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Home My WebLink About260 OLIVE AVE; ; CB941508; PermitB U I L D I N G P E R M I T Permit No: CB9415UB Prvject No : A94U221U Development No : 11/1 8/94 09:41 Page 1 of 1 Jub Address: 260 OLIVE AV 1 Permit Type : ELECTRICAL Parcel No : 206-091-10-00 Valuation : o Con struction Type: NEW Suite : Lot#: Occupancy Group: Reference#: Status : ISSUED Applied : 11/18/94 Apr/Issue: 11/18/94 Entered By: MDP Descri pti on : 0/H TO U/G CONVERSION 60 AMP Appl/Ownr : OCEANSIDE ELECTRIC 302 WI SCONS IN AV E OCEANS I DE , CA. 92054 *** Fees Requir ed *** Fees : Adjustments : Total Fees : 2 5.00 Fee descri pti o n 619 722-6880 9640 11/18/94 0001 01 02 C-PRHT 25-00 Bees Collected & Credits *** Total Credit s: Total Payments~ Balance Due : Uni ts Fee/tJnit .00 . () ( 25 .00 Ext fee Data ---------------------r----------------------------------------------------- En ter "Y" for Electric Issue Fee > Remod e l /Alter Per AMP > * ELECTRICAL TOTAL CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 10 .00 Y 15.00 25.00 • PERMIT APPLICATION PLAN CHECK NO.qt.(-~ ~& City of Carlsbad Buildi~ DepartEnt l ~.VAL 2075 Las PalES Dr., Carlsbad, CA 92009 (619) 438-1161 I. PmlMII IYPR PLAN CIC DEPOSIT _______ _ VAUD. BY __________ _ DATE From Llst 1 (see back) give code of Permit-Type: ___________ _ For Residential Projects Only: From Llst 2 (see back) give Ccxle of Structure-Type: ____________________ _ Net Loss/Gain of Dwelling Units 2. PROJF.CT INFORMATION FOR OFFICE USE ONLY Address ~O o4UE. BuUdmg or Suite No. Nearest Cross Street ~(\ii? £1 ,~Q LEGAL DESCRIP'l ION o. Ulvis1on Name/Number 0mt No. Phase No. CHECK BEWW IF SOBMI 11 ED: □ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope ASSESSOR'S PARCEi, EXISTING USE PHOPOSF.n USF. DESCRIPTION OF WORK /'"' ,r\ (J_ ' C) .,,.._p SQ. FT. 0 ~ T~ U. ~ OF ~N lk,. St.,Q.~ROOMS # OF BAlHROOMS 3. WN IACI PERSON (ff dlllerent from applicant) NAME (last name first) ADDRESS CITY ~ .\. APPLiCAN I ~ STATE ZIP CODE OAGENI FORCONiRACIOR ADDRESS DAY TELEPHONE DOWNER OAGENI FOR OWNER NAME (last name firat) CITY STATE ZIP CODE DAY TELEPHONE 5. PkOP£krl OWNER ,J /K ~ NAME (last name first) r-,. OU.:, v l ---1 • ADDRESS CITY ~~---c tl4-= STATECJtt: 6. wN IOR NAME (last name first) (".UA-1\)~ {~ ZIP CODE-J/ 00 " DAY TELEPHONE ~~ C'..i(21CADmu:ss ZIP CODE ,~t.f LICENSE CIASS CITY D'Sc-1)~ STATE DAY TELEPHONE CITY BUSINESS I.IC. # L) 7.... 7 0 C) STATE I.IC.# mil CITY STATE ZIP CODE DAY TELEPHONE STATE I.IC.# 7. WOkkkkS' WMPENSAIION Workers' Compensatmn Oeclarat1on: I hereby afhrm that I have a cert1hcate of consent to self-msure issued by the Director of lndustnai 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 Certthcate of Exempuon: I certify that m the performance of the work for which this penntt IS issued, I shall not employ any person many manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE 8. OWN£1l-8Unnmt uF.COOt<fiON □ □ □ Owner-BulJder Declaration: I hereby afnrm ilia( I am exempt from the Confradofs license Law for the iollowmg reason: I, as owner of the property or my employees with wages as their sole compensation, wilt do the work and the structure is not intended or offered for sale (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 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 contract,; for such projecrs 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 pennit to construct, alter, improve, demolish, or repair any structure, prior to irs 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 Llcense Law (Chapter 9, commencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is pt therefrom, and th basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a pennit subjecrs the civi nal ,itJJ&-.iiao...live hundred dollars ($500]). SIGNA1URE ~-,, Is the applicant o future building occupant required to submit a business plan, acutely hazardous materials registration fonn or risk management and prevention progr 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 pennit 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 TIIEANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BEJs.51llID AFTER JULY 1, 1989 UNIJlSSTIIE APPLICANT HAS MET OR JS MEETING TIIE REQUlREMENTS OF TIIE OFFICE OF EMERGENCY SERVICES AND TIIE AIR POLLUTION CONTROL msnuc:r. 9. WNSIR0CIIUN LHNDING AGENCY I hereby afhnn that there IS a construction lend mg agency for the perfonnance of the work for which tfi1S penn1t 1s issued (Sec 3097 (i) dvU Code). LENDER'S NAME LENDER'S ADDRESS 10. APPIJCANi CFRliFICAIIUN I cerufy that I have read the apphcat10n and stale that the aOOve mfonnat1on IS correct. I agree to comply with all dty 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 TIIE crIY OF CARI.5BAD AGAIN!IT AIJ. IJABJUI1ES, JUDGMENTS, CXlSTS AND EXPENSES WlllCH MAY IN ANY WAY ACXJlllE AGAIN!IT SAID crIY IN CONSF.QIJENCE OF TIIE GRANTING OF TIIlS PERMIT. OSHA: An OSHA pennit is required for excavations over 5'0tt deep and demolition or construction of structures over 3 stories in height. Expiration. Every pennit 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 nn'r'is not commenced with' 36 days from the date of such pennit or if the building or work authorized by such pennit is suspended or aband n any time~ ch menced for a period of 180 days (Section 303(d) Unifonn Building Code). APPLICANT'S SIGNATURE L . ti 11-DATE: TE: File PINK: Fmance 0 PERMIT# CB941508 DESCRIPTION: 0/H TO U/G TYPE: ELEC CITY OF CARLSBAD INSPECTION REQUEST FOR 11/28/94 CONVERSION 60 AMP JOB ADDRESS: 260 OLIVE AV APPLICANT: OCEANSIDE ELECTRIC CONTRACTOR: PHONE: PHONE: OWNER: PHONE: INSPECTOR AREA PLANCK# CB941508 OCC GRP CONSTR. TYPE NEW STE: LOT: 619 722-6880 REMARKS: BJN/GREG/722-6880 SPECIAL INSTRUCT: INSPECTOR -~O.._~ty _______ _ l~ I TOTAL TIME: CD 34 LVL DESCRIPTION EL Rough Electric ------------------------------------------------------ ACT COMMENTS /Jf----- ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS