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Home My WebLink About2832 STATE ST; ; CB030496; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 02-20-2003 Electrical Permit Permit No: CB030496 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: Project Title: Applicant: 2832 STATE ST CBAD ELEC 2031811300 SOMEWHERE IN TIME ADD OUTLETS & CIRCUIT PACIFIC WATERS CONSTRUCTION 1462 WESTMORE PL OCEANSIDE CA 92056 760 806-9952 Electric Issue Fee Single Phase per AMP Three Phase per AMP Three Phase 480 Per AMP Remodel/Alteration per AMP Remodel Fee Temporary Service Fee Test Meter Fee Other Electrical Fees Additional Fees TOTAL PERMIT FEES Status: Lot#: 0 Applied: Entered By: Plan Approved: Issued: Inspect Area: Owner: WARD FAMILY TRUST 01-20-89 0 0 0 100 32 MARIGOLD IRVINE CA 92614 ISSUED 02/20/2003 MDP 02/20/2003 02/20/2003 $10.00 $0.00 $0.00 $0.00 $25.00 $0.00 $0.00 $0.00 $0.00 $0.00 $35.00 Total Fees: $35.00 Total Payments To Date: $0.00 Balance Due: $35.00 EXPIRED PERMIT PERMIT HAS EXPIRED IN ACCORDANCE WITH U.S.C. SECTION 106.4.4 DATE 9 \ \0..\o:z SIGNAtURE J,wJ ... "'""-G, ~~ \J)()NL. v-><.Q.Q ~ JJ.e_CWNi_. PERMIT APPLICATION ..> CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 Legal Description Assessor's Parcel # Existing Use \ Descri,_')j~ork t::J-c-,, rf~rj /ft,-/". SO. FT. #of Stories ,i. £!)NTA<;T PERSOf:,I (if different from ep_pllcant~ ~/ "-C.. (...,/;--,) Name Address City 3 . APPLICANT O Contractor O Agent for Coritractor 0 Owner O Agent for Owner Address City Name / State License # ~'r~LZ~~-""2-__ ,.. __ _ Designer Name Address City State License # __________ _ 6. :.Y.,oRiERS' COMPENSATION FOR OFFICE USE ONLY PLAN CHECK No.03,... LI 't c, EST. VAL. __________ _ Plan Ck. Deposit _________ _ Validated By __________ _ Date ______________ _ -..__ Phase No. Total # of units Proposed Use # of Bedrooms # of Bathrooms State/Zip Telephone# Fax# State/Zip Telephone # Telephone# (f ~?'J "JJ)'f'~(, State/Zip Telephone Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 0 I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My worker's compensation insurance carrier and policy number are: Insurance Company______________________ Policy No._____________ Expiration Date _______ _ jTHIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) fgl CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as (to il'ecome subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollar• ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. DATE -----::::::;;;=::;;;::;::=::;;:::;:;:::=:;:;;..,.... 0 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). 0 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). 0 I am exempt under Section ______ Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES O NO 2. I (have/ have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number/ contractors license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work !include name / address / phone number / contractors license number):. _________________________________________________ _ 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the w ork indicated (include name/ address / phone number / type of work):, ________________________________________________________ _ PROPERTY OWNER SIGNATURE _______________________ _ DATE ------------COMPLETE THIS SECTION FOR NO!f-RESIDENTIAL BUILDINQ PJ:RMITS 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 O NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? O YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES O NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. ,8. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME ______________ _ LENDER'S ADDRESS __________________________ _ 9. APPLICANT CERTIFICATIQN. I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the Citt of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS 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 permil issued by e building OHicial under the provisions of this Code shall expire by limitation and become null and void if lhe building or work authorized by such permit is not co ed within 180 ys 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 comme f s (Seclion 106.4.4 Uniform Building Code). \ ·APPLICANT'S SIGNATUl:>~-;;6.LL-;#~1:;.~:=_::_~=t==?"...L--------------DATE ____________ _ WHITE: File YELLOW: Applicant PINK: Finance , '> 1718 Tecolate Drive #8 Fallbrook, California *License# 757026 Telephone/Fax (760) 728-8895 Project Address 2832 State St Carlsbad, CA Owners State Street Associates 32 Marigold Irvine, CA 92614 (949) 733-9419 Proposed Project 1) Add 20 new electrical outlets 2) Add 3 new circuits 3) Re-locate existing electrical outlets