HomeMy WebLinkAbout2635 HIGHLAND DR; ; CB950924; PermitB U I L D I N G
07/11/95 14:53
Page 1 of 1
Job Address: 2635 HIGHLAND DR
Permit Type: ELECTRICAL
Parcel No: 156-110-85-00
Valuation: 0
Construction Type: NEW
P E R M I T
Suite:
Lot#:
Permit No: CB950924
Project No: A9501312
Development No:
:'671 07/11/95 0001 01
C·PRMT
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Occupancy Group: Reference#: Status:
Applied:
ISSUED
07/11/95
07/11/95
RMA
Description: ELECT-OVERHEAD TO UNDERGROUND,
: REPLACE CURRENT 100 AMP PANEL W/200 AMP Apr/Issue:
Appl/Ownr : PORTER, ROBERT
P .O. BOX 2593
CARLSBAD,CA 92018
*** Fees Required ***
Entered By:
619-729-4271
Fees Collected & Credits *** --------------------------------------------
Fees:
Adjustments:
Total Fees:
Fee description
60.00
,00
60.00
Total Credits:
Total Payments :
Balance Due:
Units Fee/Unit
.00
,00
60.00
Ext fee Data
---------------------------------------------------------------------------
Enter "Y" for Electric Issue Fee >
Single Phase Per AMP >
* ELECTRICAL TOTAL
200 .25
APPROVAL
10.00 Y
50.00
60.00
I ! N ~ . '..,4+..JL-l,...-DATE ?-,
C1 EARANCE //-11-9-s 1? s
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
PERMIT WUCATION PLAN CHECK NO.
City of carlsbad Building Departlllent
2075 Las Palms Dr., carlsbad, CA 92009 (619) 438-1161
I
EST. VAL
I. PlllMII fYPR
PLAN CK DEPOSIT _______ _
VAIID. BY-10~K"-........-t--r,----
From Lise 1 (see back) give code of Permit-Type: ___________ _ . DATE • z"tqc
---------------------------------------------------------
For Residential Projects Only: From Llst 2 (see back) give
Code of Structure-Type: ___________________ _
Net Loss/Gain of Dwelling Units
2. PRQJECT INFORMATION FOR OFFICE USE ONLY
Bu1ldmg or Suite No.
Nearest Cross Street .4 ,4 .S j:" c.o,c G"
LEGAL DEstRIF'IION Lot No. Subd1V1s1on Name/Number Omt No. Phase No.
CHECK BEWW IP S0BMII IEO:
□ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope
ASSESSOR'S J>ABCEI. EXISTING usF. PROPOsF.n u~
ro;p~,7!:...,,e~DRESS fd60.,_ ;2SJ?
CA-ZIPCODE/..:Z.cJ/1' ?,2'J-'i'-Z7.
ADDREss Po ~01' ~s-;J
crTYC ZIP CODE /,:Zt}t<C{ DAYTELEPHONE ',ZJ'-CfZ7(
NAME (last name first) ADDRESS Po 61-,C. o<S7::J
ZIPCODE J:ltJ/'i DAYTELEPH0NE ?.2.J-YZ7I CI1Y C,4-4 (, 5 ~~ p STATE CA
NAME (last name first)
CI1Y STATE ZIP CODE
LICENSE CLASS
ADDRESS
DAY TELEPHONE
STATE UC.# CllY BUSINESS UC. #
DESIGNER NAME (last name hrst) t! ADDRESS
CI1Y STATE ZIP CODE DAY TELEPHONE STATE UC. #
7. WOkkERS' WMPRNSAI ION
Workers' Compensation Oeclarat1on: I hereby afhrm that I have a cert1hcate of consent to seh-msure issued by the Director of lnduscnal
Relations1 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
Cert1hcate of Exempaon: I certify that m the performance of the work for which ifos permit 1s issued, I shall not employ any person many manner
so as to become subject to the Workers' Compensation Laws of California.
SIGNATURE DATE
8. OWNPlt-B0IWER DfilXkA:iiuN
Uwner-BuUder Declaration: I hereby afhnn that I am exempt from the Confradofs Llcense Law for the followmg 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.).
□
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 owner of property 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 Law (Chapter 9, commencing with Section 7000 of Division 3 of the Business and Professions Code)
or that he· xempt therefro~m and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit
subjects pplic nt a ci I penalJ( of not more than five hundred dollars [$5001).
SIGNATURE n:;c-DATE /-//-7..>
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?
□ 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 ONO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
□ YES □ NO IF ANY OF TIIE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE IliSUED AFTER JULY 1, 1989 UNLESS TIIE APPUCANT
HAS MlIT OR IS MEimNG TIIE REQUIREMENTS OF TIIE OFFICE OF EMERGENCY SERVICES AND TIIE AIR POLLUTION ffiNTI\OL DISI1UCT.
9. WNSIHOCliON LRNDING XGRNCY
I hereby afhrm that there JS a construction iendmg agency for the performance of the work for whtch this permit 1s issued (Sec 3097(1) CiV1i Code).
LENDER'S NAME LENDER'S ADDRESS
10. APPUtAN I CEJtltFICAIJUN
I cert.HY that I have read the apphcauon and state that the above mformat1on 1s correct. I agree to comply with ail 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 ALSO AGREE ID SAVE INDEMNIFY AND KEEP IIARMIJI.SS TIIE CfIY OF CARISBAD AGAINSf AIL UABIUTIF.S, JUDGMENTS, CDSTS
AND EXPENSES WHICH MAY IN ANY WAY A(XJl\JE AGAINSf SAID CfIY IN mNSF.QUENCE OF TIIE GRANTING OF nns PERMIT.
OSHA: An OSHA permit is required for excavations over S'O" deep and demolition or construction of structures over 3 stories in height.
Expiration. Every permit issued by the Building Official under the provisions of chis Code shall expire by limitation and become null and void if the
building or work authorized by sue it is not co ~ced ithin 365 days from the date of such permit or if the building or work authorized by
such permit is suspended or aband n at y me t ~ rk is commenced for a period of 180 days (Section 303(d) Uniform Bui,ng Code~ _
APPLICANT'S SIGNATURE DATE: _/I, S
WHITE: F" e YEIJ.OW: Applicant PINK: Fmance
CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT# CB950924 FOR 11/17/95
DESCRIPTION: ELECT-OVERHEAD TO UNDERGROUND,
REPLACE CURRENT 100 AMP PANEL W/200
TYPE: ELEC
AMP
STE:
INSPECTOR AREA PD
PLANCK# CB950924
OCC GRP
CONSTR. TYPE NEW
LOT: JOB ADDRESS: 2635 HIGHLAND DR
APPLICANT: PORTER, ROBERT
CONTRACTOR:
PHONE: 619-729-4271
OWNER:
REMARICS: MW/BOB/729-4271
SPECIAL INSTRUCT: AM IF POSSIBLE
TOTAL TIME:
--RELATED PERMITS--PERMIT#
CB911091
CB951092
PHONE: PRONE,~
INSPECTO-
LOOKING FOR POWER
TYPE
MISC
RAD
STATUS
EXPIRED
ISSUED
CD LVL DESCRIPTION ACT COMMENTS
-
34--EL_R_o_u_gh_E_l_ec_t_r_ic ______ ll7---"<:J+'f-:~~fr~6___,4_,,6~G=(t{k,=---~~~~f~f'4i=.=.JW
-------------------
r 7 0(L,Jb? 5:
-----------------
***** INSPECTION HISTORY*****
DATE DESCRIPTION
092095 Service Change/Upgrade
ACT INSP
CA PD
COMMENTS
NOT READY