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Home My WebLink About156 CHINQUAPIN AVE; ; CB962240; Permitt , BUILDINGPERMIT Permit No CB962240 11/20/96 08 00 Project No A9603175 Page 1 of 1 Development No Job Address I 156 CHINQUAPIN AV Suite Permit Ivpe " ELECTRICAL Parcel No 206-013-14-00 Lot# iO&8 H/r>0/96 0001 03 02 Valuation 0 Construction Typ§-?|\MpW 30-CF' Dccupancy Group Reference* Status ISSUED Description "REPLACE CURRENT 20 AMP PANEL Applied 11/20/9& WITH 100 AMP PANEL Apr/Issue 11/20/96 Entered By RMA Appl/Ownr SOLANES ROZ 156 CHINQUAPIN CARLSBAD CA 92054 *AA Fees Required *** Fees Adjustments Total Fees Fee description Enter "Y" for Electric 2/&s>e Single Phase Per AMP/ c • ELECTRICAL TOTAL | n „l { PvWy eelr-Collected & Credits * * * 00 00 30 00 Ext fee Data 10 00 Y 20 00 30 00 /APPR CLEARANCE CITY OF CARLSBAD 2075 Las Palmas Dr , Carlsbad, CA 92009 (619) 438-1161 PERMflTAPPLICATION City of Carlsbad Building Departaent 2075 Las Palaas Dr , Carlsbad, CA 92009 (619) 438-1161 1 PERMIT TYPE From List 1 (see back) give code of Permit Type For Residential Protects Only From Ust 2 (see back) give Code of Structure Type Net Loss/Gain of Dwelling Units 2. PROJECT INFORMATION PLAN CHECK NO EST VAL PLAN CK DEPOSIT VALID BY flA~* DATE jl (O^j/?, '\ n UH/ i(_ 1 FOR OFFICE USE ONLY Building or Suite No Nearest Cross Street LEGAL DESCRIPTION Lot No Subdivision Name/Number Unit No Phase No CHECK BEUUW IF SUBMITTED D 2 Energy Calcs D 2 Structural Calcs D 2 Soils Report D 1 Addressed Envelope ASSLSSOR S PARCEL _EXI DESCRIPTION OF WORK SQ FT # OF STORIES / PROPOSED USE # OF BEDROOMS # OF BATHROOMS J 4 UUM IAL.I PEKSUN (it ditierent from applicant; NAMIE (last name first) CITY ^ — ~"~ STATE APPUCANT LTCUN I HACJIUK ADDRESS ZIP CODE U ACjtNT t-UK CON IKAL.TUH DAY TELEPHONE JJOWNEH U ACJKN 1 KJR OVWtK NAME (last name first) < CITY XADDRESS SS / ZIP CODE DAY TELEPHONE 5PROPERTY OWNER NAME (last name first) CITY <r -->ADDRESS STATE ZIP CODE DAY TELEPHONE 6 CONTRACTOR NAME (last name first) CITY ADDRESS STATE £r&~ ZIP CODE ^/Q^V DAY TELEPHONE STATE UC #&£S~/0 ^ UCENSE CLASS <^Z- '/& CITY BUSINESS UC # NAME (last name tirst)ADDRESS CITY STATE ZIP CODE DAY TELEPHONE STATE UC # 7 WORKERS COMPENSATION Workers Compensation Declaration thereby amrm that I have a certificate of consent to selt insure issued by the Director ot Industrial 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 Certificate ot Exemption I certify that in the performance or the work for whicn this permit is issued I shall not employ any person in any manner so as to becqjne subject to,the Workers' Compensation Laws of California SIGNATUF DATE // uwner Builder Declaration 1 hereby attirm that 1 am exempt rrom the Contractors License Law tor 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) 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) Business and Professions Code for this reason D n I am exempt under Section (Sec 7031 5 Business and Professions Code Any City or County which requires a permit to construct, alter, improve, demolish, or repair I any structure pnor 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 applicant to a civil penalty of not more than five hundred dollars [$500]) SIGNA rURE DATE THIS SECTION FOR NON RESIDENTIAL BUILDING PERMITS ONLY Is thi applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or nsk management and prevt ntion program under Sections 25505 25533 or 25534 of the Presley Tanner Hazardous Substance Account Act? D YES D NO Is thi applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D YES D NO Is thi facility to be constructed within 1 000 feet of the outer boundary of a school site? D YES O NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1,1989 UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT 9 ODNS1KUUMON LfcNDlNU AUENtJY I hen by attirm Uiat there is a construction lending agency tor the performance ot the work tor which this permit is issued (Sec 3097(0 Civil code) LENDER S NAME LENDERS ADDRESS 1 certify that 1 have read the application and state that the above mtormation is correct Tagree 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 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 SATO 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 stones 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 pe^ffit 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 abandopM at any time after t^e work is commenced for a period of 180 days (Section 303(d) Uniform Building Cotie) APPLICANTS SIGNATURE £-~7 ^ ^) / j^ DATE // ny time after t^e ^ ^) / L ____ (—-?