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HomeMy WebLinkAbout2100 COSTA DEL MAR RD; ; CB981797; Permit\x --' ' BUILDING PERMIT 06/11/98 11 22 Page 1 of 1 Job Address 2100 COSTA DEL MAR RD Suite Permit Type ELECTRICAL Parcel No Lot* Valuation 0 Occupancy Group Reference* Description REPLACE 100 AMP PANEL WITH NEW Permit No CB981797 Project No A9802389 Development No Construction Type NEW Status ISSUED Applied 06/11/98 200 AMP-250'-R SIDE OF ENTRANCE-BY BUSH Appl/Ownr D G BEHRENS ELECTRIC 13450 MOUNTAINSIDE DR POWAY CA 92064 *** Fees Required *** ..,-"*"•*• Apr/Issue 06/11/98 Entered By RMA 619 679-0382 7938 06/11/98 0001 01 02 Fees .Collected & Credi&c^7 * Fees Adjustments Total Fees Fee description Enter "Y" for Elec Single Phase Per 35 .01$ ''"'<•/ .- — •-. \/' °°/>-^\,35 , OU\'\. .-' ' / (\ ^ "','•".( ..S \i —• -o / j •rx-. /t r \ q '"I s.s vie <--Fe e AiviP '•••-- ~.'.7"^ / :, (•;"" /«\ /;.. Xv '• ^ •'""-••''.•'To.tal^'CreditX '"("rtt" "i ^ *" i™' s'\/ iTif* IT" 'J* **•* *"• "-; ; '•'.. . 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CLEARANCE, CITY OF CARLSBAD 2075 Las Palmas Dr , Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr, Carlsbad CA 92009 (760)438-1161 PROJECT INFORMATION FOR OFFICE USE O PLAN CHECK NO EST VAL Plan Ck Deposit Validated Date Business Name, (at this addressAddress (include Bldg/Suite #1 Legal Description Lot No Subdivision Name/Number' A Assessor s parcel tt Proposed Use Description of Work CONTACT PERSON (if different from applicant) # of Bathrooms Name 3 APPLICANT JS£c"oiontractor Address Agent for Contractor Owner City Agent for Owner State/Zip Telephone . !tate/2fp Telephone tt Fax # Name 4 PROPERTY OWNER Address City Name Address City State/Zip Telephone # S CONTRACTOR COMPANY NAME (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 commending 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 anvapplicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars I /eleiName State License #-nva-%?~Address License Class City State/Zip City Business License # eiephone/? Designer Name" / ' Address City State/Zip Telephone State License # 6 WORKERS COMPENSATION i; ' Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations n 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 l~l 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 Expiration Date NJTHIS-S'ECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) /Qy CERTIFICATE OF EXEMPTION 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 secpre workers oforApensaflon coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to one hundred thousano^dollars ($100 OOOmn adotion/to the cost of compensation damages as provided for in Section 3706 of the Labor code interesUagd. attorney s fees SIGNATURJVV-" I \.f I I / AJL DATE ^ •» // —^3 7 OWNER BUILDER DECLARATION ' " •" I hereby affirm that I am exempt from the Contractor s License Law for the following reason l~l 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) l~l 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) l~l I am exempt under Section Business and Professions Code for this reason 1 I personally plan to provide the major labor and materials for construction of the proposed property improvement l~l YES (~"|NO 2 I (have / have not) signed an application for a building permit for the proposed work 3 I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number) 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 number) ^ 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 DATE COMPLETE THIS SECTION FOR NON RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future building occupant required to submit a business plan acutely hazardous materials registration tqjv«<or risk management and prevention program under Sections 25505 25533 or 25534 of the Presley Tanner Hazardous Substance Account Act? Q YES /Q NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? l~l YES X3-"NO Is the facility to be constructed within 1 000 feet of the outer boundary of a school site? O YES 5p" NO IF ANY OF THE ANSWERS ARE YES A FINAL CERTIFICATE OF OCCUPANCY MAY NOT 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 constructjonJending agency for the performance of the work for which this permit is issued (Sec 3097(0 Civil Code)i/ / wL~ LENDER S NAME f I T\ 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 City 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 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 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 36/Hays fro/fi the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after'\he work is co/ftmenceji for a/jjnod 0^180 days (Section 106 4 4 Uniform Building Code) , DATE (0 ~~ I \~~APPLICANT S SIGNATURE WHITE File YELLOW Applicant PINK Finance CITY OF CARLSBAD _ J ' INSPECTION REQUEST PERMIT^ CB981797 FOR 07/22/98 DESCRIPTION: REPLACE 100 AMP PANEL WITH NEW 200 AMP-250/-R SIDE OF ENTRANCE-BY BUSH TYPE: ELEC JOB ADDRESS: 2100 COSTA DEL MAR RD APPLICANT: CONTRACTOR: OWNER: D. G. BEHRENS ELECTRIC REMARKS: C/DAN/619/679-0382 SPECIAL INSTRUCT: STE: INSPECTOR AREA PD PLANCKtf CB981797 OCC GRP CONSTR. TYPE NEW LOT: PHONE: PHONE: PHONE: 619 679-0382 INSPECTO: TOTAL TIME: —RELATED PERMITS—PERMIT* CB881346 CB901680 CB901924 US920006 US920011 US920013 US920014 US930001 US930004 US930009 US930010 US930015 US930016 US930022 US930023 US930036 CB940355 US940012 CB940578 US940013 US940016 US940018 US940027 US940030 US940031 US950014 US940035 US940036 US950004 US950007 US950016 US950019 US950020 US950025 US950032 US950034 US950039 US950043 US950049 US950050 US950051 US960006 TYPE MECH CTI CTI TU TU TU PA TU TU FL TU TU TU TU TU TU ELEC TU ELEC TU TU TU TU TU TU TU TU TU TU TU TU TU TU TU TU TU TU TU TU TU TU TU STATUS EXPIRED EXPIRED EXPIRED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED EXPIRED ISSUED EXPIRED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED — RELATED1 PERMITS — PERMIT* „ J» "" US960012 US960013 US960014 US960019 US960026 US960027 US960028 US960032 FA960012 US960044 US970001 US970002 CB971590 FS970022 CB972505 AS970189 FS980002 US970031 US970032 CB972049 US970036 US970059 US970064 FA970012 FAD97044 US970061 US970063 FA970014 US980003 US980008 US980012 FAD98015 US980021 US980022 US980029 US980032 US980034 FAD98036 US980035 CD LVL DESCRIPTION 39 EL Final Electrical TYPE TU TU TU TU TU TU TU TU FALARM TU TU TU CTI FIXSYS MISC ASTI FIXSYS TU TU CTI TU TU TU FALARM FADD TU TU FALARM TU TU TU FADD TU TU TU TU TU FADD TU STATUS ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ACT COMMENTS /7fraM7 ***** INSPECTION DATE 071698 063098 061898 061898 DESCRIPTION Final Electrical Service Change/Upgrade Underground/Conduit-Wiring Service Change/Upgrade ACT CO CO CO CO HISTORY ***** INSP COMMENTS PD NEED CLEARANCE IN FRONT PD SAME AS PREVIOUS ON CARD PD PD CITY OF CARLSBAD INSPECTION REQUEST PERMIT* CB981797 FOR 06/23/98 DESCRIPTION: REPLACE 100 AMP PANEL WITH NEW 200 AMP-250'-R SIDE OF ENTRANCE-BY BUSH TYPE: ELEC JOB ADDRESS: 2100 COSTA DEL MAR RD STE: APPLICANT: CONTRACTOR: OWNER: D. 21,0,10 ~G~. BEHRENS ELECTRIC REMARKS: C/DAN/619/679-0382 SPECIAL INSTRUCT: INSPECTOR AREA PD PLANCK* CB981797 OCC GRP CONSTR. TYPE NEW LOT: PHONE: PHONE: PHONE: 619 679-0382 INSPECTOR TOTAL TIME: —RELATED PERMITS—PERMIT* CB881346 CB901680 CB901924 US920006 US920011 US920013 US920014 US930001 US930004 US930009 US930010 US930015 US930016 US930022 US930023 US930036 CB940355 US940012 CB940578 US940013 US940016 US940018 US940027 US940030 US940031 US950014 US940035 US940036 US950004 US950007 US950016 US950019 US950020 US950025 US950032 US950034 US950039 US950043 US950049 US950050 US950051 US960006 TYPE MECH CTI CTI TU TU TU PA TU TU FL TU TU TU TU TU TU ELEC TU ELEC TU TU TU TU TU TU TU TU TU TU TU TU TU TU TU TU TU TU TU TU TU TU TU STATUS EXPIRED EXPIRED EXPIRED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED EXPIRED ISSUED EXPIRED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED —RELATED PERMITS—PERMIT* US960012 US960013 US960014 US960019 US960026 US960027 US960028 US960032 FA960012 US960044 US970001 US970002 CB971590 FS970022 CB972505 AS970189 FS980002 US970031 US970032 CB972049 US970036 US970059 US970064 FA970012 FAD97044 US970061 US970063 FA970014 US980003 US980008 US980012 FAD98015 US980021 US980022 US980029 US980032 TYPE TU TU TU TU TU TU TU TU FALARM TU TU TU CTI FIXSYS MISC ASTI FIXSYS TU TU CTI TU TU TU FALARM FADD TU TU FALARM TU TU TU FADD TU TU TU TU STATUS ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED CD LVL DESCRIPTION 31 33 EL Underground/Conduit-Wiring EL Service Change/Upgrade ACT COMMENTS Co 3' CO ***** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP 061898 Underground/Conduit-Wiring CO PD 061898 Service Change/Upgrade CO PD COMMENTS