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HomeMy WebLinkAbout2468 OCEAN ST; ; CB981581; PermitB U I L D I N G P E R M I T Permit No: CB9e15~1 ProJect No: A9B02!01 Development No: U5/2b/':H:l 09: 29 Paqe 1 of 1 Job Address: 24b8 OCEAN ST Permit Type: ELECTRICAL Parcel No: 2U3-022-15-00 Valuation: 0 Occupancy Group: Reference#: Descr1ption: REPLACE EXISTING 100 AMP PANEL : WITH NEW 200 AMP PANEL Appl/Ownr : KELLY, JIM 2468 OCEAN ST CARLSBAD CA *** fees Required fPes: A<.ljustments: Total fees: fee descr1pt1on 92lJ08 Suite: 760 Construction Type: Status: Applied: Apr/Issue: Entered By : 720-9105 NEW ISSUED 05/22/98 05/22/98 RMA Collected & Credits *** _____ 73~1..92.a6l1lfL~Q9l_QL_~2-.0 00 C-PRMT i • .00 35.00 10.00 Ext fee Data 1N8P. , • . . . DATE 6 ,... 3 ,.. " g CLEWNCI ~~,\l\\pµ CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 . ' ,. FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO. 18{ 5 !{/ CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 EST. VAL. _________ _ 1. PROJECT INFORMATION Z-1:J I, 1;j oC e; ,tyv ,t. CA- Address (include Bldg/Suite #) Business Name (at this address) :,;r-. -z. L\ b ,g oc e./1 ,I C A-AL-5 ~ ,A-0 C k "'1 L cu f, Legal Description tot No. Subdivisio~ Name/Number Unit No. Phase No. Total # of units '2,'il,'o Ocf;tltv S7'. I p, I'&) Vi 11 ~ f.+,t/c_ M¥:itnED-1 Assessor's Parcel # Existing Use --i-c3 -O"Z-z..--I s -oo rlec:>1>:?t'lv 'h'/1\,, Description of Work SO. FT. #of Stories Proposed Use US1J-:><,., f)'lrl-- , of Bedrooms # of Bathrooms C-HA1v•G° &"?<{s n '.J 6-loo A11-t' e t,;,:.:fY"i cAL i?k-'tC -z.no A.11\f 2. CONTACT PERSON (If different from applicant) Name Address City State/Zip Telephone# Fax# 3. APPLICANT O Contractor D Agent for Contractor 0 Owner 0 Agent for Owner e A--[Ci io o.to Jll/V\ )(c L-L=, 'Z-'-l (z g oc ev!N ~I-' ("AU-~IJM -Z bO, 1,oq toS- Name Address City State/Zip Telephone# 4. PROPERTY OWNER ,,;.+,vie Name Address City State/Zip Telephone# 6. CONTRACTOR • COMPANY NAME (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, 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 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 l$5001). Name Address City State/Zip Telephone# State license # _________ _ License Class _________ _ City Business License II _______ _ Designer Name Address City State/Zip Telephone State License # _________ _ 6. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D l 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. ~ 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 worker's compensation insurance carrier and policy number are: lnsu,ance Company L--1!2£b.f<::'.j 1') l-1 tyll'I\., Polley No. lf $ -Z. 7 (, )11:\S"J ,,oo}'(Expl,atlon Date 7[ / /{Z {THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$100) OR LESS) D CERTIFICATE OF EXEMPTION: l 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 of California. WARNING: Failure to secure workera' compensation coverage ia unlawful, end shall subject en employer to crimfflal penalties end civil fines up to one hundred thousand dollars {$100,000), in addition to the cost of compensation, dama(ies aa provided for in Section 3706 of the Labor code, Interest and attorney's fHa. SIGNATURE______________________________ DATE _________ _ 7. OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law tor the following reason: D 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). W, I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The 1:ontractor'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). D t am exempt under Section ______ Business and Professions Code for this reason: ,. 2. I personally plan to provide the major labor and materials for construction of the proposed property improvement. D YES I (have / have not) signed an application for a building permit for the proposed work. /!ID'D 3. J have contracted with the following person (firm) to provide the proposed construction (include name/ address I phone number I contractors license number): PROPERTY OWNER SIGNATURE ~;j~;;iJ~"it:,;;GFMMn;;;Cml~-------:-- COMPLETE THIS SECTION FOR NON- ls 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? D YES O NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES O 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. B. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME _____________ _ LENDER"S ADDRESS ______________________ _ 9. APPLICANT CERTIFICATION I certify that l have read the application 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 Citt 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 ·a1 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 no ithin 65 days from the date of such permit or it the building or work authorized by such permit is suspended or abandoned at any time after the need for a eriod of 180 days (Section 106.4.4 Uniform Building Code). DATE ~S,.,_-_L..:...t..:..._-_1::::1 ___ _ APPLICANT'S SIGNATURE File YELLOW: Applicant PINK: Finance , PERMIT# CB981581 DESCRIPTION: REPLACE 200 AMP TYPE: ELEC CITY OF CARLSBAD INSPECTION REQUEST FOR 06/02/98 EXIST 100 AMP PANEL W/ PANEL&RECEPTICALS IN KITCHEN JOB ADDRESS: 2468 OCEAN ST APPLICANT: KELLY, JIM CONTRACTOR: PHONE: PHONE: OWNER: PHONE: INSPECTOR AREA PLANCK# CB981581 OCC GRP CONSTR. TYPE NEW STE: LOT: 760 720-9105 REMARKS: B/PAUL/731-1122 SPECIAL INSTRUCT: INSPECTOR ---~(\J_F _____ _ TOTAL TIME: CD LVL DESCRIPTION ACT COMMENTS 34 EL Rough Electric ilf ________ _ "!I+= ___________ ";if __________ _ ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS B