HomeMy WebLinkAbout2361 TERRAZA GUITARA; TP; CB900858; Permit05/24/90 15:56
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B U I L D I N G
Job Address: 2361 TERRAZA GUITARA
Permit Type: ELECTRICAL
Parcel No:
Valuation: 0
Construction Type: NEW
P E R M I T
Str:
Permit
Project
Development
Fl: Ste:
Ni CB900858
No: A9000584
No : DEV89063
17 o~ 2"1 ~ .01 01
C-PRMT
02
15-00
Occupancy Group: Class Code: Status: ISSUED
05/24/90
05/24/90
Description: TEMP POWER
CONTRACTOR : FIELDSTONE
*** Fees Required
Fees:
Adjustments:
Total Fees:
Fee description
POLE
***
15.00
.00
15.00
***
Lie. C NO
Applied
Apr/Issue
Validated By:
Fees Collected & Credits
Total Credits:
Total Payments:
Balance Due:
,00
.00
15.00
***
Units Fee/Unit Ext fee Data ---------------------------------------------------------------------------
Enter "Y" for Electric Issue Fee >
Enter "Y" for Temporary Service )
* ELECTRICAL TOTAL ($10 Minimum)
CITY OF CARLSBAD
5.00 Y
10.00 Y
15.00
APPROVAL
__..;,... ... DATE ....,_,_,-"'I
7-,.:2.---;?)
2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161
PERMIT APPLICATION ~ ~
City of Carlsbad Building Department
2075 Las Palmas Dr., Carlsbad, CA 92009 r,1,1 '38-1161
VALID. BY_-'lf'-t-t-"l-J'----..,.f-----
1. PERMIT TYPE DATE
A COMMERCIAL TENANT IMPROVEMENT
0 INDUSTRIAL □NEW □TENANT IMPROVEMENT
-~SIDENTIAL □APARTMENT □CONDO □SINGLE FAMILY DWELLING OADDITI0N/ALTERATI0N □DUPLEX □DEMOLITION □RELOCATION □MOBILE H~E ~ECTRICAL □PLUMBING
□MECHANICAL □POOL □SPA □RETAINING WALL □SOLAR 00TH
2. PROJECT INFORMATION PLAN CHECK No.
Address
Nearest Cross Streets
LEGAL DESCRIPTION Lot No.
CHECK: BEL~ If SUBNITTED: □ 2 Soils Reeort D 1 Addressed Envelope
EXISTING USE
3.
4.
5.
6.
7.
8.
Q2 Energy Cales 02 Structural Cales
PROPOSED USE
~e-
BLDG. SO. FTG. # Of STORIES
CONTACT PERSON p~~ S'tf -f<-7 <It
NAME f,D,-.-L 6'~ ADDRESS MO,Sr1..-,'B?-2$}~
Cl TY STATE ZIP COOE DAY TELEPHONE
SIGNATURE IAA\,~ ~~P'\{,,$
APPLICANT 0 CONTRACTOR D AGENT FOR CONTRACTOR 0 OwNER 0 AGENT FOR O'wNER
:::: The ~ ADDRESS ::::tI d,05;0,-Jt:,LQnm ZIP COOE DAY TELEPHONE
PROPERTY OWNER O'wNER □LESSEE □TENANT
NAME ADDRESS
Cl TY
,. ' t., STATE ZIP CODE DAY TELEPHONE
CONTRACTOR
NAME ADDRESS
CITY 11 " " STATE ZIP COOE DAY TELEPHONE
STATE LIC. # LICENSE CLASS CITY BUSINESS LJC. #
SIGNATURE Tl HE DATE
DESIGNER NAME ADDRESS
CJ TY STATE ZIP COOE DAY TELEPHONE STATE LIC. #
WORKERS' COMPENSATION Workers' Compensation Declaration: hereby affirm that have a certificate of consent to self-insure issued by the Director of Industrial Relations,
or a certificate of Workers' Corrpensation Insurance by an aailitted 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
Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner
so as to become subject to the Workers' Compensation Laws of California.
S!GNATURE DATE
OWNER-BUILDER DECLARATION
Owner-Builder Declaration: I hereby affirm that I am exempt from the Car.tractor's License Law for the following reason:
D \ 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 i~rove for the purpose
of sale.).
DI, 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).
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, i~rove, demolish, or repair any structure,
prior to its issuance, also requires the applicant for such permit to fite a signed statement that he is licensed pursuant to the provisions of the
Contractor's License Law (Chapter 9, coomencing 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 Sectioo 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not
more than five hundred dollars [$500]).
SIGNATURE DATE
C~PLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS 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?
QYES 0NO
Js the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
□YES 0NO
!s the facility to be constructed within 1,000 feet of the outer boundary of a school site'
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCa.l'ANCY NAY NOT RE ISSLEO AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS NET Oft IS MEETING THE REQUIREMENTS
OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL 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'S NAME LENDER'S ADDRESS
10. APPLICANT'S SIGNATURE I certify that I have read the application and state that the above information is correct. I agree to comply with all City ordinances and State laws relating
to building construction. 1 hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO
AGREE TO SAVE INOE"NIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, Jll)CJ!!ENTS, COSTS ANO EXPENSES \MICH NAY IN ANY WAY ACCRUE AGAINST SAID
CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
Expi ation.
or k auth
oc
Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and Yoid if the building
ized by such permit is not coomenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended
at any time after the work is c0111T1enced for a period of 180 days (Section 3D3(d) Uniform Building Code).
0 Ol<INER □ CONTRACTOR □ BY PHONE APPROVED BY: _______ _
'ti~• DA.TE:
WHITE: File YELLOW: Applicant PINK: Finance