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HomeMy WebLinkAbout241 OLIVE AVE; ; C941509; Permitcl, '3119 11/18/94 09:44 Page 1 of 1 B U I L D I N G Job Address : 241 OLIVE AV 1 Permit Type : ELECTRICAL Parcel No : 206-092-03-00 Valuation : o Construction Type : NEW P E R M I T Suite: Lot#: Permit No: CB9415U9 ProJect No: A9402211 Development No: Occupancy Group : Reference#: Status : ISSUED Applied: 11/18/94 Ap1/Issue: 11/18/94 Entered By : MDP Description: O/H TO U/G CONVERSIONS : 200 AMP Appl/Ownr : OCEANSIDE ELECTRIC 302 WISCONSIN AVE OCEANSIDE , CA. 92054 *** Fees Required *** F ees: Adjustmen ts: Total Fees : Fee description 60.00 .00 60.00 619 722-6880 9640 11/18/94 0001 01 02 C-PRMT 60-00 Co llected & Credits *** Total Cree.lits: Total Pc;lyments: Balance Due: Units r e e/Unit .OU ,00 60.U0 Ext fee Data --------------------------------------------------------------------------- Enter "Y" for Electr i c 'Issue Fee > Remodel /Alter Per AMP > * ELECTRICAL TOTAL CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 10 .00 Y 50.00 60 ,00 PERMIT APPUCATION PLAN CHECK NO. '1}-{.-Sb"\ City of Carlsbad Building D-rtEnt 2075 Las Pal_,,. Dr., Carlsbad, CA 92009 (619) 438·1161 l!Sf. VAL. __________ _ I. PP.kM1 I fi1SR PLAN CK DEPOSIT _______ _ VAIID. BY, __________ _ DATE From Llst 1 (see back) give code of Permit-Type: ___________ _ For Residential Projects Only: From Llst 2 (see back) give Code of Structure-Type: ____________________ _ Net Loss/Gain of Dwelling Units 2. PRCllECf INFORMATION FOR OFFICE USE ONLY xaaress 2q I QQut{_ Bu1ldmg or Suite No. Nearest Cross Street mt o. CHECK BEWW IF S0BMII IED: □ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ l Addressed Envelope ASSESSOB'S PARCEL EXISTING USE PROPPSED USE DESCRIPTION OF WORK Co )J SQ. IT. 0 ~ 'Tt Lt l\' # OF STORIES ct,,e_ S ( O '>JoF BEDROOMS # OF BATI!ROOMS 3. WN IACI PmstJN (tr dlIIerenf from apphcanf) NAME (last name first) ADDRESS Cl1Y ~ 4. APPliCANi Ji'dtu STATE ZIP CODE OAGENI FORWNIRACIUR ADDRESS DAY TELEPHONE DOWNER UAGENI FOR OWNER NAME (last name first) CI1Y DAY TELEPHONE NAME (last name first) ADDRESS 2-4 I DU vc. DAY TELEPHONE.-.-~-icr8'c · NAME (last name first)OC'~S I 9C_ Gl>DRESS °30:,... CITYO'SfD'C_ STATECf\--ZIPmDE DAY TELEPHONE STATE UC. UCENSE CLASS CI1Y BUSINESS UC. # ll'SI Cl1Y STATE ZIP CODE DAY TELEPHONE STATE UC.# 7. WullkEks OOMPENSAIION Workers• Compensation Declarat1on: I hereby affirm chat I have a cemhcate of consent to self-msure issued by the Director of lndustnal Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C). INSURANCE COMPANY POUCY NO. EXPIRATION DATE Cert1hcate of Exemption: I certify that m the performance of the work for which this permit 1s issued, I shall not employ any person m any manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE 8. OWNER-B0nnmt DRCLARAiiuN Uwner-BuUder Declaration: I hereby afnrm that i am exempt from the Contractors Llcense Law for the foiiowmg reason: □ □ □ 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 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 projeccs with contractor(s) licensed pursuant to the Contractor's License Law). I am exempt under Section ________ Business and Professions Code for this reason: (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 Llcense 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.S by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$5001). SIGNA'I1JRE DATE CUMPLEIE IHIS SECIIUN FUR NUN.RESIOENIIAL BUILDING PEkMll's ONLY: ls the applicant or future building occupant required to submit a business plan1 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? □YES □NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □YES □NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ YES □ NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF oa:uPANCY MAY NOT BE llifill1ID AFTER JULY 1, 1989 UNLESS THE APPLlCANT HAS MET OR IS MEETING THE RF.QlllREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTilOL DISTRICT. 9. WNSIK0CiiUN LRNDING AGENCY I hereby afurm that there ts a construction lendmg agency for the performance of the work for whtch this permit IS tssued (Sec 3097(i) CtvU Code}. LENDER'S NAME LENDER'S ADDRESS 10. APP1JCAN I C£kill'ICAiiON I certify that I have read the apphcat1on and state that the aIX>ve mformat1on 1s correct. I agree to comply with all City ordmances 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 AfSO AGREE TO SAVE INDRMNIFY AND KEEP HARMLESS THE CI1Y OF CARlSBAD AGAINST ALL LlABIUI11!S, JUDGMENTS, CDSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CI1Y IN CONSEQUENCE OF THE GRANTING OF TIIlS PERMIT. OSHA; An OSHA permit is required for excavations over S'0" deep and demolition or construction of structures over 3 stories in height. Expiration. Every permit issu building or work authorized such permit is suspended or a APPUCANTS SIGNATU the Building Official under the provisions of this Code shall expire by limitation and become null and void if the ch permit is not commenced wi · 365 days from the date of such permit or if the building or work authorized by doned at any · e after w mmenced for a period of 180 days (Section 303(d) Uniform Building Code). /,-J ~~ DATE: PINK: Finance 0 PERMIT# CB941509 DESCRIPTION: 0/H TO U/G 200 AMP TYPE: ELEC CITY OF CARLSBAD INSPECTION REQUEST FOR 11/28/94 CONVERSIONS JOB ADDRESS: 241 OLIVE AV APPLICANT: OCEANSIDE ELECTRIC CONTRACTOR: PHONE: PHONE: OWNER: PHONE: INSPECTOR AREA PLANCK# CB941509 OCC GRP CONSTR. TYPE NEW STE: LOT: 619 722-6880 REMARKS: BJN/GREG/722-6880 SPECIAL INSTRUCT: /) INSPECTOR ---+;_A-+------ TOTAL TIME: CD LVL DESCRIPTION ACT COMMENTS ~ t!uP f11!,-u/ u~ 0,n:rit;;f ------------------ 34 EL Rough Electric ------------------------------------ ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS