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Home My WebLink About1956 BASSWOOD AVE; ; CB973349; PermitBUILDING PERMIT Permit No: CB973349 11/03/97 09:41 Project No: A9704305 Page 1 of 1 Job Address: 1956 BASSWOOD AV Permit Type: ELECTRICAL ent No: c-m 35.00 Suite: Parcel No: 205-140-18-00 Lot#: Valuation: 0 Construction Type: Occupancy Group: Reference#: Status: Description: CONVERT OVER HEAD TO UNDERGRND Appl i ed : : 100 AMP SERVICE Apr/Issue: Entered By: Appl/Ownr : ARTERBUKN HELEN 760 438-1331 1956 BASSWOOD AVENUE CARLSBAD, CA 92008 k** Fees Required **x llected ti Credits .......................... ----------------- Fees: Adjustments : Total Fees: 35. Fee description Ext fe Enter "Y" for Elec 10. Remodel/Alter Per 25. * ELECTRICAL TOTAL 35. ----4-------------- ---------- .- 0 0 0 'e 0 0 0 - NEW ISSUED 21/03/97 11/03/97 JM 0 0 0 Data 0Y 0 0 CITY OF CARLSBAD 2075 Las Palmas Dr., Carl~bad, CA 92009 (619) 438-1161 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palrnas Dr., Carlsbad CA 92009 (760) 438-1 161 FOR OFFICE USE ONLY PLAN CHECK NO. 8 97r3f7 EST. VAL. I Plan Ck. Deposit YfrdD Validated By IDate . . .. I 1. PROJECT INFORMATION Address (include Bldg/Swte 1) I VE Buuno8a Noma tat thm addross1 % 1956 &3AsswooO Unit No. Phose No. Total I of mu Legal Description Lot No. Subdivpion~~rmkr Name Address StOtrNp Talephone I -_ - ,. __"_ _~__ -- -.-- ~. .-IC--, 5. CONTRACTOR - COMPANY NAME (Sec. 7031.5 Business end Professi~m Code: Any Cky or County which mquira 0 p.rmk to constNCt. 0lt.r. hprwa. drmdih or repoir any structure, prior to Its issuance, also requires the applicant for such permit to ffla a signed statm~ thOt ha k lied punu#n to the provbiDm Of the Contractor's License Low [Chapter 9, commendmg with Section 7000 of Division 3 of the Business and hof.UiOnr Cod.1 or that he is O~npt thafafrom, and the basts tor the allaged exemption. Any violation of Section 7031.5 by any applicant for a permit wbi.Ctr the opplicant to a dvil pwulty of not more thon five hundred dollnt 1$50011. Name Addreu clcv stat- Telephone 8 State License 1 Licmra Class CgBWbWULiCUlS@# Designer Name Address CW StotaRip Telephone State License I 8. WORKERS' COMPENSATION Workers' Compensation Doclarotion: I heroby affirm under penrky of parjury an0 of tha fdlowing Wamtianr: 0 of the work for which this permit is issued. 0 issued. My worker's compensatm imuranca carner end pdicy number am: Insurance Company Policy No. Expiretion Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$1001 OR LESS1 0 CERTIFICATE OF EXEMPTION: I cmtify thot in the pdormance of the work for which this permit b irrmd. I shall not amploy any person in any nunna so os to become subject to the Workers' Compensatton LDWS of California. WARNING: Folure to socum wofk.n' comp.nutkn eOrmg. b @dmwful. nd rhJl ulbjocl m .mpkyr to ahnw pmdth d dvtl fh.D up to on hundmd thousand Wars ($lOO.OOOJ, h dwm to the coat Of -. dnwg.r OS pmibd fOf h SoCtbfl3708 Of th. L.bor cod.. hefoot nd -'a h.r. SIGNATURE DATE I have and will maintain a certlficote of consent to sdf-imuro for work-' c#np.nrrt)on as provided by Saction 3700 of the Labor Code, for the performance I have and will maintain workers' cornpmration, as required by Section 3700 of the Lobor Code, for the performanca of the work for which this permit )s ":' --*-. . +- ., OWNER-BUILDER DECLARATION affirm that I om exempt from tho Contractor's Licmme Low for the following rooson: I, as owner of the property or my amployws with wogoa ea thr sob compensatmn, will do tha work and the sttucture h not intended or Onorad for alk (Sac. 7044. Busimu ond Professions Cod.: The Contrector'a License Low doa not op@v to on owner of property who builda or Improws thanon, md who doa such work himself or through his own amployeor, prwlded that such Improvemanta ara not Intended or OHmd for uk. If, howww, tho buildlng or lmprmnmmt b sold withln one year of cornplation, tho owmr-builder will have tho burdon of proving thot he did not build or Improve for tha purp#a of aolaj. 0 I. aa owner of the propmy. am exclusively contmcting with licensed contracton to construct the projoct 1S.c. 7044, Buaii nd Profadom Cod.: the Contractor's License Low does not apply to an owner of property who builda or hnprwr thereon, ond controcta for ouch proi.cu with contnctor(r) Uconaod pursuant to the Contractor's bcenoa Low). rd 0 I am exempt under Section I personally plan to provide the major kbor ond motorbla for conmuctim of the PIopOnd pop.rty Improvement. I (have I have not) signed an application for a building permit for the proposed work. I have contracted wkh the following person lfml to provide the propored conmuction (Indude nrm / edbar / phom nurnbor I contracton tkmm n~mkr): 1 plan to provide portions of the work, but I how hired the following por8on to coordinate, supervim ond provide the major work (Include nam / lddrwr / phaw I will provide aome of the work. but I haw controcted lhimdl the following p~~lw to provld. the work Matd (Induck IUW / oddrau / phan nun& I tvpr ~inosa .nd Prof.#)anr cod. for Ma rwon: 1. 2. 3. 4. number / contracton license number): 5. YES ON0 program under Sections 25505,25533 or 26634 of the Pnrky-Tonner HUB~OUO Subn~~ Aceant Act? 0 YES 0 NO Is the epplicant or future building occupant required to obtain 0 parrnit from tho ak pollutlon contml district or oir qualltv nunogment district? I5 the facility to be constructed within 1 ,OOO foot of the owtar boundary of a school rite? 0 YES 0 NO IF ANY OF THE ANSWERS ARE YES. A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPUCANT HAS MET OR IS MMNG THE REQUIREMENTS OF THE OFFICE OF EMERG CO DISTRICT. I hereby affirm that there Is a construction lending apency for the performance of tha work for which this permit Is iuwd (Sac. 309711) Civil Code). 0 YES 0 NO --,I. -_ .-7 r -, .,w.-T- % ,- I- CONSTRUCTION lENDtNQ AbdCY ' LENDER'S NAME LENDER'S ADDRESS 3. APPLICANT CERTIFICATION I certify that I have read the application and state that the obove information Is correct ond thot the Infwmatlon on the plaM is accurate. I agree to comply with all City ordinances and State laws relating to building conmuction. I horeby authorize repreaantativr of the Cit) of Carfabod to antof upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE. INDEMNIFY AN0 KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AWNST SAID CITY IN CONSEaUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0' dwp and dornolihm or Cwrmaion of structures over 3 stories in height. EXPIRATION: Every permi work authorized by such pe or abandoned at any time vbiona of tM. Cod. ahall expire by limkation and become dl ad void if the building or tha date of such -it or If the building work authofized by such perm* is SMpenhd 0 days (Smb 108.4.4 Udfm Bdding Code). $APPLICANT'S SIGNATUR DATE 3 77 WHITE: Fila YEUOW: Applicant PINK: Finance 05/08/ 9 8 INSPECTION HISTORY LISTING FOR PERMIT# CB973349 DATE INSPECTION TYPE INSP ACT COMMENTS 12/ 16/ 9 7 Underground/ Condu i t -Wir RI RI C/STEVE/438-3055 12/16/97 Underground/Conduit-Wir RB AP 11/06/97 Underground/Conduit-Wir RI RI C/GARRETT/4 3 4 -2 4 61 11/ 06/9 7 Underground/Conduit -Wir RB NR HIT <RETURN> TO CONTINUE... CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB973349 FOR 12/16/97 DESCRIPTION: CONVERT OVER HEAD TO UNDERGRND TYPE: ELEC JOB ADDRESS: 1956 BASSWOOD AV APPLICANT: ARTERBURN HELEN CONTRACTOR: OWNER: 100 AMP SERVICE REMARKS: C/STEVE/438-3055 SPECIAL INSTRUCT: TOTAL TIME: CD LVL DESCRIPTION INSPECTOR AREA RB PLANCK# CB973349 OCC GRP CONSTR. TYPE NEW STE: LOT: PHONE: 760 438-1331 PHONE : PHONE : INSPECTOR ACT COMMENTS AC7 31 EL Underground/Conduit-Wiring &I"/ ***** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP COMMENTS 110697 Underground/Conduit-Wiring NR RB