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Home My WebLink About2440 JEFFERSON ST; MULTI-PERMIT FILE; CB082173; PermitT. City of CarIbad 135 Faraday Av Carlsbad, CA 92008 12-04-2008 Miscellaneous Permit Permit No:CB082173 Building Inspection Request Line (760) 602-2725 V Job Address: 2440 JEFFERSON STCBAD V Permit Type: MISC V Subtype: OTHER Status. ISSUED Parcel No: 1551600400 V .• Lot #: 0 ' Applied: 12/04/2008 Valuation: $0.00. VV Entered By: LSM VV V Reference#: PlanApproved: 12/04/2008 PC#: V Issued: 12/04/2008 V V •V, . Inspect Area. PD . V - Project Title: BOMGARDNER RES*DEMO ROOF, PARTIAL WALLS SEE CB081180 FOR PENDING PERMIT ' V Applicant:'. O~;:B01VIGAR'DNER V V ALAN BOMGARDNER V V A . V : H .. . S . I ' .1243 MARIPOSA RD 1243 MARIOSA RD\ . CARLSBAD CA 92011 . / \. CAR LSBAD:9201 1 q 760,707 9759 MiscelaneousFee#1 PERMIT.FEEj?- ç,) V $6500 Miscelaneous Fee V V #2/ 7. $0.00 Additional Fees V TOTAL PERMIT FEES / \ ' ,$6500 V Total Fees: $6?00 V Tdtal Pa;ments'Date: $65 BalaDteT3 $0.00 V V V \.' . V A .000,-fc f V 1962, V V V V S V V . FINAL APPROVAL V V S 5 V Inspector: Date: / Clearance V • V IVV V S_V t V V V •V V V - V - V V V V V S V V - V V V -----------V•V-- V L-----V V V V V •V VFVVV)V - City of Carlsbad Plan Check No 1635 Fwaday Ave Carlsbad CA 92008 716616'012'-2.7'.117'/'2718/2719, J4I Est Value Fax- 76C Plan Ck. Deposit:. Date / fJv Building Permit Application - JOB ADDRESS SUiTE#,SPACE#/UNiT# . APN- '... -- )c/54/ - - - F-1 CT/PROJECT LOT it it it OF UNITS it BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE 0CC GROUP ] ' PHASE DESCRIPTION OF WORK: Include Square Feet otAffected Area(s) 7 io 7`10V,6, / EXISTING USE; . . . ., .. ,. PROPOSED USE :-. .GARAGE (SF) PATIOS (SF) DECKS (SF1' FIREPLACE AIR CONDFTIONING FIRES?.INKLERS YES 0 #_ N0,0- YES 0 NO 0 'ES 0 NO 0 CONTACT NAME (If DIfferentFomAppIIcant fr -.. ' -, APPLICANT NAME - . ''.- - ;. .. .'. -. .• ADDRESS ADDRESS CITY STATE ZIP CITY,-STATE ZIP PHONE FAX PHONE . FAX .. .-,' ,'.•;,-- .....','_ : . . .. . . EMAIL EMAIL 01 \ 'ROP TV, NAME- CONTRACTOR BUS. NAME,, AD0138SS )2 V3 A ADDRESS _________ CITY ' -.- ' ' . . -' STATE ' ZIP-. CITY -. : , . STATE . ' ZIP-- -..7Z0/i-" PHONE 7 O - 767. FAX PHONE,FAX ' '. . --- .. . -. "- .. : . -. .: . , ' . , ,. .' EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS STATE LIC it STATE LtC it CLASS CITY BUS LIC it (Sec 1031 5 Business and Professions Code Any City or County which requires a permit tocontlrnct alter improve demolish or repair any structure prior, to its issuance alto requires she applicant for such permit to -file 'a signed statement that he is hcensed ,puruuant- to she. provisions of the,.Contractort License la*,{Chapter.9. commending wish Section -boo of' Division3 of the. Business and Pro(essions Code}. orthat he' iseaemps ther from. andehe basis for the alleged vvemptson. Any vitIation of Section I 10315 by any applicani r permit suhlecss th pplicaot t& a civil penalty of nat more than live hundre dollars {$O0}) Workern Compensation Declaratson I hereby affirm under ponaity of perjury one f Itie ioilowing declarations I have and will maintain a certsfscate of consent to self insure for workers compensation as provided by Section 370001 the Labor Code for the performance of the work for which this permit is issued Cl'ri.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 workers compensation insurance corner and policy number, are Insurance Co Policy No Expiration Date This sect ion need not be completed if the permit is for one hundred dollars ($100) or less IJ Certtfcate 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 ot California WARNING Failure to secure workers compensation coverage is unlawful and shall sub(e e ct an mployer to criminal and penalties civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation damages as provided for in Section 3706 of the Labor code Interest and attorney s fees CONTRACTOR SIGNATURE DATE . . . 1`lhereb"y'aflinn that I a'" exempt from (.ntrac License Law for the following reason IJ I as owner of the property or my employees with wages as their sole compensaiion will do the work and the structure is not intended or offered for sale (Sec 7044 Business and Professions Code The Contractors License Law does not apply 10 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 II however the building or improvement is sold within one year of completion the owner builder will have the burden 01 proving that he did not build or improve for the purpose of sale) I as ownerof the property am exclusively ontracting with licensed contractors to construct the project (Sec 704.4 Business and Professions Code The Contractors License Law does not apply to an owner of property who builds or, on improves there and conlracts for such projects with contractor (s) licensed pursuant to the Contractors License Law) o I am empt under Section Busi ex ness aJ Professions Code for this reason 1 I personally plan to provide the major labor and materials for construction of, f the proposed property improvement 0 Yes 0 No 2 I (have / have not) signed an application for a building permit for the proposed work 1 3 Vita contracted with the Iollowing person (firm) to prowde the proposed construction (include nar'e address! phone! 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 maior work (include name / address! phone! contractors license number) / 5 I will provide some of ihe worlI but I have contracted (hired) the following persons to provide the work indicated (include name! address / phone! type of work) :PROPERTY OWNER SIGNATURE Li"-t.-___ DATE ,L J- i[jJ /7rLRCl - Is the applicant or future building occuporil required to submit a business plan acutely herdous materials registration form or nsk malidgement and prevention program under Sections 25505 25533 or 25534 of the Presley -Tanner Hazido,js Substance Account Act 0 Yes , 0 No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 Yes 0 Ni he facility to be constructed within ,11 000 feel of the outer boundary of a school site' 0 Ye s 0 No o ANY OF-THE ANSWERS ARE YES;-A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE iSSUEDUNLESS THE APPLICANT-HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE O - - iEMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. -- - - - - -' ' - - ' - - 'E - - - v - I hereby Dffrrr .tha lhere.isa consir I I Ci rj geney for the pertorn r Cf Ci- .'. i IN it u'J C -i - ii C - C. Lr Ci Ar - - - LJLfr LTfr(f. A certi"at I have read the applica6in and state that the above informabon is correct and that the Information oirf the plans Is'a6curate. I agree to comply withall City ordinances and StaLf i iws relatin co I hereby aulhonze representative of the City of Caitsbad to enter upon the above me0000ed property tor inspection purposes I ALSO AGREE TO SAVE INDEM 11 NIFY 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 501 deep and demoliluon or construchon of structures over 3 slooes in height EXPIRATION Every permit issued by the Building Ottloat under the provisions of this Code shaii_l expire by limitabon and become null and void it the building or work authonzed by such permit is not commenced within 0 days from the date of such permit or if the build ng or work authoozed by ch permit is ended or abandoned at any lume after the work is commenced for a period 01180 days ( ection 10644 Uniform Building Code) APPLICANT'S SIGNATURE a.., / DATE /Z / / - --. '' - '. _.: -. - --- -;. -- , - '' ' " - - - - -'- - .•_._i - (' -- - - - -1 I C/ (c2q Cutyof Carlsbad 1635 Faraday Av Carlsbad, CA 92008 '.94-1572002 . Electrical Permit ' Permit No: CB021127 Building Inspection Request Line (760)'602-2725 Job Address: 2440 JEFFERSON ST CBAD Permit Type: ELEC Status: ISSUED 'ParceI No: 1551600400 . Lot #: 0 . Applied: 04/15/2002 Entered By: MDP .Reference #: Plan Approved: 04/15/2002 Issued: 04/15/2002 Project Title: ROOK RESIDENCE . .: lnpect Area: REPLACE EXISTING DAMAGED 200 AMP SERVICE . .. . ' ... :. 4992 04/15/02 0002 01 Applicant:.. * Owner: ., c ,.A-TEAM ELECTRIC CO .. -ROOK 6.. 24EFIERSON ST4 10414ADERMANAVE ../ CARLSBADC'A920'08 Total Fees: $60.00 Total Payments To Date: $0.00) ' Balance Due: ' $60.00 : •. S ç \ Electric Issue Fe .41,0.00 Single Phase P:AM/& / i'\ Three Phase per AM • 7. 0 •. $0.00 Three Phase 480 Per AMP / •0 • \ L. $O.O0 per / 200 \ $50,00 Remodel Fee 0.0 0 Temporary Service Fee ( ,. ' sO:Op - Test Meter Fee 1 ' . . • I$o.0,0 Other Electrical Fees $0.00 Additional Fees $ .00 TOTAL PERMIT FEES .INCORPORATED 02 -60 -00 FINALAPPRQVAL lnspector: iz •L_ Date: Clearance:. NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as 'fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that proOedure will bar any subsequent legal action to attack, review, set aside, void, or annul their impOsition. You are hereby FURTHER NOTIFIED that your right to pràtest the specified feesIexactioè DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. - . • . . - -. '¼ "I. FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO (Z CITY OF CARLSBAD BUILDING DEPARTMENT EST. VAL. 0 1635 Fa 2 Faraday Ave.,Aye Carlsbad, CA 008 Plan Ck Deposit Validated By_______________________ Date •..;• TL ,p 449 J Fa,'J. -i .•. . .. Address (include Bldg/Suite #) - Business Name. (at this address) .. Legal Description Lot No.' Subdivision Name/Number. , Unit No.: - Phase No. Total # of units Assessor's Parcel # .. Existing Use . - - Proposed Use Description of Work SQ. FT.- — #of Stories # of Bedrooms . - # of Bathrooms 2oo A-i.i77 :7 ZO ,4-,4 P Name . Address City . . State/Zip - Telephone # . - - Fax f ThLI DContrtQr A usctor * Name .Address City State/Zip, Telephone # IM PR ÔW Name - . . Address . ' - City , S.tate/Zip , Telephone #,. JbTTRRdTdA ÔEI2% - (Sec 7031 5 Business and Professions Code Any City or County which requires a permit to construct alter prove im 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 !pursue nt 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 exem tion. An vi lation of Section 703 5 by any applic nt f r a ermit subjects the pplicant to a civil penalty of not more t an five hundred dollars ($5001). - - A-&.____1)4" Name . - . . . Address . ' - City. . State/Zip . Teleph ne # State License # "9121,b'f.9' _' License Class C -/17 City Business License // . :tçcii Designer Name Address City State/Zip Telephone . - _i . . - . .. . - State License Workers Compensation Declaration I hereby affirm under, penalty of perjury one of the following declarations C] 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 , Z. have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the ,vork for which this permit is issued My worker's compensation insuran a carrier and policy number are Insurance Company 57r? ____t.4.it'1 ___-. Policy -75 Expiration' —ô (. Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) E] CERTIFICATE OF EXEMPTION: I ertify 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 ilur o see w rk ompensatlon coverge is unlawful and shall subject an employer to cruminal1penaltips and civil fines up to one hundred thousand dollars ( O,Od'Q) a ion to the cost of-compensation, damages as provided for In Section 3706 oft Vabor cede, Interest and attorney's fees ) SNATURE f_I________________________— DATE____________ I hereby affirm that I am exempt from the Contractor s License Law for the following reason -0 1, 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 toan 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) C] 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 ownerof property who builds or improves thereon,' and contract&for.such projects with contractor(s) licensed pursuant to the Coitractor's License Law). •. - - . - . o I am exempt under Section Business and Professions Code for this reason -i 1. I personally plan to provide the major labor and materials for construction of the proposed propertyiniprovement. 0 YES 2.i .- 1 (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): - - .. - -.-. .. '-• .--,.'- I . -- ..-' '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 I address / phone number / type - of work): PROPERTY OWNER SIGNATURE DATE _, J1 - Ii theapplicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk mnagement and prevention - - - program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance AcEouit Act? 0 YES 0 NO - - - Is the applicant or future building occupant required to obtain apermit from the air pollution control district or air quality management district? 0 YES 0 NO Is the facility to be constructed within 1 000 feet of the outer boundary of a school site? 0 YES 0 NO + !F 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. ., -. ThiiON LENDINGIA ---- - r ' — — I hereby affirm that there is a construction lending agency for the performance of the work for which rh permit is issued (Sec 3097(u) Civil Code) - 'LENDER'S NAME.' _-. ___. __- _- LENDER'S ADDRESS - - - - - I - , . .- . - • - - -- ,: LLlCt Y1O : T — I certify that I have read the' appliôation 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 Cit' 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 excavatio&s deep and demolition or construction of structures over 3 stories in height. - • - - - - - EXPIRATION: Every permit is - the buildin the provisions of this Code shall xpire by limitation and become nill and void if the buildingor Work -- authorized by such permit i not co enceØ*lthi the date of such permit or if the building or work authorized by uch peu3llit is suspended or abandoned at any time after the work.iC co ced a per (Section 106.4.4 Uniform Building Code). ' -- / '.. - .- - - APPLICANT'S SIGNATURE c DATE - , - - - - -- WHITE: File YELLOW: Applicant -PINK: Finance ---.., .. *. -.' .•_i :_--- - - I -,,x' n.--.. r"'- _. - -- .- - - -- • - 0 - - - - , , - - City of -Carlsbad Bldg Inspection.Request For: 05/15/2002 Permit# CB021127 Inspector Assignment: RC BI Title: ROOK RESIDENCE Description: REPLACE EXISTING DAMAGED 200 AMP SERVICE Type: ELEC Sub Type: Phone: 8005617575 Job Address: .2440 JEFFERSON ST 'Suite: Lot 0 Inspector: I? P, Location: ' APPLICANT A-TEAM ELECTRIC CO Owner: ROOK ALAN Remarks: PNL 0/SIDE WITH PPRWORK . ' Total Time: , Requested By:' LINDA * Entered By: ROBIN CD, Description . Act Comments . . '.Final At I?IV4L 39 Electrical '. . Associated PCRs . ' lnsDection History . . . . Date Description Act Insp Comments * 05/13/2002 39 Final Electrical , NR RC NO ANSWER, ' - : BUILDING PERM.IT PerrnitNo: CB94'1001 08/08/94 17:18 -Project No: A9401405. Page 1 of 1 ,• Development No:. . . Job Address 2,440 JEFFERSON ST , Suite: Permit Type: ELECTRICAL ,.. .. .. 08/08/94 0001 01 02' Parcel No:, 155-160-04-00 ... Lot#: -. - .-- C-PRMT 3500 - Valuation: 0 . •. . - '. Construction. Type: NEW - Occupancy Group: Referénce#:: . Status:, ISSUED Description: UPGRADE 100 AMPS TO 200 AMPS ' Applied:--08/08/94 -. : .-. . . .. .,.Apr/Issue: .08/06/94 Entered By: DC Appl/Ownr : ROOK, ALAN .. 619 729440805 2440 JEFFERSON .STREET . . .. CARLSBAD, CA 92008 . Fees Required .*** • & Credits-i. - ------------ --------------3'°° 0 Adjustments: ' 00 TotalCrdits: \ .00 Total Fees: 35b.0 \ •oo . alan 35.00 - Fee deipt ion' Units Fee/LUit\ Ext fee Data Single Phase Per.AMP ~25,. 00 ELECTRICAL TOTAL 35.00 INCORPORATED 1952 II1I:i:: '- •• APPROVAL ' - !NPL2_-_ DATE 1--' [CLEARANCE 'I • • I-. -• . • • ' CITY OF CARLSBAD . * 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 4 •- . PERMIT APPUCATION City of Carlsbad Building Department 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PLAN CHECK NO. 9' / )O( EST. VAL PLAN CK DEPOSIT_______________ VAlID. BY DATE From List I (see back) give code of Permit-Type: --------------------------------------------------------- For Residential Projects Only: From List 2 (see back) give Code of Structure-Type: Net Loss/Gain of Dwelling Units 2. PROJECT INFORMATION FOR OFFICE USE ONLY AwAdd 0,gy- Building or Suite No. Nearest Cross Street (.4 Q, - LEGAL DESCRIPTION WE No. Subdivision Name/Number Unit No, Phase No. CHECK BELOW IF SUBMITTED: 02 Energy Calcs 02 Structural Calcs 02 Soils Report DI Addressed Envelope jpCR1RflONOFWORK) # OF T2 . c,2e&3 # OF BA SQ. T. I 1459Q ~~ ~4rSTORIES 37 CON IALI YOU -3131m aitterent Erom applicant) - NAME (last.name first) ADDRESS CITY STATE ZIP CODE DAY TELEPHONE 4. APPLICANT D CONULAC'JUR U AGENt EOR CONIHAC'IUR NAME (last name first) '*'çt)O/( t A-<AtJ ADDRESS CIT0A42L41 STATE (24 ZIP CODE Q2r)P) DAY TELEPHONE ((r?!d?) - 0So5 JPKUPKIy,UWNU( NAME (last name fiityK, A'(-.AiJ 4 ADDRESS 2440 3FS-.3 ,Sr CITY (2ik$.4 STATE (A ZIP CODE Q2OO DAY TELEPHONE (c,iq) zq -080S NAME (last name first) ADDRESS CITY STATE ZIP CODE DAY TELEPHONE STATE UC. # LICENSE CLASS CITY BUSINESS UC. # DESIGNER NAME (last name first) ADDRESS CITY STATE ZIP CODE DAY TELEPHONE STATE UC. # 7. WORKERS' WMPENSATION Workers' Compensation Declaration: I hereby affirm that I have a certificate of consent to self-insure issued by the Director of industrial 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 POLICY NO. EXPIRATION DATE Certificate of Exemption: I certify that in the performance of the work [or 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 8.OWNER-BUILDERDEQARA11ON Owner-Builder Declaration: I hereby affirm that I am exempt irom we Lontractors License Law zor tne ioiiowing 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.). o 1, 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). 0 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 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 subjectsthe cant to a civil nal t m re than five hundred dollars [$500]). SIäNATIIRE I ZL DATE JJSTQ4 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? DYES ONO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? DYES 0 N Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? DYES ONO IF ANY OF ThE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NCYF BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTPJcr. CXJNSTRUCI1ON LENDING AGENCY I hereby affirm that there is a construction lending agency [or the performance of the work for which this permit is issued (Sec 3097(i) Civil Code). LENDER'S NAME LENDER'S ADDRESS API'LICANIT CEICI1F1CALION I certify that I have read the application and state that the above information is correct. 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 365 days from the date of such permit or if the building or work authorized by such permit is suspended or abandon4t any time aftey the, 4®r is commenced APPUCANTSSIGN ATURE —< for a period of 180 days (Section 303(d) Uniform Building Code). DATE: 0 CITY OF CARLSBAD 'INSPECTION 'RE,QUEST . 'PERMIT# :CB94 1001 FOR, 08/07/96 •' INSPECTOR AREA PD DESCRIPTION UPGRADE 100 AMPS TO 200 AMPS PLANCK# CB941001 ..............': " - •' 0CC GRP TYPE ELEC ' .. CONSTR TYPE NEW JOB ADDRESS 2440 JEFFERSON ST STE LOT APPLICANT: •ROOK, ALAN -.. '4 . PHONE:'. 619 729-0805 — '•. ' CONTRACTOR: - . . PHONE.: OWNER p * PHONE REMARKS Mw/ALAN/729-0805 ' INSPECTO SPECIAL INSTRUCT*- A"10 TOTAL TIME: CD LVL DESCRIPTION ACT COMMENTS 39 EL Final.'E1ectrica1. -' . •- . . . .. ' a . ': -, . , . •0 ' - - - - . 5 . INSPECTION HISTORY 't**** : 'DATE ..':'DEscRIPTION,' . ACT. INS'P COMMENTS ...S ' s. 051796 .. Fina1E1e'ctrica1 . CO PD. " NOACCESS'AGAIN 050396 'Final Electrical .-. ' .- CO' PD, - , 030896 Final Electrical - CA PD BY ALAN '- 0207.96 Service Change/Upgrade '. AP PD' :-NOT FINAL - S. 020196: Service Change/Upgrade . - CO PY 090794 Service Change/Upgrade CO PY SEE LIST 9/7 00 • ', - - , - S. '. 5 ' 2 - ' , , , , : - '' -: •. - - ..- - .- , '0 / - S ' ' - 5__,•, - 0 '' S - . - ' . E , -. . - 'S - .•,. -.'- _ - _ ,' , , - -t r ' . - - S , - I' .• , , '5 -, - .. . 0 '1 s - :- , ' 5 1 • -.. ' ••'4 4 - - ... .. -'-S.'. -. . 1Y . • ,_, - 'a • * --S .5., • S '', . . . ,p- ! • ,.. ,,-.. . , 'a, - , - -- , '' r • 4* /