HomeMy WebLinkAbout2904 MANAGUA PL; ; CB962057; Permit24/9 l :34
F Je ... f 1
B lJ I L D I N G P E R M I T
vOb Aldre~~: 2~04 MANAGUA PL ~u1tP:
Permit Type: E~EC RI AL
Parcel No: 215-494-09-00 Lot#:
va:uat1on:
Occupancy Gr up:
Description: T~MP
FIRE
0
R fe-r nc #:
RARY POWER POLE CONSTR~CT
DES 'ROYED HOME
Permit N : CBY6 ...
ro ect No: A9b ~9~~
D ve oprnent No:
~563 t0'2 96 0001 01 02
Cor.stru t1 n Ty~e:
~tat.1s:
Appli d:
Apr/'" rue:
NEW
20
Appl/ wn~ : LG ·s ELECTRIC
:L2 RUTGERS AV
Er:.te-1 ed By:
019 585-8882
S. E >
1G/24/';)
10/24/()6
RMA
Ct TA V!~TA CA 1 13
Fee ... Required
Fee :
A ijustme-nt"":
'otal Fees:
Fee de ... cript1 n
Enter 'Y for Elect
Ent •r 'Y for Temp
* ELEC RICAL TOTAL
* '/( *
INS
CLE
CITY OF CARLSBAD
.00
. C
... o. 00
***
Ext tee Ddta
10 .80 Y
10.00 Y
20.00
PROV L I
::r---f\J\T C id1J(~
uC. j_0:_31·~ -
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
PERMIT APPLICATION
City of-C.rlsb.t luildi,. Deperment
PLAN CHECK NO. '1 G :J:; 5 7
2075 Las Pel-Dr., C.rlsba:t, CA 92009 (619) 438-1161 EST.VAL,__~~~~~~~~~~
i. PEJtMn iYPE PLAN ClC DEPOSIT ~/I VALID. BY . f f
DATE /// / ;;;. Y/ c
'""' f ' From List 1 (see back) give code of Permit-Type: ------------
For Residential Projects Only: From List 2 (see back) give
Code of Structure-Type:---------------------
Net Loss/Gain of Dwelling Units------------------
2. PROJF.CT INFORMATION FOR OFFICE USE ONLY p/ Building or Suite No.
Nearest Cross Street
LECAL DESCRIPTION subd1V1s1on Name/Number Onu No. Phase No.
cHtcR stwW IF sOBMll ito:
0 2 Energy Cales O 2 Structural Cales O 2 Soils Report [J 1 Addressed Envelope
ASSESSOR'S PARCEL EXJSTING USE PROPOSED USE
DESCrurnoN c,F woRI< P
O
/.,,, r 1 1 , (" , 'teu-lfO"'?Y'/ c. ~c ,.., c.. .>,r·v1ce. /o.-/,,,.,
# OF BEDROOMS
b~"<-?J e c. C10~1.,~(.I ,~"'
# OF BA TIIROOMS SQ. IT. # OF STORIES
3. WN IACI Ptl&JN (if dulerenl irom applicant)
NAME (last name first) ADDRESS
CllY STATE ZIP CODE
4. APPUu\Nl .0'00N I RACI OR O AG EN I /OR CON I RACIOR
DAY TELEPHONE
NAME (last name first) /... v; S C,;171< -r~ f~ -z_ ADDRESS
DOWNER OAGENI FOR OWNER
9:)j Rv)J~YS A.v~
CITY C.Av /'2 1 .. /? STATE (D 17-ZIP CODE / I DAY TELEPHONE / ~
('r-A,./1 A.' A'~ j. NAME (last name first) ~ I rt'" 1 r, J/T l..--'""" ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE
6. rnN'i'RACmk I
NAME (last name first) I-val) I!, t I (CJ,, I c.. ADDRESS 9 ~ :> f v )~er .s A II e
CITY (! l v J;, it, s ./" STATE f 4 ZIP CODE 91913 DAY TELEPHONE ( & It/ ) 'S° / S-g f ,f 2._
CITY BUSINESS UC. # C ·Qr w STATE UC.# LICENSE CLASS
1rst
CITY STATE ZIP CODE DAY TELEPHONE STATE UC.#
1. WORJCERS' WMPENsAi1oN
Workers' COmpensauon Oeclarauon: I hereby allirm that I have a cemhcate ol consent 10 sell-insure issued by the Director ol lnJusmai
Relations, or a certificate of Workers' Compensation Insurance by an admicted insurer, or an exact copy or duplicate thereof cenified
by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C).
INSURANCECOMPANY t fv POUCYNo. fc10777.s'-fta,1RAnoNDATE 7-97
ru 1cate o xemP. , s a not emp oy any person m any manner
so as t9 become s
Owner-Builder Declaration: I hereby alunn that I am exempt from the Confradofs License Law for the following reason:
O I, as owner of the propeny 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 propeny 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.).
0 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).
0 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 ·cs issuance also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the
provisions of the Co actor's · Law (Chapter 9, commencing with Section 7000 of Division 3 of the Business and Professions Code)
or that he is exe iherefro , the sis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit
subjects the a a t to a ci nalty not more than five hundred dollars [S500)).
S1GNA1l1RE /.. DATE / p -;) (/ -9 t
Is the applicant or future building occupant required to submit a business 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?
C YES ONO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? a YES a NO
ls the facility to be constructed within 1,000 feet of the ouier boundary of a school site?
0 YES ONO
IF ANY OF 11IE ANSWERS ARE YF.S, A FINAL CER11FICATE OF CXDIPANCY' MAY NOT BE~ AFl'Ell JULY 1, 1989 ~ nm APPLICANT
HM MET OR IS METING nm REQUIREMENTS OF nm OFFICE OF EMERGENCY' SERVICES AND nm AIR POIJ.U110N CDNTROL DIS11UCT.
9. OORSl'ROCl'iON LENDING ACENCY
I hereby alhrm that there is a construcuon lending agency lor the pertonnance ol the work lor which this permit is 1SSued (sec 3097(1) CIVIi code).
LENDER'S NAME LENDER'S ADDRESS
10. XPPUCXN I C£kiiFICXi10N
I certify that I have read the applicauon and state that the above mlormauon is correct. I agree to comply with all dty 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 AUD ACREE TO SAVE INDEMNIFY AND KEEP ~ nm Cl1Y OF CAJUSBAD AGAINST AU. UABIUllES, JUDGMF.NTS, CDSTS
AND EXPENSES WJDai MAY IN ANY WAY Aa:RUE AGAINST SAID Cl1Y IN CDNSEQUENa OF'nlE GRAN11NG OF nos PERMIT.
OSHA: An OSHA permit is required for excavations over 5'0" deep a.nd demolition or construction of structures over 3 stories in height.
the Building Official under the provisions of this Code shall expire by limitation and become null and void if the
,...irh ... raA,ch pennit is not commenced within 365 days from the date of such pennit or if the building or work authorized by
ndon t any time after the work is commenced for a period of 180 days (Section 303(d) Unifonn Buildin Code)
DATE: 9?
YEl.l.OW: App 1cant PINK: Finance
CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT# CB962057 FOR 10/31/96
DESCRIPTION: TEMPORARY POWER POLE-CONSTRUCT
FIRE DESTROYED HOME
TYPE: ELEC
STE:
INSPECTOR AREA
PLANCK# CB962057
OCC GRP
CONSTR. TYPE NEW
LOT: JOB ADDRESS: 2904 MANAGUA PL
APPLICANT: LUGIO'S ELECTRIC
CONTRACTOR:
PHONE: 619 585-8882
PHONE:
OWNER:
REMARKS: BJN/LOUIS/585-8882
SPECIAL INSTRUCT:
TOTAL TIME:
--RELATED PERMITS--
CD LVL DESCRIPTION
PERMIT#
CB880100
CB881627
39 EL Final Electrical
TYPE
SFD
RETAIN
PHONE:
STATUS
EXPIRED
EXPIRED
ACT COMMENTS
***** INSPECTION HISTORY*****
DATE DESCRIPTION ACT INSP COMMENTS