HomeMy WebLinkAbout2677 GARFIELD ST; ; CB032589; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
09-19-2003 Electrical Permit Permit No: CB032589
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
2677 GARFIELD ST CBAD
ELEC
2031411400 Lot#:
Status:
0 Applied:
Entered By:
Reference #: Plan Approved:
ISSUED
09/19/2003
SB
09/19/2003
09/19/2003
Project Title: BERRY RES UPGRADE ELEC FROM
60 AMP TO 100 AMP
Issued:
Inspect Area:
Applicant: Owner:
BERRY RALPH B JR&COMBS KATHLEEN S 1990 FAMILY TR BERRY RALPH B JR&COMBS KATHLEEN S 1990 FAMILY TR
2677 GARFIELD ST
CARLSBAD CA 92008
Electric Issue Fee
Single Phase per AMP
Three Phase per AMP
Three Phase 480 Per AMP
Remodel/Alteration per AMP
Remodel Fee
Temporary Service Fee
Test Meter Fee
Other Electrical Fees
Additional Fees
TOTAL PERMIT FEES
Total Fees: $20.00
40
0
0
0
2677 GARFIELD ST
CARLSBAD CA 92008
Total Payments To Date: $0.00
$10.00
$10.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$20.00
Balance Due: $20.00
4618 09/19/03 0002 01 02
CGP 20-00
PROVAL
INSP • .--",;~-DATE ID/ 0 /4.3
. CLEARANCE
PERMIT APPLICATION
FOR OFFICE USE ONLY
PLAN CHECK No.C-Ec,7Z$"8'
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
EST. VAL. _________ _
/ 1. Q;;:?T INFO~TIO~ (' { 1 'f'-J (.:;gt-1Q C
Address (include Bldg/Suite #) 4 St\-0~~ -~us b4-p{, elf q
Business N'ame (at this address)
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
Assessor's Parcel # Existing Use Proposed Use
#of Stories # of Bedrooms # of Bathrooms
Name
0 Contractor
Name Address
/<!:><:> ~?
City
0 Owner O_ AQent for Owner
City
State/Zip Telephone# Fax#
State/Zip Telephone#
(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 License Law
(Chapter 9, commending 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 ($5001).
Name Address City State/Zip Telephone#
State License # _________ _ License Class _________ _ City Business License # _______ _
Designer Name Address City State/Zip Telephone
State License # _________ _
6. WQRKERS' COMPENSATION , ,
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
O I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance
of the work for which this permit is issued.
O I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued. My worker's 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 ($100) OR LESS)
O CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as
to become subject to the Workers' Compensation Laws of California.
WARNING: Failure to secure workers' compensation coverage Is unlawful, and shel subject an employer to criminal penalties and civil fines up to one hundred
thousand dollars ($100,000), In addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, Interest and attorney's fees.
DATE _-=:;:::;:::;;;;;;:;::::::;:;::::;;:=::;::~--''""".,.... •. ....,.,".==·,,,,
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
~
d 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 License 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).
O I am exempt under Section ______ Business and Professions Code for this reason:
1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES '}QNO
2. I g, have not) signed an application for a building permit for the proposed work.
3. I have contracted r:~h the followi,g person (firm) to provide the proposed construction (include name / address / phone number / contractors license number): ..:;b:'>...,.,'JJ, c..~ l=-/c c,,¢-~• c.
4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name I address / phone
number/ contractors license number): ______________________________________________ _
5.
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? 0 YES O NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES O NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site 7 0 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.
i8.........._COr,4SJ~IJ,CJI.Q~LEr:,IDINQ ~~ENCY
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code).
LENDER'S NAME ______________ _ LENDER'S ADDRESS ________________________ _
(9,,, APP.i,ICM!IT CERTIFlCATION
I certify that I have read the application and 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 authorize represent atives of the Cit\! 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 for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every permit issued by the buildi 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 enc d ays from the date of such permit or if the building or work authorized by such p rmit is s spended or abandoned
at any time attar the work is co m c d f O days (Section 106.4.4 Uniform Building Code). x APPLICANT'S SIGNATURE -~~~_:..i-1.--~-:!::.<~~~------------~DATE ---+,,___,---__ o __ '----
YELLOW: Applicant PINK: Finance
City of Carlsbad Bldg Inspection Request
For: 1 0/08/2003
Permit# CB032589
Title: BERRY RES UPGRADE ELEC FROM
Description: 60 AMP TO 100 AMP
Type: ELEC Sub Type:
Phone: 7607892165
Job Address: 2677 GARFIELD ST
Suite: Lot 0
Location: Inspector: ----
APPLICANT BERRY RALPH B JR&COMBS KATHLEEN S 1990 FAMILY TR
Owner: BERRY RALPH B JR&COMBS KATHLEEN S 1990 FAMILYTR
Remarks:
Total Time:
CD Description Act Comment
Requested By: CONTRACTOR
Entered By: CHRISTINE
33 Service Change/Upgrade
39 Final Electrical f __ _
Associated PCRs/CVs
Inspection History
Date Description Act lnsp Comments