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HomeMy WebLinkAbout2630 STATE ST; ; CB921182; PermitA .,l O ~ I O I :i.,:2.-,0 D : \j • up: f r enc tt : UNDERG~( ND ONV RSI N Appl/ wnr : STR NG £LEC 603 F.,R!:T ::; OCEANSIDE, F e Reqttned ----------------- fees : A lju:.::: ments : ta Fee : £-e <le er pt1on ~nter Y for E~e llthc>.r A ELECTRICAu TOTA CITY OF CARLSBAD [J V • t t ti : 0009 11/05/92 000.::. 01 02 C-PRMT 25,.00 V l 019 r7 r. .OU r t '[ 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT,APPY<;/\TION 4\ '1:3 PIAN CHECK NO. City of Carlsbad Building Departaent -,.1,l.f7 -,,r 2075 Las Pal-• Dr., Csrlsbad, CA 92009 (619) 438·1161 EST.VAL, __________ _ PLAN CK DEPOSIT. _______ _ VAUD. BY. __________ _ I. PEkMI I IYPE DATE A -U COmmerc1al O New Bu1idmg LI t'enant Improvement B -□ Industrial □ New Building □ Tenant Improvement C -□ Residential D Apartment D Condo □ Single Family Dwelling □Addition/Alteration □ Duplex □ Demolition □ Relocation □ Mobile Home ~lecttical D Plumbing □ Mechanical D Pool D Spa □ Retaining Wall □ Solar □ Other 2. PRO.JECf INFORMATION FOR OFFICE USE ONLY Address 2b'f7 st r'fT€. 5T" Nearest Cross Street l-/+ A Bu!Jdmg or Smte ~~ / :;;::Z {o O }? mt o. ase o. □ 2 Structural Cales □ 2 Soils Report SQ. Ff. 1 eren NAME ADDRESS CITY STATE ZIP CODE DAY TELEPHONE 0 NAME -j;:::V7 CITY STATE ADDRESS ZIP CODE :2 (b'-1'7 <S TA---te- DAY TELEPHONE 7,2_ 2 n 6CJ 6. CDN JRXCIUK~ __,.,, NAME "'=' ~• ~C:-..--ADDRESS CITY STATE ZIP CODE DAY TELEPHONE STATE UC. ::;-3 ®7uCENSE CLASS CITY BUSINESS UC. # DESIGNER NAME ADDRESS r:.10 CITY STATE ZIP CODE DAY TELEPHONE STATE UC.# 7. WORkPJ(S' WMPENSX:I ION Workers' Compensation Declarat1on: I hereby afimn that I have a cert1tlcate of consent to self-msure issued by the Director of lndustnal Relations, or a certificate of Workers' Compensation Insurance by an admicted 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). POUCY NO. EXPIRATION DATE I certify that ID the periormance of the work for which this penmf ts issued, I shall not employ any person ID any manner the Workers' Compensati La of California. D I, as owner of the pro rty 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 chat 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 pennit to file a signed statement chat 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]). SIGNATURE DATE CUMPLEIE IHIS SECIION FOR NON-RESIDENIIAL B0IWING PERMil'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 pennit from the air pollution control district or air quality management district? □YES CNO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □YES □NO IF ANY OF TIIl!ANSWERS ARE YES, A FINAi.CERTIFiCATE OF OCDJPANCY MAY NOT Bl! ISSUED Al'TllRJIJLY 1, 1989 UNLESS TIIl!APPLICANT HAS MET OR IS MEIITING TIIl! RF.QUIREMENTS OF nm OFFICE OF EMERGENCY SERVICES AND 11IE AIR POll.UTION WNTROL DISllUCT. 9. WNSIRUCIIUN D.NOLNG AGENCY I hereby ahmn that there 1s a constructmn lendmg agency for the performance of the work for which this penmt 1s issued (Sec 3097(1) dVJI Code). LENDER'S NAME LENDER'S ADDRESS 10. APPilt'.!ANI cmtmlCA:hON I certify that I have read the apphcat1on and state that the above mformat10n ts correct. I agree to comply with all City ordmances 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 ID SAVE INDEMNIFY AND KEEP HARMIBSS TIIl! crIY OF CARISBAD AGAINST ALL LlABlllTIES, JUDGMENTS, CDSTS AND EXPENSES WlllCH MAY IN ANY WAY N:DUJE AGAINST SAID crIY IN CONSEQUENCE OF TIIl! GRANTING OF TIDS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. W: Applicant PINK: Fmance ··----·-~---·--·-- , PERMIT# CB921182 DESCRIPTION: UNDERGROUND TYPE: ELEC CITY OF CARLSBAD INSPECTION REQUEST FOR 02/25/93 CONVERSION STE: INSPECTOR AREA PD PLANCK# CB921182 OCC GRP CONSTR. TYPE NEW LOT: JOB ADDRESS: 2630 STATE ST APPLICANT: STRONG ELECTRIC CONTRACTOR: PHONE: 619 967-5030 OWNER: REMARKS: MH/BRIAN/967-5030 SPECIAL INSTRUCT: CALL AND CONFIRM TIME PHONE: ~ML PHONE: INSPECTO ~ TOTAL TIME: ACT CO,ENTS _3;_1 _EL -~-F-' _1_lf_El_e_c_t_r_ic_a_l ______ ~ }!,,,!67/{ t' ,/( CD LVL DESCRIPTION ------------------ ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS