HomeMy WebLinkAbout2681 OCEAN ST; ; CB951791; Permit12/06/95 11:17
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B U I L D I N G
Job A<ldress: 2b81 OCEAN ST
Permit Type: ELECTRICAL
Parcel No: 203-140-26-00
Valuation: O
P E R M I T
Suite:
Lot#:
Permit No: CB951791
Project No: A9502b1l
Development No:
\,
Construction Type:
Occupancy Group: Reference#: Status:
NEW
ISSUED
12/06/95
12/06/95
RMA
Description : REPLACE 60 AMP PANEL W/100 AMP Applied:
Appl/Ownr : SMITH, PETER
P.O. BOX 82126
SAN DIEGO, CA
*** Fees Required ***
Fees :
Adjustments:
Total Fees:
92138
Apr/Issue:
Entered By:
619-979-3172
Fe e s Collected & Credits
Tot a l Credits:
Total Payme nts :
Balanc(; Du e :
.00
.00
35.00
***
Fee descri ption Un i ts Fee1/Un it Ext fee Data
---------------------------------------------------------------------------
Enter 'Y" for Electri c Issue Fee >
Single Phase Per AMP >
* ELECTRICAL TOTAC
F
I N SP. /1-,%1~==---
10.00 Y
25.00
35 .00
CL EAR CE ~~_._.;;.._---.--A
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
PERMIT APPLICATION PLAN CHECK NO.
City of Carlsbad Buildi,e ~rt.flt
2075 Las Pal-Dr., Carlsbad, CA 920D9 (619) 4311·1161
I. PEKMII hPE
From List J (see back) give code of Permit-Type: ___________ _
For Residential Projects Only: From List 2 (see back) give
Code of Structure-Type: ____________________ _
Net Loss/Gain of Dwelling Units
2. PRWECT INFORMATION FOR OFFICE USE ONLY
Address 'J-(o€J ( ()C£A"1 5F,-~-P3u1ldmg or Suite No.
Nearest Cross Street
LEGAL DESCRiPI ION Subd1V1s1on Name/Number Omt No. Phase No.
CHECR BEWW tF SO BMI 11 ED:
0 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report O I Addressed Envelope
DESCRIPTION OF WORK E,1.-€,C.,.jl'l.,i CAL, S!:S!,V1{£ lAl'EtR-AD£
# OF STORIES # OF BEDR
NAME (last name first) ltA Wf°ttOflNJ:. f .J1 ADDRESS 'P Q (317)( '=fot::,
CllY~ o,ru--,o STATE c;., ZIP CODE q·lnz... DAYTELEPHONE &1L1.. +001
g_ ~E (last n:me first) Sl¼'rn+ I pt$~ EL ADDRESS -Pv ~'VX It, 1..t"l.(f
CllY ~N 01rtho STATE (J;,, ZIPCODEqz,st, DAY TELEPHONE q-:i-q .·~1::rz __
STATE LIC. # I,,(, 3:U,]: LICENSE CLASS C, . ID CllY BUSINESS LIC. #
DESIGNER NAME (last name hrst) ADDRESS
Cid STATE ZIP CODE DAY TELEPHONE STATE LIC. #
7. WOkkERS' lDMPENSAIION
Workers' Compensation Declarauon: I hereby affirm that i have a cert1hcate of consent to self-msure issued by the b1cector of lndustnal
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 STAT£ f JI\N.D POLICY NO. fl O II 33 q 5 EXPIRATION DATE i, · .2s"I · Cj
{
penon m any manner
SIGNATURE DATE -8. OWNRk-B0liDRk Dfi!LARAliON
Owner-Builder Declaration: I hereby afhrm that I am exempt from the Confradofs license Law for the following 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 Ucense 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 suucture, 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 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]).
SIGNATURE DATE
WMPll:ft f HIS Sf:CIION FOR NON-Rf:SIDEN I !AL BUILDING Pf:RMI IS ONLY:
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 ONO
Is the applicant or future building: occupant required to obtain a permit from the air pollution control district or air quality management district?
□ YES □ NO
Is the facility to be consuucted within 1,000 feet of the outer boundary of a school site?
□ YES ONO
IF ANY OF nm ANSWERS ARE YES, A FINAL CERTIFICATE OF OOCUPANCY MAY NOT BE ISSUED AFTER JULY 1, 1989 UNIJ!SS nm APPLICANT
HAS MET OR IS MEIITING nm REQU1REMENTS OP 11lE OFFICE OF EMERGENCY SERVICES AND 11lE AIR P0Il.lJ110N mNTitOL DISTRICT.
9. WNSIRUCIION IENDlNG AGENCY I hereby afhnn that there is a construction lendmg agency for the performance of the work for which thlS permit is lSSUed (Sec 3097(1) C1vU Ccxle).
LENDER'S NAME LENDER'S AbbitESS
10. XPPllCAN I CFll I U'ICAI ION
I cemfy that I have read the appUcat1on and state that the above mformauon ts correct. I agree to comply with all Caty 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 A1SO AGREE ID SAVE INDEMNIFY AND KEEP HARMLESS 11lE CTIY OP CARISBAD AGAINST AIL LIABILITIES, JUDGMENTS, CXlSTS
AND EXPENSES wmrn MAY IN ANY WAY Aa:RUE AGAINST SAID CTIY IN mNSEQUENCE OF 11lE GRANTING OF 11llS PERMIT.
OSHA: An OSHA permit is required for excavations over 5'0n deep and demolition or construction of structures over 3 stories in height.
Expiration. Every 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 authorized by such permit i not com en wi bin 365 days from the date of such permit or if the building or work authorized by
~.
such pennit is suspended or aban t y f ter th is commenced for a period of 180 days (Section 303(d) Uniform Building Code).
APPLICANT'SSlGNATURE DATE: Ckb ·tt~
OW: Applicant PINK: Frnance
0
PERMIT# CB951791
DESCRIPTION: REPIACE 60 AMP
TYPE: ELEC
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 12/08/95
PANEL W/100 AMP
STE:
INSPECTOR AREA
PLANCK# CB951791
OCC GRP
CONSTR. TYPE NEW
LOT: JOB ADDRESS: 2681 OCEAN ST
APPLICANT: SMITH, PETER
CONTRACTOR:
PHONE: 619-979-3172
PHONE:
OWNER:
REMARKS: MW/PETER/979-3172
SPECIAL INSTRUCT:
TOTAL TIME:
CD LVL DESCRIPTION
PHONE: INSPE=p
ACT COMMENTS
39 EL Final Electrical A(:_ ____ _
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***** INSPECTION HISTORY*****
DATE DESCRIPTION ACT INSP COMMENTS