HomeMy WebLinkAbout260 TAMARACK AVE; ; CB930371; PermitJ
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Tot, Address: 2 6 C AMARACK AV
p rn it n-... : Ef.EC TR ICAL
f 1 el No: 204-. 1 -JJ-lO
Val-... tion:
)n• truc•·:on Type: NEW
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u.pancy Group: H•=-ftu ence#:
t "r .._ion: OVER E:;AD O f\:~ERGROUN~> l> ') AMP
App~/Ownr : STRONG, BRIAN
h03 FIR~r STREET #245
OCEANSIDE, CA 920~
Fee:.:; Required
Fee.;:
Al ;u..,trnent s:
'I otal r ePs:
Enter "Y" for Elec l
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* ELECTRICA~ TOTAL
ot#:
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DevelopmPnt N
2057 04/26/93 0001 01 02
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CITY OF CARLSBAD
2075 Las Pal.mas Dr., Carlsbad, CA 92009 (619) 438-1161
PERMIT APPLICATION PLAN CHECK NO.
City of Carlsbad Building Department
2075 Las Palmas Dr •• Carlsbad. CA 92009 (619) 438-1161 FST.VAL~-----------PLAN CK DEPOSIT ________ _
VAIID.BY __________ _
DATE
A -D Commercial Li New Hu1l<lmg D Ienant Improvement
B -D Industrial D New Building D Tenant Improvement
C -□ Residential □ Apartment D Condo D Single Family Dwelling □Addition/Alteration
□ Duplex D Demolition □ Relocation □ Mobile Home (Jit.2.iectrical D Plumbing
D Mechanical D Pool D Spa D Retaining Wall O Solar D Other
2. PRQJECT IIDURMATION FOR OFFICE USE ONLY
Address ZGD ~ ~g or Suite No.
Nearest Cross Street
LEGAL DESCRIPI ION Lot No. Sutxl1V1s1on Name/Number Unit No. Phase No.
□ 2 Energy calcs □ 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope
ASSESSOR'S PARCEL VG-~~V. DESCRIPTION OF WORVH -Jo PROPOSED USE
SQ. IT. # OF STORIES /I 0
3. WN IACI PFJtSON (If dnlerent from appJlcant)
NAME ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE
DOWNER DAGEN I FOR OWNEH
DAY TELEPHONE S. ~~~Eitir UA-~-e~ ADDRESS
CITY ST ATE ZIP CODE DAY TELEPHONE
6. WNIRACIOR ~ {tJ03 l5r 5t-fi&qy-NAME5\--.fcJf"\6 ADDRESS
9'b7SV30 CI1Y"' STATE ZIP CODE DAY TELEPHONE
O:;;,g:2 STATE UC. LICENSE CLASS Clo CllY BUSINESS UC. # l I
CI'IY STATE ZIP CODE DAY TELEPHONE STATE UC.# 7. WOltKmtS' UjMPENSA I ION
Workers' Compensation beclaraf1on: I hereby all 1rm that l have a cerulacate of consent to sell-msure issued by the Director ol industrial
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 POLICY NO. EXPIRATION DATE
so as to beco
SIGNATURE
D
D
D
wner-ya irm t at am exempt rom t e w or t e o owmg reason:
I, as owner of the property or my employees with wages s th · 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 docs 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.).
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 contracts for such projects
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 permit to file a signed statement that he is licensed pursuant to the
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 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]).
SIGNATIJRE DATE
COMPLE IE I AIS SECI ION FOR NON-RES!DEN I IAL BUILDING PERMI IS 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 □ 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 □ NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
□ YES □ NO
IF ANY OF 11 lE ANSWERS ARE YES, A HNM. CERllFICATE OF CXL'1.JPANCY MAY NOf BE ISSUED AFfER JULY I, 1989 UNLESS TIIE APPLICANT
HAS MET OR IS MEIITING 11m REQlllREMENTS OP nm OFFICE OF EMERGENCY SERVICES AND nm AIR POLLUTION CDNTilOL DISfRICT.
9. WNSIR0CIION D;NOMG AGENCY
I hereby ailirm that there 1s a construction lendmg agency lor the perlormancc of the work for which this permit 1s issued (Sec 3097(1) CiVJI Code).
LENDER"S NAME LENDER'S ADDRESS
IO. APPUCAN I CEit IIFICA IION
I certify that I have read the apphca11on and state that the above mformat1on 1s correct. I agree to comply wnh all City ordinances and St.ate 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 AISO AGREE TO SAVE INDEMNIFY AND KEEP IIARMLF,SS Tim CTlY OF CARISBAD AGAINST AIL IJABIIJTIES, JUDGMENTS, COSTS
AND EXPENSES WIUCII MAY IN ANY WAY MDUJE AGAINST SAID CTlY IN CDNSEQUENCE OF nm GRANTING OF TIDS 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 b uch permit is not commenced within 365 days from the date of such permit or if the building or work a thorized by
such permit is suspended or do at ny ti ork is commenced for a period of 180 days (Section 303(d) Unit 1lding e).
APPLICANTS SIGNATURE
YEil.OW: Applicant PINK: Finance
PERMIT# CB930371
DESCRIPTION: OVERHEAD TO
TYPE: ELEC
JOB ADDRESS:
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 05/21/93
UNDERGROUND 60 AMP
STE:
INSPECTOR AREA PD
PLANCK# CB930371
OCC GRP
CONSTR. TYPE NEW
LOT:
APPLICANT:
260 TAMARACK AV
STRONG, BRIAN PHONE: 619 967-5030
CONTRACTOR:
OWNER:
REMARKS: MH/BRIAN/967-5030
SPECIAL INSTRUCT:
TOTAL TIME:
CD
34
LVL DESCRIPTION
EL Rough Electric
:~~::: /,/ [) "\ ,-;J/
INSPECTOR(/~)l~---~-W---""~~------
ACT COMMENTS 11/-B J trr-,--O g fa Ja v1-s r'
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***** INSPECTION HISTORY*****
DATE DESCRIPTION ACT INSP COMMENTS