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Home My WebLink About2376 ALTISMA WAY; ; CB981725; PermitBUILDING PERMIT Permit Nu: CB981725 06/04/98 12:27 Project No: A9802291 Page 1 of 1 Parcel No: 215-240-18-13 Permit Type: ELECTRICAL Valuation: 0 Construction Type: VN Occupancy Group: Description: INSTALL G.F.C.I. FOR POOL ' Job Address: 237b ALTISMA MY Suite: Development No: Lot#: Reference#: Status: ISSUED Applied: 06/04/98 Apr/Issue: 06/04/98 Entered By: MDO Appl/Ownr : CERTIFIED ELECTRIC 14781 POMERADO RD. #lo1 POWAY, CA. 92064 619 486-1M 06/04/58 oO01 01 02 C"T M.GQ **k Fees Required *** **x """""""""""""- Fees : Total Fees: """""""""""" Adjustments : .OO 20.00 . 00 Fee description Ext fee Data """""""""_ Enter "Y" for Elec 10.00 Y Enter "Y" for Rem0 10.(10 Y Single Phase Per CLEARANCE I I CITY OF CARLSBAD 2075 Las palmas Dr., Ckkbd, CA 92009 (619) 438-1161 1 Date FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO. ?A- I ? 'J CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 EST. VAL. Plan Ck. Deposit Validated By (760) 438-1161 1. PROJECT INFORMATION 2336 &+1"ct%q #mu CGp1shnd 9.2 009 -pLF Address linciude BidglSuita XI Business Name la1 this address) Legal Osscriptlon Lot NO. SubdiVision NamslNumber Unit NO. Phase NO. Total X of units Name Address City StstelZip Telephone X Fax X 6. CONTRACTOR-COMPANY NAME ' ' ISec. 7031.5 Business and Professions Code: Any City or County which requires a prmn to construct, alter, improve, dsmoiirh or repair any structure. Prior to its iswan~e. also requires the applicant tor 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 Oivi~ion 3 of the Burinerr and Protsasiona Codel or that he is exempt therefrom. and the basis for the ailsgad exemption. Any violation of Ssctio 7031.5 by any applicant for a p mit subjects the applicant to a civil pemity Of not more than five hundrad dollars lt50011. Name Address City State License X License class C-l o ,. . ,. .. ,. . , ,, ,. ,. ,. ei,Lt-[:-Ld €f-&vr 1017Vi 4%-ruz& 4?L Paopj, Cc= 4,Lbcy 619. qg- Td 9~ StatelZip Tale hone X city BurinwslLicanse x \ 10 Y e Y Designer Name State License X 0. WORKERS' COMPENMnDN Workers' Compensation Declaration: i hersby affirm under penalty of perjury one Of the following declarations: 0 I have and will maintain a certificate of consem to reif-inrurs for workers' compensation IS provided by Section 3700 of the Labor Code, tor the pacformmcs Of the work for Which this permit is issued. wi have and will maintain workers' compensation, 8s required by Section 3700 of the Labor Code. for the performance of the work for Which this permit is issued. My Worker's Compensation inswmEe Carrier and policy number are: insurance Company Poiicy NO. ITHIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS IblOOI OR LESS) to become subject to the Workers' Compensation Laws of California. 0 CERTIFICATE OF EXEMPTION I Certify that in the performance of the work for which this permit is issued. I shall not employ any perron in any manner so as WARNING: Failure to secure worked eompenratin, eovmge is un(aWtU1. and shall subject en employer to crlmind psndths and clvll fines up to thousand dollars 19100.000). in addition to tlw cost Of comp.n.atlon. damage. a* provided for in Section 3706 of the Labor code. interest and anomy's fee.. SIGNATURE 7. OWNER-BUILDER DECIARATION I hereby affirm that I am exempt from the Contractor's Licsnss Law for the foliowing reason: 0 I, 8s owner of the property or my empioyees with wages as their sole compensation, will do the work and the structure is not imsnded or offered for sale ISec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of pIopwtv who builds or improver thereon. and who does Such work himself or through his own employees, provided that Such improvsmamr are not intended or offered for Sail). If, however, the building or improvsmem is Soid wmthin one year Of completion. the owner-builder will have the burden of proving that he did not build or improve for the purpose Of saiel. 0 i, 81 owner of the property, am exciusiveiy contracting with licensed comract~rs to Construct the project ISec. 7044. Business and PTofessions Code: The Contractor's License Law does not apply to an owner Of propenv who builds or improves thereon, and comracts for such projects with comractorlrl licensed pursuant to the Contractor's License Law). Address City StateKip Telephone , ,. .. ,,, ,. , Expiration Date DATE .. , ,. 0 1. 2. 3. 4. number I contractors license number): 5. i will provide some of the work, but I have contracted Ihiredl the following pers~ns to provide the work indicated linciude name I address I phons number I type PROPERTY OWNER SIGNATURE DATE COMPLETE THIS SECTION FOR NON.RESIDENYNU Butmmo PEW^ ONLY-,. ' , . ,, program under Sections 25505. 25533 or 25534 of the Prsslay-Tanner Hazardous Substance Account Act? 0 YES 0 NO Is the applicant or future building occupant required to submit B business plan, acutdy hazardous materials registration form 01 risk management and prevention Is the applicant or tuture building occupant required to obtain a permit from the air pollution controi district 01 air quality management district? 0 YES 0 NO is the facility to be constructed within 1,000 feet of the outer boundary of a schwl site? 0 YES 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. CONSTRUCVON LENDING AGENCY i hereby affirm that there is a construction lending sgency for the performance Of the work for which this permit is issued ISec. 3097lil Civil Codel. 9. APPUCANT CERTIFICATION LENDER'S NAME LENDER'S ADDRESS City ordinances and State laws relating to building construction. I hereby authorizn rnprnsnntativm of the Cit). Of Carlsbad to enter upon the above mentioned I Cenify that I have read the application and state that the above information is correcl and that the information on the plans is accurate. I agree to comply with aIi JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. property for inspection purpos8s. I ALSO AGREE TO SAVE. INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. 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 Cod- Shall expira by limitation and become null and void it the building or or abandoned at any time aft work authorized by such Permit is not commenced within 365 days from the date Of Such permit or if the building or work authorizad by such permit is suspended APPLICANT'S SIGNATURE DATE c/L//9 ,. .. .. ,, . ...... , .,,...,,.,, ,, ,, ilding Code). INSPECTION REQUEST CITY OF CARLSBAD PERMIT# CB981725 FOR 06/22/98 INSPECTOR AREA PD DESCRIPTION: INSTALL G.F.C.I. FOR POOL OCC GRP PLANCK# CB981725 CONSTR. TYPE VN TYPE: ELEC JOB ADDRESS: 2376 ALTISMA WY -"F CONTRACTOR : ff APPLICANT: CERTIFIED ELECTRIC OWNER: 27" G>r PHONE : PHONE : STE : LOT : PHONE: 619 486-1295 =: & p PJ ail7 REMARKS: B/~ON/619-486-1295 SPECIAL INSTRUCT: INSPECTOR /ut- CD LVL DESCRIPTION ACT COMMENTS 34 EL Rough Electric (26 - ***** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP COMMENTS 061598 Service Change/Upgrade CO PD COULDN'T TURN ON LIGHTS 060598 Service Change/Upgrade NR PD ON ONE AROUND 2:OOPM 06/04/98 TEU 12:24 FAX WEISBIAlT, MIKE (AN INDIVIDUAL) , . (DBA CERTIFIED ELECTRIC. c- POWAY. CA 92064 '' 1478 POMEWDO, #,ol 1." C.' '. " ',,a' i... INSURED 1 INVOICE DAY FREPUENCY OF AOJUSTMEHT INVOICE FOR DEPOSIT PREMIUM DUE As lndlcated in Item 4 of the Information Page of your policy, the followlng amount is due: Deposl Premium 500 Assessment DeposlTransfer'from I368146714 TOTAL DEPOSV..AMWNT DUE Deposit Amount less Transfer 3 ! Please send your remittance wkh copy of invoice in the enclosed self-addressed envelope payable to: ,.I.., . I CALCOMP INSURANCE COMPANY ',! Please'contact your agent H you have any questions. : Deposit Premium is pa able upon recel t of your policy. ,: premium if remittance o Y amount due is N a T received at the . .::* "" .. ME ACTUAL PREMIUM DUE FROM IOUSLY BILLEO HAVE BEEN PAID. 06/25/98 TEU 15:28 FAX moo1 -CERTIFIED ELECTRIC Y CA LIC. #716437 14781 Fcmerado Road, $101 Poway. Caiiforria 92064 619-48&1295 , . FAX COVER SHEET TO: M4qi4-Q~ FHOM 1.10. : 3% 573s