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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