HomeMy WebLinkAbout2901 OCEAN ST; ; CB930442; PermitPERMIT APPLICATION ~ ~
PLAN CHECK NO. ? .:3 -~
City of Carlsbad Building Depart111ent
2075 Las Palaas Dr., carlsbad, CA 92009 (619) 438-1161 ESf.VAL. __________ _
PLAN CK DEPOSIT. _______ _
• .. VALID. BY. __________ _
1. PilllMll IYPE
A -□ Commercial
B -0 Industrial
□ New Building LI Tenant Improvement
D New Building D Tenant Improvement
DATE. ____________ _
C -□ Residential D Apartment D Condo □ Single Family Dwelling □Addition/Alteration
LI Duplex D Demolition D Relocation LI Mobile Home LI Electrical D Plumbing
LI Mechanical O Pool O Spa O Retaining Wall □ Solar □ Other ____ _
2. PRClJF.Cf INFORMATION FOR OFFICE USE ONLY
nit o. ase o.
CHECK 8£WW IF S08Mli 1£0:
□ 2 Energy calcs □ 2 Structural Cales □ 2 Soils Report □ I Addressed Envelope
NAME
CI1Y
ADDRESS
STATE ZIP CODE DAY TELEPHONE
4. APPUCANl
NAME
□ CON I RAClOR □ AGEN I FOR CoN I RACIOR
ADDRESS
□OWNER □AGENI FOR OWNER
CITY STATE ZIP CODE DAY TELEPHONE
NAME ADDRESS
CITY STATE
STATE UC.#
ZIP CODE
LICENSE CIASS
ADDRESS
DAY TELEPHONE
CITY BUSINESS UC. #
DESIGNER NAME
CITY STATE ZIP CODE DAY TELEPHONE STATE UC.#
7. wOIOO!RS' OOMPENSA:nON
Workers' Compensation Oeclarauon: I hereby all1rm that I have a certificate of consent to self-msure issued by ihe Director 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, I.ab. C).
INSURANCE COMPANY POLICY NO. EXPIRATION DATE
cerubcate of Exemption: I cerufy that m the performance of the work for which this permit 1s issued, f shall not employ any person m any manner
so as to become subject to the Workers' Compensation Laws of California.
SIGNATURE DATE
8. oWNER-BUlIDER OECLAAAnoN
□
□
□
Owner-Builder Oeclarat1on: I hereby affirm that I am exempt from ihe Contracto?s Llcense Law for the lollowmg 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 Llcense I.aw 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 Llcense I.aw 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 Llcense 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 structure, 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 Llcense 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
COMPLETE THIS SECTION FOR NON-RESIDENTIAL 8UILDING PERMITs 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?
LI 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 constructed within 1,000 feet of the outer boundary of a school site?
LI YES ONO
IF ANY OF TI-IE ANSWERS ARE YES, A FINALCERTIFICATEOFOCOJPANCY MAY NITT BE ISSUED AFfERJULY 1, 1989 ~ 11-IEAPPUCANT
HAS MET OR IS MEETING 11-IE RF.QUJREMEN'fS 01' TICE OFFICE 01' EMERGENCY SERVICES AND 11-IE AIR POUlJTION CDNTitOL DISllUCT.
9. OONSlll0Cl1ON ffiNDlNG AGENCY
I hereby affirm that there 1s a construction lending agency lor the performance of the work lor which this permit 1s issued (Sec 3097(1) CIVIi Code).
LENDER'S NAME LENDER'S ADDRESS
10. APPUcAN't Cmt'l1FtcA11oN
I cerufy ihat I have read the apphcauon and state that the above mformauon 1s correct. I agree to comply with all City ordinances 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 AlSO AGREE 10 SAVE INDEMNWY AND KEEP HARMLESS 11-IE crIY OF CARLSBAD AGAINST All. UABIUTlF.S, JUDGMENTS, CDSTS
AND EXPENSF.S WI·IlCl-1 MAY IN ANY WAY ACX:RUE AGAINST SAID crIY IN CDNSF.QUENCE OF TIIE GRANTING OF nus PERMIT.
OSHA: An OSHA permit is required for excavations over 5'0" 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 is not commenced within 365 days from the date of such permit or if the building or work a horiz by
such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform lding e).
DA
YEILOW: Applicant PINK: Fmance
PERMIT# CB930442
DESCRIPTION: INCREAS.E FROM 400
AMPS PER PETERSON
TYPE: ELEC
JOB ADDRESS: 2901 OCEAN ST
APPLICANT: MULLIN, EDWARD
CONTRACTOR:
OWNER:
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 09/23/93
AMPS TO 600
PHONE:
PHONE:
PHONE:
STE:
619 434-2
INSPECTOR AREA PK
PLANCK# CB930442
OCC GRP
CONSTR. TYPE NEW
LOT:
REMARKS: MH/PK/RES
SPECIAL INSTRUCT:
INSPECTOR _ _,_ _________ _
TOTAL TIME:
--RELATED PERMITS--
CD LVL DESCRIPTION
PERMIT#
RW930102
CB911140
CB911142
CB911190
SE910089
AS920055
FA930002
39 EL Final Electrical
TYPE
ROW
DEMO
RETAIN
CONDO
SWRSD
ASC
FALARM
STATUS
ISSUED
EXPIRED
ISSUED
ISSUED
ISSUED
ISSUED
ISSUED
ACT COMMENTS
,fj£ Yrw~
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***** INSPECTION HISTORY*****
DATE DESCRIPTION
092293 Const. Service/Agricultural
ACT INSP
NS PK
COMMENTS
RES FOR 9/23/93