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HomeMy WebLinkAbout1328 PINE AVE; MULTI-PERMIT FILE; CB920089; Permit., 01/24/92 16:06 Page 1 of 1 B U I L D I N G P E R M I T Permit No: CB920089 Project No: A9200275 Development No: Job Address: 1328 PINE AV Permit Type: ELECTRICAL Parcel No: 205-020-10-00 Valuation: O Construction Type: NEW Str: Fl: Ste: 6076 01/24/92 0001 01 02 C-PRtfT CR 53l-( 35.00 Occupancy Group: Class Cocte: Description: INCREASE TO 100 AMP SERVICE Status: ISSUED Applied: 01/24/92 Apr/Issue: 01/24/92 Validated By: SBB Appl/Ownr : BROPHY, DONNA 619 729-230~ 2945 HARDING ST, STE. 1.0_s_________ CARLSBAD, CA 92,9Jl8-----,=, !'.), ---~ _::~---~~~~-~~~~=~~~---;:>:::::;~~~:~~j~~~):~_:{~~-=-=~~~==~------::: Fees : ,:3 5 . 0 0\. \_}) -' r ( · r~ \ Adjustments: 1/ (\ 00 '-_//...,..~-T9t:a--i"}:\'e\dtts: \ . 00 ' \ ,...,,../ ' -' -'\ _ _., / f\ \ \ Total Fees: / 3.5.:..,8.0 / //t,~· 1 T_oJ:;_al Pa.;ym_ep,-cs: . 00 I '<....._ -J / r j {\f'-~"\ Balance \Q_{~: \ 3 5. O O ___ Fee_ description -f-2~::~~. / '~~~,:-~~~-i¥;? \\~l:;Jhi \ ____ Ext_ fee __ Data En~er "y'" for Elec r~ :issue Fee· >· . 1 •• ••• , rr=c==;l·-; \ 10. 00 Y Single Phase Per MP~ 1qo /,S::. ~}5 25. 00 * ELECTRICAL TOTAL (; C .. >. 3 5. 0 0 CITY OF CARLSBAD '2075 Las Palmas Dr., Carlsbad, CA 9200') (619) 438-1161 PERMIT APPLICATION PLAN CJ-ffiCK NO. City of carlsbad Building Deportment 2075 Las Pal-Dr •• C&rlsbad. CA 92009 (619) 438-1161 VAIJD.~~~~======= 1. PltRM..t 1 IYPR DATE'--+---=-~----''--=:::_---~ A -LI Commercial LI New Buildlng LI Tenant Improvement B -LI Industrial D New Building LI Tenant Improvement C -D Residential LI Apartment LI Condo D Single Family Dwelling D Addition/ Alteration D Duplex D Demolition LI Relocation D Mobile Home LI Elecnicai LI Plumbing D Mechanical LI Pool D Spa D Retaining Wall D Solar D Other ___ _ 2. PRClJECT INFORMATION FOR OFFICE USE ONLY Address 13;2.. i p I n.e.. A-v .e_ t'\ l). ,e__Bwldlng or suite No. Nearest Cross Street Pl O p i (. 0 LEGAL bE.SCRIP'noN Lot No. Subdivision Name/Number Onlt No. Phase No. CHRCR BEWW IF sOBMII IED: D 2 Energy Cales D 2 Structural Cales D 2 Soils Report D 1 Addressed Envelope DESCRIPTION OF WORK~ /CJO ~~~ SQ. FT. # OF STORIES 3. WN 11v.;I PERSON (ii dilferenf from apphcant) NAME l ADDRESS CITY STAIB ZIP CODE DAY TELEPHONE 4. ~~"(\~OON~~p~AGENI FOR ~~~l~qtf ~vr~; m~~ CITY C.0-V-(s btt.& STATE CA: ZIP CODE Q DAY TELEPHONE '1 - Ll<tdQI u.pc. Gome z.. ADDRESS '-4~o w. G.r-Cv)-id Blvd.· CITY De+ro; ~ 6. wN'l1L\C'luR NAME STAIB Ml: ZIP CODE Yi'~L(p DAYTELEPHONE (3L3) <o4~-YJle5 ADDRESS CITY STATE STATE UC.# ZIP CODE DAY TELEPHONE LICENSE CLASS CITY BUSINESS UC. # DESIGNER NAME ADDRESS CITY STAIB ZIP CODE DAY TELEPHONE STAIB UC.# 1. WORICERs' UlMPF.NSAnON Woriceii' Compensation Declaration: I hereby affirm that I have a ceriihcate of consent to self-insure 1SSuect by the Director of tridusfrial 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 COMPANY POLICY NO. EXPIRATION DAIB Ceriificate of Exempnon: I certify that m the performance of the work for whidi this penmt Is wued, I shall not employ any person m any manner so as to become subject to the Workers' Compensation laws of California. SIGNATURE DAIB s. dWNfut:mJDDRR D1d.ARA11dN D D Owner-Bwlder DecJaranon: I hereby affinn that I am exempt from the Contractors License Law for the followmg reason: I, as owner of the property or my employees with wages as their wle compensatioo, will do the work and the structure is not Intended or offered for sale (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 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 ls 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 aty 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]). SlGNA1URE DATE COMPLETE nils SEGilON roR NON-RESIDENTIAL BUltbING PERMITS 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 HamrdOUll Substance Account Act? DYES LI NO Is the applicant or future building occupant required to obtain a pennlt from the air pollution control district or air quality management district? DYES CJ NO Is the fact11ty to be constructed within 1,000 feet of the outer boundary of a school site? DYES D NO . . IF ANY OP 1lIE ANSWERS ARE YFS, A PINAL CERTIFICATE OF OCX:IJPANCY' MAY NOT BE~ AFI'ER JULY 1, 1989 UNLESS THE APPIJCANT HAS MET OR IS MEETING 11IE REQUIREMEm'S OF 11IE OFFICE OF EMFJlGF.NCY SERVICES AND 11IE AIR POU.UTION CDN1ROL DISTIUCT. 9. OONSl1UJCl10N LENDING AGl!NcY I hereby affinn that there IS a construction lendmg agency tor the performance of the work for which this permit is iasued (sec 3097(1) Ovit Ccxle). LENDER'S NAME LENDER'S ADDRESS to. APPIJcAN'I' CER11P1cA'l'loN 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 AISO AGREE ID SAVE INDF.MNIFY AND KEEP HARMLESS 11IE ClTY OF CARLSBAD AGAINST .AI.J.. UABlIJT1HS, .JUDGMENTS, CDSTS AND EXPENSES WIDCH MAY IN ANY WAY AaltUK AGAINST SAID CI1Y IN CDNSF.QUENCR OF 11IE GRANTING OF 1lilS 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 this 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 bullding or work authorized by such permit ls suspended or abandoned at any time after the work Is commenced for a period of 180 days (Section 303(d) Uniform Building Code). DAIB: /-2,~CJ/ Applicant PINK: Finance CI'fi OP-. CARLSBAD INSPECT.ION REQUEST PERMIT# CB920089 FOR 02/04/92 DESCRIPI'ION: INCREASE TO 100 AMP SERVICE TYPE: ELEC JOB ADDRESS: APPI:.ICANT: CONTRACTOR: OWNER: 1328 PINE AV BROPHY, DONNA REMARKS: MH/DONNA/729-2304 SPECIAL INSTRUCT: PM PLEASE TOTAL TIME: CD LVL DESCRIPI'ION 33 EL Service Change/Upgrade INSPECTOR AREA PD PLANCK# CB920089 OCC GRP CONSTR. TYPE NEW STR: FL: STE: 619 729-2304 -***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS --~~.· . • Jf·. ;;'\:" ,, ~ ~,.:.: ' PLUMBING PERMIT APPLICATION City of CARLSBAD, Applicant to complete numbered spaces onlv. Lli:GAL 1 Dt'5CR. I LOT MO. 1 ·LK ·I TRACT CALIFORNIA Permit No.A> ZIP PHOH[ CDM~ACT~i' MAIL ADDRESII :2/t '1 I ~T/1-Tt PHONE LIC!:N&r. NO, · STATE CITY 3/7,/1· AftCHITli:CT OR DE.SIGNf:R MAIL ADCft!:Sa 4 £HGIN[li:.R MAIL ADD"!.SS 5 COMPENSATION (N!5. CARRIER MAIL. ADD"E5S 6 USE OF' BUILDING 7 8 Glau of work: D NEW D ADDITION D ALTERATION 9 Describe work: I , SPECIAL CONDITIONS: PLANS CHECKED BY APPROVED FOR ISSUANCE BY APPLICATION A7CEP l'1J }y ,· / :._....,-,· / DATE NOTICE THIS PERMIT BECOMES NULL AND VOi DI F WORK OR CONSTRUC- TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM- MENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. SIGN.A.TUR£ OF/coHTRACTOR oF( AUTHOR\ZILD AGl!'..NT ~DAHi 5/GNATIIIII~ nl" OWN!.R l!P' OWN£R 9UILD1!'..RI DAT!:) PHON!: LICEN91. NO, PHON!: LIC!:.N5E NO, BJIIANCH M REPAIR PERMIT FEES No. Type of Fixture or Item WATER CLOSET (TOILET) BATHTUB LAVATORY (WASH BASIN) SHOWER KITCHEN SINK & DISP. DISHWASHER LAUNDRY TRAY CLOTHES WASHER WATER HEATER URINAL DRINKING FOUNTAIN FLOOR--SINK OR DRAIN SLOP SINK , / GAS SYSTEMS: NO.OUTLETS WATER PIPING & TREATING EQUIP. WASTE INTERCEPTOR VACUUM BREAKERS LAWN SPRINKLER SYSTEM SEWER CESSPOOL SEPTIC TANK & PIT ROOF DRAINS PERMIT TOTAL FEE WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. INSPECTOR Fee $ $ / ~b .(__) $ '/ '~::> CASH \ . INSPECTION REPORTS -DATE ITEM REMARKS INSPECTOR I \ -· , o,i/_L-~; b7 ( n~:/;>-'? -~ I ,~/ '~ }A a D _,. //-/J. ) ,'l-?__,._.,_; -z,--L //~~ . 'r ,,.,_ T 7~--z:. ;- USE SPACE BELOW FOR NOTES FbLLOW-UP E}-C .,..- ------ ) / CITY OF CARLSBAD SEWER BUILDING DEPARTMENT PERMIT. APPLICATION LEGAL DESCRIPTION BLOCK USE OF BUILDINGS FOR APPLICANT TO FILL IN LOT NO TRACT n •i q •. - 0 t_·~ :_ CONTRACTOR Brown & Snider Plumbing ADDRESS 2691 state st. c1TY Carlsbad• TEL. NO. 729-4914 CONTRACTOR'S STATE CARLSBAD BUSINESS LICENSE NO. LICENSE NO. - NO. DESCRIPTION OF WORK FEE HOUSE SEWER CONNECTING TO 1 00 PU$LIC SEWER @ $3.00 SEPTIC TANK, SEEPAGE PIT OR PITS 0 t5.00 OVLP<f LOW SCEPAGE l'lT, DRAINFI.ELD EXTN., Cl'.SGPOOL, ORYWEl.L, MANHOLE -@ $!5.00 HOUSE SEWER CONNECTING TO PRIVATE DISPOSAL SYSTEM @ $1.50 CONNECT ADDITIONAL BLDG. OR WORK TO HOUSE SEWER @ $UIO ALTER, REPAIR OR ABANDON HOUSE SEWER OR DISPOSAL SYSTEM @ s2.oo e ' ~--- OWNER'S I PERMIT $ 2. 00 AUTHORIZATION TOTAL FEE 5 00 I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN CONTRACTOR TO CONNECT THE ABOVE DESCRIBED BUILD· ING TO THE PUBLIC SEWER. SIGNED THIS DAY OF OWNER OR OWNER'S AGENT ADDRESS -I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL CITY ORDINANCl!:S AND STATE LAWS REGULATING PLUMBING AND SEWERS. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY THE CITY OF CARLS· BAD AND STATE OF CALIFORNIA OR THAT I AM THI!: LEGAL BUILDING lJ28 ADDRESS Pine, Carlsbad NEAREST CROSS ST. OWNER Gerardo Arsnga MAIL 1~8 Pine ADDRESS ciTY Carlsbad TEL NO. CONNECTION DATA Lateral Charge Computation 30' H., 10' V. @ -4-" = __ 6" =-- Add. Horrz. @ -4-" -__ 6"=-- Add. Vert. @ 4" = __ 6"=-- Total Con~ruction Cost 10% Service Chorge Toto! Lateral Charge Lat. No.: t.ogged In Plot: LINE COST DATA A. D. & A,mit. No. LINE COST: C. C. @ __ I dwoUing P. S. @ __ / dwelling OTHER TOTAL Grand Tot11!, Lateral, etc. FOR SEWER LOCATION ..: ..: V) V) St. OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROP. ENGINEERING SEWER DEPT. ERTY. SIGNATURE OF PERMITIEE Signed I Signed This ii II Sew11t Permit When Proporly Filled Out, Signed and Valldated luued By~~-~~~~~~~~-~~---~ PERMIT VALIDATION NORTH