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HomeMy WebLinkAbout1008 CAMINO DE LAS ONDAS; ; CB960274; Permitt 02/21/96 11:03 BUILDING PERMIT Permit Type: ELECTRICAL Parcel No: Valuation: 0 Occupancy Group: Description: IRRIGATION .-^^-^ : GREYSTONE-COSTA DO SOL Appl/Ownr : FOSHAY ELECTRIC 7676 ENGINEER RD SAN DIEGO, CA 92111 Suite: Lot#: Permit No: CB960274 Project No: A9600404 Development No: 6134 02/21/96 0001 01 02 Construction Type: NEW Status: ISSUED Applied: 02/21/96 Apr/Issue: 02/21/96 Entered By: RMA 619-277-7676 60^00 ***Fees Required Fees: Adjustments: Total Fees: Fee description Enter "Y" for Electr} Single Phase Per AM * ELECTRICAL TOTAL * A* 60 & Credits * * * .00 .00 60. 00 Ext fee Data 10.00 Y 50. 00 60. 00 INAI/APPROVAL _ DATE CLEARACE 3-/*- i ^ CITY OF CARLSBAD Us Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION City of Carlsbad Building Department 2075 Las Pal mas Dr., Carlsbad, CA 92009 (eis) 438-nei 1. _PERMIT TYPE A - QCOMMERCIALG*EWG TENANT IMPROVEMENT B - D INDUSTRIAL QHEW nTEHANT IMPROVEMENT C- D RESIDENTIAL [HAPARTMENT QCONDO QSIHGLE FAMILY DWELLING G*DDIT10N/ALTERATIOH QDUPLEX QDEMOUTIOH DRELOCATIOM GHOBILE HOME QELECTRICAL J~l PLUMB ING GMECHAHICAL GpO°L QSPA QRETAINIHG WALL EST. VAL PLAN CK DEPOSIT VALID. BY 10 J— ~ DATE 2, r 1 t f/I 7> CHECK BELOW IF SUBMITTED: G2 Energy Calcs Structural Calcs H2 Soils Report Addressed Envelope ASSESSOR'S PARCEL EXISTING USE PROPOSED USE DESCRIPTION OF WORK BLDG. SO. FTG.# OF STORIES 3. 4. APPLICANTNAHE Clcc.tr re - GAGENT FOR OUUER Cr fc, 1^ I rt €»«**• 5. PROPERTY OWNNAME 6. CONTRACTOR SIGNATURE ADDRESS LICENSE CLASS TITLE **^ DAY TELEPHONE CITY BUSINESS LIC. # DATE -i<*n DESIGNER NAME CITY ZIP CODE DAY TELEPHONE STATE LIC. # 7, WORKERS' COMPENSATIONWorkers' Compensation Declaration: I hereby affirm that 1 have a certificate of consent to self-insure issued by the Director of 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 COMPAHY POLICY NO.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. SIGNATURE 8, OWNER-BUILDER DECLARATION Owner-Builder Declaration: I hereby affirm that I am exempt from the Contractor's License Law for the following reason: G 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.). G 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 [tSOO]). SIGNATURE DATE COMPLETE THIS SECTION FOR HOH-RESIOENTIAL 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 QNO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? QYES d»° Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? GfES QHO IF ANT OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY NAT NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS MET OR IS MEETING THE KQUIRENEWS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 9. CONSTRUCTION LENDING AGENCY I 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. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. 1 ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AMD EXPENSES WHICH MAY IH ANY WAY ACCRUE AGAINST SAID CITY IN COKSEQUEHCE OF THE GRANTING OF THIS PERMIT. 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 by such permit is not commenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work i^"feajranenced for a period of 180 days (Section 303{d) Uniform Building Code). APPLICANT'S S1GNATUR n OWN^R) ^CONTRACTOR /lAX^Tl^v PHONE APMQVSi BY: DATES KITE: FHe YELLOW: Applicant PINK: Finance %i*y^;<^ .or 9« 3 .re.er.oo wo/s/A/oens Cf rEP J . 100 WO/S/A/OflOS CITY OF CARLSBAD INSPECTION REQUEST PERMIT* CB960274 FOR 03/15/96 DESCRIPTION: IRRIGATION PEDISTAL-200 AMP GREYSTONE^-COSTA DO SOL TYPE: ELEC ) JOB ADDRESS:/ 1008 CAMINO DE LAS ONDAS APPLICANT: FOSHAY ELECTRIC CONTRACTOR: ^ ^ OWNER: \ | U REMARKS: MW/MIKE/277-7676 SPECIAL INSTRUCT: TOTAL TIME: CD LVL DESCRIPTION 39 EL Final Electrical INSPECTOR AREA PLANCK* CB960274 OCC GRP CONSTR. TYPE NEW STE: LOT: PHONE: 619-277-7676 PHONE: PHONE: INSPECTOR ACT COMMENTS DATE DESCRIPTION ***** INSPECTION HISTORY ***** ACT INSP COMMENTS PRODUCER We atland Insurance Brokers >. O. Box 85481 San Diego, CA 92186-5481 (619) 584-6400 MUMD FOSHAY ELECTRIC 7676 ENGINEER ROAD SAN DIEGO, CA 92111 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANY LETII-H COMPANIES AFFORDING COVERAGE A SAFECO INS. COMPANY COMPANY Q LETTER ° COMPANY LETTER COMPANY n LETTER U COMPANY LETTER THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE USTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TYPE OP M8URANCE POUCY NUMBER POLICY EFFECTIVE DATE (MWDOffY) POUCY EXPfUTKW DATEtMMOD/YY)UMTS OEKBIAL UABUTY COMMERCIAL GENERAL UABUTY TCUMSMAOE I ioCCUR OWNBTS A CONTRACTOR'S PHOT. GENERAL AGGREGATE PROOUCTS-COMP/OP AOG, PERSONAL « ADV. KJURY EACH OCCURRENCE FHE DAMAGE (Any or* fr«> MED. EXPENSE (Any oiw pmon] AUTOtKMMLC UABBJTY j ANY AUTO j ALL OWNED AUTOS I SCHEDULED AUTOS JHRED AUTOS | NOHOMGD AUTOS•: j OARAGE UABUTY COMBWEDSMQLE UMFT BOOLYMJURY (Pvrpttnon) BOOLYM1URY (Pwiccidtnt) PROPERTY DAMAGE EXCESS uuNurr ] UMBRELLA FORM j OTHffl THAN UMBRB1A FORM EACH OCCURRENCE AGGREGATE WORKBTS COHPEHSATIOH AND EWIOYEHT LIABILITY WC8133555M 01/01/96 01/01/97 . STATUTORY LMTTS EACH ACODENT OtSEASE • POLICY LMTT DISEASE - EACH EMPLOYEE S 1,000,000 J 1,000,000 $1,000,000 OTHER OCSCRF)OF Of>IIUTIOmUe«710MS/VBaCLE»SPlCUL DEM RE: LICENSE NUMBER - #209306 * 10 DAYS NOTICE OF CANCELLATION FOR NON PAYMENT OF PREMIUM. CITY OF CARLSBAD BLDG/ELECTRICAL PERMIT DEPT 2075 LAS FALMAS CARLSBAD CA 92008 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. THE ISSUING COMPANY WILL ENDEAVOR TO MAIL —30. DAYS WWTTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS Cfl REPRESENTATIVES.