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Home My WebLink About1751 BRUCE RD; ; CB982515; PermitBUILDING PERMIT 08/1.1/98 08:05 Jab Flddress: 1751 BRUCE RD F'errni t Tvpen ELF~C'TRIC~L Parcel No: 207-360-40-00 Page 1 of 1 Permit No: CB982515 Project No: fI9803318 Oeuc 1 oprriertt No :: Ua 1 uat i urt: 0 Construction Type: NEU Occupancy Group: Reference#: Stat cis : I S S 1J E D Dercr ipt ion: REPLflCE 100 RMP PANEL. WITH App 1 ied: 08/11/98 : 200 WMF' PClNEL Rpr/Issue: 0811 1/98 Erltcred By: RMI-I #Sppl/Owrir : LCI BELLE ELECTRIC 760 727-9169 3824 L.INDR VISTA DR Ad j -r o F En t Si tion Elec Per a00 .oo 35 IO0 Ext fee Data 10.00 Y 25 IO0 ---- ..".... ,- -- -----a INS 1 CLEARANCE ! CITY OF CARLSBAD 2075 Las palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1 161 Akdress (include BldglSuite #) Business Name - I (at FOR OFFICE USE PLAN CHECK NO. this address) RF5rDFN c. L e wx,er9bF FLCGWLK~L Fa- I Legal Description Lot No. Subdivision NamelNumber Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use Q(9lis-b k OQ fi - #of Stories # of Bedrooms # of Bathrooms Description of Work hm€vt sa. FT. CONTACTPERSON Wdm Name Address City Statelzip Telephone # Fax # 4 Name Address City Statelzip Telephone # (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 Codel or that he is exempt therefrom, and the basis for the alleged xem tion. 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 185001). Address City Statelzip 484V LIbbR W$hQ PR, S%l()l\C(*~% Cb4- '330b9 7 27 - 2/69 Telephone t $Lc(L EL= Name State License I 61 Ci 'ZI 9 License Class C - / D City Business License I flppL I FD & h Designer Name Address city Statelzip Telephone State License # Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: of the work for which this permit is issued. & 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 maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is compensation insurance carrier and policy number are: [THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUND 0 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 tecum workers' cornpanratton coverage It unlawful, and thd subject an employer to crlmlnal panakiet and clvll Rnes up to one hundred 3706 of the Labor code, interest and attorney's fees. DAT I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 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). 0 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 propeny who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). 0 1. 2. 3. 4. number I contractors license number): 5. of work): PROPERTY OWNER SIGNATURE DATE COMPLETE TINS SECTION FOR Is the applicant or future building occupant required to submit a business PI program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES 0 NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES 0 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. I am exempt under Section I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ON0 I (have I have not) signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction (include name I address I phone number I contractors license number): 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 I address I phone I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address 1 phone number I type Business end Professions Code for this reason: ration form or risk management and prevention 0 YES 0 NO CONSTRUCTION LENDING A& by affirm that there is a construct ich this per ued (Sec. 3097(i) Civil Code). LENDERS NAME LENDERS ADDRESS 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 CiW 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 a days (Section 106.4.4 Uniform Building Code)w,- V WHITE: File YELLOW: Applicant PINK: Finance 01/18/1996 18: 89 7687279169 LABELLE ELECTRIC PAGE 83 Is A 'ILL IMPORTANT WERE ARE YOUR MW RATES FOfl THE. PERIOD INDICATEO. BL CORRECTED OR IF INSURANCE 18 MOT NEEDED FOR NEXT YEAR, PLBnSE TELL US. IF YOUR NAME OR ADbll&SS BHQWD 229-98 CONTINUOUS POLICY WEGTERN R&GIOWAL )UST$R BUItDERS LA BBLLB ELECTRIC P.O. BOX 458 SUI MARCOS, CALIF 92079 RATfNG P&RfdD .1-01-98 TO 1-01-99 WIT 16409 $520 a 00 DSPOSIT PREMIUM MInrnun PRW(IU)( $520.00 PREMXUM ADJUSTMENT PERIOD WOYFRLP R 8D NAHE OF ZmPLOYBR- LA BELLB, MICHAEL R. (AN INDIVIDUAL EMPLOYER AND NOT JOINTLY WITH MY OT#KR ENPLDYER) CODE No. 5027 5028 5201 5201 5205 5205 5213 5222 5225 5403 5 432 1 PRINCIPAL WORK AND RATES EFFECTIVE BUTLDING CONSTRUCTION MASONRY USONRY CONCRETE OR CEMENT WORK--PouIRlNG OR FXNISHING OF CONCRETE SXDEWALKS CONCRETE OR CMNT WORK--POURING OR FXNJSEIING OF CONCRETE FLOOR SLABS CONCRETE OR CEHENT WORK--POURING OR FINISVING OF CONCRETE SIDEWALXS CONCRETE OR CFJEHT WORK--POURING OR FINISHING OF CONCRETE FLOOR SLABS CONCRETB CO#STRUCT1ON--N.O.C. CONCRETE CO#STRUCTXON--fN CONNECTION WITH BRIDGES OR CULVERTS REINFORCING STEEL INSTALLATION AMIS CARPENTRY CARPENTRY Alliance Mgt & Ins Services PO Box 840 Sari Mams CA 92079 (800) 643-0550 Fax (760) 471-9378 CA LiC 073786g M?t) ISSUED AT SAW lRAWCISC0 DECEMBER ., . ._.- -. - . -_. To 01-01-99 BAS e RATE 27.55 16.07 16.81 16.81 9.19 9.19 15.21 18.50 22.42 38.93 13.30 INTERIM B I LLllqG RATE* 24.24 14.14 14.79 14.79 8.09 8.09 13.38 24.28 19.73 34.26 11.70 31, 1997 POLICY FORM L 1