HomeMy WebLinkAbout2715 CARLSBAD BLVD; ; CB983857; PermitBUILDING PERMIT
11/10/98 10:25
Page 1 of 1
Job Address: 2715 CARLSBAD BL Suite:
Permit Type: ELECTRICAL
Parcel No: 203-143-01-00 Lot#:
Permit No: CB983857
Project No: A9805021
Development No:
Valuation: 0
Occupancy Group: Referenced
Description: REPLACE 100 AMP PANEL WITH NEW
: 100 AMP PANEL
Appl/Ownr : CITYWIDE ELECTRIC
8340 CLAIRMONT MESA BLVD
SAN DIEGO CA 92111
*** Fees Required ***
Construction Type: NEW
Status: ISSUED
Applied: 11/10/98
Apr/Issue: 11/10/98
Entered By: RMA
800 797-8677
Fees :
Adjustments:
Total Fees:
Fee description
Enter "Y" for Ele
Enter "Y" for Rem
LS Collected & Credits
C-PRMT
* * *
20-00
.00
.00
20. 00
Ext fee Data
10.00 Y
10.00 Y
APPROVAL
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad CA 92009
(760)438-1161
FOR OFFICE USE O
PLAN CHECK NO.
EST. VAL
Plan Ck. Deposit
Validated Bv
Busmass Name 1st thn address
Assessor's Parcel
1. PROJECT INFORMATION27/-
Dascnotion of Work
2. UUNIAUI KHbUN in umatani inm *»I|NMHII
Name
Z. APPLICANT D Q(
Address
mtractor ^Agent for Contractor
&V\,<?TPw\{>U5
D Owner " D Agent tor Owner
Fax *
Name
4. PROPERTY OWNER
Address City
Name Address City Stete/Ztp Telephoned
S. CONTRACTOR - COMPANY NAME " '"" 1"" ". - -~~~ .T~^r
(Sec. 7031.5 Business end Professions Code: Any CttV or County which requires a permit to construct, etter, improve, demolish or repeir eny structure, prior to Its
issuance, also reouires the applicant tor euch permit to We e signed statement thst he is licensed pursuent to the provisions ot the Contractor's Ucertse Law
[Chapter 9, commending with Section 7000 of Division 3 of the Business end Professions Code) or thst he is exempt therefrom, and the oasis for the alleged
extraction. Any violation ofSection 7031 ,.S by snjwipplicem tor e permit subjects the apptesm to ajhol psnejtoof not more then tiv^ongred OW»r« l«pOI).
Name
State License
City St«o/Zip
City Business Licence t
Telephone f
Designer Name __ Address City State/Zip Telephone"? ^"Z^^nz,State License # ' '
6. WORKERS'COMPENSATION " "™"
Workers' Compensation Declaration r I hereby affirm under penerty of perjury one of the following dectentions:
^Q I have and will maintain s certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, tor the performance
of the work tor which this permit is issued.
^H I have and will maintain workers' compensation, es required by Section 3700 of the Lsbor Code, tor the performance ot the work for which this permit is
issued. My worker's compensation insurance earner and policy number ere:
Insurance ComDBny<^T7;fT^>' C-£5Vt'U3*vl. Zf-ftftOVT, {M>*&- Policy No._
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1*1001 OR LESS)
Q CERTIFICATE OF EXEMPTION: I certify thet in the performance of the work tor which this permit is issued, I shell not employ eny person in eny manner so as
to become subject to the Workers' Compensation Laws ot California.
WARNING; Failure to secure women' compensation coverage to unlawful, and shall subject en employer to criminal panatUaa and ehril tinea up to one hundred
thousand dolfers /«lOO.OOOIiTrt addttton to the cost el compensation, damages a* provided tor fen Section 3706 of the Labor coda. Mutest and attomav'e tees.
SIGNATURE )«fP*^ £Xj^_ C^wV^Vv^" ~~ _ DATE ///O '
7. OWNEH*JILDER DECLARATION
I heraby affirnf that I am exempt from the Contractor's License Lew for the following reason:
Q I, as owner of the property or my emptovees with wages es their sole compensation, will do the work and the structure Is not intended or offered tor sete
ISec. 7O44, Business and Professions Code: The Contractor's License Law does not apply to an owner ot property who buaos or improves thereon, and who does
such work himself or through his own emptovoes, provided that such improvements are not Intended or ottered tor sale. H, however, the building or impievainent Is
sold within one year of completion, the owner-builder wtfl heve the burden ot proving that he did not buUd or Improve tor the purpoee ot sale).
Q L ss owner of the property, em exclusively contracting with licensed contractors to construct the prefect ISec. 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 protects whh centractorU) acaneed
pursuant to the Contractor's License Law).
D I am exempt under Section _ Business and Professions Code for this reason:
1 i personally plan to provide the merer labor end msteriels tor construction ot the proposed property improvement. Q YES QNO
2. 1 lhave / hsve not) signed an application tor e buading permit tor the proposed work.
3. I have contracted with the following person (firm) to provide the proposed construction (include name / addross / phone number / contractors kcanee number):
4. I plan to provide portions of the work, but I nave hired the following person to eooromate. supervise and provide the major work unctude name / address / phone
numbet I contractors license number):
E I will provide some of the work, but I heve contracted (hired) the following persona to provide the work indicated (Include name / address / phone number / type
ot work): _
PROPERTY OWNER SIGNATURE DATE
COMPLETE THIS SECTION FOR «WJWSDflv714I BUHDMQ PERMITS ONLY
\s the applicant or future building occupant required to submit a business plan, acutely hazardous mateheta registration form or risk manegemont and pravormon
program under Sections 2SS05, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D YES O NO
Is the applicant or future building occupant required to obtain s permit from the sir pollution control district ot ait quattty management district? Q YES Q NO
Is the facility to be constructed within 1,000 feet of the outer boundary of s school site7 Q YES O NO
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE
REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
*. CONSTRUCTION LENDING AGENCY " "' '"'*"—"'""•.•—"-.-—- •• --•-- ••----- — -
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit Is issued ISec. 3097(i) Civil Code).
LENDER'S NAME LENDER'S ADDRESS
•9. APPLICANT CERTIFICATION .—-.-•- - ,- -™..._..-.-,...—,,-, ,_.,. ~. .^^_,. „.,
I certify that I have read the application snd state that the above information is correct and that the Information on the plans is accurate. I agree to comply with all
City ordinances and State laws relating to building construction. I hereby euthorize representatives of the Cttt of Carlsbad to enter upon the above mentioned
property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES.
JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT
OSHA: An OSHA permit is required tor excavations over S'O" deep end demolition or construction of structures over 3 stories in height.
EXPIRATION: Every permit issuep^by the Building Official under the provisions ot this Code shall expire by Hmitetion and become null snd void if the building or
" "* -^ - - . t eommenc,,j within 365 days from the dats of such permit or If the bunding or work authorized by such permit is suspended
work is comma/iced for e period of 1£0-dfyT(Section 106.4.4 Uniform Building Code).
work authorized by such permit
or abandoned at any time after t
APPLICANT'S SIGNATURE
1
is commen\u£ ij DATE
WHITE: File YELLOW: Applicant PINK: Finance
e-o
City of Carlsbad Inspection Request
For: 4/20/99
Permit# CB983857
Title: REPLACE 100 AMP PANEL
Description: UPGRADE TO 200AMP PANEL
Inspector Assignment: NF
2715 CARLSBAD BL
Lot
Type: ELEC Sub Type:
Job Address:
Suite:
Location:
APPLICANT : CITYWIDE ELECTRIC
Owner: PARISH OF ST MICHAELS-BY-THE-SEA
Remarks:
Phone: 6195651611
Inspector:AJF
Total Time:
CD Description
34 Rough Electric
Act Comments
Af
Requested By: VINNIE
Entered By: CHRISTINE
OK
Inspection History
Date Description
4/16/99 34 Rough Electric
3/30/99 34 Rough Electric
2/24/99 31 Underground/Conduit-Wiring
11/16/98 33 Service Change/Upgrade
Act Insp Comments
CA NF RE-INSPEC FEE NOT PAID
CO NF CORREC NOT STARTED
CO NF SEE NOTICE
CO NF SEE NOTICE ATTACHED
City of Carlsbad Inspection Request
For: 2/24/99
Permit# CB983857
Title: REPLACE 100 AMP PANEL WITH NEW
Description: 100 AMP PANEL
Inspector Assignment: NF
Type: ELEC Sub Type:
Job Address: 2715 CARLSBAD BL
Suite: Lot
Location:
APPLICANT : CITYWIDE ELECTRIC
Owner: PARISH OF ST MICHAELS-BY-THE-SEA
Remarks:
Phone: 6195651611
Inspector:
Total Time:
CD Description Act Comment
31 Underground/Conduit-Wiring
Requested By: VINNIE
Entered By: CHRISTINE
Inspection History
Date Description Act Insp Comments
11/16/98 33 Service Change/Upgrade CO NF SEE NOTICE ATTACHED
CITY OF CARLSBAD
BUILDING DEPARTMENT• ^ ^^ • • ^^ «•
DATE 3* ~ 3* *4 ** 1
LOCATION
PERMIT NO.
(760)438-3550
2075 LAS PALMAS DRIVE
TIME
sUMW-
fi
U^t^u^W^M-
L- ^A^^^-S^jUL^S^f
3. ^
FOR INSPECTION CALL (760) 438-3101. RE-INSPECTION FEE DUE?
FOR FURTHER INFORMATION, CONTACT _
PHONE
CODE ENFORCEMENT OFFICER
CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT* CB983857 FOR 11/16/98 INSPECTOR AREA
DESCRIPTION: REPLACE 100 AMP PANEL WITH NEW PLANCK* CB983857
100 AMP PANEL OCC GRP
TYPE: ELEC CONSTR. TYPE NEW
JOB ADDRESS: 2715 CARLSBAD BL STE: LOT:
APPLICANT: CITYWIDE ELECTRIC PHONE: 800 797-8677
CONTRACTOR: PHONE:
OWNER: PHONE:
REMARKS: C/VINNIE/619/565-1611
SPECIAL INSTRUCT:
INSPECTOR
TOTAL TIME:
—RELATED PERMITS—
CD
33
PERMIT* TYPE
CB920005 CTI
CB970230 CTI
LVL DESCRIPTION
EL Service Change/Upgrade
STATUS
EXPIRED
EXPIRED
ACT COMMENTS
DATE DESCRIPTION
***** INSPECTION HISTORY *****
ACT INSP COMMENTS
CITY OF CARLSBAD
BUILDING DEPARTMENT
NOTICE
DATE \W \(? -
LOCATION
PERMIT NO.
(760)438-3550
2075 LAS PALMAS DRIVE
TIME
FOR INSPECTION CALL (760) 438-3101. RE-INSPECTION FEE DUE? I I YES
-UftfHER INFORMATION, CONTACT
i PHONE
CODE ENFORCEMENT OFFICER
SEP-23-199B I0i 32
KUkOlT feM6Vw6l
D QWNKK 0 FAX
jZfwJOTUCtt*
MA1LADMISS £
£<A-
OUJUR.FAX
OTHER
D CONVERSION D KM 0 DISC/RECONNECT
VIMNUE
34 HOI
8OOO97-8677
L4C
AVED1STAN
Sup«r viaor
tfl / 7 DAY*
uwuonru
»A Mil
__»TU
QASMETW*
OAtLAYOVT.
(DATE OUCUCD)
•00*
Pfl
>/•"/Jt D nzniti IAMB LOCATMN
D UAVK rAnKwoRK 0 sm
JS^tMNT MEETMEQWTED
0 FAXPAieVWORKTO
D MAIL MM To
TAKEN BY PLANNED DATE
TOTflL P.04
ACQBD. Cl
Pilgrim w*»t Xn>
Mlgrim Agvney K
3914 Murphy Cyn
San Di*go CA 921
HarrM Braua
nmnrtp- *i9-2**-|?
ERTIFICATE OF LIABILITY INSURANCE?,,,., Ti/S^»
BVQ ft Bonding
••fe Corp.
Rd 8t« A-25C
23-4422
OD KMM^ C19-2M.B»C4
City Nid* Blvctrio
•340 ClairMont M*M Bl*d.fl03
•wx Di*go CA 92111
T«l» cWmplcATf » IMUED A* A MATTER OP INFORMATION
ONLY AND CONFERS NO RtOHT* UPON THE CERTIPICATE
HOUN91 THW OERTIPICATK DOE* NOT AMEND, EXTEND OR
ALTER THE COVERAQE AFFORDED IV TH« POUOCB BELOW.
COMPANIES AFFORD**! COVERAOE
COMPANYA Firat rin*nci»l In«ur«no« Co
COMPAW
C
COMPANYD
COVERAOEa
»OOWI0v NOTWnWTAMMa ANY MQUMMMT , TBW OH CONDITION OT ANY CONTRACTOR OTHER OCC«*llTwm*l«lPiCT TO WHICH Th*
C»rT1*eATltlW>tli«ueDO«MAYPlKTAHTHf NtUftlHCt
IDCCUWON* ANO eoNomoNi OF »UCH pouon. LMTC MMM M*Y mw •UNMOUCEOIVPAJDOLAMI.
&
A
•
TYP.OTMUMHO.
OPNfWLUHHUV
— ^T^T^TLxloc^I"™*
All. OWNfD AUTO*
•CHWUUDAUTO*
HWEDAUTDI
HWWWNOAUTOt
OAMMUAMJTY
ANT AUTO
nCWUAVUTY
UUWmiAFORM
OlfWt TWN UMIMOIA FOHM
MOMODIB CQWMMTJOMmptomruMUTV
3FfKCWAM:
OTHEft
AM
NO.
EXCL
pouerMMUMff
F02».4UO»
MTtfMMMVrV}
10/21/97
POUCYMHMlfOt
DATIUMMNVYV)
10/21/98
uwra
OBWW.AOOMOATE
mODUCTt • COMHOP AOO
PCMOWLtADVtNJLMY
CAeHoeeuRMHCc
HM OAkMOC fNn^ «w M|
MCftCXP0MV«MpMMI«
COMHNEO MNOLC LMTT
•ODLYIJUMY
•OOUMMIV(Wf MMtHlw
AUTO ONLY - EA AeCBEHT
QTHm THAN AVTO ONLY:
EACH ACCIDENT
AQ0NCQATI
EACHOCCMKMNCI
AOOMOATI
IffiJfAEit* 1 r5i
CLKACHACCRWn1
a DmAH- POLICY UMtr
aOMAK-EAEMPLOVee
•a. ooo^ooo
•1,000,000
(1,000,000
•1,000-000
•90,000
•1,000
1
I
.
*
*
*
*I
>
»
•
1
1
pEiuwniM OP QMiunuM>)tocATtoN>ft«(iOLii«»«oiiML. mm
CERTtFICATB HOLDER
City Wid»
8340 Clmi
ACORD 2M (1/M)
.CANCR1AT1
CXTTWID BNOULDAUT
npNMTjnia
^fl_BNra
BlMtriO MfTMLlMr«mont M««* Bl-rd f!03 BWHWima
CA 9am " opAMvnub
ON
OP TM MOM own
Mil 1MHVIOP, TUB M
WMimM Mown TO
TDWULWMHNOIKi
^ON TM OOMMMTf ,
MMO POUOm N OANOKLID mjFOfV THC
MM MOMMY vnu. wiMimw* TO nun.
1 MHX MPQH NO OMJOATWH OR UAKUtT
in AWTV OR MPNiMMTAIIVEB.
W»rr«n Brvun (JJQiMJ***- I&L&A <«••'. ^
CACORO CORPORATION 19M
P.O. BOX 420807. SAN FRANCISCO, CA 94142-0807
COMPENSATION
F-LJ l\l D CERTIFICATE OF WORKERS1 COMPENSATION INSURANCE
SCPTEMBER23, 1996 - J V; .^ ; _.- ' ; • ; , ^.^^^- 98
.. .
CUE ENTERPRISES / CITY HIDE ELECTRIC
8340 CLAIREMONT MESA BLVD *1«3 < .
SAN DZE60 CA 981* t
U
JOBi All OPERflTlONS
Thia is to certify that we have Issued a valid Workers' Compensation insurance policy in a form approved by the California
Insurance Commissioner to the employer named below for the policy period Indicated.
This policy Is not subject to cancellation by the Fund except upon ten days' advance written notice to the employer.
W« wfll also gfve you TEN days' advance notice should this policy be cancelled prior to its normal expiration.
This certificate of insurance Is not an insurance policy end does not amend, extend or alter the coverage afforded by the
policies listed herein. Notwithstanding any requirement, term, or condition of any contract or other document with
respect to which this certificate of Insurance may be issued of may pertain, the Insurance afforded by the policies
described herein Is subject to all the teems, exclusions *nd cond|tten»of such policies.
AUTHORIZED
EMPLOYER'S LIABILITY LIMIT INCLUDINB DEFENSE COSTSiU>0CC,MapeR OCCURRENCE.
IMPLOYCR
PROFESSIONAL NOT INC.ATTNt DEMISE TROWBRID0E
1433 FRflZEE RD STE *30a
SAN DIEGO CA 92108 R
State of Coifomka
CONTe>ciOlliStM« LICffUC |0A*D
ACDVI LICiNK
742952
w K amnrnm otu cirorftucmxc
DOCUMFNT HAS A tJLUf: PATlLHNt D tiAi:K(,ROUND