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HomeMy WebLinkAbout2562 STATE ST; D; CB950446; PermitB U J OJ JU/9S Uti:51l 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 , ( 0 .OU ·-0. l10 Ext f,=,e Datct lU.IJ0 Y 10 .00 Y 2 ·1 . U 0 , . 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..,..._ _______ _ -------------------------------------------------------------------- ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS