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HomeMy WebLinkAbout2803 WILSON ST; ; CB920720; Permit7 23/92 1.1:00 P ge 1 of 1 B U I L Job Addres~: 2803 WILSON ~7 Pe1rn1t Type: ELECTRICAL Parcel No: 156-142 15-00 Valuation: o ('onstrurt1on Type : NEW P E R M I T Suite: Lot#: Permit No: CB920" ~ PlOJect No: Aql 17 Development No: 8587 07/23/92 0001 01 02 C-PRMT 35 -00 )ccupancy Group: Reference#: Cf<-I 'l~'-/ ':i ._ l t-: UED Description: REPLACE 100A SERVICE WITH 2v0 Appl/Ownr : HILL VALLEY ELEC 852 METCALF ESCONDIDO, CA Fees Required Fees: Adjustments: Total Fees: enter for Elec Single Phase Per * ELECTRICAL TOTAL ? App-lee.: Apr/Issue: 07/:. /92 Validated By: C;::> .00 .00 35 .00 Ext fee Data 10.00 Y 25.00 35 .00 Jl~~VAL INSP. ~ DATE---• CLEARANCE-----• CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION PLAN CHECK NO. City of carlsbad Building Departaent 2075 las Pal-s Dr., carlsbad, CA 92009 (619) 438-1161 EST.VAL ___________ _ PLAN CK DEPOSIT _______ _ VAUD.BY ___________ _ I. P£RM.i I IYP£ DATE'-------------- A -D Commercial O New Building D Tenant Improvement B -D Industrial D New Building D Tenant Improvement C -□ Residential D Apartment D Condo □ Single Family Dwelling O Addition/ Alteration D Duplex D Demolition D Relocation □ Mobile Home □ Electrical D Plumbing D Mechanical O Pool D Spa D Retaining Wall D Solar □ Other ____ _ 2. PRWF.Cf INFORMATION FOR OFFICE USE ONLY Address c) 0a.3 jJ 1/50 F) Sf-Building or Suite No. am nit o. CHECK BEWW IF sUBMI 11 ill: 10 -1 6 I& D 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ l Addressed Envelope /ex> STORIES ADDRESS ?(.;1/son Sr CITY C a.1'-/s -f:>a. <i STATE Cc~ ZIP CODE 7 ;;;> c<) ~ DAY TELEPHONE 7.;) 7 tJ 7 6/ 4. APPUc;AN 1 □ CON I RAC IOR DAGEN I FOR CON 1 RACIOR □ OWNER □ AGEN I FOR OWN EH NAME 0 ~ ADDRESS CITY STATE ZIP CODE DAY TELEPHONE S. Pll0P£1lJIY OWNER NAME a.,~ ADDRESS CITY STATE ZIP CODE DAY TELEPHONE ADDRESS CITY STATE ZIP CODE DAY TELEPHONE STATE UC.# LICENSE ClASS CITY BUSINESS UC. # DESIGNER NAME ADOltESS CITY STATE ZIP CODE DAY TELEPHONE STATE UC.# 1. WOIU<ERS' OOMPENSAl10N Workers' Compensation beciarauon: I hereby affirm that I have a ceruhcate ol consent to sell-insure issued by the Director of lndustnal 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 Ceruhcate of Exempuon: I cerufy that in the periormance of the work for which this permit 1s issued, I shall nm employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE 8. oWNER-801IDER bECf.ARAnoN Owner-Builder beclarauon: I hereby affirm ihat I am exempt from ihe Contractor's License Law for the following reason: D 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.). D 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). 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 pennit 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 exempt therefrom, 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 [$500)). SIGNATIJRE DATE COMPLETE ruts SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY: 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? □ YES O NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ YES □ NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ YES D NO IF ANY OF TI-IE ANSWERS ARE YES, A FINAL CERTIFICATE OF oa:uPANCY MAY NITT BE IS.SUED AFTER JULY 1, 1989 UNLESS TIIE APPLICANT HAS MET OR IS MEETING TIIE RF.QUIREMENTS OF TI-IE OFFICE OF EMERGENCY SERVICES AND THE AIR POlllmON CDNlllOL DISfRICT. 9. WNS"lllOCIION 1..EN0LNG AGENCY I hereby alftnn that there 1s a construcuon lending agency for the performance of the work for which this permit 1s issued (Sec 3097(1) C1vtl Ccxle). LENDER'S NAME LENDER'S ADDRESS to. APPDCAN'I CEll'l1FtCA'i1oN I certify that I have read the apphcauon and stale that the above inlormauon 1s correct. I agree to comply w1Lh 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 Al.SO AGREE 10 SAVE INDEMNU:Y AND KEEP IWlMLF.SS TIIE CJTY OF CARLSBAD AGAINST AIL UABIUTIES, JUDGMENTS, CDSTS AND EXPENSES WIUOI MAY IN ANY WAY A.CX:RUE AGAINST SAID CJTY IN {X)NSEQUENCE OF TIIE GRANTING OF TIIlS 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 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 pennit or if the building or work authorized by such permit is suspended or bandoned at any time after t work is commenced for a period of 180 days (Section 303(d) Uniform Building Code). APPUCANrs SIGNA ~ DATE: 7 d3 PINK; Finance • I I CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB920573 FOR 06/18/92 DESCRIPTION: UPGRADE FROM 30 TO 100 AMPS TYPE: ELEC INSPECTOR AREA PY PLANCK# CB920573 OCC GRP CONSTR. TYPE NEW JOB ADDRESS: 2736 WILSON ST APPLICANT: KURT'S ELECTRIC CONTRACTOR: STR: FL: STE: OWNER: REMARKS: MH/729-1362 SPECIAL INSTRUCT: TOTAL TIME: CD 33 LVL DESCRIPTION EL Service Change/Upgrade PHONE: 619 630-0076 PHONE: PHONE: INSPECTOR ACT COMMENTS fJf ------------------- ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS I ~