989 LIILESS THE APPLICANT HAS NET OR IS MEETING THE RECIJIREMENTS
OF TNE OFFICE OF EMERGENCY SERVICES AND THE AIR P0LLUTION CONTROi. DISTRICT.
9. CONSTRUCTION LENDING AGENCY
hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(i) Civil Code).
LENDER IS NAME LENDER'S ADDRESS
10. APPLICANT'S SIGNATURE I certify that I have read the application and state that the above information 1s correct. I agree to comply with alt City ordinances and State laws relating
to building i;:onstruction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. ALSO
AGREE TO SAVE JNDEIINIFY AND KEEP HARMLESS THE CJTT OF CARLSBAD AGAINST ALL LIABILITIES, Jl.llCi'IENTS, COSTS ANO EXPENSES WHICH MAY IN ANY MAT ACCRUE AGAINST SAID
CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
EKpiration. Every permit issued by the Building Official under the provisions of this Code shall eKpire by limitation and become n.ill and void if
or work authorized by such permit is not coomenced within 180 days from the date of such permit or if the building or work authorized by sui::h permit
or abandoned at any time after the work is conroenced for a period of 180 days (Section 303(d) Uniform Building Code).
APPL! 1S S~ 0 OWNER ~ONTRACTOR □BY PHONE APPROVED BY:
DATE:
WHITE: File YELLOW: Applicant PINK: Finance
the building
is suspended
\
PERMIT# CB911680
DESCRIPTION: 40 AMP METERED
TYPE: ELEC
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 02/26/92
PEDESTAL
INSPECTOR AREA MP
PLANCK# CB911680
OCC GRP
CONSTR. TYPE NEW
JOB ADDRESS: 2303
APPLICANT: DANIELS
CONTRACTOR:
TAMARACK AV
CABLEVISION
STR: FL: STE:
OWNER:
REMARKS: MH/LARRY/438-7741X609
SPECIAL INSTRUCT:
TOTAL TIME:
CD
39
LVL DESCRIPTION
EL Final Electrical
------------------------------------
--------------------
PHONE: 619 438v5241
PHONE:
PHONE: ()
INSPECTOR~-~----------
~ _C_O_MM_E_N_T_S __________ _
***** INSPECTION H,ISTORY *****
DATE DESCRIPTION
021992 Final Electrical
ACT INSP
CO MP
COMMENTS
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