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Home My WebLink About2779 STATE ST; TP; CB941383; Permit' ' (!,f 7L(/( B U I L D I N G F E R M I T Permit No: CB941383 Project No: A9402U45 Development No: 11/U4/94 10:25 Page 1 of 1 1 Job Address: 2779 STATE ST Permit Type: ELECTRICAL Parcel No: Valuation : 0 Construction Type: NEW Suite: ,f Lot#: Occupancy Group: Reference#: Status: ISSUED Applied: 11/04/94 Apr/Issue: 11/04/94 Entered By : MDP Description: TEMP . POWER FOR TRANSIT STA. 619 439-1999 Appl/Ownr : TEMP. POWER SYSTEMS 750 N. CITRACEDO ESCONDIDO, CA. 92025 9430 11/04/94 0001 01 02 *** Fees ReqL1ired Fees: Adjustments: 1otal Fees: Fee descripti o n *** Enter "Y" for Elect:rhc I ~sue Fee Enter "Y" for Tempo:i;ary S rv1ce * ELECTRICAL TOTAL Tota). Credits: Total Payments: Balance E>ue : Units Fee/Uni t CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 C-PRMT 20-00 Credits .00 .00 20 .00 **.,._ Ext fee Data 10 .00 Y 10.00 Y 20 .00 ' PERMIT APPLICATION PLAN CHECK NO. 'V"-f ~ l~.D City of carlsbad Building D-rtllent 2075 Las Palaas Dr., tarlsbad, CA 92009 (619) 438-1161 I. PmtMII hPE PIAN CK DEPOSIT _______ _ I EST. VAL VAIJD. BY ___________ _ DATE From Ust 1 (see back) give code of Pennit-Type: ___________ _ For Residential Projects Only: From list 2 (see back) give Code of Structure-Type: ____________________ _ Net Loss/Gain of Dwelling Units 2. PROIECI" INFORMATION FOR OFFICE USE ONLY Address Z,1 /2:'/ c _;;IA.lF· ..:;,. T-BuUdmg or SUJte No . Nearest Cross Street sw. LEGAI. DESCRiPI ioN Subd1vts1on Name/Number 0mt No. Phase No. CHECK BEWW IF S0BMll 1£O: □ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report D 1 Addressed Envelope ASSESSOR'S PABCTl EXISTING USE PROPOSED USE f:.,iC ~~-; \ ;\:., ~~ DESCRIPTION OF WORK SQ. FT. # OF STORIES # OF BEDROOMS # OF BATHROOMS 3. WN IACI PERSON (I[ diIIerent from apphcanf} NAME (last.name first) ADDRESS CITY STATE ZIP CODE DAY TELEPHONE 4. APPUCANI (i;,:ONIRACIOR UAGENI FORWNIRACIUR DOWNER □ACENI FOR OWNER ~•~n~~~ S:~j~s ADDRESS ·,,;c, ~ -O ~ * \ CITY 6'i, N STATE {..J,.c ZIP CODE <'tl.OZS-DAY TELEPHONE °':,• • \ NAME (last name first) ADDRESS CITY STATE ZIP CODE DAY TELEPHONE 6-~r:::~!'me first) ~f' ~'-(4-~'--S ADDRESS I g':) N . L.,l~') CITY ~l'-.D\ 0C> STATE CJ!>-ZIP CODE <)ZO~ DAY TELEPHONE ,t~S> · \C'j'.)".-j STATE UC. # ·~;/\-$pcENSE CLASS [..: i ('.? CITY BUSINESS UC. # 'Z..'O 1 '-5' L_ ast name trst CITY STATE ZIP CODE DAY TELEPHONE STATE !JC.# 7. wumams-r WMPENSAliON worKers' compensat1on uec1arat1on: I hereby afhrm that I have a cert1hcate of consent to self.insure issued by the btrector 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, Lab. C). INSURANCE COMPANY ~-~, -ro~D POIJCY NO. I ½·4''l>l4 EXPIRATION DATE IC, .. '?"':> Certthcate of Exempnon: I certify that m the performance of the work for which this permit 1s issued, I shall not employ any person m any manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE~ DATE ¼-11 •1 •:)4 8. OWNFJt-B0 Owner-Builder Declaration: I hereby affmn fiat l am exempt from fie Confrador's license Law for the ioliowmg reason: □ I, as owner of the property or my employees with wages as their sole compensation, wtll do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's Llcense 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 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 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 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 License 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 CdMPLf:IE IRIS SEC I ION FOR NON-RESIDEN IIAL BUIWING PERMIIS 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? □YES □NO Is the applicant or future building occupant required to obtain a permit from the air pollution control distrlct or air quality management district? □YES ONO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ YES □ NO IF ANY OF nm ANSWERS ARI! YES, A FINAL CERTIFICATE OF OOCUPANCYMAYNar BE~ AFTER JULY 1, 1989 UNll'.'iSnm APPLICANT HAS Mirr OR IS MEETING nm REQUIREMENTS OF nm OFFICE OF EMERGENCY SERVICES AND nm AIR POLLUTION OONTil.OL DIS11UCT. 9. OONS I kUCI ION l.F.NDING AGENLY I hereby afhnn that there 1s a constructlon lend mg agency for the peHormance of the work for which this permit 1s issued (Sec 3097 (t) CMI Code). LENDER'S NAME LENDER'S ADDRESS 10. APPIJCANI l!Eklll'll!A'iiON I cert.HY that I have read the apphcatton and stale that the above mformat1on ts correct. I agree to comply w1m au Uty ordinances ana ~tate laws relating to building construction. I hereby authorize representatives of the City of c.arlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE 10 SAVE INDEMNIFY AND KEEP HARMLF.SS nm CfIY OF CARISBAD AGAINST AIL LIAlllI.ITI1lS, JIJIJGMENTS, CX>STS AND EXPENSES WlllCH MAY IN ANY WAY MDUIE AGAINST SAID CfIY IN OONSEQUENCE OF nm GRANTING OF TIDS PERMIT. OSHA: An OSHA permit is required for excavations over S'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 authorized by APPIJCANTS SIGNATURE .,.,.,L---DATE: / • such permit is suspended or aban ed at ·me after the work is commenced for a period of 180 days (Section 303(d) Uniform Buildj"ng~~· . ~-t- File YELLOW: App 1cant PINK; Fmance CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB941383 FOR 11/07/94 DESCRIPTION: TEMP. POWER FOR TRANSIT STA. TYPE: ELEC JOB ADDRESS: 2779 STATE ST APPLICANT: TEMP. POWER SYSTEMS CONTRACTOR: OWNER: PHONE: PHONE: PHONE: INSPECTOR AREA PLANCK# CB941383 OCC GRP CONSTR. TYPE NEW STE: LOT: 619 439-1999 REMARKS: BJN/TOM/439-1999 INSPECTOR /li___ SPECIAL INSTRUCT: THIS Is THE TRANSIT CENTER --~r~T--------- TOTAL TIME: CD 32 LVL DESCRIPTION EL Const. Service/Agricultural --------------- ------------------ ACT COMMENTS ~----- ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS