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Home My WebLink About2757 ARLAND RD; ; CB961187; PermitI BUILDING PERMIT Permit No: CB961187 Ob/25/96 12: 56 Project No: A9601677 Page 1 of 1 Development No: Job Adciress: 2757 ARLAND RD Suite: Permit Type: ELECTRICAL 8232 06/25/96 0001 01 02 Parcel No: 156-141-03-00 Valuation: 0 Construction Type: NEW Occupancy Group: Reference#: Status: ISSUED Description: CHANGE ELECT PANEL FROM 100 AM Applied : O6/2 S/9 6 : TO 200 AMPS Apr/Issue: 06/25/96 Lot#: C-FRET 35'5.00 Entered By: RMA Appl/Ownr : WHITE, PAUL 619-434-4347 .edits *** -___- .OO ' 0 0 35.00 Ext fee Dats. 10.00 25.00 35.00 Y CITY OF CARLSBAD 2075 Las Palmas Dr., Carl~W, CA 92009 (619) 438-1161 .- City of Carl- mildim Dgwtmr m75 La Palu Or., Car1.b.a. U %!ow (619) 438-1161 From List 1 (see back) give de of pumit-Type: For Residential Proiecu Only: From tist 2 (see back) give ......................................................... code of Srmerure-Type: Net -Gain of Dmlling Unin /w I LO I m. VAL VAIIIXBY P PuNamosm MlX (a fnFJC2f - N Lot No. Subdiwion NamdNumber Unit No. Phase No. STAy1ELc. # I UlY STATE ZIP CODE DAY TELEPHONE Worken' Compensation ueclaratron: 1 hereby attirm that I have aceruticate ot consent tosell-insure issued by the Director or Indusmak Relations, or a certificate of Worken' Compensation Insurance by an admicted insum, or an exaa copy oc duplicate thereof certified by the Director of the insurer thereof filed with the Building Inspeaion oepanment (seedon 3800. Lab. 0. INSURANCE COMPANY WUCY NO. U(PIRAll0N DATE CMI at m e pe Ormance 0 e wor or which this permit D issued. I snail not employ any -n in any manna CeN*lCate orm%'XjuZ'~oLthe dr?en* CornpenLon bwsto?CalifoEa. S RE > &g 012\- q(P uwner-uuiiaer ueciarauon: I hereby attirm that I am exempt trom the ulnuactors ucelly ~aw tor me roiiowing wn: I, as owner of the property or my employea with waga as their role compensation, will do the work and the smcture b nor intended or offered for sale (See. 7044, Business and Professions Code: The Conmaor's License Law dm not apply to an ownuofproperty who builds or improm thereon, and who dm such work himlf or through his own employes, provided that such impmncmenu are not intended or offered for sale. If, however, the building oc improvement is soid within one year of mmpletion. the owna-builda will have the burden of proving that he did not build or improve for the purpo~e of sale.). 1. as owner of the property, am exclusively conmdng with licensed conuacton to mnsma the project (See. 7044, Business and hofessioru Code: The Contractor's License Law dm not apply to an owner of proprty who builds or improws thereon, and contraas for such projeca with mntracror(s) licensed punuant to the Conmaor's ticcnv Law). I am exempt under Section (See. 7031.5 Business and hofdona Code: Any City or County which requires a permit to constma, alter, impmn, dundish, M repair any smerure, prior to iu issuance. ah requirs the applicant for such permit m tile a siyI,sptement that he is lid punuant m the provisions of the Conmaor's ticenre Law (Chapta 9, commencing with Seetion 7000 0 Dimion 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Seaion 7031.5 by any applicant for a permit subjeas the applicant to a civil penalty of not mare than five hundred dollan [SSOO]). 0 0 0 Business and Professions code for this reason: SICNA'I1IRB DATE Is the applicant or fume building occupant required to submit a business plan, acutely harardw materipis registration form or *k mamgement and prevention program unda Sectio~ 15505.25533 or 25534 of the Presley-Tanner Hamdous Substance bunt Aa? Is the applicant or future building oeeupant requid to obtain a permit ftum the air pollution mnnd dirtria or air qualify management dstria7 Is the faciliry to be mnsuucnd within 1,000 fad the outa boundary of a school rite? OYES 0 NO om 0 NO n ws n Nn I hereby attirm tMt VI ere D a COnsmcUOn lending agency tor UV pertonnance 01 the won tor which th16 permit D !sued (SS 3097( 11 LiWl CcdeJ. LENDERS NAME LENDERS ADDRESS I QNIY that I nave ma the appiicatlon and state that the above intormauon IS correct. I a- to comply with all uty ominanccs ana state mws relating to building mnsmction: I hereby authorize epraatativa of the City of Carlabad to &a upon &e above mentioned property for inspeaion AND MpwspSWHlCH MAY IN ANY WAY KUlUEACAIN~sAIDClW IN ODN- OPMCRAPFlMC OFlMS PERM?. PYrpoSa. IA19DAC~TOSAVeINDMHIPYAND~~7HEClWOPCUUSBADACAINSTAII.~~~OFIS OSHk An OSHA permit is required for excavations over 5'0" deep and demolition or mnsuuetion of smccures over 3 stork in height. 'Y APPUUNTS SIGNATURE WHITE: File WOW Applicant PINK Finance 0 - I CITY OF CARLSBAD INSPECTION REQUEST 4 PERMIT# CB961187 FOR 07/03/96 INSPECTOR AREA PY DESCRIPTION: CHANGE ELECT PANEL FROM 100 AM PLANCK# CB961187 TYPE: ELEC CONSTR. TYPE NEW JOB ADDRESS: 2757 ARLAND RD STE : LOT : APPLICANT: WHITE, PAUL PHONE: 619-434-4347 CONTRACTOR : PHONE : OWNER: PHONE : TO 200 AMPS OCC GRF' REMARKS: MW/PAUL SPECIAL INSTRUCT: & INSPECTOR TOTAL TIME: --RELATED PERMITS-- PERMIT$ TYPE STATUS CB960092 ISSUED CD LVL DESCRIPTION ACT COMMENTS 33 EL Service Change/Upgrade e -- - r-- , -- - -- - ***** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP COMMENTS 062796 Service Change/Upgrade CA PY BY CONTRACTOR WORKERS COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self-insure for the performance of the work for which this permit is issued. A. workers' compensation as provided by section 3700 of the Labor Code, for . I have and will maintain workers' compensation, as required by section 3700 6. of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: INSURANCE COMPANY POLICY NO. EXPIRATION DATE: .................................................................................................................. (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS (8100) OR LESS) ertify that in the performance of the work for which this permit is issued, II not employ any person in any manner so as to become subject to the kers compensation laws of California. Warning: Failure to secure workers' compensation coverage is unlawful, and shall be subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ~8100,000). in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor Code, Interest and attorney's fees. March 3, 1995 . 2075 Las Palmas Dr. Carlsbad. CA 92009-1576 - (619) 438-1161 FAX (619) 438-0894 @ ~