HomeMy WebLinkAbout2356 TERRAZA GOYA; MP; CB900443; Permit• 1
B U I L D I N G P E R M I T Permit No: CB900443
Project No: A8902095
Development No : DEV89063
03/20/90 15 :31
Page 1 of 1
Job Address: 2356 TERRAZA GOYA
Permit Type: ELECTRICAL
Str: Fl: Ste:
tr, O-,, ' ._ Ul. ?
Parcel No: 215-480-15-00
Valuation: O
Construction Type : NEW
Occupancy Group : Class Code : Status: ISSUED
03/19/90
03/20/90
DC
Description: 100 AMPS PEDESTAL FOR TOT LOT Applied
Apr/Issue
Validated By:
OWNER
***
: FIELDSTONE COMPANY
Fees Required ***
Fees:
Adjustments:
30.00
.00
30.00 Total Fees:
***
Lie.
Fees Collected & Credits
Total Credits:
Total Payments:
Balance Du e:
.00
.00
30.00
***
Fee description Units Fee/Unit Ext fee Data
Enter "Y" for Electric Issue Fee >
Single Phase Per AMP >
* ELECTRICAL TOTAL ($10 Minimum)
\
100.00
5.00 Y
25.00
30.00
~f'f1A~ OVAL
INSP. ~DATE __
CLEARANCE ___ _
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161
PERMIT APPLICATION.
City of Carlsbad Building Department
EST. VAL ___ __,~---~.L-----2075 Las Palmas Or., Carlsbad, CA 92009 (619) <Js-11,1
PLAN CK DEPOSIT __ _,,.,_...,,,c.__ _____ _
VALID. BY _____ ,"--'>._-------
1. PERMIT TYPE DATE _____ __,c__ ___ ..:,,.~----
A D COMMERCIAL TENANT IMPROVEMENT
8 -~DUSTRIAL ONE\.I □TENANT IMPROVEMENT
C -~~SIDENTIAL □APARTMENT OCDN00 OS!NGLE FAMILY Dl<IELL!NG OADOIT!0N/ALTERATION □DUPLEX OoEMOLITION □RELOCATION □MOBILE HOME ~ECTRICAL □PLUMBING
QMECHANICAL □POOL QSPA ORETAINHIG ',,'ALL □SOLAR □OTHER
2. PROJECT INFORMATION PLAN CHECK No.
Address
Nearest Cross Streets
LEGAL DESCRIPTION Lot No. Subdivision Name/Number
4D'.1A-
Unit No. Phase No.
Z,4y t' Z-
CHECK BELOW If SUBMITTED:
Q2 Energy Cales
ASSESSOR'S PARCEL
DESE~IPI ION OF IJORK
BLDG. SO. FTG.
02 Structural Cales D 2 Soi ls ReP9rt 01 Addressed Envelope
EXISTING USE PROPOSED USE
3. CONTACT PERSON C4i,,-(](,-18 -PA-qcrl--
9 B1 --z.c1 LJ-'.> ~ J\A0\7 1 L--NAME DD"-\ 6i~
CITY
SIGNATURE
STATE
ADDRESS
ZIP CODE "' TELEPHONE '¾-"3!::;',-0'-lk,[j 1/Z.A-tL-e'L
4. APPLICANT □CONTRACTOR 0 AGENT FOR CONTRACTOR OWNER □ AGENT FOR OWNER
5,
6.
7.
8.
,AME 'Ttrt:"' rlEZ-Du'(O,-J/2 C.0,
CJ TY STATE
PROPERTY OWNER OWNER
NAME
CI TY ST ATE
CONTRACTOR
NAME
CllY STATE
STATE L!C. # _____ _
SIGNATURE
DESIGNER NAME
CJ TY
WORKERS' COMPENSATION
STATE
ADDRESS
ZIP CODE
ADDRESS
ZIP CODE
ADDRESS
ZIP CODE
LICENSE CLASS _____ _
TITLE
ADDRESS
ZIP CODE
DAY TELEPHONE
□LESSEE 0 TENANT
DAY TELEPHONE
DAY TELEPHONE
CITY BUSlNESS llC. #
DATE
DAY TELEPHONE STATE LIC. #
Worio:ers• 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' Compensation Insurance by an adni tted insurer, or an exact copy or duplicate thereof cert If i ed by the Di rector of the
insurer thereof filed with the Building Inspection Department (Section 3800, Lab. CJ.
INSURANCE COMPANY POLICY NO. EXP!RATlON DATE
Certificate of Exemption: I certify that in the performance of the work for i.hich this permit is issued, I shall not employ any person in any manner
so as to become subject to the \.lorkers' Compensation Laws of California.
SIGNATURE DATE
OWNER-BUILDER DECLARATION
Oi.ner-Builder Declaration: I hereby affirm that I am exempt from the Contractor·'s Licen~e La1o for the folloi.ing reason:
O I as 01oner of the property or my e1rployees i.ith 1oages as their sole compensation, will do the '-Ork 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 i.ho builds or i1rproves thereon,. and 1oho
does such work himself or through his own ~loyees, provided that such improvements arc not intended or offered for sale. If, however, the building
or improvement is sold within one year of completion, the O'-ner·bu1lder ._ill have the burden oi proving th;it he did not build or improve for the purpose
of sale.).
0 \, as owner of the property, am exclusively contracting i.ith licensed contractors to construct the proJect (Sec. 7044, Bu<;iness and Professions Code:
The Contractor's license Law does not apply to an owner of property 1oho builds or irnpro11es 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 th1.-, reason:
{Sec. 7031.5 Business and Professions Code: Any City or County i.hich 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 1s licensed p..irsuant to the provisions of the
Contractor's Licen,;e Law (Chapter 9, CO!llllencing 1o1th Section 7000 of Di11ision 3 of the Bus1nes<; 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 ior a permit subjects the applicant to a civil penalty of not
more than five hundred dollars [$500]).
SIGNATURE 0ATE
COMPLE1E THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY:
Is the applicant or future building occupant required to submit a business plan, acutely haiardous materials registration form or risk management and prevention
program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act'
Ons □No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management districP
□YES ONO
!s the facility to be constructed '-ithin 1,000 feet of the outer boundary of a school site'
□YES
If ANY OF THE ANS\IE]I.S ARE YES, A FINAL CERTIFICATE OF OCOJPANCY KAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS ~TOR IS MEETING THE REQUIREMENTS
OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
9. CONSTRUCTION LENJING AGENCY
hereby affirm that there 1s a construction lending agency for the performance of the 1oork for which this permit is issued (Sec 3097(1) Civil Code).
LEI./DER'S NAME LENDER'S ADDRESS
10, APPLICANT'S SIGNATURE
I certify that I have reild the application and state that the above 1nforrnation ,s correct. I agree to comply with a\l c,ty or·d1nilncc~ and State la1os r·elating
to building construction. I hereby authorize 1-eprc~entat111es of the City oi CarlsbJd to enter upon the ;,hove rncnt1oncd pr·operty for inspection purpo~e~. I ALSO
AGREE TO SAVE INDEMNIFY AND t::EEP HARMLESS THE CITY Of CARLSBAD AGAINST All LIABILITIES, JUlGMENTS, COSTS ANO EXPENSES WHICH KAY IN ANY WAY ACCRUE AGAINST SAID
CITY IN CONSEQUENCE OF TIIE GRANTING OF THIS PERMIT.
Ellpiration. Every permit issued by the Building Official under the provi~1ons of this Code shall e~pirc by l1rn1t,1t,on ;ind become null and 1101d 1f
-----,,~,',,.,,k author.1zed by such permit 1s not COITTnenced 1o1thin 180 dayc; from the date oi such permit or 1f the building or work authorized by such permit
corm1enc~d f/eriod of 180 days {Section 303(dl Uniform Bu1td1ng Codd.
the building
, s ~u·,pendcd
J?fo',JNER □coNTRACTOR OBY PHONE APPROVED BY;---------DATE: __________ _
WHITE: File YELLOW: Applicant PINK: Finance
UNSCHEDULED INSPECTION
DATE --------INSPECTOR (v\... r?G+~ 'CY\.C
PERMIT# -------PLANCK# ------
JOB ADDRESS 73 S-6
TIME ARRIVE: TIME LEAVE: -----------
CD LVL DESCRIPTION ACT COMMENTS