HomeMy WebLinkAbout2647 STATE ST; MULTI-PERMIT FILE; CB921184; Permit•
PERMIT# CB921184
DESCRIPTION: UNDERGROUND
TYPE: ELEC
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 11/09/92
CONVERSION
INSPECTOR AREA PD
PLANCK# CB921184
OCC GRP
CONSTR. TYPE NEW
STR: FL: STE: JOB ADDRESS: 2647 STATE ST
APPLICANT: STRONG ELECTRIC
CONTRACTOR:
PHONE: 619 967-5030
OWNER:
REMARKS: MH/BRIAN/967-5030
SPECIAL INSTRUCT:
TOTAL TIME:
CD
34
39
LVL DESCRIPTION
EL Rough Electric
EL Final Electrical
~~~~~; /JI,\ /JI
INSPECTOR[@L-~---'----"6U_,_~-=----=-------
ACT COMMENTS
***** INSPECTION HISTORY*****
DATE DESCRIPTION ACT INSP COMMENTS
t l11-· tf tTl/6
04/16/::Jb 15:31
Page 1 of 1
B U I L D I N G
1 Job Address : 2647 STATE ST
Permit Type: PLUMBING
Parcel No: 203-054-13-00
Valuation: o
P E R M I T
Suite:
Lot#:
Permit No: CB9607 0 4
Project No: A960097 5
oe·velopment No:
27-00
Occupancy Group : Reference#:
7090 04/17/96 0001 01 02
Construction Typ~-fR11JEw
Status: ISSUED
Applied: 04/16/96
Apr/Issue: 04/16/96
Entered By: RMA
619-729-9360
Description: REPLACE WATER HEATER
Appl/Ownr : HAYES, IVY
2647 STATE ST
CARLSBAD CA
*** Fees Required ***
Fees:
Adjustments:
Total Fees:
Fee description
Enter "Y" for Plumbiug
Each Water Heater an /o
* PLUMBING TOTAL
92008
.00
.00
27 .00
***
Ext fee Data
20.00 Y
7 .00
27 .00
FINAL APPROVAL if ,(Y
INSP. D OATElt:~•~t -
CLEARANCE -----,
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
PERMIT APPLICATION ~ ~ PLAN CHECK NO.
City of Carlsbad lui ldi na Departaent
Z075 lN P■l-Dr., carllbed, CA 92009 (619) 4311-1161
1. Pfmtt I I V PR
horn Usl I (i;ee back) give code.or Pennit-Type: ___________ _
······-····----------------------------------------------
For Residential ProjeclS Only: From List 2 (see back) give
Code of Structure-Type: ________ ;,.t~-----------
NC'I Loss/Gain of Dwelling Units
2. PROJEGT INHJRMATION FOR OFFICE USE ONLY Address Du1iilmg or Suue No. 2647 State ST.
Nf'arest Cross Street r
Ltl.AL 0£stRIP iiON Lot No. Sulx11vasion Name/Number Ontt No. Phase No.
CIIECR BE.WW if SUBMII IE.U: □ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ l Addressed ~nvelope
ASSESSOR'S PARCEL EXISJJ~ IJSE
DESCRJPTION oF WORK water Heater ReplacernentO Gallon PROPOSED USE
SQ. FT. II OF STORIES II OF BEDROOMS 3. WN IALJ PFJ&JN (U dllierent iroffi appUcan() # OF BATIIHOOMS
NAME (last name fin1) Hayes, Ivy ADDRESS 264 7 STate St.
CllY ('. rl sbad STATE CA ZIP CODE 92008 DAY TELEPHONE 729-9360
4. APPI.JCAdiJwMIRACIOR 5lAGENI FORWNIRACIOR UOWN£R UAG£Ni FOROWN£R .
NAME (last name fin1J Carol Foster ADDRESS 13706 Highway 8 Business, Suite B
CITY El Ca~on 5. PROPER IV uvm
NAME (last name first)
STATE CA ZIPCODE 92021 DAYTEI.EPHONE390-4477
Hayes, Ivy
STATE CA
ADDRESS 2647 State ST.
ZIP CODE 92008 DAY TELEPHONE 729-9360
NAME (last name Orsi) A
CITY El Cajon
& J Foster, Inc.
STATE CA ZIP CODE
ADDRESS 13706 Highway 8 Business, Suite B
91977 DAYTELEPHONE 390-4477
STATE UC.# C-36 1200354
DESIGNER NAME (last name iirst)
630120 LICENSE CLASS
ADDRESS
CITY BUSINESS UC. II
•.
CITY STATE ZIP CODE DAY TELEPHONE STATE I.IC. II 7. WUIOOJts' WMl'tHSAii(JN
Workers' Compensation Dedarauon: I hereby ail arm that I have a ceruhcate of consent lo selt-msure issued by the 01rec1or 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 Depart,1pent (Section 3800, Lab. C). ,
INSURANCE-COMPANY Republic Indemnity POLICY NO. PC3509422 EXPIRATION DATE 5-1-96
Certificate of Exemption: I cerufy ihat m the performance oi the work lor which this penmt 1s issued, I shall not employ any person m any manner
so as to become subject to the Worken' Compensation Laws of California.
SIGNATURE DATE
8. OWNER-HDllDm UllllkXIUN '
□
□
□
Owner-Builder Oeclarauori: I hereby athnn lhat I am exempt irom ffie Cohfraclofa Ucenic Law ior ffie loiiowmg reason:
I, as owner of the property or my employees with wages as their sole compensation, will do the work and the slhlcture Is not intended or
offered for sale (Sec. 7044, Business and Professions Code: The Contractor's Ucense Law does not apply to an owner or propeny who builds
or improves thereon, and who does such work himself or through his own employees, provided that such Improvements are not intended
or orfered for sale. Ir, however, the building or improvement is sold within one year or completion, the owner.builder will have the burden
or proving that he did not build or improve for the purpose of sale.).
I, as owner of tn~ property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Prof es..~ions
Code: The Contractor's Ucense Law does not apply to an owner or property who builds or Improves thereon, and contracts for such projects with comractor(s) licensed pursuant 10 the Contractors Ucense Law).
I am exempt under Section _______ Business and Professions Code for this reason:
(Sec. 7031.5 Business and Professions Code: Any City or C.ounty which requires a permit to construct, alter, improve, demolish, or repair
any structure, prior to its issuance, also requires the applicant for such pennit to me a signed statement that he is licensed pursuant to the
provisions of the Contractors Ucense Law (Chapter 9, commencing with Section 7000 of Division 3 or the Business and Professions Code)
or that he Is eiempt therefrom, and the basis for the alleged exemption. Any violation or Seclion 7031.5 by any applicant for a pennit
subjects the applicant to a civil penalty of not more than five hundred dollars [$500]).
&lGNAlllRE DATE
COMPU:1£ IRIS S£CIIUN FOR NUN-RESIDEN IIAi. B0IWING PERMIIS ONLY:
Is the applicant or future buildina: occupant required to submit a business plan, acutely hazardous marerials registration fonn or risk management and
prevention program under Sections 25505, 25533 or 2553◄ of the Presley.Tanner Hazardous Substance Account Act7 □YES □NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control distrlct or air quality managemem district? 0 YES □ NO
Is the fadliry lo be constructed within 1,000 fee, or lhe outer boundary of a school site? □YES □NO
IF ANY OF 11lE ANSWERS ARI! YES, A FINAL CERTIFICATE OF OCJCUPANCY MAY Nar BE ISSUED AF11!R JULY I, 1989 UNLF.SS TIIE APPUCI\NT
HAS MET OR IS MmmNG nm Rl!QUIREMENTS OF 11lE OFFICI! OF EMERGENCY SERVICFS AND TIIE AIR POLLITl'ION OONTIIOL DISTRICT. 9. OONSIR0CIION LF..NUMG ACF.NCI
I hereby alhrm that there IS a construction lending agency ior the perionnance of the work ior which this penmt 11 assueil (Sec 3097(1} Cw1i Code).
LENDER'S NAME None LENDER'S ADDRESS
lO. APPUCXN I CEJt I lFICAI ION
I cerufy ihat I have read the apphcallon and slate ihal the above mlormaUon 1S correci. I agree lo comply with all Luy ordinances and State laws
relating to building construction. I hereby authorize representalives or the City or Carlsbad to enter upon the above mentioned property for inspection
purposes. I Al.'lO A(lREE 1U SAVE INDEMNIFY AND KEEP IIARMU!SS 11lE Cll'Y OF CAR~ A(lAINST ALL UABIIJTIF.S, JUDGMFJmi, CDSTS
AND EXPENSES WI0OI MAY IN ANY WAY ACDI.IIE A(lAINST SAID Cll'Y IN CDNSEQUENCE OF TIIE GRANTING OF 11IIS PERMIT.
OSHA: An OSHA permit is required for excavations o.ver S'O" deep Ind demolition or construction or structures over 3 stories in height.
Expiration. Every permi_t issued by the Bu}lding Official under the provisions of this Code shall expire by l!mitation and. ~me null and void if the
building or work authonzed by such f""' Is not commenced within 365 days from the date of such penn,1 or if the bu,ldong or work authorized by
su~ru~~~u~rc;~~~i;:-:bandoned ~ after th~menced for a period of 180 days (Section 303(d) Unifo;;:~~ii1J'! rt•)'i (,. 7 ---······ ·····--······-· ·-· ... ,_fl lf'IT 1•:1> "I"\ I, 7HI ' !" ( ,.,,. '
r ELECTRICAL PERMIT APPLICATION ~~~ .,-
c·t f CARLSBAD CALIFORNI I y 0 ' A 92008 1&-'9t2~ Applicant to complete numbered spaces only. Phone 729-1181 Permit No.
JOe ADD" C55 ~ i.,.~, { p ~~47
LOT HO, I ILK I TftACT Qs1tc ATTACHED SHEltT)
ClGAC I 1 OUCft, . ...
ow\-4 MAIL AOD"ESS ZI p ·" / PHON[ ::ti # ••
2 , • \ '-t,.,L ?l \.J 7 ~ h 1 i,-( " L l ✓-/, J. .,,~ .,-7 t., 17~v
CO\ftACTOft ~ MAIL ADOIIIESS PHON [. \. LIC[NSC NO, STATE CITY
3 ~ / c.. l,.c,\ l ... ·, .; ~ "2.-l.,v. "'"' '" 'f -1r;-,2-:,7/ , ' A"CHITCCTI OR DESIGNU• MAIL ADDIU'.55 PHONE LICCN5C NO,
4
E.NGIHEC" "'4AIL AODIIICSS PHONE LICf.NSE NO.
5
COMPENSATION INS CARRIER MAIL AODlilCSS l"ANCH
6
USE O~UILDING \ 7 \
"\ /' \,.c• ... _..,,,,,.. C ,.,...
8 Class of work: □NEW 0 ADDITION x.ALTERATION 0 REPAIR
9 Describe work:
I ...,< \. ... v.,,.,,i r" l. •----
L V )l ._.,..? +o {..., V /~--p
I ' PERMIT FEES
No. Each Fee
SPECIAL CONDITIONS:
ISSUANCE OF EACH PERMIT
~ ~
NEW CONSTRUCTION, FOR EACH
A"Z ltON!J?
PLANS CHECKEO BY APPROVEO F07,
0
U~/4y AMPERES OF MAIN SERVICE, SWITCH ,
FUSE OR BREAKER --
DATE_, , 'J/, ,t NEW SERVICE ON EXISTING BLDG.
NOTICE I FOR EA. AMPERE OF INC:REASE
IN MAIN SERVICE, SWITCH, FUSE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-OR BREAKER
TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAY!:. AT ANY TIME AFTER WORK IS cor-.~ REMODEL, ALTERATION, NO CHANGE ~o~ MENCED. IN SERVICE, FOR EA. AMPERE OF 2£; I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS INCREASE IO ~/ APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ~ ALL PROVISIONS OF LAWS AND ORDINANCE!!. GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT TEMP. SERVICE UP TO AND INCLUD· PRESUME TO GIVE AUTHORITY TD VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING ING 200 AMP. CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
TEMP. SERVICE OVER 200 AMP.
~ r' ,'°t_c::.. I PER 100
I I _,J -,&,
a lO .. ATUIIC 0,. CONT"ACTOR Oflll AUTHOJIIZ.10 A.GI.NT (DATE) 11)/J✓ PERMIT FEE -v -
./, ., ....... nr nwNUI IP' OWNC." aUILOUI) DA.Tl
.,.
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR