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HomeMy WebLinkAbout2320 VIA CLEMENTE; MP; CB980722; PermitDlt..g--~ g-oo (/J .. J 1 L-7 S:¾ I L D I N G P E R M I T Permit No: CB980722 Project No: A98U0949 Development No: 03/09/98 17:35 Page 1 of 1 Job Address: 2320 VIA CLEMENTE Permit Type: ELECTRICAL Suite: Parcel No: 167-250-44-00 Valuation: o Lot#: Occupancy Group: Description: REPLACE : HIOT BY Reference#: 100 AMPMETERED PEDISTA CAR Appl/Ownr : ALFA ELECTRIC 6965 EL CAMINO REAL CARLSBAD CA 92009 760 Con~~ff6:r/4~Jk T,j'_IM: NEW 'sei't' 91 I S~ED Appii • . 03/09~~ Apr/Issue: 03/09/98 Entered By: RMA 966-4422 Fees Required *** Collected & Credits Fees : AdJustments : Total Fees: Fee description Enter "Y" for Ele r Remodel/Alter Per A CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 .00 .00 35.00 Ext fee Data 10.00 Y 25.00 PERr,faT APPLICATION FOR OFFICE USE ON~ PLAN CHECK NO. 'J.?O 7 u CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 EST. VAL. _________ _ (760) 438-1161 Plan Ck. Deposit -----fnht--- Validated By-:::--+---,---¥--L---- Date ___ ..-4+-l4-l--'4~----- 1. PROJECT INFORMATlr ..-f l,!,t.O ~\!?, \,.:f,Mt~ I - Address !Include Bldg/Suite I) Business Nam■ l■t thi• ■ddrus) Legal Description Lot No. Unit No. Phase No. Total I of units Assessor's Parcel I (t'A..~l f. ME.N, Description of Work \QC) fltM{'> lot Stories I of Bedrooms I of Bathrooms .2. CONTACT PERSON (If different ti-om applcantl City Telephone I -...... -. ---,--: 4. e. to \},~ l~i~- Name Addr■H Clty Telephone I S. CONTRACTOR • COMPANY NAME ISec. 7031 .5 Business and Professions Code: Any Chy or County which requir■s • permit to construct, alter, improve, demolish or repair any structure, prior to Its issuance. also requires the applicant for such permit to file • signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commending with Section 7000 of Division 3 of the Business ■nd Professions Codel or that he Is exempt therefrom, and the b■sis for the alleged exemption. A~Folation of Sectio 7-r~: t anytc.:r.:.:~ I su~• applicant to ■ civil M~~c<mor• than five ~ic d i■rs ~()J). ~l.cc)q Name Address City State State License I __ ,_4~0-"--e.....__\\"-1-'-_ License Cl■H ___ t,za._--'\-'U=---City Business Uc-. • __ ....., _____ _ Designer Name Address City State/Zip Telephone State License I _________ _ 6. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following d■cler■tiOM: 0 I have and will maintain a certificate of consent to self-Insure for worker■' compensation H provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 0 I have and will maintain workers' compenntion, ■s required by Section 3700 of the Labor Code, for the performance of the work for which this permit Is issued. My worker's compensation insurance carrier ■nd policy number ■re: Insurance Company_____________________ Policy No. Expiration Date. _______ _ (TH~TION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS t•1001 OR LESSI J2' CERTIFICATE OF EXEMPTION: I certify that in th■ performance of th■ work for which this permit 11 issued, I shall not employ ■ny person in ■ny manner 10 ■s to become subject to the Workers' Compens■tion Law f C11ifomi1. . . COYefage 11 unlawful, end ahall IUbject en employer to atrn.ial penaltlea end clvll fines up to -hundred tlon, damages • prowlded for In Section 3706 of the Labor code, lnt-t end att-v'1 fN1. DATE :3 -A -\ ~ 9 8 ·~ , ·;-"•~-~",:•· ..... • ... M~··, • '''",:~.j*;,;•'j~~L __ ~•·::: ,,0 r .~, 'f'l'il':' ~ ... , a I hereby affirm that I am exempt from th■ Contractor's License L■w for the following reason: 0 I, ■s owner of the property or my employees with wages as their sole compensation, will do the work and the ■tructure Is not Intended or offered for sale ISec. 7044, Buain■1s ■nd Prof■1siona Code: The Contractor's LI-• L■w d0■1 not apply to ■n o-of prvperty who bullcla or Improves thereon, and who don such work hlms■lf or through l\is own ■mptove■s, provided that such Improvements ■re not Intended or offered for Nie. H, however, the bulldtng or Improvement Is sold within one ve■r of completion, the owner-builder wtn h■v■ the burden of proving that he did not build or Improve for the purpoee of 1■18). 0 I, ■s owner of the property, ■m exclusively contracting with lic-■d contractor. to construct the project (Sec. 7044, Buslnn1 ■nd Profeslliona Code: The Contractor's License Law do■s not apply to ■n owner of property who builds or improvn thereon, and contraci1 for 1uch project, whh contr■ctorlel 11-ed pursuant to the Contractor's Lic■nH L■w). 0 I am exempt under Section ______ Business and Professions Code for this reason: 1 . I personally plan to provide the major labor ind m■t■ri■ls for construction of the prOf)Oled propenv Improvement. 0 YES ONO 2. I lhava / have not) signed ■n applic1tion for a building permit for th■ proposed work. 3. I have contracted with the following person (firm) to provide the propo1■d construction (Include name / addrNI / phone number / contractors He-• number): 4. I plan to provide ponions of the work, but I have hired the following person to coordinate, 1upervin and provide the major work (Include n■me /address/ phone number / contractors license number):. _______________________________________________ _ 5. I will provide some of the work, but I have contracted (hired) the following person■ to provide the work Indicated (Include n1me / address / phone number / type of work):. _________________________________________________________ _ PROPERTY OWNER SIGNATURE _______________________ _ DATE _________ _ 'COMPLETE THIS SECTION FOR NON-RES/DENIW. iua.biNo PEfiMiTs oNt:v::r~~ ..... r....._~ •• "'"~;"'i''I'~~ ""'~~~~-:,•ie•, -·-• -•• "'·--' ••• ---'" •••• Is the applicant or future building occupant required to submit a business plan, acutely h■zerdoua materials regiatretlon form or risk menegement end pre..-ton program under Sections 25505, 25533 or 25534 of the Presley-Tanner H■z■rdous Substance Account Act? 0 YES O NO Is the applicant or future building occupant required to obtain • permit from the ■tr pollution control diflri_ct or 1ir qu■Hty management district7 O YES O NO Is the facility to be constructed within 1,000 Int of the outer boundary of • school site? 0 YES O NO IF ANY OF THE ANSWERS ARE YES. A FINAL CERTIFICATE OF OCCUPANCY MAY NOT IIE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. ia,. CONSTRUCTION LENDING AGENCY •' • ,.,. -·•····-• s•--· -, e.-··~::-c,:'"'.'.•".".'''',._ •• ...,.e_,.,,,. •·~••••~., .. -~ ,. •• ,'."'_ •• ,._.," ~ ~•• •• •,-.. I hereby affirm that there is a construction lending agency for the performance of the work for which this permit Is issued (Sac. 3097Iil Civil Code). LENDER'S NAME ______________ _ :9_ APPLICANT CERTIFICATION •••• LENDER'S ADDRESS. ________________________ _ I certify that I have read the application and state that the above Information Is correct ■nd that the Information on the plans ts accurate. I agree to comply with 111 City ordinances and State laws relating to building construction. I hereby authorize r■pr■sent■tives of the Cltt of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST AU LIABILITIES, . JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS 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 exptre by limitation ■nd become null and void 11 the building or tork authorized by such permit is not commence within 385 days from the date of such permit or If the building or work authorized by such permit is suspended r abandoned at env time after the work is co need for I per· of 180 days (Section 108.4.4 Uniform Bu~ding Code). PPLICANT'S SIGNATURE J H7f,._,...."7=.7lb:;;.::;;.Pll~===----------:i---oATE d -G\-\ft°',, g YELLOW: Apphcent PINK: Finance CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB980722 FOR 03/11/98 DESCRIPTION: REPLACE 100 AMPMETERED PEDISTA HIT BY CAR-OCEAN CREST APARTMENTS TYPE: ELEC CLEMENTE INSPECTOR AREA PLANCK# CB980722 OCC GRP CONSTR. TYPE NEW STE: LOT: JOB ADDRESS: 2320 VIA APPLICANT: ALFA ELECTRIC CONTRACTOR: OWNER: REMARKS: C/MARK/ALPH ELEC/634-7170 SPECIAL INSTRUCT: METER PED IS ON ECR & PEDIS THAT WAS HIT BY ::~::~ 76~0 966-442M2 PHONE: INSPECTO '--"'::.....,..<:c.......:...-"-'6"---"--'=-:....:::...~---- HOSP -METER ~ EPLACEMENToF CAR TOTAL TIME: CD 32 LVL DESCRIPTION ACT COMMENTS EL Const. Service/Agricultural ~ ----V- £ A/ It--(_, ------------------- ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS