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HomeMy WebLinkAbout2632 EL CAMINO REAL; ; CB950538; PermitB U I L D I N G P E R M I ':' Permit No: CB95053 Project No: A9500792 c pment No· 04/2b/95 07:42 Page 1 of 1 Job Address : 2632 EL CAMINO REAL Permit Type: ELECTRICAL Pc.1rcel No: Valuation: ConFtruction Type: NEW 0 V Suite: Lot#: Occupancy Group: Reference#: ;:,cacus: J.;:,:->uED 04/26/95 04/26/CJ5 RMA Desc~iption: 100 AMP ELEC METER-PARKING LOT Appl/Ownr. : NATIONAL ELECTRIC WORKS INC 5983 FAIRMOUNT AV SN DIEGO , CA A*A Fees Required Fees: AdJustments: Total Fees: Applied: Apr/Issue: Entered By: 619-282-2144 .00 .00 35.00 A** Fee description Ext fee Data Enter "Y" for Elec Single Phase Per * ELECTRICAL ~OTAL ~~JS 10 .0ll y 25 .00 PED-P 35.00 '1 PROVAL ,__DATE ~-, 1CLE. r n GE _____ , CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 LOT PERMIT APPLICATION PLAN CHECK NO. C/ SO S 3j" City of carlsbad Buildi11:1 Depert.ent 2075 las Palms Dr •• carlsbad, CA 92009 (619) 438-1161 EST.VAL. ___________ ~ 1. PER.Mn IYPE ELEC. From List 1 (see back) give code of Permit-Type: _E_L_E_C_. _______ _ For Residential Projects Only: From List 2 (see back) give Code of Structure-Type:--------------------- Net loss/Gain of Dwelling Units------------------ PLANCKD~ VAIID.BY DATE "-/t.C 2. PRClJF.Cf INFORMATION FOR OFFICE USE ONLY Address 2632 EL CAMINO Building or Suite No. PARKING LOT POWER Nearest Cross Street HOSP WAY CECAL DESCRIPTION Lot No. sutxhV1s1on Name/Number Unit No. Phase No. CHECK BEWW IF s08Ml 11 ED: CJ 2 Energy calcs CJ 2 Structural cares CJ 2 Soils Repon [J 1 Addressed Envelope ASSESSOR'S PARCEL EXISTING USE PROPQ~ Urf" DESCRIPTION OF WORK SQ. FT. # OF STORIES # OF BEDROOMS # OF BATI-IROOMS 3. CXMiACi Pi!J&M (If dmerenf from applicant) NAME (last name first) J A,.~.S Lo L. ADDRESS CITY SfATE ZIP CODE DAY TELEPHONE 4. APPUCAN"I Kl CON I RACIOR LI AGEN I FOR CON I RAc IOR DOWNER DAGEN I FOR OWNER NAME (last name first) ADDRESS ~MIONAL ELECTRIC Jl.H¥K~A I~&coDE s. PRO~ oWNER 5983 FAIRMOUNT AVE. 9 2 1 2 0 DAY TELEPHONE 2 8 2 - 2 14 4 NAME (last name first) AMERICAN ASSETS, INC. CITY SD SfATE CA ZIP CODE ADDRESS 10140 CAMPUS PO INT DR. 92121 DAYTELEPHONE 282-2144 SUITE 400 6. rnNTRAt'IOR NAME (last name first) ADDRESS CITY STATE ZIP CODE DAY TELEPHONE SfATE UC.# LICENSE CLASS CITY BUSINESS UC. # DESIGNER NAME (last name llrst) ADDRESS CITY SfATE ZIP CODE DAY TELEPHONE SfATE UC.# 1. WoRXERS' rnMPENsATION Workers' Compensation Ueclarauon: I hereby affirm that I have a ceruhcate of consent Lo self-insure issued by the Director of lnduslnal Relations, or a cenificate 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 Depanment (Section 3800, uib. C). CALCO WC78011410~02 . 19 INSURANCE COMPANY POLICY NO. -. -· EXPIRlrTION DATE 10 5 Certlhcate of Exempuon: I cerufy that in the performance of the work tor which this permit 1s issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation uiws of califomia. SIGNATURE DATE Owner-Builder Declaration: I hereby affirm that I am exempt from Che ConfracloPs License Law for the lollowing reason: [J I, as owner of the propeny 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 uiw does not apply to an owner of propeny 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.). [J I, as owner of the propeny, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License uiw does not apply to an owner of propeny who builds or improves thereon, and contracts for such projects 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 License uiw (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 subjects the applicant to a civil penalty of not more than five hundred dollars [$500)). SIGNAllJRE DATE COMPLETE ruts SECTION FOR NON-RESIDENTIAL 80ltbiNG PERMI rs oNLV: 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 D NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? [J YES ~ NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? [J YES -iµ NO IF ANY OF nm ANSWERS ARE YES, jt FINAL CERTIFICATE OF OCOJPANCY MAY NOT BE~ AFTER JULY 1, 1989 UNLESS TIIE APPUCANT HAS MET OR IS MEETING nm RF.QUIREMENTS OF nm orno: OF EMERGENCY SERVICES AND nm AIR POlllJllON CDNlROL DISfRICT. 9. CDNSIROCnON LENDING AC£Nct I hereby affirm that there 1s a construction lending agency for the performance of the work for which this permit 1s issued (sec 3097{1) C1V1l Code). LENDER'S NAME LENDER'S ADDRESS 10. APPUCAN I CERl'IFICAl10N I cerufy that I have read the application and state that the above information 1s correct. I agree to comply w1Cn all city ordinances ana :state laws relating to building construction. I hereby authorize representatives of the City of carlsbad to enter upon the above mentioned propeny for inspection purposes. I Al.SO AGREE TO SAVE INDEMNIFY AND KEEP HARMI.F.s.5 nm ClTY OF CARlS8AD AGAINST AIL UABIUllES, JUDGMENTS, CDSTS AND EXPENSES WlflCH MAY IN ANY WAY Acx:RUE AGAINST SAID ClTY IN CDNSEQUENO: OF nm GRANTING OF nns PERMIT. OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB950538 FOR 05/10/95 DESCRIPTION: 100 AMP ELEC METER-PARKING LOT TYPE: ELEC INSPECTOR AREA PY PLANCK# CB950538 OCC GRP CONSTR. TYPE NEW JOB ADDRESS: 2632 EL CAMINO REAL APPLICANT: NATIONAL ELECTRIC WORKS INC CONTRACTOR: OWNER: REMARKS: BJN/JIM/282-2144 SPECIAL INSTRUCT: STE: LOT: PHONE: 619-28222214 PHONE: PHONE: INSPECTOR--"""-----------------~ TOTAL TIME: CD LVL DESCRIPTION ACT COMMENTS 33 EL Service Change/Upgrade &:_ dL?LZ LP P .&tty? #4ft)(L-0k11u//lt}' --------------------------------------------------------------------------------------------------- ***** INSPECTION HISTORY***** DATE DESCRIPTION 050495 Rough .Electric ACT INSP AP PY COMMENTS GROUND ROD FROM AMERICAN ASSETS . . (TUE) 04. 18' 95 09: 01/ST. 08: 59/NO. 3560296532 P 2/2 HOSP WAY I I ( >\@ WFSB CARLSBAD ODRESS: 2830 EL CAMINO REAL, CARLSBAD, CA. 92008 CROSS STREET: HOSP WAY ~RCEl SF: 2.3 ACRES BUILDING SF: 24,300 i:J .. WATER SHUTOFF d = domestic i .. irrigatton f • fire £!:lffnkler £. GAS St1UTOFF @ • 8.ECIHOI-SHVTOFF ·US PLAN IS FOR GENERAL REFERENCE ONLY. PUN FEATURES MAY NOT BE SHOWN TO SCALE. SrTE ONFJGURATION IS SUBJECT TO CHANGE AT LANDLORD'S SOLE DISCRETION.