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Home My WebLink About2000 HAYMAR DR; ; CB980249; Permit~-/1/ B U I L D I N G Ul/28/98 13:10 Page 1 of 1 Job Address: 2000 HAYMAR DR Permit Type: ELECTRICAL Parcel No: 167-040-31-00 P E R M I T Suite: Lot#: Permit No: CB98024~ Project No: A9800321 Development No: 3480 01/28/98 0001 01 C-PRMT Construction Type: 02 30-00 Valuation: O Occupancy Group: Reference#: Description: INSTALL SUB-PANEL AND OUTLET Status: Applied: VN ISSUED 01/28/98 01/2.8/98 MOP Appl/Ownr : CARON, SHELLY 2000 HAYMAR ROAD CARLSBAD, CA. 92008 *** Fees Required *** Fees: Adjustments: Total Fees : Fee description -------------------Enter "Y" for Ele Remodel/Alter Per Apr/Issue: 760 Entered By: 729-1818 INS Collected & Credits .00 .00 30.00 *** Ext fee Data 10.00 Y 20 .00 AL APPROVAL DATE J --~ 3 "1<! CLEARA(\JCE ~,_,,\ga "'.> CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 , ., PERMIT APPLICATION FOR OFFICE USE ONLY UC, PLAN CHECK NO. [ f ... 2. L t CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 EST. VAL. _________ _ Plan Ck. Deposit ________ _ Validated By __________ _ Date ______________ _ 1. PROJECT INFORMATIO\N '? _---""l , .... J .... e .... s...,._,_+_ ... R_.n ......... 1. -~~W~a~«-di--an~~o~r .......... b ...... r~,-·,_, _:f __ C_A R L \B A 'b Addre;s (include Bldg/Suite #) 1 Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # l~l-040-31-00 Existing Use Proposed Use SQ. FT. /lot Stories # of Bedrooms # of Bathrooms plu.3 Name Address State/Zip Telephone II Fax# 3. APPLICANT O Contractor O Agent for Contractor Name Address City State/Zip Telephone II . 4. PROPERTY OWNE': :5br\\~:.1 i.'av:CY\ Name Address City State/Zip ,too-?,?CJ/I Ii Telephone# 6. CONTRACTOR -COMPANY NAME (Sec. 7031.5 Business and Professions Code: Any City or County which requires a poJrmit 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 th11 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 and Prof(ssions 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 1$500)). Name Address City State/Zip Telephone# State License # _________ _ License Class _______ _ City Business License # _______ _ Designer Name Address City State/Zip Telephone State License # _________ _ 6. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of tho following declarations: 0 I have and will maintain a certificate of consent to self-insure for workers' compensation as 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' compensation, as 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 and policy number are: Insurance Company __________________ _ Policy No. _________ _ Expiratin•• Dete. _______ _ (lHiS f>ECTIOr. r..cci.. ri..;7 isl: (.;0PAr-i.r.1"i;C ;;: ••:~ :-':.~:.1iT i3 ;:on (\~r ~~!l~:)~~r >;:, ~~h-i ,.~,uo, ln i..cS5) 0 CFR!!f'CAT!: er :::;EMl-'1 iUN: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to aecure worken' c:ompenutlon coverage la unlawful, and •hell 11ubject an employer to crtmlnel penalties end civil flnea up to one hundred thousand dollar• ($100,000), In addition to the coat of compenaetlon, damegea ea provided for In Section 3706 of the labor code, lntereat and attorney'• f-. SIGNATURE______________________________ DATE 7. OWNER-BUILDER DECLARATIQN ,.. I hereby affirm that I am exempt from the Contractor's License Law for the following reuson: 0 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 aale. 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 aale). 'IS I, as owner of the property, am exclusively contracting with licensed contractors tn 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 auch projects with contractor(s) licensed pursuant to the Contractor's License Lawl. 0 I am exempt under Section ______ Business and Professions Code for this reason: 1. 2. 3. I personally plan to provide the major labor and materials for construction of the prc•posed proptrty improvement. 0 YES ONO I (have / have not) signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction (include name / addreas / phone number / contractors license number): I £UJ15 f:lrc!r;e, # 7.2,.;)., l::H, ·909 3S1J -Y,3S:</ · 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone number / contractors license numberl: ______________________________________________ _ 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type of work): ___________ ...,..--------::------,,----------------------------::::, PROPERTY OWNER SIGNATURE ~.J ~ J e,.a 1> ax ) I-2 i -czf' COMPLETE THIS SECTION FOR NON;MSJDENJ'Jli. BUILOING-.PJRM111O •• ,...____________ • 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, 26633 or 25534 of the Presley-Tanner Hazardous Subst•nce Account Act? 0 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? O YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES O NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY Nor BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 8. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME -::;:=::::;:;;;;~~:-=-::-=:--====.......:LENDER'S ADDRESS-· 9. APPLICANT CERTIFICATION I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the Cilt of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KF.EP HARMLESS THE CITY OF CARLSBAD AGAINST ALL 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 :;·o· deep and demolition or coristruc:ticn of structures over 3 stories in height. EXPIRATION: Every permit issued by the Building Official under the provisions of this <:ode shall expire by limitation and become null and void if the building-or y.,.irk authorized by such permit is t cr,mmenced within 365 days from th11 '.l&te of surh permit or if the building or work authorized by such permit is suspended or abandoned at any time a~er t comrnenced)!!!U .. o~of 1 ao days (Section 106.4 .4 Uniform Buildin 0 gACToEde). f Z"v' qS APPLICANT'S SIGNATURE --ici-•"""--\:-,,,C----...:0::>-:::..; s _(\._ .t..£j_ WHITE: File YELLOW: Applicant PINK: Finance • • .. /' CITY OF C'N:S-fi2..!~~ 1 INSPECTION PERMIT# CB980249 FOR 02 DESCRIPTION: INSTALL SUB-PANEL AND OUT TYPE: ELEC STE: INSPECTOR AREA NF PLANCK# CB980249 OCC GRP CONSTR. TYPE VN LOT: JOB ADDRESS: 2000 HAYMAR DR APPLICANT: CARON, SHELLY CONTRACTOR: PHONE: 760 729-1818 PHONE: OWNER: PHONE: REMARKS: C/RANDY/909/357-4354 SPECIAL INSTRUCT: INSPECTOR ____ JJ __ J_,_• ____ _ TOTAL TIME: --RELATED PERMITS-- CD 34 LVL DESCRIPTION EL Rough Electric PERMIT# TYPE CB880123 PLUM STATUS EXPIRED ACT COMMENTS \.tl ~----------- ------------------ ~=-----M----- DATE 021098 013098 DESCRIPTION Rough Electric Rough Electric ***** INSPECTION HISTORY***** ACT INSP CO NF CO NF COMMENTS SEE NOTICE ATTACH SEE NOTICE ATTCH