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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