HomeMy WebLinkAbout2808 STATE ST; ; CB911038; Permit,
, B U I L D I N G P E R M I T
07/17/91 11:41
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Job Address: 2808 STATE ST Str:
Permit Type : ELECrRICAL
Parcel No: 203-181-05-00
V-3.luation: O
Construct1)n Type : VN
Occupancy Group : Class Code :
Description: ELEC REMODEL ADD EMERGENCY
: EGRESS LIGHTING & EXIT SIGN CIRCUITS
Permit No: CB~11038
Project No: A91U1l7b
Development No:
F 1: Ste:
3509 07/17/91 0001 01 02
C-PRHT 15-00
CR 1sc1
Status: TSSL.2D
Applied: 07/17/91
Apr/Issue : 07/1 7/~1
Validated By: KZH
Appl/Ownr : NORMANDIN, RAYMOND
P .O . BOX 731
BANSALL , CA 92003
941-5187
OWNER NORMANDIN , RA YMOND
Af* Fe es Required k**
Fees:
Adjustments :
Tota l Fees :
Fee description
Lie. OWNER
Fees Collected & Cr edits
CITY OF CARLSBAD
.00
.oo
15.00
Ext fee Data
5 .00 Y
10.00 Y
15 .00
2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161
PERMIT APPLICATION PLAN CHECK NO.
City of carlsbad Building Depart111ent
2075 Las Pallll8s Dr., Carlsbad, CA 92009 (619) 438-1161 EST.VAL'-------------PLAN CK DEPOSIT ________ _
VAIJD.BY ___________ _
I. PE.ltMI I IYPE DATE _____________ _
A -XI Commercial LI New Building U Tenant Improvement
B -0 Industrial □ New Building D Tenant Improvement
C -□ Residential O Apartment O Condo □ Single Family Dwelling □Addition/Alteration
D Duplex □ Demolition U Relocation D Mobile Home :RI Electrical □ Plumbing
□ Mechanical O Pool □ Spa □ Retaining Wall D Solar □ Other ____ _
2. PRQJECT INI-URMATION FOR OFFICE USE ONLY
Aelelress &,;/~~ ;r:J~Butldmg or Suite No.
NearestCross~r?eQtS-2822 State St. Car.:..,0 ;.:-a c., CA 92008 r.e are Et c ros s s t .-Gra nd
LEGAL bEsCRIIYl'ibN Lot No.
31-32
Sutxhvis1on Name/Number Unit No. Phase No.
CAECR BEWW IF s08MII !ED:
□ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ I Addressed Envelope
EXISTING USE r:iot ii::i. !Fe PROPOSED USE mo:vi e ASSESSOR'S PARCEL ;l Q 3 1 8 1 Q 5
DESCRJPTION OF WORK Minor electrical
SQ. FT. # OF STORIES
permit. Addition o f emerg ency egress
exit s ign circuits . 3. WN IACI PERSON (1f dulerenf from appltcanl)
NAME Allen Lar;ent
CITY STATE
ADDRESS Z8 Z2 State St . Carls "::ia C: CA 92008
ZIP CODE
4. APPUCAN I
NAME
UCON I RAC IOR U AG£N I FOil CON IHACIOR DAYTELEPHONE B*Q -~~4-6282 DOWNER ji!AGENI FOR
CITY s. PROl'mw OWNER . NAME 2.yno nc:
NAME
CITY
DESIGNER NAME
CITY
A.
a:.,ove
STATE
rJ o rmanc in
STATE CA
STATE
STATE UC.#
N,A. STATE
7. Wulttmits' wMPENSAnON
ADDRESS
ZIP CODE
ADDRESS i? " O "
ZIP CODE S 2 003
ADDRESS
ZIP CODE
LICENSE CLASS
ADDRESS
ZIP CODE
DAY TELEPHONE
3ox 731
DAY TELEPHONE 619-94 1 -5 18 7
DAY TELEPHONE
CITY BUSINESS UC. #
DAY TELEPHONE STATE UC.#
tbeatr0
l i ghting &
Workers' Compensauon Oeclarauon: I hereby all1rm that I have a ceruhcate of consent to sell-insure issued by the Director 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 Department (Section 3800, Lab. C).
