HomeMy WebLinkAbout2562 STATE ST; D; CB950446; PermitB U J
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f·a Je 1 ,f 1
.J"h Arldre~ s: 2 5 t;, 2 STATE ST
Per m1 t TypE': E.LEC TI I i"'AL
Parcel Nu: Jo-a101-;J,,qo o
Valuc:1t1on: lJ
Construc~1on Type: VN
L [' I .N G P E H M J 'l
.:>lllte: [1
Lot#:
uccupancy <.,roup: Ref,:-rence#:
Description: ADD OUTLETS F')R OFF'lCE EOliIP.
Pe1m1t N : CB ,c O,:.'.th
P~aJect No: A~SOLD~ 1
Development N<.,:
1283 03/30/95 0001 01 02
C-PRMT 20-00
Status: IsSUE[i
Appli1?d: u J; :rn/ :15
Apr/Issue: U3/3U/QS
Entere(l By : MDP
Appl/Ownr : MURRY ELEL1~1C 909 J43-1338
4105 EILEEN STREET
RIVERSIDE , LA. 92U~
It. ' lo: Fees Required
F'ee description
Ent,::-r "Y fot· Remo le
, ELECTRICAL TOTAL
. '
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
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Ext f,=,e Datct
lU.IJ0 Y
10 .00 Y
2 ·1 . U 0
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PERMIT APPLICATION PLAN CHECK NO. '( ('-~'fb
City of tarlsbad Building D-rtlEnt
l
~V~DJ!POSIT _______ _
2075 Las PBIIIIIS Dr., Carlsbad, CA 92009 (619) 438-1161
I. PPJlMJ I IYPE VAUD. BY __________ _
From Llsr 1 (see back) give code of Permit-Type: -'e=c..L __ · 61=:...;:C::..,, ______ _ DATE
For Residential Projects Only: From List 2 (see back) give
Code of Structure-Type: ____________________ _
Net Loss/Gain of Dwelling Units
2. PRCllECT INFORMATION FOR OFFICE USE ONLY
Address BuUdmg or Suite No.
Nearest Cross Street
11:GAt DESCRIP I ION Lot No.
S7)fTE 9~
Su6d1VJs1on Name/Number
·=#.I).
0n1t No. Phase No.
CHECK BEWW IF S0BMII IED:
□ 2 Energy Cales □ 2 Structural Gales □ 2 Soils Report □ l Addressed Envelope
ASSESSOR'S PARCEL EXISTING Y~ , PRQPQSFiSE
DESCRIPTION OF WORK ,t};dl) 1/'0~/l. ~f'r yi>,c ~/ib,cs/ CvJf'I ~R c7fr,0eE UJlS=C
SQ. FT. # OF STORIES # OF BEDROOMS # OF BATIJROOMS
3. WNIACI PERSON (it amerent from appll&nt)
NAME (last.name first) ADDRESS
CllY
4. APPUCANI }!.}'ON lkACIOR
NAME (last na e 1rst)
STATE ZIP CODE DAY TELEPHONE
UAGENI FORCONIRACIUR
ADDRESS
□OWNER DAGEN I FOR OWNER
CllY STATE ZIP CODE DAY TELEPHONE
5. PROPEIUY OWNER
NAME (last name first) CJl,!Istt)/ ~ • (3;w_;,;, ADDRESS
CllY '1-°ATE ZIP CODE DAY TELEPHONE
6. WN i'RACIOR #ttt?f;Y 5?6C71V'c ADDRtss 4/cJS-e37fer:TN srq.:2!?fovg-.es12J~ NAME (last name first)
CllY STATE ZIP CODE DAY TELEPHONE ('f?o:J) j<'/5 -/_33J'
STATE !JC.# C/CJ IJCENSE CLASs&33fGs-CllY BUSINESS !JC. #
ust
CllY STATE ZIP CODE DAY TELEPHONE STATE !JC. #
7. WOltkElts' WMPENSAliON
Workers' Compensation beclarat1on: I hereby affmn that I have a certificate of consent to self-msure 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 :5T7'tfjc "'r,:,,Nt) POIJCYNO. •gft',.:1..74 EXPIRATION DATE ho 9S-
SIGNATURE DATE
8. OWNER-BUIIDIM bF!t.!iXRXIION
□
□
□
Owner-Builder Declaration: I hereby afnrm that I am exempt from ffie Contractors license Law for the tollowmg 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 wm 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 pennit 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 703 I .5 by any applicant for a pennit
subjects the applicant to a civil penalty of not more than five hundred dollars [$500]).
SIGNA11JRE DATE
tbMPLEIE IHIS SECIIUN FOR NON-RESIDEN'MAt B0IW!NG PEkMIIS ONLY:
ls the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration fonn 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 disnict or air quality management disnict?
□ 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 PINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSllED AFIER JULY 1, 1989 IJNU!SS THE APPIJCANT
HAS MET OR JS MEimNG THE REQUDIEMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLIJTION OONTII.OL DJSI1UCT.
9. WNSIROCIIDN LENDING AGENCY
I hereby afhrm ihat there 1s a construction lendmg agency for the performance of the work for which [his permit 1s JSSued (Sec 3097(1} Cml Code).
LENDER'S NAME LENDER'S ADDRESS
10. APPUCANI C£RIIHCA:[[ON
I certify that I have read the apphcat1.on and state that the above miormat1on 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 AISO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CflY OF CARISBAD AGAINST AIL IJABIIJ11ES, JUDGMENTS, CXlSTS
AND EXPENSES WJilCH MAY IN ANY WAY ACDUIE AGAINST SAID CflY IN OONSEQUENCE 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 pennit issu
building or work authorized b
such pennit is suspended or
APPIJCANl"S SIGNA TU
uildin~cial under the provisions of this Code shall expire by limitation and become null and void if the
it is o ommenced within 365 days from the date of such permit or if the building or work authorized by
at•.". ,i · fter the work is commenced for a period of 180 days (Section _:_03~ Unifonn Building Code).
\..U~"l'i 3 _ J,:, --9'.) DATE: __ _
e YELLOW: Applicant PINK: Finance
. -·-··--·----··----~--------------
,.
PERMITf CB950446
DESCRIPTION: ADD OUTLETS
TYPE: ELEC
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 04/06/95
FOR OFFICE EQUIP.
INSPECTOR AREA
PLANCK# CB950446
OCC GRP
JOB ADDRESS: 2562 STATE ST
APPLICANT: MURRY ELECTRIC
CONTRACTOR:
CONSTR. TYPE VN
LOT: STE: D
PHONE: 909 343-1336
OWNER:
REMARKS: MW/NICK/909-343-1338
SPECIAL INSTRUCT:
TOTAL TIME:
--REIATED PERMITS--
CD LVL DESCRIPTION
PERMIT# TYPE
CB950418 MISC
PHONE:
PHONE: /7 I,
INSPECTOR(ffe ________ _
STATUS
ISSUED
ACT COMMENTS
34 EL Rough Electric t / t;.1. __ ..,,.f~, .... dl-lh.--..-::::.._______ _ __ n_u~At2..,..._ _______ _
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***** INSPECTION HISTORY*****
DATE DESCRIPTION ACT INSP COMMENTS