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Home My WebLink About2822 STATE ST; ; CB970287; PermitPERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 FOR OFFICE USE ONLY PLAN CHECK NO. '17tJZ-<i 7 EST. VAL. _________ _ Validated Byr.-,,.,.....L,t~---=------- Plan Ck. Deposit a Date 21/'(~ Address (include Bldg/Suite I) Business Name (at this address) Legal Description Lot No~ubdivision Name/Number / /,' z:-/'177l L-Unit No. Phase No. Total I of units _s/1-???L Description of Work SQ. FT. #of Stories I of Bedrooms # of Bathrooms ~Z-~J/MPER$.ON (lf~eren ··fro ~-.ppj~~":,~!J'ig~::'.JLJ->ff?.lJ1;j/· • -2-t:7~~ ;{'2J 2.Y"66 Name Address City State/Zip Telephone# Fax # m ~~~pg_a~Qr;:s;lrlrhlitm~Qllm .9l!i1:~.!1:it::rl'O .Ag!1tttt2!~..oeit::-W~-,;:-;{~,(,.6:;_ Name Address City State/Zip Telephone I !l't.of:,j~~'t.t~St.:. .. 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 thet 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 elleged exeNO ~s;,at,_o:;~ 72!.31 ~,, Lny Cpb~mit ~b/L1Ud t a civil penalty of not more than fiv hundred dollars i oo 1. Name !:!--!27 Aq Address State/Zip State License # t2._Q_!2.._ ~ License Class __________ City Business License I _______ _ Designer Name Address City State/Zip Telephone State License I _________ _ ~~OMPENSA110ttiti.,~t!~~~=~li~~;C.3~:;)~~.;-_:.-.... ,~~~~(£~Zr.'-~~;.:,_;fiJL~~1hli-;t,i;t;.~$5ft'5°all2.?'~=i~;;t;~~~:i:~ :;:<,..~~ .. ,._.L_ Workers' Compensation Decleration: I hereby effirm under penalty of perjury one of the following declerations: 0 I have and will maintain a certificate of consent to aelf-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. 0 I have end will maintein 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 compensetion insurence carrier and policy number ere: Insurance Company_____________________ Policy No. Expiration Date _______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) 0 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•woriler1' compensation coverage is unlawful, end shall subject en employer to criminlll penalties and civil fines up to one hundred thousand dollars ($100,000), In addition to the cost of compensation, demagas aa provided for in Section 3706 of the LabQ, code, Interest end attorney's fNs. Q ;~~~~8 t~~~1e:mD::e~~~~~~;·C~ntra~~o,'·~· ~i~•·n~::;~~w fo~-~h~ -follo~in~ ~~as~n: .:~:\':1t~~;:-~~~~~~.§ffJ,f~~]:.{\t~~,.¥jr!-.,:;;1:;·_ 0 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 epply 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 ere not intended or offered for sale. If, however, the building or improvement is sol within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpoae of aele). I, as.owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contr or's License Law does not apply to an owner of property who builds or improves thereon, and contracu for euch projacu with contractor(a) licensed pursuant to the Contractor's License Law). 0 I am exempt under Section ______ Business end Professions Code for this reeson: 1 . I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ONO 2. I (have/ have not) signed an application for• building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number): 4. I plan to provide portions of the work,. but I have hired the following person to coordinate, supervise and provide the mejor work (include name / address / phone number / contractors license number): ______ =.-----------------------------~---------- 5. I will provide some of the work, but I h of work): __________ 1 ..,,:;;./-,,<-~7/7,~////°'/.;,-~~~'rfllt:f'A"J~==::==:-------:::;--::-7,;,:;-:---:,,-Z;-?F------ DATE _=?;;.._--'---'----+-/ provide the work indicated (include name / address / phone number / type PROPERTY OWNER SIGNATURE --+---'"--"--6---+-+-+----,<-....L...s...-'--<-,-.,:;,_----- :@.~.Jl{IS SECTIONJ:QIJ fl b th, e;,plic:nt or future builclir,;i cccupant req.,;red io submit • bu•ineu plan, acutely hazardous materiala registration torm or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? tJ 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 fNt 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 POUUTION CONTROL DISTRICT. r !tCrO .. NSTRU.CTION LENDING~"GENCY~:~,.~:~~~I;~~,..:::~:-,; ~~:~~~:.? ~."·.,i~f~~~ "'-.. 1 ~~%"f~':.:;\'-•, -'~·-'.~ r I hereby affirm that there is s construction lending agency for the performance of the work for which this permit is iuued (Sec. 3097(1) Civil Code). LENDER'S NAME ______________ _ Jt: APPLICANT CERTIFICATION LENDER'S ADDRESS _________________________ _ 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 representatives of the City of Carlsbad to enter upon ttie 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 end demolition or construction of structures over 3 atories in height. EXPIRATION: Every permit issued by the Buildin ua ..... iru,nder 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 co ed within 365 days from t rmlt or if the building or work euthorized by such permit is suspended or abandoned at any time after the wo for a of 18 ,,~--v,,,,06.4.4 Uniform BuildinDgACTodE e). ~ _ f 1/ -li z APPLICANT'S SIGNATURE ---........,<---f,1,--,.'-'--'-+-'----++--'7'-'-++-..c_-------C::-_ L_ _ WHITE: File YELLOW: Applicant PINK: Finance CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB970287 FOR 04/07/97 INSPECTOR AREA PD PLANCK# CB970287 OCC GRP DESCRIPTION: UPGRADE ELECTRICAL SERVICE FROM 125 AMPS TO 200 AMPS TYPE: ELEC JOB ADDRESS: 2822 STATE ST APPLICANT: MCMAHON, TOM CONTRACTOR: OWNER: REMARKS: RS/DAVE/944-6708 SPECIAL INSTRUCT: TOTAL TIME: --RELATED PERMITS-- CD LVL DESCRIPTION PERMIT# CB930144 US940010 CB951797 TYPE DEMO PA MISC CONSTR. TYPE NEW STE: LOT: PHONE: 619 720-2460?il PHONE: ~ PHONE: _7) INSPECTO ~~6:::~/~...L.A~::=:::_~:==== STATUS EXPIRED ISSUED ISSUED ACT COMMENTS _3_9 __ E_L _F_i_n_a_1_E_1_e_c_t_r_i_c_a_1 _______ A/--------------- ------------------ ***** INSPECTION HISTORY***** DATE 040497 040397 031297 DESCRIPTION Final Electrical Final Electrical Service Change/Upgrade ACT INSP NS PD CO PD AP PD COMMENTS ON CARD UPGRADE/NOT FINAL