HomeMy WebLinkAbout2676 STATE ST; ; CB921254; Permit9,;2,., 1._i{,;, ·;;, 7 / +1 ~ :f ,)L
PERMIT APPLICATION Pl.AN CHECK NO.
City of carlsbad Building Departaent
2075 Las Palms Dr., carlsbad, CA 92009 (619) 438-1161 EST.VAL~-----------PLAN CK DEPOSIT ________ _
VALID.BY __________ _
DATE ____________ _
A . 0 Commercial
B -□ Industrial
LI New Building □ tenant Improvement
□ New Building LI Tenant Improvement
C • □ Residential □ Apartment □ Condo □ Single Family Dwelling □Addition/Alteration A'0*~ ~-/,:/5,Y
7COA->-? p WTvK.
□Duplex □ Demolition □ Relocation □ Mobile Home llJ;lectrical □ Plumbing
□ Mechanical □ Pool □ Spa □ Retaining Wall □ Solar □ Other _____ a0 , ,
.,.....,.~----===-=-=-----------------1 / ·7& 2. PROJECf INFORMATION 10 FOR OFFICE USE ONLY
2 ress S rze ~ ~ ~~g or
Nearest Cross Street V\ \,)e._,f'S1Q (\ ~
cAECk BEIDW IF SDBMI 11 ED:
□ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope
ASSESSOR'S PARCEL \] ,{\ e\..J(r ~ ('l..?v ...-.ct
# OF STORIES
EXISJl,NG u~
V \ \ \f\-€)
t:c-\0 1L-A
PROPOSED USE DESCRJPTION OF WORK
NAME ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE
4. APPUCANI
NAME
¥1,.CON I AAc IOR LI AGEN I FOR CON I AAc IOR
ADDRESS
□OWNER OACENI FOR OWNER
CITY STATE ZIP CODE DAY TELEPHONE
s. P1tuPwt1Y OWNirk "GUiV\A NAME ADDRESS f-\
CITY STATE ZIP CODE :~i~Pl10NE
6
' ~~~~~\Of\~o~~,~"l.A.DDRESS ~o s \ 'S-\-'St ,l-~4-s-d'SiCQ
CITY STATE Cit ZIP CODE '?) o<:;f DAY TELEPHONE ?'6.? .so 3°
STATE UC. ;$]'6€s)7 LICENSE CI.ASS C,_;/0 CITY BUSINESS UC.#
..
CITY STATE ZIP CODE DAY TELEPHONE STATE UC.#
1. Wdit1Mts cDMPRNSXnON
Workers' Compensation Oedaralton: I hereby alltrm that I have a cerultca1e of consent to sell-insure issued by the Director ol industnal
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 POLICY NO. EXPIRATION DATE
□
□
□
Cerulicate of Exemption: I ceruly that in the pertormance of the work for which thts penmt ts issued, I shall not employ any person in any manner
so as to ome su · t to the Workers' Compe t' n Laws of California.
tlo . ere ya 1rm t at am exempt w or t e o owing 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, Business 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 10 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 ap1· 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]).
SIGNA111RE DATE
COMPLETE mis SECllON FOR NON-RESIDENTIAL BUILDING PERMITS 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?
0 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 □ NO
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCDJPANCY MAY NOT BE~ AFfER. JULY 1, 1989 UNLESS 1llE APPIJCANT
HAS MET OR IS MEIITING 11-IE RF.QUIREMENTS OF nm OFFICE OF EMERGENCY SERVICES AND 1llE AIR POUITI10N CDNTROL DISllUCT.
9. cDNSI R0Ci1ON LENDING AC ENCY
I hereby alltrm that there ts a construction lending agency for the perlormance of the work ior which thts permit ts issued (Sec 3097(1) Ctvil code).
LENDER'S NAME LENDER'S ADDRESS
to. APrUc:AN"I C£kl1FICA11oN
I certify that I have read the appltcauon and state that the above inlormatton ts correct. I agree to comply with all Ctty 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 10 SAVE INDEMNIFY AND KEEP HARMLF.SS 1llE CfIY OF CARLSBAD AGAINST AU. IJABIUl1ES, JUDGMENTI;, CDS'fS
AND EXPENSES WJ-DCH MAY IN ANY WAY ACX:RUE AGAINST SAID Cl1Y IN CDNSF.QUENCE OF TIIE 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 Orficial 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 at any time after the work is commenced for a period of 180 days (Section 303(d) Unifonn ~'ldi'1.,.. Code).
APPLICANTS SIGNATUR • "--+----DATE: )°2, __jX_)
I
YELLOW: App 1cant PINK: Fmance
PERMIT# CB921254
DESCRIPTION: OH TO UNO
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: ~:~::: ///J /\ IIJ
REMARI<S: MH/BRIAN/967-5030 INSPECToP::e:-~~
SPECIAL INSTRUCT: CALL AND CONFIRM TIME****************888
TOTAL TIME:
CD LVL DESCRIPTION ACT COMMENTS
_3.?_9_i __ E_L _E;_F_n_a_~_E_l_e_c_t_r_i_c_a_l _______ 5¥---------------
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***** INSPECTION HISTORY*****
DATE DESCRIPTION ACT INSP COMMENTS