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Home My WebLink About155 CHINQUAPIN AVE; ; CB891744; Permit\ BUILDING PERMIT 11/06/89 14 56 Page 1 of 1 Job Address 155 CHINQUAPIN AV Str Permit Type ELECTRICAL Parcel No Valuation 0 Construction Type NEW Occupancy Group Class Code Description TEMPORARY POWER PERM BASIS Permit No CB891744 Project No A8903018 Development No Fl SteU*»i 11'06/89 0001 Oi 02 C-PRHT 15 00 Status ISSUED Applied 11/06/89 Apr/Issue Validated By DC *** Fees Required ****** .0 *.«" Fees Collected & Credits ** * Fees Adjustments Total Fees AT|ft^ifJ%aits Fee description ' , - ^< „>''' .<•* Fee'/U.nit . •- '< '* ' 4," '(^, .i ', «•„ „ 00 00 15 00 Ext fee Data Enter "Y" for Electr-iC':Issue Fee Enter "Y" for * ELECTRICAL TOTALjlO' Minimm')* """'' '" 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 (eis) 438-iiei L PERMIT TYPE | ~AQ COMMERCIAL QNEWQTENANT IMPROVEMENT B nINDUSTRIAL DNEW QTENANT IMPROVEMENT C XflREMDENTIAL DEPARTMENT fj CONDO QSINGLE FAMILY DWELLING Q ADDITION/ALTERATION DDUPLEX ^DEMOLITIOH [^RELOCATION QMOBILE HOME ^ELECTRICAL QPLUMBING OMECHANICAL QPOOL DSPA DETAINING WALL DSOLAR QOTHER PROJECT INFORMATION PLAN CHECK No EST VAL PLAN CIC OEPOSIT_ VALID BY DATE FOR OFFICE USE ONLY Address 15£- Nearest Cross Streets Building or Suite No LEGAL DESCRIPTION Subdivision Name/Number Unit No Phase No CHECK BELOW IF SUBMITTED D2 Energy Catcs Structural Calcs _ Q2 Soils Report _ D1 Addressed Envelope ASSESSOR S PARCEL EXISTING USE PROPOSED USE DESCRIPTION OF WORK BLDG SQ FTG pioft. - # OF STORIES 3 4 5 6 CONTACT PERSON NAME ^g>fs^ SAM&^rCITY c^(t-'L-£*&4£> n \A JS I/ SIGNATUR£__JicV ^— \ <*. --\ A PBLICAN^j D CONTRAC/SR ^ NAME \ j CITY PROPERTY OWNER NAME CITY J^ » t^"C'S^C\V~ 7"* CONTRACTOR i NAME CITY ADDRESS STATE ZIP CODE D AGENT FOR CONTRACTOR ADDRESS STATE ZIP CODE J»— = ADDRESS STATE ZIP CODE ADDRESS STATE ZIP CODE z&te~ ~^^rr^ DAY TELEPHONE //4^/_J *"*S •^ ^^%/NJ *^^l j^-*>. -***•/^><r Q OWNER n AGENT FOR OWNER DAY TELEPHONE -,. f- -* DLESSEE DAY TELEPHONE DAY TELEPHONE DTENANT STATE LIC #LICENSE CLASS CITY BUSINESS LIC # SIGNATURE DESIGNER NAME CITY 7 WORKERS 'COMPENSATION TITLE ADDRESS STATE ZIP CODE DATE 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 fay 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 ON 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 Law for the following reason [~1 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 ) (~J 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 im exempt under Section Business and Professions Code for this reason Is the applicant or^^fatyraHSui Idmg occupant required to subriit a business plan acutely hazardous materials registration form or risk management and prevention program under Sections 25505 25533 or 25534 of the Presley fanner Hazardous Substance Account Act7 DYES QNO 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 site7 DYES QNO IF ANY OF THE ANSWERS ARE YES A FINAL CERTIFICATE OF OCCUPANCY HAY NOT BE ISSUED AFTER JULY 1 1989 UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT _^ 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(1) Civil Code) LENDER S NAME S ADDRESS 10 APPLICANT'S SIGNATUJi I certify that I have read the aporication and st3*e that the above informatioa^K^corrfct I agree to comply with all City ordinances and State laws relating to building construction I heretfy authorize representatives of the City otxCarlsbad to fcnter upon the above mentioned property for inspection purposes I ALSO AGREE TO SAVE IKDEKMlfY AND KEEP HARMLESS THE CITY O£ CARLSBAD AGAINST Al/ LIABILITIES J/UDGMEWTS COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTINQ OF THIS PERMIT Expiration Every permit issued by t^wjlm Irlflfl n£*^-iQ' 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 is commenced for a period of 180 days (Section 303(d) Uniform Building Code) APPLICANT S SIGNATURE OWNER ] CONTRACTOR PHONE APPROVED BY DATE WHITE File YELLOW Applicant PINK Finance CITY OF CARLSBAD 11 INSPECTION REQUEST PERMIT* CB891744 FOR 11/16/89 DESCRIPTION TEMPORARY POWER PERM BASIS TYPE ELEC JOB ADDRESS. 155 APPLICANT DCC CONTRACTOR OWNER- REMARKS Tl/MH/AL/434-3135 SPECIAL INSTRUCTIONS CHINQUAPIN AV INSPECTOR AREA PD PLANCK# CBS91744 OCC GRP CONSTR. TYPE NEW STR FL STE. PHONE: 619 434-3135 PHONE: PHONE: INSPECTOR TOTAL TIME —RELATED PERMITS— CD 32 PERMIT# TYPE CB890347 SFD CB860363 MISC STATUS ISSUED ISSUED LVL DESCRIPTION EL Const Service/Agricultural ACT COMMENTS DATE DESCRIPTION ***** INSPECTION HISTORY ***** ACT INSP COMMENTS