^ WHITE Frfe YELLOW Applicant PINK. Finance ; CITY OF CARLSBAD INSPECTION REQUEST PERMIT* CB962240 FOR 11/25/96 DESCRIPTION REPLACE CURRENT 20 AMP PANEL WITH 100 AMP PANEL TYPE ELEC JOB ADDRESS 156 CHINQUAPIN AV STE APPLICANT SOLANES, ROZ PHONE CONTRACTOR PHONE OWNER PHONE: REMARKS MW/ INSPECTOR SPECIAL INSTRUCT SDGE TERM POWER 7 30 AM/BACK ON IN PI WITH INSPECTOR FOR SOME TIME IN PM TOTAL TIME: CD LVL DESCRIPTION 33 EL Service Change/Upgrade ACT COMMENTS INSPECTOR AREA PLANCK# CB962240 OCC GRP CONSTR TYPE NEW LOT: TO COORDINATE DATE DESCRIPTION ***** INSPECTION HISTORY ***** ACT INSP COMMENTS City of Carlsbad Building Department WORKERS' COMPENSATION DECLARATION hereby affirm under penalty of perjury one of the following declarations 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 I have and will maintain workers' compensation, as required by section 3700 B of the Labor Code, for the performance of the work for which this permit is issued My workers' compensation insurance carrier and policy number are INSURANCE COMPANY POLICY NO EXPIRATION DATE (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) .^t-sertify 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 become subject to the r* C workers compensation laws of California vJx Signature <^^ Date //&>/%/"*"*** r/ Warning Failure to secure workers' compensation coverage is unlawful, and shall be subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($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 March 3, 1995 2O75 Las Palmas Dr • Carlsbad CA 92009-1576 • (619) 438-1161 • FAX (619) 438-O894 BUILDINGPERMJT 11/20/96 Oi3 00 Page 1 of 1 Job Address /. 156 CHINQUAPIN AV Suite Permit Ivpe " ELECTRICAL Parcel No 206-013-14-00 Lot# Valuation 0 Dccupancv Gioup Reference* Description "REPLACE CURRENT 20 AMP PANEL WITH 100 AMP PANEL Permit No CB962240 Pioject No A9603175 Development No Appl/Ownr SOLANES, ROZ 156 CHINQUAPIN CARLSBAD CA 92054 ***. Fees Required *** Fees Adjustments Total Fees Fee description Enter "Y" for Electrifi Single Phase Per AMP, * ELECTRICAL TOTAL 1088 11/2^/96 OC01 03 02 Construction Type-^WfCvf 30 Status ISSUED Applied 11/20/96 Apr/Issue 11/20/96 Entered By RMA Peers--Collected & Credits * ** , 00 00 30 00 Ext fee Data 1 10 00 Y 20 00 30 00 CLEARANCE CITY OF CARLSBAD 2075 Las Palmas Dr , Carlsbad, CA 92009 (619) 438-1161 PERMTTAPPLICATION City of Carlsbad Building Department 2075 las Pal*as Dr., Carlsbad, CA 92009 (619) 438-1161 1 PEKMrr TYPE From List 1 (see back) give code of Permit Type For Re.idential Proiects Only From List 2 (see back) give Code of Structure Type Net Loss/Gam of Dwelling Units PLAN CHECK NO. EST VAL PLAN CK DEPOSIT VALID BY i DATE 2. PRCUECT INFORMATION FOR OFFICE USE ONLY Addiess Neaiest Cross Street Building or Suite No LEGA1 DESCRIPTION Lot No Subdivision Name/Number Unit No Phase No CHECK BELOW IF SUBMl TIED O 2 Energy Calcs O 2 Structural Gales D 2 Soils Report D1 Addressed Envelope ASSESSOR S PARCEL EXISTING USEF5 7"5c5- # OF BEDROOMS PROPOSED USE DESC RIPTION OF WORK SQ FT # OF STORIES /# OF BATHROOMS UJN I AL.I FEHSUN (it different trom applicant; NAME (last name first) ADDRESS CITY STATE ZIP CODE DAY TELEPHONE APPLICANT LrCONlKACTOK LJAutN 1 rOK LfJN 1KAL1UK ^rjOWNhH UAutNIrUK NAME (last name first)£/&e£3>U 2 <£s?*l XADDRESS CITY ZIP CODE DAY TELEPHONE PROPERTY OWNER <- /-n/ ^^ r p NAME (last name first) <~> cxu **y\, ^ /ADDRESS CITY STATE ZIP CODE DAY TELEPHONE O CONrRACTORvjUNitisu^iun -*- NAME (last name first) £<> r-'*.ADDRESS CITY STATE ^""^ ZIP CODE DAY TELEPHONE STATE LIC L3ESIONER NAME (last name first) CITY STATE LICENSE CLASS ZIP CODE CITY BUSINESS LIC # ADDRESS DAY TELEPHONE STATE LIC # 7 WORKERS' COMPENSATION Workers' Compensation Declaration Thereby attirm mat I have a certiticate ot consent to self insure issued by the Director of Industnal 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 Certificate ot Exemption I certify that in the performance of the work tor which this permit is issued I shall not employ any person in any manner so as to becgwe subject teethe Workers Compensates Laws of California _ SLGNI-AT1J--t -.re. r .- - -8 OWNER mhuJldTDEQgUlATIOfr /' " / ~ uwner Builder Deciaraaon l hereby attirm that 1 am exempt trom tne Contractors License Law tor tne lollowing reason D 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) D 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 pnor 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 applicant to a civil penalty of not more than five hundred dollars [$500]) SIGNATURE DATE COMPLETE THIS SECTION FOR NUN RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or nsk management and prevt ntion program under Sections 25505, 25533 or 25534 of the Presley Tanner Hazardous Substance Account Act? D YES D NO Is th( applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D YES D NO Is iht facility to be constructed within 1 000 feet of the outer boundary of a school site? D YES D NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1 1989 UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT 9 UONSIHIKJI'IUN LENDUMCj AUENliV 1 hen by affirm that there is a construction lending agency tor the performance ot the work tor which this permit is issued (Sec 30971M uvii Code) LENDEP S NAME LENDERS ADDRESS lU APPUuVNl I certify that 1 have read the applicauon and state that the above information is 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 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 SATO 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 stones in height Expir ition 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 pejjrtfit is not commenced within 365 daysjCrom the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time afterAe work is commenced for a period of 180 days (Section 303(d) Uniform Building Coae), APPLICANTS SIGNATURE £-7 /"7~~~~) / jT DATE ///£<^-/ '-— C--, ^^^>^-*y~^--<!;:'<l ^^ F^fe YELLOW Apphcant PINK. FinanceWHITE CITY OF CARLSBAD INSPECTION REQUEST PERMIT^ CB962240 FOR 11/25/96 DESCRIPTION REPLACE CURRENT 20 AMP PANEL WITH 100 AMP PANEL TYPE ELEC JOB ADDRESS 156 CHINQUAPIN AV APPLICANT SOLANES, ROZ PHONE: CONTRACTOR PHONE: OWNER PHONE: STE: REMARKS* MW/ SPECIAL INSTRUCT TOTAL TIME' INSPECTOR SDGE TERM POWER 7 30 AM/BACK ON IN WITH INSPECTOR FOR SOME TIME IN PM A CD LVL DESCRIPTION 33 EL Service Change/Upgrade ACT COMMENTS INSPECTOR AREA PLANCK# CB962240 OCC GRP CONSTR TYPE NEW LOT: TO COORDINATE DATE DESCRIPTION ***** INSPECTION HISTORY ***** ACT INSP COMMENTS City of Carlsbad Building Department WORKERS' COMPENSATION DECLARATION hereby affirm under penalty of perjury one of the following declarations 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 I have and will maintain workers' compensation, as required by section 3700 B of the Labor Code, for the performance of the work for which this permit is issued My workers' compensation insurance carrier and policy number are INSURANCE COMPANY POLICY NO EXPIRATION DATE (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) ^-f-sertify 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 become subject to the J* C vvorkers compensation laws of California<^x ^ Signature ~2£±yl^_^f Date Warning Failure to secure workers' compensation coverage is unlawful, and shall be subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($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 March 3, 1995 2O75 Las Palmas Dr • Carlsbad CA 92OO9-1576 - (619) 438-1161 • FAX (619) 438-0894