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HomeMy WebLinkAbout1330 CHUPAROSA WAY; ; CB931163; PermitBUILDING PERMI 10/28/93 1-3,: 40 Page 1 of 1 Job Address: 1330 CHUPAROSA WY Suite Permit Type: ELECTRICAL Parcel No: 156-110-73-00 Lot*: Valuation: 0 Construction Type: NEW Occupancy Group: Reference**: Description: TEMP. POWER ON EXISTING : HOUSE Permit No: CB931163 Project No: A930166Q Development No: 4476 10/28/93 0001 01 C-PWT Status Applied Apr/Issue 02 20-00 ISSUED 10/28/93 10/28/93 Entered By: MDP Appl/Ownr : JOHNSON, EDMOND 3211 IBSEN STREET SAN DIEGO, CA. 9 *** Fees Required Fees : Adjustments: Total Fees: Fee description 619 450-9800 Enter "Y" for Ele Enter "Y" for Tern * ELECTRICAL TOTA cted & Credits * * * ,00 . 0 0 20.00 Ext fee Data 10.00 Y 10.00 Y 20 00 CITY OF CARLSBAD 2075 Las Patmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT AmJCATION City of Carlsbad Building Depertnent 2075 Las Palm Dr., Carlsbad, CA 92009 (619) 438-1161 1. PERMIT TYPE A - LJ Commercial U New Building LJ Tenant Improvement B - D Industrial D New Building D Tenant Improvement C - D Residential D Apartment DCondo D Single Family Dwelling D Addition/Alteration D Duplex D Demolition D Relocation D Mobile Home D Electrical D Plumbing D Mechanical DPool D Spa D Retaining Wall D Solar D Other 2. PROJECT INFORMATION PLAN CHECK NO. EST.VAL PLAN CK DEPOSIT. VALID. BY DATE FOR OFFICE USE ONLY Address Nearest Cross Street miiiaing or auite no. LEGAL DESCRIPTION Lot No.Subdivision iName/MumDer Unit No.Phase No. CHECK BLLOW If bUBMlI ILD: D 2 Energy Calcs D 2 Structural Calcs P 2 Soils Report D1 Addressed Envelope ASSESSOR'S PARCEL EXISTING USE PROPOSED USE DESCRIPTION OF WORK SQ.FT.OF STORIES a. (JUM lAt-i PKKSUN (.11 ditierent irom applicant; NAME ADDRESS CITY STATE ZIP CODE DAY TELEPHONE 4. APPLICANT U CONTRACTOR^ Q AGENT ruK UJM1KAIIUR yHUJWNhR U AGENT FOR OWNbR NAME, T=^ „•*_«» u.^TE>. ^T^LLIA>*»"- ADDRESS - --^ —• —- **- CITY STATE D-0- ZIP CODE DAYTELEPHONE 6. }, PHUPEKIT OWNtK NAME CITY UUWTKAtJTUK NAME CDiCITY *"x CITY WUKKKKS' UUMPEWS STATE ^j/j*t_0 — STATE STATE LIC. # STATE ADDRESS ZIP CODE ADDRESS ZIP CODE LICENSE CLASS ALJLWtbb ZIP CODE DAY TELEPHONE DAY TELEPHONE CITY BUSINESS LIC. # DAY TELEPHONE STATE LIC. # Workers'Compensation Declaration: I hereby affirm that I 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 COMPANY POLICY NO.EXPIRATION DATE certificate ot Exemption: I certify that in the performance ot tne work tor 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 1 am exempt from the Contractors License Law 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^) licensed pursuant to the Contractor's License Law). D 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 exeffot therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects Uribapplcint to a civil penalty of not more than five hundred dollars [$500]). SIGNATURE t* ^L ' ^ DATE tCOMPLETE T Is the applicant prevention pro; N FOR NON-RES1DE.N UAL BUILDING PbKMlla ONLY: re building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and nder Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES D NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1,1989 UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OP THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. UJHSiHUCillHM LENDING"AtiEHCY ' """ ' '"""" I hereby affirm that thereis a construction lending agency tor the pertormance oi the worKTof whichT tfiis permit is issued tsec 30970) Civil Code). LENDER'S NAME LENDER'S ADDRESS 10. APPLICANT CERTIFICATION Tcertiry that t have read the application and state that tne aooye 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 CTTY OF CARLSBAD AGATNST AIJ. LMBHJTIES, JUDGMENTS, COSTS 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 building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code). APPLICANTS DATE: WHITE: File YELLOW: Applicant PDNK: Finance CITY OF CARLSBAD INSPECTION REQUEST PERHITf CB931163 FOR 11/09/93 INSPECTOR AREA PY DESCRIPTION: TEMP. POWER ON EXISTING PLANCK* CB931163 HOUSE OCC 6RP TYPE: ELEC CONSTR. TYPE NEW JOB ADDRESS: 1330 CHUPAROSA WY STE: LOT: APPLICANT: JOHNSON, EDMOND PHONE: 619 450-9800 CONTRACTOR: PHONE: OWNER: PHONE: REMARKS: RS/ED JOHNSON/450-9800 SPECIAL INSTRUCT: INSPECTO TOTAL TIME: —RELATED PERMITS- CD 32 PERMIT* TYPE CB930724 RAD LVL DESCRIPTION EL Const. Service/Agricultural STATUS ISSUED ACT COMMENTS £ DATE DESCRIPTION ***** INSPECTION HISTORY ***** ACT INSP COMMENTS City of Carlsbad Building Department OWNER-BUILDER VERIFICATION Attention Property Owner: An 'owner-builder' building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) ^>o . 2. I (have/have not) lntf*.v!>c~~ signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and provide the major work: Name ^____^_ Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owne Date: 2O75 Las Palmas Drive • Carlsbad, California 92OO9-1 576 • (619)438-1161