91
INSURANCECOMPANY State Fune'. POUCYNO. 1236536-~IRATIONDATE ~-1-92
Cerul1cate of £xempaon: I cerufy that m the performance of the work tor which this permit 1s issued, I shall not employ any person m any manner
so as to become subject to the Workers' Compensation Laws of California.
SIGNATURE' DATE
8. OWNER-BOllDER ornnON
Owner-Builder Oeclarauon: I hereby athrm that I am exempt from the Contracto?s License Law for the lollowmg 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.).
D 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 permit
subjects the ap!)lican't to ivi9penalty of not more than f~ve hundred dollars [$500]).
SIGNATIJRE ./r . I ~ DATE G:, -· c)..S'-
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 THE ANSWERS ARE YES, A FINAL CERTIFICATE OF oa::uPANCY MAY NOf BE ISSUED AFTER JULY I, 1989 UNLESS THE APPLICANT
HAS MET OR IS MfEJlNG TIIB REQUIREMENTS OF TIIB OFFICE OF EMERGENCY SERVICE, AND TIIB AIR POlllJTION CDNlllOL DISfRICf.
9. WNSntUCl10N LENDCNG AGENCY
I hereby aihrm that there 1s a construcuon lending agency lor the perlormance of the work lor which this permit 1s issued (Sec 3097(1) CIVll Code).
LENDER'S NAME LENDER'S ADDRESS
JO. APPUCAN1' CEit'imCA'i10N
I ceruly that I have read Lhe appltcauon a nd state that the above inlormauon 1s correcl. I agree to comply with all City 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 Al.SO AGREE 10 SAVE INDEMNOY AND KEEP IIARMLF-5S TIIB CTrY OF CARI.SHAD AGAINSf AIL UABWTlES, JUDGMENTS, CDSTS
AND EXPENSES WIDCII MAY IN ANY WAY ACX:RUE AGAINSf SAID CTrY IN CDNSEQUENCE OF TIIB GRANTING OF 11DS 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 suspended or abandoned at any time afler the work· commenced for a period of 180 days (Section 303(d) Uniform Building Code).
APPUCAN1"S SIGNATURE DATE: ______ _
INK: Finance
CITY OF CARLSG!IIJ
~ INSPECTION REQUEST
PERMIT# CB911038 FOR 08/19/9; INSPECTOR AREA PK
PLANCK# CB911038
OCC GRP
DESCRIPTION: ELEC REMODEL ADD EMERGENCY
EGRESS LIGHTING & EXIT SIGN ClRCUlTS
TYPE: ELEC
JOB ADDRESS: 2808 STATE ST
APPLICANT: NORMANDIN, RAYMOND
CONTRACTOR:
OWNER: NORMANDIN, RAYMOND
REMARKS: RES/ALLEN/434-6282
SPECIAL INSTRUCT:
TOTAL TIME:
--RELATED PERMITS--
CD LVL DESCRIPTION
PERMIT# TYPE
CB891360 SIGN
19 ST Final Structural '32-h,oJ,"'rk L?£C?}Z,I ~
CONSTR. TYPE VN
FL: STE:
PJ!C 1ii:: <J,11-Sl8il' 7
PHONE:
PHONE: / J J/
INSPECTOR -,1----'""'-=-~4'-'-'=---:-'~--=-----
S'l'/\'l'US
EXUIRELJ
AC 1' COHJV!EN'J';:;
-------
w{-------~--------A:i:? ;s;ur:s1W'!i3 I £+e1Jk(j 4'~
***** INSPECTION lllS'J'ORY *****
DATE DESCRIPTION
081591 Final Electrical
ACT HISl'
NS P.I\
COMMENT'S