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Home My WebLink About2680 STATE ST; ; CB930160; Permit., ' ' . 8 ~LE n ...,Y! G.1.oup: I l : 0/H : i ti 'I A' t. ::Uc.A..., ( : Nt,W T(l /li ELE srA E ST Api;./Ownr ROCKS ,S'IEPHEN ... 4 61 FL CERRITO Fe :... Require l F .. ~·. AJ_:;ustments : '">tal fees: FeE:.-de"'criµt1on EnteL Y for Ele in~ Ph,..,e Per > ELECTR~CAL TO A L [J • G r m.t t N , : EoC N ,)F•V , r nen N : L l #: ,.,ERVI () AM b ~- C1 Ii t · f: Xt f: E: CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 [ 35-00 D ,t y J PERMIT APPLICATION PLAN CHECK NO. Cj 3> -l '" o City of Carlsbad Building DepartEnt I EST. VAL 2075 Las Pal•s Dr., carlsbed, CA 92009 (619) 438-1161 PIAN CK DEPOSIT __ ~,.,..r---- I. PERMII liPE =· BY git I~ A-UCOmmerc1al □New Bu1ldmg D lenanr Improvement B -D Industrial □ New Building D Tenant Improvement C -□ Residential □ Apartment D Condo □ Single Family Dwelling □Addition/Alteration □ Duplex □ Demolition □ Relocation D Mobile Home ~trical □ Plumbing D Mechanical □ Pool □ Spa □ Retaining Wall □ /o1ar U Other 2. PRClJECI" INFORMATION FOR OFFICE USE ONLY mt o. ase o. CHECK BEWW IF SOBMI 11 Eb: □ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope ASSESSOR'S PABCET: DESCRIPTION OF WORK O ( /-{ u(c., EXISTING USE C..0AU~tt..0.._ l o.::. A- PBOP9SEP USE SQ. IT. # OF STORIES 3. WN IACI PERSON (tr dlHerent from apphcant) -ADDRESS CI1Y STATE ZIP CODE DAY TELEPHONE 4. APPUCANI ~ONIKACID£S., DAGENI FORCONIRACIOR □OWNFJ!, □AGENI FO}{OWJWR NAMES t--e.,•J..,e..,,..,, t<-,Oc,/c.) ADDRESS 4,;-, t ot... C,z,,,.,-.,'To ,v,-.. CI1Y _$'411,-I} t"e.fo STATEC,1-ZIP CODEt::;'A,/12-DAY TELEPHONE 7' 5 -/ 7f;"7 S. ~!{~ ~~1£1{ ~ LAJ..B.,,,.,.__ ADDRESS.2 6 Cf {1 .s J-IJ J,e. s= /- CITIC /',/l"Ls: STATE ZIP CODE DAY TELEPHONE /3t,."2-C1",-;c.... ADDRESS '-f ,;-l I ,Et.. -C .a.,.,,. i 1 o {)/Q.j /) STATF.c.4 ZIPCODEq':7..t/o DAYTELEPHONE 7(§"-l7s-7 STATE !JC. 'llt5:K<,R;3 c_J LICENSE CLASS C: -{ (J CI1Y BUSINESS !JC. # CI1Y STATE ZIP CODE DAY TELEPHONE STATE !JC.# 7. WOltkkkS5 lDMPF.NSXliON Workers1 Compensation UedaratJon: I hereby affirm that I have a cert1hcate of consent to seli-msure issued by the Olrector of lndustnai 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 tiled with the Building Inspection Department (Section 3800, Lab. C). INSURANCE COMPANY POLICY NO. EXPIRATION DATE Ceruhcate of Exemption: I certify that m the perlormance of the work for which this permit 1s issued, I shall not employ any person m any manner so as to becom o orkers' Compensation Laws of California. SIGNATURE ATE 2---/'3'- Owner-Bmlder Deciarat1on: I hereby afhrm that I am exempt from the Conrracto?s Llcense Law for the foliowmg 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 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 License 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 pennit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]). SIGNATIIRE DATI! WMPLEIE THIS SEGIION FOR NON-RESIDENIIAL BUILDING PERMll'S 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 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 nm ANSWERS ARE YES, A FINAL CERTIFICATI! OF oa:uPANCY MAY NOT BE ISSUl!IJ AFll!R JULY 1, 1989 IINIJlSS nm APPLICANT HAS MET OR IS MEETING nm REQUIREMENTS OF nm OFFICE OF EMERGENCY SERVICES AND nm AIR POLLIJTION OONTIIOL DISilUCT. 9. WNS'IK0CIION LENDING AGENCY I hereby afhrm that there 1s a construcnon lend mg agency tor the performance of the work for which this penn1t 1s issued (Sec 3097 (I) Civil Code). LENDER'S NAME LENDER'S ADDRESS IO. AWIJCANI CFJlliFICAIJON I cerufy that I have read the apphcat1on and state lhat the above mformat1on ts correct. I agree to comply with ail City ordmances and Staie 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 ID SAVE INDEMNIFY AND KEEP HARMLESS nm CfIY OF CARISIIAD AGAINST AU. UABIIn1ES, JUDGMENTS, CDSI'S AND EXPENSES WJilCII MAY IN ANY WAY MDUIE AGAINST SAID CfIY IN OONSEQUENCE OF nm GRANTING OF TIIlS PERMIT. OSHA: An OSHA pennit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Expiration. Every permit i~ued 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 suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code). DATE: ~-/'£--:f3 YELLOW: Applicant PINK: Finance I CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB930160 FOR 05/05/93 DESCRIPTION: 0/H TO U/G ELEC SERVICE AT 2680 STATE ST 100 AMP lPH TYPE: ELEC STE: INSPECTOR AREA PD PLANCK# CB930160 OCC GRP CONSTR. TYPE NEW LOT: JOB ADDRESS: 2680 STATE ST APPLICANT: ROCKS,STEPHEN CONTRACTOR: PHONE: 619-765-1757 OWNER: REMARKS: MH/STEVE/765-1757 SPECIAL INSTRUCT: TOTAL TIME: CD LVL DESCRIPTION ~=~=~P:ll ACT COMMENTS -34 __ EL _R_o_u_g_h_E_i_e_ct_r_i_c ______ 1!f_ t) I< 0 bu /½P- -------------------------------------- ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS ELECTRICAL PERMIT APPLICATION City of CARLSBAD, CALIFORNIA 92008 , 4-5 \ , 0 Applicanttocompletenumberedspacesonly Phone 729-1181 Permit No I Y,.:;). Y ..JO JOB ADDRESS ~ :t.; .. co t . LOT NO. I BLK. I TRACT (QSEE ATTACHED SHEET) LEGAL I 1 DESCR. OWNER MAIL ADDRESS ZIP PHONE 2 1l1ard 2680$ st., Car. bJ, C Uomio 921 729-16b5 CONTRACTOR MAIL ADDRESS PHONE STATE LIC. NO. CITY LIC. NO. 3 ~~ .l,c!,ct.ric ~-:!:~, Inc. lCZ ·...;:;,:;, lie Jft • 729-~"5 2(,'17 ' l> ., ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. 4 ' ENGINEER MAIL ADDRESS PHONE LICENSE NO. 5 COMPENSATION INS CARRIER MAIL ADDRESS ;, . A BRANCH 6 •{' l 1)1.L ·-;.,.":' ·::o r > l, ~LA~ ..,, USE Of BUILDING I 1 t,t•-•l al~· 8 Class of work: □NEW 0 ADDITION 0 ALTERATION 0 REPAIR 9 Describe work: .Sorrice Spll t PERMIT FEES No. Each Fee SPECIAL CONDITIONS: SWIMMING POOL WIRING, NO INCREASE IN SERVICE .:W.,7..;;_ a"DlJ.t no incronee 5 ', NEW CONSTRUCTION, FOR EACH APPLICATION A;e7 •LANS CHECKED BY APPRO\IEO FOR ISSUANCE BY AMPERES OF MAIN SERVICE, SWITCH , FUSE OR BREAKER ·✓__,/ . .: ~--11 J,f DATE NEW SERVICE ON EXISTING BLDG. NOTICE FOR EA. AMPERE OF INCREASE IN MAIN SERVICE, SWITCH, FUSE THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-OR BREAKER TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM REMODEL, ALTERATION, NO CHANGE MENCED. IN SERVICE, FOR EA. AMPERE OF I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCE~ GOVERNING THIS INCREASE 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 TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING ING 200 AMP. CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. Alt-✓, /~-,('. TEMP. SERVICE OVER 200 AMP. PER 100 'i.bll'18 SIGNATURE Of CONTRACTO~OII AUTHORIZED AGENT (DATE) ISSUANCE FEE • 0.. TOTAL FEES • •)J SIGNATURE OF oWNt.R If OWNER BUILDER DATE WHEN PROPERLY VALIDATED (IN THIS SPACEt THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH INSPECTOR ... . - INSPECTION REPORTS DATE ITEM REMARKS INSPECTOR USE SPACE BELOW FOR NOTES FO LLOWUP, ETC. 6--//-7~