HomeMy WebLinkAbout101 CANNON RD; ; CB901015; PermitBUILDING PERMIT
06/19/90 16:50
Page 1 of 1
Job Address: 101 CANNON RD Strt
Permit Type: ELECTRICAL
Parcel No: 210-033-08-00
Valuation: 0
Construction Type: NEW
Occupancy Group: R3
Description: TEMPORARY POWER
Class Code
Permit No: CB901015
Project No: A8901747
Development No:
Fl: Ste:
6228 06/19/90 0001 01 02
C-PRMT 15-00
Status: ISSUED
Applied : 06/19/90
Apr/Issue : 06/19/90
Validated By: JPY
OWNER : MEEHAN, MAUREEN
*** Fees Required ***
Fees :
Adjustments:
Total Fees:
Lie. OWNER
s Collected & Credits
ts
Fee description
* ELECTRICAL TOTA
***
.00
.00
15.00
Ext fee Data
5.00 Y
10.00 Y
15.00
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161
PERMIT APPLICATION
City of Carlsbad Building Department
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-nei
1. PERMIT TYPE
A - QCOMMERCIALQNEWQTENANT IMPROVEMENT
B - Q INDUSTRIAL QNEW QTENANT IMPROVEMENT
c - QRESIDENTIAL QAPARTMENT QCONDO QSINGLE FAMILY DWELLING QADDITION/ALTERATION
QDUPLEX QDEMOLITION QRELOCATION QMOBILE HOME SfLECTRiCAL QPLUMBING
QMECHANICAL QPOOL QSPA QRETAINING UALL QSOLAR
CST. VAL
PLAN CK DEPOSIT.
VALID. BY
DATE
PROJECT INFORMATION FOR OFFICE USE ONLY
LEGAL DESCRIPTION Lot "Ho.Phase No.
CHECK BELOW IF SUBMITTED:
ri2 Energy Gates [~]2 Structural Calcs Soils Report G1 Addressed Envelope
ASSESSOR'S PARCEL EXISTING USE PROPOSED USE
DESCRIPTION Of WORK
BLDG. SO. FTG.
ol-£>
# OF STORIES
3. CONTACT PERSON
NAME
CITY
SIGNATURE
ADDRESS
STATE ZIP CODE DAY TELEPHONE
SIGNATURE
4.
5.
6.
APPLICANT Q CONTRACTOR
NAME
CITY
PROPERTY OWNER
CITY
CONTRACTOR
NAME
CITY
Q AGENT
STATE
OWNER
TArO
STATE
STATE
FOR CONTRACTOR Q OWNER
ADDRESS
ZIP CODE
ADDRESS
ZIP CODE
ADDRESS
ZIP CODE
D AGE NT FOR OWNER
DAY TELEPHONE
QLESSEE
DAY TELEPHONE
DAY TELEPHONE
QTENANT
STATE L1C. #LICENSE CLASS CITY BUSINESS LIC. #
SIGNATURE TITLE
DESIGNER NAME ADDRESS
CITY ZIP CODE DAY TELEPHONE STATE LIC. #
7. WORKERS' COMPENSATION
Workers' Compensation Declaration: I hereby affirm that I have a certificate of consent to self-insure issued by the Director of IndustriaTRelations,
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
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 DATE
8. OWNER-BUILDER DECLARATION
Owner-Builder Declaration: I hereby affirm that I am exempt from the Contractor's License Lau for the following 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.).
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]).
SIGNATURE DATE
COMPLETE 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?
DYES C|NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
DYES QNO
Is 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 OCCUPANCY PHY HOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS HET OR IS MEETING THE REQUIREMENTS
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. I ALSO
AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAT IH ANY WAY ACCRUE AGAINST SAID
CITY IN CONSEQUENCE 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 i*-f»oi 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 t/e work\s ^~-i~""—H ^- =- pfri^rf of ISO-days (Section 303(d> Uniform Building Code).
APPLICANT'S TOR Q8Y PHONE
DATE:
File YELLOW: Applicant PINK: Finance
PERMIT* CB901015
DESCRIPTION: TEMPORARY POWER
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 07/03/90
TYPE: ELEC
JOB ADDRESS: 101 CANNON RD
APPLICANT: NAGLE, TIM
CONTRACTOR:
OWNER: MEEHAN, MAUREEN
REMARKS: T3/CMW/ED/980-6287
SPECIAL INSTRUCT:
STR:
PHONE: 753-1453
PHONE:
PHONE:
INSPECTOR
INSPECTOR AREA PD
PLANCK* CB901015
OCC GRP R3
CONSTR. TYPE NEW
FL: STE:
TOTAL TIME:
CD LVL DESCRIPTION ACT .CO!
32 EL Const. Service/Agricultural
TS
DATE DESCRIPTION
***** INSPECTION HISTORY *****
ACT INSP COMMENTS