The URL can be used to link to this page

Home My WebLink About2246 CAMEO RD; ; CB970283; PermitI I- ctc. BUILDING PERMIT Permit No: CB970283 02/14/97 09:44 Project No: A9700394 Page 1 of 1 Development No: I Job Address: 2246 CAMEO RD Suite: *:** Fees Required *** Lected & Credits *** Adjustments: .oo Total. Fees: .Q0 57.00 ............................ Fees : Fee description Ext fee Data ---------------- Enter "Y" for Elect 10.00 Y Other 47.00 PERMIT FEE * ELECTRICAL TOTAL 57.00 c17v OF CA- 2075 Las I3almas Dr., CMibd, CA 92009 (619) 438-1161 i /' i_ PERJMlTAPPLICAlTON City of Carlsbed Building Dep8r-t 2075 Las Pal- Dr., Carlsbed, CA OMQO (619) 438-1161 From List 1 (see back) give code of Permit-Type: e?=p ......................................................... For Residential Pmiects Only: From List 2 (see back) give Code of Structure-'Ilpe: wp m.v Net WGain of Dwelling Units ,@ PLAN CHECK NO. 2 PRCUECTINMRMATloN FOR OFFICE USE ONLY Building or Suite No. -ress 2246- R'd LEGAL D- Unit No. Phase No. Lot No. Nearest Crass Street # OF BATHROOMS airrerent from applicant) NAME (last name first) WORTHING , B . A. I@Fs P . 0 . B9X 1 0 4 1 CITY CARLSBAD STATECA ZIPCODE 92018 DAYTELEPHONE (619) 729-3955 NAME (last name first) WORTHING, B . A. 4WPWS P .O . BOX 1 0 4 1 U- UAPm UAGG (619) 729-3965 CARLSBAD STATE CA ZIPCODE 9201 DAYTELEPHONE J\.\tk ADDRESS ZN- ZIP COD&- DAY TELEPHONE 7 z.rsaof / NAME (last name first) CITY M//M STATE NAME (last name first) WORTHING , Is. A. INC . ADDRESS P.O. BOX 1041 CARLSBAD STATE CA ZIPCODE 92018 DAYTELEPHONE ('19) 729-3965 STATE LIC. # 3 9 8 7 6 4 LICENSE CLASS B- 1 CITY BUSINESS LIC. # 5 4 9 0 last name tirst) WORTHIN&, B.A. 9.0. BOX 1041 STATE PA ZIPCODE 97nlP, DAY TELEPHONE 7 2 9 - 3 9 Q 5 STATE LIC. # Workers' Commnsation Declaration: 1 herebv attirm that 1 have a certiticate of consent to selt-insure issued bv the Director of Industrial Relationsbr a' certificate of Workers' Comp&sation Insurance by an admitted insurer, or an exact copy orbuplicate thereof certified by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C). INSURANCE COMPANY STATE FUND POLICY NO. 2 2 9-6 5 3 IRAT TI ON DATE 1/5/9 Cemticate ot Exemption: I certlty that in the pertormance ot the work tor 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. SIGNATURE DATE Uwner-Builder Ueclarahon: 1 hereby attirm that 1 am exempt trom the COntractors Llcense Law for the tollowing reason: 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 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 contracton 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 (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]). 0 0 Business and Professions Code for this reason: SIGNATURE DATE coh: 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? Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? IF ANYOF THE ANSWERS AREYES, AFINAL CERTIFICATE OF OOCUPANCY MAY NOT BE HAS MEl' OR IS MEEllNG THE REQ- OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISIRICI: I hereby athrm that there IS a construction lending agency tor the pertormance ot the work tor which this permit 1s lssued (Sec 3m I Clwl code). 0 YES 0 NO 0 YES 0 NO OYES 0 NO AFIERJULY 1,1989 UNLffS THE "T LENDER'S NAME LENDER'S ADDRESS 1 certi that 1 have read the applicahon and state that the above intormation is correct. 1 agree to comply with all tity ordinances and State laws relatin! to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. IAISO~REETOSAVE~~AM)KEEPHARMLESSTHE~OFcluusBADAGAINSTAU.~JUM;MENTS,OOSIS AND EXPENSE WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CXN IN CONSIQUENCE 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 365 days from the date of such permit or if the building or work authorized by such permit is suspended or a rk is commenced for a p'od of 180 days (Section 303(d) Uniform Bui APPLICANTS SIGNATURE DATE: WHITJ?.:(€Jle YEJLOW Applicant PINK: Finance Q ~ ~~ ~~ ~ ~~~ CITY OF CARLSBAD INSPECTION REQUEST L PERMIT# CB970283 FOR 03/13/97 DESCRIPTION: ADD LIGHTS & GFI RECEPT IN KIT TYPE: ELEC JOB ADDRESS: 2246 CAMEO RD APPLICANT: B.A.WORTHING CONTRACTOR: OWNER: MOVE GAS LINE REMARKS: BJN/GAYLE/729-3965 SPECIAL INSTRUCT: TOTAL TIME: CD LVL DESCRIPTION 39 EL Final Electrical INSPECTOR AREA DC PLANCK# CB970283 OCC GRP CONSTR. TYPE NEW STE : LOT: PHONE: 619 729-3965 PHONE : PHONE : x INSPECTOR /) / ACT COMMENTS c ***** INSPECTION HISTORY ***** DATE DESCRIPTION 031097 Final Plumbing 031097 Final Electrical 022097 Interior Lath/Drywall 022097 Gas/Test/Repairs 021997 Rough/Topout 021997 Rough Electric ACT INSP COMMENTS CO DC NEED STOVE INSTALLED CO DC NEED STOVE INSTALLED AP DC AP DC AP DC AP DC =ATE. Fu N D CERTIFICATE OF WORKERS' COMPENSATION INSURANCE P.O. BOX 420807, SAN FRANCISCO, CA 94142-0807 C 0 M PEN SAT ION INSURANCE JANUARY 15, 1997 poLlcy NUMBER: 229-97 !UNIT 00136537 CERTIFICATE EXPIRES: 2-1-98 r CITY OF CARLSBAD ATTN : BUILDING DEPARTMENT 2075 LAS PALMAS DRIVE CARLSBAD CA 92007-4959 L This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the California This policy is not subject to cancellation by the Fund except upon $$Kdays' advance written notice to the employer. We will also give you Tw days' advance notice should this policy be cancelled prior to its normal expiration. Insurance Commissioner to the employer named below for the policy period indicated. - 30 30 This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by the ontract or other document with described herein is AUTHORIZED REPRE EMPLOYER'S LI 0 PER OCCURRENCI ENDORSEMENT #I2065 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 01/15/97 IS ATTACHED TO AND FORMS A PART OF THIS POLICY.