HomeMy WebLinkAbout155 SYCAMORE AVE; ; CB950660; PermitPERMIT APPLICATION (9
City of Carlsbad Buildi~ Department •
2075 Las Pal..,, Dr., Carlsbad, CA 92009 (619) 438-1161
PIAN CHECK NO. 9j O 6 b 0
FSf. VAL PIAN CK'::D::•===:--------
I. PERMII i'Yl'E E;l .. drtLCL.( (£t.-Ec e) VAIJD. BY,_.fl""l/7,;;;-,;---r:;s---::-:=--
DATE (,_ /ri 'Ll4' ,--
From list 1 (see back) give code of Permit-Type: -f;. Lt(_ ,
For Residential Projects Only: From Llst 2 (see back) give
Code of Structure-Type: ___ C._J..-<--1f_D..,.~--------------
Net Loss/Gain of Dwelling Units
2. PROJECT INFORMATION FOR OFFICE USE ONLY
Address /55 Building or Suite No.
Nearest Cross Street
L£tAL DESCRIPilON Lot No. Subd1v1S1on Name/Number Umt No. Phase No.
D 2 Energy Gales □ 2 Structural Gales □ 2 Soils Report D 1 Addressed Envelope
ASSESSOR'S PAHPU EXIS~
DESCRIPTION OF WORK 1 QOA rvtlf' 2~/U.Jll ... A.. (f~ PROPOSED USE
SQ. FT. 1/;) # OF STORIES # OF BEDROOMS # OF BATI{ROQMS
NAME
]/\II, ADDRESS fo ·3 $ f
ZIP CODE "'J -Z, t) V Cf CITI DAY TELEPHONE
NAME (last name first) 1'"12-,ue..., ADDRESS
C!1Y STATE ZIP CODE DAY TELEPHONE 7 Z.u -Zo 1 5
b. ~i1fi!'/~:me first) Mo/J ji\1.,-+JA ,-._j ~rcJ.:,U_.:V,t.i...oDRESS 03 S' f (',e, ~ [i_ { ,llbv&,
CITI r11!-<f;;,b,.,,..J... STATE 11.' ZIP CODE C/1«.H:J 1 DAY TELEPHONE 4-2>6-'2.,(J(,£
STATE LIC. #"'t75 / 3J LICENSE CLASS c_,-/ 0 CITI BUSINESS LIC. #
ast name 1rst
CITY STATE ZIP CODE DAY TELEPHONE STATE LIC. #
Workers' Compensation Ueclarat1on· I hereby afhrm that I have a cert1hcate ot consent to self-insure issued by the Director of Industnal
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 Oepamnent (Section 3800, Lab. C).
902zq1 POLICY NO. ,_ EXPIRATION DATE
so as to become subject to the Workers' Compensation Laws of California.
SIGNATURE DATE
8. OWN£k-B0Mmt D£CCAkA:iloN
□
□
□
Owner-Bmlder Declarauon: I hereby aillrm that i am exempt from the Confradofs License Law for the ioilowmg 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 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.).
1, 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).
lam exempt under Section AJ/ A 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 co 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 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 th eel exemption. Any violation of Section 7031.S by any applicant for a permit
subjects the a licant to a 1V1 penfj not more a five h d llars [$500]).
SIGNATURE DATE ~ be ZZ <;-5
ls the applicant or future building occupant require to su it 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 □ NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
□YES ONO
ls the facility to be constructed within 1,000 feet of the outer boundary of a school site?
0 YES □ NO
IF ANY OF TIIEANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BElliSIJlID AFTERJ\JLY 1, 1989 UNLESS 1lffi APPUCANT
HAS MET OR IS MEETING TIIE REQUIREMENTS OF TIIE OFFICE OF EMERGENCY SERVICFS AND TIIE AIR POLLUTION OONTROL DISTRICT.
9. OONSIR0CIION LRNOING AGENCY
l hereby affirm that there 1s a construcuon lending agency for the performance of the work for which this permit 1s issued (Sec 3097(!) C1V1l Code).
LENDER'S NAME LENDER'S ADDRESS
10. APPUCANI am:tlFICAIION
I certify that I have read the apphcat1on and state that the above information 1s correct. I agree to comply wuh all C1ry ordmances 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 AJ.£/J AGREE ID SAVE INDEMNIFY AND KEEP HARMLESS TIIE Cl1Y OF CARISBAD AGAINST ALL JJABIUTIES, JUDGMENTS, aJSI'S
AND EXPENSES wmrn MAY IN ANY WAY ACCRUE AGAINST SAID Cl1Y IN OONSEQlrENCE OF TIIE GRAN11NG OF TillS 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 Of 1ar 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 no ommenced within 365 days from the date of such permit or if the building or work authorized by
such permit is spende aba e at any f e after the work is commenced for a peripd of 1 0 days (Section 303(d) Unifonn Building Code).
APPLICANT S A U 5 z Z, /: 5 DATE:
File YELl.OW: App icant INK: Finance
CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT# CB950660 FOR 05/23/95
DESCRIPTION: UPGRADING TO 100 AMP SERVICE-
FROM 30 AMP SERVICE
TYPE: ELEC
JOB ADDRESS: 155
INSPECTOR AREA
PLANCK# CB950660
OCC GRP
CONSTR, TYPE NEW
STE: LOT: APPLICANT: MONAGHAN
CONTRACTOR:
OWNER:
SYCAMORE AV
CONSTRUCTION
REMARKS: MW/STEVE/438-2008
SPECIAL INSTRUCT: ~:::~~~
TOTAL TIME:
CD LVL DESCRIPTION ACT COMMENTS
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***** INSPECTION HISTORY*****
DATE DESCRIPTION ACT INSP COMMENTS