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Home My WebLink About2568 STATE ST; ; CB930023; Permitr r-up)ti y > • C'"T L +-1 A t A ll-2 -JO y~ : N W ,r,)UE): AM:::., OH t er er. l l'NDFh R It-; Api: 1/0wnr : R CHARDSCJN BRO::.. CON RA' 'IC R 2· b~ ~ A1E REET Fe•·: Al U"'tment·.,: o~a Fe : ARLSBAD, e 1ui1ed f Pe descr L,:+-1 ,n Enter Y for Ele !:> u le !?ha:.. Per ~ ELECTRICAL TOTA f lL t U: #: CITY OF CARLSBAD 0711 01/06/93 0001 01 C··PRMT 7 ';1-( 8 ed Ext fe 1 U. ( • 0 ( 2075 Las Palmas Dr., Carlsbad, CA 9200') (619) 438-1161 02 35,C<O PERMIT APPLICATION PLAN CHECK NO. J~d.) City of Carlsbad Building Department .------------''----, 2075 Las Pal-• Dr., Carlsbad, CA 92009 (619) 438-1161 l!Sr.VAL, __________ _ PIAN CK DEPOSIT ________ _ VAUD. BY __________ _ I. P£ltMI I ii PE DATE A -LI Commercial Li New Building U tenant Improvement B -D Industrial □ New Building D Tenant Improvement C -□ Residential D Apartment D Condo □ Single Family Dwelling □Addition/Alteration □ Duplex LI Demolition □ Relocation □ Mobile Home "aElectrical □ Plumbing □ Mechanical □ Pool D Spa □ Retaining Wall □ Soiar □ Other 2. PRaJECr INFORMATION FOR OFFICE USE ONLY J?, Butldmg or Suite No. LEGAL DESCRIPI ION Lot No. SubchV1s1on Name/Number Omt No. Phase No. CHECK BEWW IF S0BMII 1£0: □ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope PROPOSED USE 3. WNiACI PERSON (I( duie7 trom appJJcanl) NAME ADDRESS CITY STATE ZIP CODE DAY TELEPHONE 7?...9-CJ?FI DAY TELEPHONE NAME CITY STATE STATE LIC. # ADDRESS ZIP CODE LICENSE CLASS DAY TELEPHONE CITY BUSINESS LIC. # CITY STATE ZIP CODE DAY TELEPHONE STATE LIC. # 7. WORkRRS' WMPENSAIION workers· <...:ompensauon uec1arat1on: I hereby afhrm that I have a cert.1tlcate of consent to self.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). INSURANCE COMPANY POLICY NO. EXPIRATION DATE ru 1cate o xemphon: IC t emp oy any person m any manner so as to bec.92~~• to SIGNATURE □ □ bwner-Bmlder Declarauon: I hereby afhrm that I am exempt from the COntractor's Llcense Law for the foilowmg 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 Llcense 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 Llcense 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 Llcense 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.S by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]). SIGNATIJRE DATE COMPLEIE IHIS SECIION FOR NON-RESIDENIIAL HOIWING PERMII'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? CYES □NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ YES □ NO IF ANY OF TIIE ANSWERS ARE YES, A FINAL CERTIFICATE OF oa:IJPANCY MAY NOT BI! ISSUED AFI1!R JULY 1, 1989 UNIJ!SS TIIE APPIJCANT HAS MIIT OR IS MEETING TIIE REQIJlREMENTS OF nm OFFICE OF EMERGENCY Sl!RVICI!S AND TIIE AIR P011.lITION OONTROL DISTRICT. 9. WNSIRUCIIUN U!NDING ACENCi I hereby afhnn that there 1s a construction lendmg agency for the performance of the work for which this penn1t 1s issued (Sec 3097(1) C1vU Code). LENDER'S NAME LENDER'S ADDRESS 10. APPUCAN I CEk I MCXfiuN I certify that I have read ihe apphcatmn and state that the a&ive mformat1on 1s correct. 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 AISO AGREE ID SAVE INDEMNIFY AND KEEP HARMLESS TIIE CTIY OF CARISIIAD AGAINST AIL LIABIUTIES, JUDGMENTS, <DSTS AND EXPENSES WIIlCH MAY IN ANY WAY A£x:IUJE AGAINST SAID CTIY IN OONSI!QUENCI! OF TIIE GRANTING OF TIIlS PI!RMIT. OSHA: An OSHA permit is required for excavations over 5'0H 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 Ccxle 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 an e after the ork is commenced for a period of 180 days (Section 303(d) Unifo'7 Buiid~~e). DATE7~1~._,,,._L.!!,l,_~~ YELLOW: Applicant PINK: Fmance _,. . PERMIT# CB930023 DESCRIPTION: 100 AMPS OH TO TYPE: ELEC CITY OF CARLSBAD INSPECTION REQUEST FOR 05/26/93 UNDERGROUND STE: INSPECTOR AREA PD PLANCK# CB930023 OCC GRP CONSTR. TYPE NEW LOT: JOB ADDRESS: 2568 STATE ST APPLICANT: RICHARDSON BROS. CONTRACTORS CONTRACTOR: PHONE: 619 729-0981 OWNER: REMARKS: MH/PK SPECIAL INSTRUCT: TOTAL TIME: CD LVL DESCRIPTION PHONE: /7 // '.\ PHONE: IL INSPECTO~ R . ACT COMMENTS _3_9 __ E_L _F_i_n_a_1_E_l_e_c_t_r_i_c_a_1 _______ ~ --------------- -------------------------------------- ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS