HomeMy WebLinkAbout2438 OCEAN ST; ; CB961049; Permit&-k-7 3 01 B U I L D I N G P E R M I T Permit No: CB961049
Project No: A9601491
Development No:
Ot>/11/~6 Otl:41
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Suite: Job Addreas: 2438 OCEAN ST
Permit Type: ELECTRICAL
Parcel No: 203-022-17-00
Valuation: o
Lot#: 7973 06/11/96 0001 01 02
Construction Typ·e'fil"TNEW
Status: ISSUED
60-00
Occupancy Group: Reference#:
DeGcription: RUN ELECT & GAS TO FUTURE SPA
: WITH 50 AMP SUB-PANEL-NO GAS UNDER STRUC
Applied: 06/11/96
Apr/Issue: 06/11/96
Entered By: RMA
619-720-4271 Appl/Ownr : NIXON, ANGELO
2438 OCEAN ST
CARLSBAD CA
Fees Required
Fees:
Adjustments:
Total Fees:
Fee description
Enter "Y" for Electri
Single Phase Per P
Enter "Y" for Remod l
Other
* ELECTRICAL TOTAL
92008
IN
CL
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
.00
.00
60.00
Ext fee Data
10.00 y
12.50
10.00 y
27.00 GAS
60.00
PERMIT
PERMIT APPLICATION PLAN CHECK NO.
City of Carlsbad Building Department
2075 Las Palmas Dr., carlsbad, CA 92009 (619) 438-1161 EST.VAL. __________ _
I. PlfitMII l'Wf:
PLAN CK DEPOSIT _____ ,.._,,...,_
VAIJD.BY_~,._.,._. ____ ...L'::C.L_
From List 1 (see back) give code of Permit-Type: _,_/(.::..fl.:...:j)::... ________ _
DATE r r
For Residential Projects Only: From Llst 2 (see back) give
Code of Structure-Type: -~s=·_,F_.,h::_ _____________ _
Net Loss/Gain of Dwelling Units -e-
2. PROJECT INFORMA"llON
Address 2-</S 'i' Building or Sune No.
FOR OFFICE USE ONLY
Nearest Cross Street
mt o. ase o.
CHECK BEWW IF SDBMIIIED:
D 2 Ener calcs D 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope
... ·-ptn-1. U~7iZ-1 c.. ~.S:"-l'LJ:'.L.,
J t Z;A,; u,-,r ,;;·rvts
SQ. FT. # OF STORIES ,¼ r # OF 81:Dl'fOOMS # OF BATHROOMS
1 1 eren rom app 1can
NAME (last name first) _!71-r1 L ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE
4. APPUCANl UCONIRACIOR DAGEN I FORCONIRACIOR )('tlWNER DAGEN I FOR OWNER
NAME (last name fir.;t) N / )(Of-'; A , ,JI Cj:__ ADDRESS .). t.j J p c)C:-f..4.,v $'" ,7,
CITY ~{..$1J /::, STATE c.,.q ZIP CODE DAY TELEPHONE
NAME (last name.fir.;t)/J/XiJr'J t)iu6ilc"J /(JtrJILu;..JADDflESS 2'1~P OC£A,J 5.7,
CITY ~/:) :~ STATE c:::;,+--ZIP CODE 0 }-(.hJ ,f'' DAY TELEPHONE )-7/
NAME (last name fir>t) {)W~ /J V/L t:,£;1... ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE
STATE UC. # UCENSE CLASS CITY BUSINESS UC. #
DESIGNER NAME (last name hrst) ~(."'l..._ ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE STATE LIC. #
7. WORKE.HS' WMPRNSA I ION
□
□
Workers Compcnsat1on Declaration: I hereby affirm that I have a ceruhcate 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).
POLIC'Y NO.
at m t e per ormance o t
ers' Compensation Laws of California.
DATE 5--J. f'-~
I hereby affirm that I am exempt from the Contracto?s 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 Cooe: The Contractor's Llcense 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 Llcense 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 Ucense 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 pennit to construct, alter, improve, demolish, or repair
any structure, prior to its issuance, also requires the applicant for such pennit 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 Ccxle)
or that he is exempt th~r om, d the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a pcnnit
subjects t~plic ci · enalty of not more than five hundred dollars [$S00]).
SIGNATIJRE _//. / ' ~ DATE ,) g t1 ,ty 't (.
COMPLEIE !HIS SECIION FOR M~IDEN !!At BUILDING PERMIIS ONLY:
ls the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration fonn or risk management and
prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act?
0 YES □ NO
Is the applicant or future building occupant required to oblain 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 FINAI.CERllHCATE OF oa:!JPANC'Y MAYNITT BE ISfilJED AFTER JULY I, 1989 UNIBSS umAPPUCANT
HAS MIIT OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND nm AIR POllUTION OONTilOL D!SfRICT.
9. WNSIROCIION ffiNDING AGRNCY
I hereby afhnn ffiat there 1s a construction lending agency for lhe performance of the work for which this permit 1s issued (Sec 3697(1) C1V1i Ccxie).
LENDER'S NAME LENDER'S ADDRESS
10. APPUCANI CEkllFICAiiON
I cerufy that I have read the apphcat1on and state that the above miormat1on 1s correct. I agree co 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 AL50 AGREE 10 SAVE INDEMNIFY AND KEEP HARMLESS um CTlY OF CARISllAD AGAINST AIL IJABIIJTIES, JUDGMENTS, <DSTS
AND EXPENSES WIIlCI-I MAY IN ANY WAY Aa:RUE AGAINST SAID CTlY IN OONSEQUENCE OF um GRANTING OF 11il5 PERMIT.
OSHA: An OSHA pennit is required for excavations over S'O" deep and demolition or construction of structures over 3 stories in height.
WHITE: File YELLOW: Applicant PINK; Finance
01/J/IJ97 INSPECTION HISTORY LISTING
FOR PERMIT# CB961049
DATE INSPECTION TYPE INSP ACT COMMENTS
06/21/96 Gas/Test/Repairs RI RI MW/
06/21/96 Gas/Test/Repairs PY AP
06/21/96 Electric/Conduit/Wiring RI RI MW/
06/21/96 Electric/Conduit/Wiring PY AP
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