HomeMy WebLinkAbout1712 CATALPA RD; ; CB984036; PermitSuite
11/23/98 10 41 B U I L D I N G P E R M !
Page 1 of l
Job Address. 1712 CATALPA RD
Permit Type: ELECTRICAL
Parcel No. 215-511-05-00
Valuation:
Occupancy Group
Description- UPGRADE SERVICE FROM**! 0(T AMPS
TO 200 AMPS
0
r Permit No CB984036
Project No: A9805258
Development No
3721 11/23/98 0001 03 02
C-PRMT 35-00
Construction Type VM
Appl/Ownr BRENNEIS ELECTRIC
5764 POTOMAC STREET
SAN DIEGO CA 92139
x,. Fees Required ***
Fees •
Adjustments.
Total Fees-
Fee description
619 267-4795
Collected & Credits
Applied 11/23/98
Apr/Issue 11/23/98
Entered By•
Enter "Y" for
Single Phase Per /AM
* **
.00
. 00
35.00
Ext fee Dara
10 00 Y
25.00
FINAL APPROVA
CLEARANCE.
CITY OF CARLSBAD
2075 Las PalmasDr, Carlsbad, CA 92009 (760)438-1161
PERtfTIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr, Carlsbad CA 92009
(760)438-1161
!i" PROJECT INFORMATION"" " "
FOR OFFICE USE
PLAN CHECK NO
EST VAL
Plan Ck Deposit
Validated By
Date
Address (include Bldg/Suite Business Name {at this address)
Legal Lot No Subdivision Name/Number Unit No Phase No Total # of units
Assessor's Parcel #Existing Use Proposed Use
Description of Work SQ FT
c
J2 CONTACT PERSON (if different from applicant)
#of Stories # of Bedrooms # of Bathrooms
Name
13 »" APPLICANT
. Address
O Contractor O Agent ,for_Contractor
City
Owner ~Q Agent for Owner
State/Zip Telephone Fax #
Name Address
PROPERTY OWNER
tity State/Zip Telephone tt
Address City State/Zip Telephone #Name
;5 CONTRACTOR - COMPANY NAME -."""_. V _" V-/"" _"_" L - ~ I" " - V
(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 License Law
{Chapter 9, commending 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])
C A ^ £Li 3
Name
State License SO.
Address
License Class
-f-
'
City State/Zip
City Business License ff
Telephone #
Designer Name Address City State/Zip Telephone
State License #
6 WORKERS' COMPENSATION ,„ . / " s „ ri ,
Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations
Q 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
Q I have and will maintain workers compensation, as required by Section 3700 of the Labor Code for the performancEi 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
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100] OR LESS)
£3^ CERTIFICATE OF EXEMPTION I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as
to become subject to the Workers Compensation Laws of California
WARNING Failure to secure workers compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred
thousand dollars ($£00,000), in additiontojhe cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney s fees
SIGNATURE <&&** C-^O^'(^S^s&z^^ DATE U I "2 "?' / *? &
7 OWNER-BUILDER DECLARATION , " -\ ' „ ,
I hereby affirm that I am exempt from the Contractor s License Law for the following reason
Q 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)
O 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 Q YES f~lNO
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 work indicated (include name / address / phone number / type
of work)
PROPERTY OWNER SIGNATURE DATE
^COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY, . 1 __ , ' ,
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 2S505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? Q YES Q NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district7 Q YES Q NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Q YES Q 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
18 _ CONSTRUCTS N~LENDING AGENCY L~I1-'~~":~T1-
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(0 Civil Code)
LENDER'S NAME (/O O U rT-— ' _ LENDER'S ADDRESS __
'9'" APPLICANT CERTIFICATION IV , ,~ •—_--_ ^ -f ^^- -^-. ______ - ____ -~^ ^ ^ ,^- - ^
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 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 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 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 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 any time after theajork is commenced for aperiod of 1 80 days (Section 1 06 4 4 Uniform Building Code) /
/Z- 3APPLICANT'S SIGNATURE £DATE
WHITE File YELLOW Applicant PINK Finance
/I
CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT* CB984036 FOR 11/25/98
DESCRIPTION: UPGRADE SERVICE FROM 100 AMPS
TO 200 AMPS
TYPE: ELEC
JOB ADDRESS: 1712 CATALPA RD
APPLICANT: BRENNEIS ELECTRIC PHONE:
CONTRACTOR: PHONE:
OWNER: PHONE:
INSPECTOR AREA
PLANCK# CB984036
OCC GRP
CONSTR. TYPE VN
STE: LOT:
619 267-4795
REMARKS: C/RIENHARDT/619/267-4795 NOON INSPECTOR
SPECIAL INSTRUCT: PLEASE INSPECT AROUND NOON SO SDG &E CAN RE-ENGERGIZE
TOTAL TIME:
CD LVL DESCRIPTION
33 EL Service Change/Upgrade
ACT COMMENTS
DATE DESCRIPTION
***** INSPECTION HISTORY *****
ACT INSP COMMENTS