HomeMy WebLinkAbout2643 GARFIELD ST; ; CB931313; PermitCITY OF CARLSBAD•.__ _ _.;.. ___ -:--___ ....J
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
PERMIT APPLlCATION PLAN CHECK NO.
City of Carlsbad Building Department
2075 Las Palmas Dr •• Carlsbad, CA 92009 (619) 438-1161 EST.VAL. __________ ~
PIAN CK DEPOSrr ________ _
VAUD.BV __________ _
DAlF.
A -0 Commercial D New Building Li I enant Improvement
B -D Industrial D New Building D Tenant Improvement
C -D Residential D Apartment D Condo D Single Family Dwelling D Addition/ Alteration
O Duplex O Demolition D Relocation O Mobile Home D Electrical D Plumbing
0 Mechanical D Pool D Spa D Retaining Wall D Solar D Other
2. PRUJECT INFORMA"llON FOR OFFICE USE ONLY
Address
Nearest Cross Street
D~GAL DESC.RIP I ION Loe No. Sulx11vis1on Name/Number Unit No. Phase No.
D 2 Energy Cales O 2 Structural Cales D 2 Soils Report D 1 Addressed Envelope
ASSESSOR'S PARCEi. FXISIING USE PBOPC)SFP USE
DESCRIPTION OF WORK
# OF STORIES
1 cren rom app 1c.1n
NAME
cnY STATE ZIP CODE DAY TELEPHONE
4. APPIJ{:AN I
NAME
DCONlllACIOll OAc,LNI l·OHWNIMCIOR DOWNER DAGENI l·OHOWNEH
ADDRESS
CilY STATE ZIP CODE DAY TELEPHONE
6. OONI c'I '
ZIP CODE 9} l?t" y DAY TELEPHONE ,-...
ADDRESS / k, 50 ft//f/-7L..E )) .!< · NAME°Jc,hh,h>~ £lt:t-T :i:;1vC
CTIY STATE ZIP CODE DAY TELEPHONE
STATE I.IC.# IJCENSE CLASS CilY BUSINESS UC. #
CilY STATE ZIP CODE DAY TELEPHONE STATE UC.#
7. WtJHRERS' WMPENSAI ION
Workers' Compensation DCclara11on: I hereby alhrm thal I have a cert1hcate ol consent co sell-insure issued by the Director of lndus1nal
Relations, or a certificate of Workers' Compensation Insurance by an adminc<l insurer, or an exact copy or duplicate thereof cenified
by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C).
'fr: EXPIRATION DATE
SIGNATURE DATE
8. C)WNhR-BOIIJJhll DffiXltAIICJN
Owner-Bu,ldcr Declarauon: I hereby affirm that I am exempt from the C:ontracto?s l..1cense Law !or 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 dOC'S 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.).
D I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions
C:lxic: 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).
D I am exempt under Section--------Business and Professions Ccx.lc for chis reason:
(Sec. 7031.5 Business and Professions Code: Any Cily or County which requires a pennit co construct, alter, improve, demolish, or repair
any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement chat 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
subjects the applicant to a civil penalty of not more than five hundred dollars ($5001).
SIGNA11JRE DATE
COMPLEIE I IIIS SEC I lc)N f()R NON-RLSIDEN I !AL BUILDING PLHMI IS ONLY:
I:. thl' 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?
0 YES 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 ONO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
0 YES O NO
IF ANY 01'' ·nm ANSWERS ARE YES, A FINAL CERllJ.lC:ATE ()F CXX:UPANCY MAY NCJr BE ISSUFJJ Al-·rER JULY 1, 1989 UNLESS 1111': APPl1CA.NT
HAS MF.TOR IS MFEilNG l11E RF.QUIREMENTS OF TIIE OFFICT OF F.MF.RGF.NCY SF.RVICFS AND TIIE AIR POIJ.UTION ffiNTIIOI. DISl1UCT.
9. tiJNS'IHOCIICJN Il@DINC. Al,l@LY
I hereby aillrm that there 1s a construction lending agency for the performance of the work for wh1eh this permit 1s issued (Sec 309/(IJ Civil Code).
LENDER'S NAME LENDER'S ADDRESS
10. APPIJC:ANI CF.RIIFICAIION
I cert1iy that I have read the appl1c<Jt1on and st<Jte that the abOve 1niormat1on is correct. I agree to comply with all Cny 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 Al.SO AGHEE "Ill SAVE INDEMNIFY AND KEEP HARMIF.5.5 TIIE crIY OF CAfUSBAD AGAINST AIL llABIIlTIFS, JUDGMENTS, CDSTS
AND EXPENSE .. 5 WIIICII MAY IN ANY WAY ACX:H.UF. AGAJNSf SAID crIY IN CDNSEQUENCE OF TIIE GRAN'IlNG OF TIIIS 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. Ev<'ry 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 aulhorizcd 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 abandoned at any time after the work is commenced for i:l period of 180 days (Section 303(d) Uniform Building Code).
DATE: /2.-z.-g~
File YEllOW: Applicant PINK: Finance
• ••
PERMIT# CB931313
DESCRIPTION: RELOCATE 200 AMP
TYPE: ELEC
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 12/10/93
METER
INSPECTOR AREA
PLANCK# CB931313
OCC GRP
CONSTR, TYPE NEW
JOB ADDRESS: 2643 GARFIELD ST
APPLICANT: JOHNSON ELECTRIC
CONTRACTOR:
STE: LOT:
PHONE: 619 422-2353
PHONE:
OWNER: PHONE:
REMARKS: MH/LAMAR/422-2353 INSPECTOR
SPECIAL INSTRUCT: WOULD LIKE INSPECTION AT NOON
TOTAL TIME:
CD LVL DESCRIPTION ACT COMMENTS
39 EL Final Electrical f£-----------------------------------------------------------------
***** INSPECTION HISTORY*****
DATE DESCRIPTION ACT INSP COMMENTS