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HomeMy WebLinkAbout2681 OCEAN ST; ; CB951791; Permit12/06/95 11:17 Page 1 of 1 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(:_ ____ _ ----------------------------------------------------- ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS