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Home My WebLink About2658 STATE ST; ; CB921254; Permit97 ... 1~'/~'5-j>+J~ :f,;L PERMIT APPLICATION PLAN CHECK NO. City of carlsbad Building Departaent I EST. VAL 2075 Las Palaas Dr., carlsbad, CA 92009 (619) 438-1161 PLAN CIC DEPOSIT ________ _ -:::._-_e_v::::::::::::::::::::::::-_ A . LI Commercial LI New Building LI I enant Improvement B -□ Industrial □ New Building □ Tenant Improvement C . □ Residential □ Apartment □ Condo □ Single Family Dwelling □Addition/Alteration A Sh ~ ~-/ ,g 5 / □Duplex □Demolition □Relocation □Mobile Home ~lectrical □Plumbing ~~-::ff' ,•~ /t"f"""y"'\o/L __ /'J ~A. □ Mechanical □ Pool □ Spa O Retaining Wall □ Solar □ Other _____ c;;;r'-P (> , f \...A./ TT ,...,-1 1 _ I V I.,_,.\... -2.-PR-QJF.Cf--INFO--RM>;--TI-O-N----------------------1 0 7 & FOR OFFICE USE ONLY r= s rze ~A-t ~ <:;~8 or z o .:S (""'I Nearest Cross Street V) ve.f'51Q'(\ ~ 'o \V~~v cA£Ck BEWW IF sOBMI 11 Eb: □ 2 Energy calcs □ 2 Structural calcs □ 2 Soils Report □ 1 Addressed Envelope ASSESSOR'S PARCEL DESCRJPTION OF WORK \.) V\ cX, _g_ r ~ r..;;,.._,, .--.c\ V \ \ \-\'\ . .{) \-\C C -\-0, t-A PROPOSED USE C c, V"\ \; -e. r· '.) , O"'- SQ. FT. # OF STORIES 3. WN IACI P£RSUN (11 dillerenl lrom applicant) NAME ADDRESS 01Y STATE ZIP CODE DAY TELEPHONE DOWNER □AGENI FOR OWNER ◄. APPUCANI NAME ~CONIRACIOR 0 AtiEN I FOR CON I RACIOR ADDRESS CJ1Y STATE ZIP CODE DAY TELEPHONE 6 " ~~~~\O(\ b-t\B.-¼1~"LwoRESS Coos \ S-\ '::>t ,/~4--s-ds,ao Cl1Y ST~TE (/t ZIP CODE c'_)j O')f DAY TELEPHONE 'rb/ _!::,-0 3,0 w k 96 7'/0t,.,7 /,, ff? 59 STATE UC. ~'6is)7 LICENSE Cl.ASS C,-/0 Cl1Y BUSINESS UC.# .. CITY STATE ZIP CODE DAY TELEPHONE STATE UC.# 1. W01tk£RS' wMP£NSX:110N Workers' Compensauon beclarallon : I hereby aihrm that I have a cemhcate of consent to sell-insure issued by the Director ol lndustnal Relations, or a certificate of Workers' Compensation Insurance by an admiued 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 POLICY NO. EXPIRATION DATE Ceruhcate of Exempuon: I cerufy that m the periormance oi the work for which this permit 1s issued, I shall not employ any person in any manner so as to ~om.!: su · t to the Workers' Compe t" n Laws of catifomia. SIGNATIJ V □ □ □ uo . ere ya 1rm l at am exempt rom l e ntracto s cense w or t e o owmg 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, Busin= and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves ther~>n, 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 License Law). I aJW exempt under Section _______ Busin= and Professions Code for this reason: (Sec. 7031.5 Busin= and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish, or repair any structure, prior lo 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 10 a civil penalty of not more than five hundred dollars [$500)). SIGNATIJRE DA'm COMPLETE fflls SEc'M0N FOR N0N-RE5iDEN JlAL BUILDING PERMI l's ONLY: Is the applicant or future building occupant required to submit a busin= 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 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? □ YES ONO IF ANYOI' 11-IEANSWERS ARE YES, A F'INALCERTIFICA'm 01' ocx::uJ>ANCY' MAYNOf BE~ AFll'JlJULY 1, 1989 ~ TIIE APPllCANT HAS MET OR IS MEETING 11-IE REQUIREMENTS 01' nm OFFICE 01' EMERGENCY' SERVICES AND 11-IE AIR POU.ln10N CDNTROL DISTIUCr. 9. CDNS'IROCl10N mmmc AG£Nci I hereby alhrm that there 1s a construction lending agency for the performance of the work lor which this permit 1s issued (Sec 3097(1) CIVIi Code). LENDER'S NAME LENDER'S ADDRESS to. Al'PUCAN"I CERrniCAiioN I cerufy that I have read the applicauon and stale that the above inlormauon 1s correct. I agree to comply with all C1fy 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 TO SAVE INDEMNlFY AND KEEP HARMLF.SS 11-IE ClTY 01' CARL5BAD AGAINST AU. UABIIJTIES, JUDGMENTS, CDSrS AND EXPENSES WJDOI MAY IN ANY WAY ACX:RUE AGAINST SAID ClTY IN CDNSF.QUENCE OF nm GRANTING OF nos 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 authorized by such permit is suspend r abandoned al _any time after the work is commenced for a period of 180 days (Section 303(d) Uniform ~-1~ Code). APPLICANTS SIGNATIJR ' '---+-_,...-DATE: )7,. __a_) ✓ e YEIJ.OW: App 1cant PINK: Fmance PERMIT# CB921254 DESCRIPTION: OH TO UND TYPE: ELEC CITY OF CARLSBAD INSPECTION REQUEST FOR 02/25/93 2656/2658/2676 STATE STE: INSPECTOR AREA PD PLANCK# CB921254 OCC GRP CONSTR. TYPE NEW LOT: JOB ADDRESS: 2646 APPLICANT: BESTRONG CONTRACTOR: STATE ST ELECTRICAL PHONE: 619 967-5030 OWNER: ~:g::: //4 )\ llJ REMARKS: MH/BRIAN/967-5030 INSPECToP.::e:--~~ SPECIAL INSTRUCT: CALL AND CONFIRM TIME****************888 TOTAL TIME: CD LVL DESCRIPTION ACT COMMENTS 3:J. A EL -~~lectrical ~ _..:i.::J_. __ --_-_____ -¥------ ------------------ ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS