HomeMy WebLinkAbout2736 WILSON ST; ; CB920573; Permit._,. -
,. B U I L D I N G P E R M I T
Uo/15/92 1 :05
Pc1ge 1 of 1
Job Address: 27.b WILSON
Permit Ty~e : ELECTRICAL
Parcel No: 15b-1~2-16-UO
Valuation: 0
ronstructiun Type: NEW
Occupancy Group:
Description: UPGRADE FROM
Suite:
Lot#:
Reference#:
30 TO 100 AMPS
Permit No: CB92057J
ProJect No: A92014~4
Development No :
8066 06/15/92 0001 01 02
C-PRMT 28-00
S -'l1.U3: -'Jl'[J
Applie :l: 6/1~ 9
Apr/Issue: Ob/lS YM
Validated By: DC
Appl/Ownr : KURT'S ELECTRIC
389!:> CAMEO DRIVE
OCEANSIDE, CA
619 630-0076
Fee.3 Required
F=>es:
AdJustments:
Totc1l Fees:
Fee description
Enter "Y for Elec t
Single Phase Per
* ELECTRICAL TOTAL
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
.00
. ()
ltl.00
Ext fe:t Data
10.00 Y
17.SO
28. t 0
PERMIT APPLICATION PLAN CHECK NO.
City of carlsbad,.lluiol.dtng Departaent
207S las Palaas Dr., Carl~, CA 92009 (619) 438-1161 EST.VAL. ___________ _
Pl.AN CK DEPOSIT _______ _
VAIID.BY ___________ _
I. P£ltMI I IYPE DATE. _____________ _
A • LI Commercial LI New Building LI Tenant Improvement
B • LI Industrial LI New Building O Tenant Improvement
C •□Residential D Apartment D Condo □ Single Family Dwelling □Addition/Alteration
D Duplex D Demolition D Relocation D Mobile Home l)tElectrical D Plumbing
□ Mechanical O Pool O Spa O Retaining Wall O Solar □ Other ____ _
2. PROJE.Cr lNFORMATION FOR OFFICE USE ONLY
Address ...t 73b w, lSOfL/ ~,, {'1v1r)!,"lfiI Suite No.
Nearest Cross StreeL1.,vt~ I y t<; t/1-
LEGAL DESCRlr'itofrc No. SulxhVISIOn Name/Number Unit No. Phase No.
cilEcR BEWW IF s0BMll 1£0:
□ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope
ASSESSOR'S PARCEL PROPOSED USE
DESCRJPTION OF WORK
NAME
CITY STATE
ADDRESS
ZIP CODE DAY TELEPHONE
4. APPUCANI
NAME
□ cON I llACluR □ AGEN I FOlt cON I RACIOR
ADDRESS
□OWNER □ACENI FOR OWNER
CITY STATE ZIP CODE DAY TELEPHONE
STATE t_
ADDRESS
ZIP CODE DAY TELEPHONE
NAME vr-, ,~ ae-e,,,rr ,'L ADDRESs..3 89S-IA«'-eo PP-,
c1TYOC1;/HV'5,''f:>e_ STATE Cfr z1pcoDE'l~oS-i, DAYTELEPHONE ~3{) tJB-76. //J
STATE UC. #6Z7'13d--ucENSECLASS f -/ D CITY BUSINESS UC.# o--'fc..___
DESIGNER NAME ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE STATE UC.#
1. WOllRfilts' wMJ>£NSX:110N
Workers' Compensation Deciarat1on: I hereby all1rm that I have a centltcate of consent to sell-insure issued by the D1rectorol industnal
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
□
D
D
Cerultcate of Exempuon: I cerufy that in the performance oi the work for which this permit 1s issued, I shall not employ any person in any manner
so as to becom sub' t to the Wo ers' Compensation Laws of California.
6 -(~----7 :>-
ere ya 1rm at am exempt rom t e w or t e o owing reason:
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.).
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 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 permit 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)).
SIGNA1URE DATE
COMPLETE 1'Als sEcnoN FOR NON-REsibEN1 IAL BOILDING 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 ONO
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 □ NO
IF ANY OF TIIEANSWERS ARE YF.S, A FIN/\LCER11FIC/\TE OFOCX:UPANCY MAYNOf BE ISSUED AFTER JULY 1, 1989 UNLF.SS TIIE APPUC/\NT
HAS MJIT OR IS MEITTING TIIE REQUIREMENTS OF TIIE OFFICE OF EMERGENCY SERVICES AND TIIE AIR POlllJTION CX>NlROL DISI1UCT.
9. wNS'IR0CIION U!NDING XG£NCV I hereby afltrm that there 1s a construcuon lending agency for the performance of the work for which this permit 1s issued (Sec 3097(1) C1VJI Code).
LENDER'S NAME LENDER'S ADDRESS
to. APP□CAN't CEltm'.ltA'noN
I ceruiy that I have read the appltcauon and state that the a6ove inlormauon 1s correct. I agree to comply with 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 ALSO AGREE TO SAVE INDEMNIFY AND KEEP IIARMLESS TifE 01Y OF C/\RISBAD AGAlNST AU. UABlllTIF.S, JUDGMENTS, CDSTS
AND EXPENSF.S WJU□I MAY IN ANY WAY ACX:mrn AGAlNST SAID CTIY (N CX>NSEQUENCE OF TIIE GRANTING OF TIUS 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 n<?t commenced withi_n 365 days from the da~e of such permit or i~ the building ~r work a_u~orized by
such permit is suspended or ab ndoncd at any time after th work 1s commenced for a penod of 180 days (Section 303(d) Uniform Building Code).
DATE= 6 --1 s--f' :>---APPLICANT'S SIGNATURE
PINK: Finance
..
. .
PERMIT# CB920573 _. • ~
DESCRIPTION: UPGRADE FROM 30
TYPE: ELEC
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 06/22/92
TO 100 AMPS
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 /)
_f)_{_ l!(f /tov~
-------------------
***** INSPECTION HISTORY*****
DATE DESCRIPTION
061892 Service Change/Upgrade
ACT INSP
AP PY
COMMENTS
NEED GFI@ EXT LOCATIONS