HomeMy WebLinkAbout1213 MAGNOLIA AVE; MP; CB920035; Permit,•
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Descri1t1on: 40 AMP METERED PEDES~AL
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Appl/Ownr : DANI8LS CABLEVISION _____ b11 4
P.O. BOX 344
CARLSBAD, CA
Fees Re,-1u11.ed
Fees:
AdJtutrnen s:
Tota.:. Fee.:;:
Fee de""cr1pt1on
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* ELE TRICAL TOTAL
CITY OF CARLSBAD
Permit N
ProJect N
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A
F ~ 5905 01.113792 0001 01
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A1 plied:
Apr/Ie-sue:
Validate<] Iy:
-524 ...
c ed /:it Credits
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21 . 00
02
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20.00
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20.
2075 Las Palmas Dr., Carlsbad, CA 920()() (619) 438-1161
;).07-?-'-i'
PERMIT APPLICATION ~ ~
PLAN CHECK NO. 9J-oo 3 ~
City of carlsbad Building Departaent lg~~-1 2075 Las PalEs Dr., Carlsbad, CA 92009 (619) 438-1161
I. PRkMI I liPE
A -)th>mmerc1al U New Butldmg LI tenant Improvement
B -□ Industrial LI New Building □ Tenant Improvement
C -□ Residential □ Apartment □ Condo □ Single Family Dwelling □ Addition/ Alteration
□ Duplex D Demolition LI Relocation □ Mobile Home LI Electrical □ Plumbing
□ Mechanical O Pool O Spa □ Retaining Wall □ Solar □ Other
2. PROJECT INFORMATION FOR OFFICE USE ONLY
Aildress J;j tJmllG/J{)/il"/ J)v/$.. BuudmgorSuueNo.
NearestCrossStreet G/!.ecooR.r ~;PY
LEGAL DESCRIP I ION Lot No. Subci1VJs1on Name/Number Omt No. Phase No.
CH£Ck BEWW IF SOBMII IED:
□ 2 Energy c.alcs a 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope
PROPOSED USE
SQ. FT. # OF STORIES
3. WN IACI PERSON (II dll[erenf from appJlcant)
NAME(?, 17dy c, fit/A r-4, o ADDREss
□1Y C!' IJ~h STATE {> IJ
NAME {JAY1 ;e I 1 (!_ p
Cl1Y C1/1/2)j/Jlkl STATE (!/1 ZIP CODE DAYTELEPHONE L/3fl-5~</ I
s. ~C,o;.jmo+ C11R./;5blJ.d ADDREss
CI1Y STATE ZIP CODE DAY TELEPHONE
NAME :5.im~ 19d d;pl,ctuJT ADDREss
Cl1Y STATE
STATE UC.#
ZIP CODE
UCENSE CLASS
DAY TELEPHONE
Cl1Y BUSINESS UC. #
Cl1Y STATE ZIP CODE DAY TELEPHONE STATE UC.#
□
□
□
ere ya rom e w or t e o owmg 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 I.aw 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 pennit to construct, alter, improve, demolish, or repair
any structure, prior to its issuance, also requires the applicant for such pennit co file a signed statement that he is licensed pursuant to the
provisions of the Contractor's Llcense 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 pennic
subjects the applicant co a civil penalty of not more than five hundred dollars [S500]).
SIGNATURE DATE
COMPLEIE IRIS SECIIUN FOR NON-RESIDEN IIAt B0IWING PERMll'S ONLY:
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration fonn 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?
CYES □NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
□YES ONO
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF □a;UPANCY MAY Nar BE ISSUED AFIBR JULY 1, 1989 IJNU'.SS THE APPIJCANT
HAS MIIT OR IS MEl!TING THE REQllIREMENTS OF nm OFFICE OF EMERGENCY SERVICES AND THE AIR POII.IITION CONTII.OL DISTRICI'.
9. WNSIRUCIION LENDING £ENCY
I hereby afhrm that there 1s a construction lend mg agency ior the periormance of the work for which this penmi 1s issued (Sec 3097 (I) C1vU Code).
LENDER'S NAME LENDER'S ADDRESS
10. APPilt!ANI CPJllfillCAfiON
I cen1fy that I have read the apphcat1on and state that the above mformat10n ts correct. I agree to comply with all Ctty ordinances and Staie 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 IIARMIBSS THE □1Y OF CARISBAD AGAINSf All. IJABIUl1F.S, JUDGMENTS, CDSfS
AND EXPENSES WIDCH MAY IN ANY WAY ACDUJE AGAINSf SAID □1Y IN CONSEQUENCE OF THE GRANTING OF TIIlS 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 chis Code shall expire by limitation and become null and void if the
building or work authorized by such permit is not commenced within 365 days from the date of such permit or if the building or work authorized by
such pennit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code).
DATE: /-9 -qr9-APP
WHITE: File YELl.OW: Applicant PINK: Fmance
•
DATE 3-/()-Cj>z_
tJNSCHEPYU:P INSPEaION //
INSPECTOR. ___ ~ __ ._\..._,.,,;;.;,,.L_
0
__ _
PEMIT # 92.. -S € PI.ANCIC # ------
JOB ADDREss 1 2.1.3 @Gwt.1A-Av
TIME ARRIVE: _____ TIME LEAVE: ____ _
CD LVL DESCRIPTION
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ACT COMMENTS
PDMITS
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