HomeMy WebLinkAbout2801 CACATUA ST; ; CB901964; PermitI * BUI
12/20/90 15:35
Page 1 of 1
Job Address: 2801 CACATUA ST
Permit Type: ELECTRICAL
Parcel No: 215-360-01-00
Valuation: 0
Construction Type: NEW
Occupancy Group:
Description: TEMPORARY POWER
LDING PERMIT Permit No: CB901964
Project No: A8900738
Development No:
Str: F1: Ste:
,...-e ,. :?y'c 1.2i"Q/'?3 QOQ.!, s:: 32
P-..,-..>pr? 'a r .I .I 35,*$q
Class Code: Status: ISSUED
Applied : 12/20/9O
Apr/Issue: 12/20/90
Validated By: JPY
756-1962
AVE
Appl/Ownr : LEEPER, RON
2142 CAMBRIDGE
Credits ***
.oo .oo
15.00
Ext fee Data _----___-_-_____
5.00 Y
10.00 Y
15.00
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad CA 92009 (619) 4381161
PERMIT APPLICATION City of Carlsbad Building Department 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
1. PERMIT TYPE I A - OCOMMERCIAL UNEU UTEWANT IMPROVEMENT
EST. VAL
PLAN CK DEPOSIT
VALID. BY
B - 0 INDUSTRIAL ONEW OTENANT IMPROVEMENT
c - RESIDENTIAL OAPARTMENT OCONDD &INGLE FAMILY DUELLING OADDITION/ALTERATIOY
IJDUPLEX ODEMOLITION ORELOCATICU C]MOEIILE HCME $(ELECTRICAL OPLUMBING
OMECHANICAL OPOOL OSPA ORETAINING WALL OSDLAR OOTHER I
Buildind or Suite No.
h n I I /I/ 2. PROJECT INFORMATION PLAN CHECK No. YU /'Io?' FOR OFFICF USF ON1 y
Address 2 c.Cnco-4ue. Sfrctj
Nearest Cross Streets 0 12 ; c 0 p fi
LEUL DESCRIPTIOW Lot No. SuMivi sion Name/WMber Unit No. Phase No.
CHECK BELW IF SUBIIITTED: /3 La coc 4
2 Energy Calcs 02 Structural Calcs 2 Soils Report
ASSESSOR'S PARCEL 2 (r - 3 &c3 - ( EXISTING USE PROPOSED USE
WRK
BLDG. SO. FTG. I # OF STORIES
3. CONTACT PERSON
CITY STATE ZIP CODE DAY TELEPHONE
AODRESS 6. CONTRACTOR NAME
CITY STATE ZIP CODE DAY TELEPHONE
STATE LIC. # LICENSE CLASS CITY BUSINESS LIC. #
SIGNATURE TITLE DATE
DESIGNER NAME ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE STATE LIC. #
7. WORKERS' COMPENSATION
Uorkers' CarpensationDeclaration: I hereby affirm that I have a certificate of consent to self-insure issued by the Director of Industrial Relations,
or a certificate of Uorkers' Compensation Insurance by an actnitted 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 Exemtion: I certifv that in the wrformance of the nork for which this wrmit is issued. I shall cat emlov anv wrsm in anv mmr . , .. so as to become sudject to the Uorkers' Carpensation Laus of California.
SIGNATURE DATE
8. OWNER-BUILDER DECLARATION Ouner-Builder Declaration: I hereby affirm that I am exempt from the Contractor's License Lay for the following reason:
0 I as owner of the property or my employees with wages as their sole canFensation, will do the uork 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 ouner of property uho builds or improves thereon,, and uho
does such uork himself or through his oun employees. provided that such improvements are not intended or offered for sale. If, houever, the building
or improvement is sold uithin one year of completion, the ouner-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 uith licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Lau does not apply to an owner of property nho builds or improves thereon, and contracts for such projects with contractor(s)
licensed pursuant to the Contractor's License Law).
I am exenpt under Section
(Sec. 7031.5 Business and Professions Code: Any City or County uhich 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, comnencing nith Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefran,
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 [55001).
Business and Professions Code for this reason:
SIGNATURE DATE
COMPLETE THIS SECTION FOR WON-RESIDENTIAL BUILDING PERMITS ONLY:
Is the applicant or future building occupant required to sutmit a tusiness 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?
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
Is the facitity to be constructed within 1,000 feet of the outer boundary of a school site?
0 YES 0 NO
OYES 0 NO
0 YES 0 NO
IF MY OF THE USERS ARE YES. A FINAL CERTIFICATE OF OCCUPANCY MY Yo1 BE ISSUED AFTER JULY 1, 1989 WLESS THE APPLICANT HAS MET OR IS MEETING THE REWIREEYTS
OF THE OFFICE OF EMERGENCY SERVICES AM) THE AIR POLLUTIOW CONTROL DISTRICT.
9. CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the uork for which this permit is issued (Sec 3097(i) Civil Code).
LENDER'S NAME t/ 5 c4*,a%, 5, 4 LENDER'S ADDRESS / S- 10. APPLICANT'S SIGNATURE I certifv that I have read the amtication and state that the above information is correct. I agree to comply with all City ordinances and State Laus relating - ,~ to building construction. I ALSO
AGREE TO SAM INDEMNIFY AWO KEEP HARMLESS THE CITY OF CARLSBCS AGAINST ALL LIABILITIES, JWGMENTS, COSTS AM) EXPENSES UHlCH KAY IN ANY UAY ACCRUE AMINST SAID
CITY IN COMSEOUEYCE OF THE GRMTING OF THIS PERMIT.
Expiration. Every permit issued by the Building Official under the provisions of this Code shalt expire by limitation and become null and void if the building
or uork authorized by such permit is not carmenced uithin 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 uork is carmenced for a period of 180 days (Section 303<d) Uniform Building Code).
I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes.
BOVNER CONTRACTOR OBY PHONE APPROVED BY:
DATE:
I WHITE: File YELLOW: Applicant PINK: Finance
? b
PERMIT# CB901964 DESCRIPTION: TEMPORARY POWER
TYPE: ELEC JOB ADDRESS: 2801 CACATUA ST APPLICANT: LEEPER, RON CONTRACTOR: OWNER:
. r’
CITY OF CARLSBAD
INSPECTION REQUEST FOR 12/28/90
REMARKS : MH/RON SPECIAL INSTRUCT:
TOTAL TIME:
--RELATED PERMITS-- PERMIT# TYPE
CD
32
INSPECTOR AREA TP
PLANCK# CB901964 OCC GRP CONSTR. TYPE NEW
STR: FL: STE : PHONE: 756-1962 PHONE : PHONE :
INSPECTOR
STATUS
CB890438 SFD ISSUED
CB900495 SPA ISSUED
LVL DESCRIPTION ACT COMMENTS
EL Const. Service/Agricultural &
DATE DESCRIPTION
***** INSPECTION HISTORY *****
ACT INSP COMMENTS