HomeMy WebLinkAbout2693 VANCOUVER ST; ; CB930833; PermitPERMIT APPLICATION PI.AN CHECK NO.
City of Carlsbad Building Departinent
207S Las Pal111as Dr., carlsbad, CA 92009 (619) 438-1161
1. PIDlMI I IYPE
A -U Commercial D New Building □ Tenant Improvement
B -□ Industrial □ New Building □ Tenant Improvement
C -LI Residential □ Apartment O Condo □ Single Family Dwelling □ Addition/ Alteration
□ Duplex O Demolition U Relocation O Mobile Home □ Electrical D Plumbing
0 Mechanical O Pool O Spa D Retaining Wall □ Solar □ Other ____ _
2. PROJECT INFORMATION FOR OFFICE USE ONLY
Address ~Cj'S f/'A#c,,oq_pd.,_ s=?.uilding or Sui1e No.
Nearest Cross Street C 6'
Oil o.
CHECK BEWW IF SUBMI 11 ED:
□ 2 Energy Cales □ 2 Structural Cales D 2 Soils Report D 1 Addressed Envelope
ASSESSOR'S PARCEL EXISTING USE PROPOSED~
DESCRIPTION OF WORK C./IA~e 04.r WrAl~GU ro ~I' S'(./f)t'Mq /.)00.
SQ.FT.A-OP .ba::I< 7'-f-1-r/)oFsTORIES A"IJ ?~'J?c> cov~ (23..!:>-t:l
NAME
CITY STATE
ADDRESS
ZIP CODE DAY TELEPHONE
4. APPDCANI
NAME
□ CON I RACIOR □ AGEN I FOil CON I RACIOR LI OWNER □ AGEN I FOR OWN Ell
ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE
s. ~~mt'Jp)j'f/1..~ S' ,tur Y ADDRESS "2,/o~ 3 t4/-A/'o:?~ I/~ ~r
CITY ~d.L5 /3/1-i) STATE Ck 6. OON'l
NAME
ZIP CODE 92-cJO y DAY TELEPHONE 2~ -G7<::> s;-
ADDRESS
CITY STATE
STATE UC.#
ZIP CODE
LICENSE CLASS
DAY TELEPHONE
CITY BUSINESS UC. #
DESIGNEil NAME ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE STATE UC. #
1. WOIOMtS' WMPENSAl1ON
Workers' Compensation Oeclarallon: I hereby alhrm that I have a cenihcate of consent to sell-insure issued by the Director ol 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 POLICY NO. EXPIRATION DATE
Certificate of Exemption: I ceruly that in the performance ol the work for which 1h1s permit 1s issued, I shall not employ any person in any manner
so as to become subject to the Workers' Compensation Laws of California.
SIGNATURE DATE
A. OWNEit-80llDEit OECDJtA'MON
Owner-Builder Oeclarauon: I hereby affirm that I am exempt lrom the Contractor's Llcense Law tor the following 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).
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, 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 empt therefr , and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit
subjec app ·cant o ·1 pena ty of not more than five hundred dollars [$500)).
SIGNATURE ua,,..J .n ,,r J']j~,c..,t.';,t.,, DATE I I (
Is the applicant or future building occ nt required to submit a business plan, acutely hazardous materials registration form 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 district or air quality management district?
□ YES □ NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
□ YES ONO
CF ANYOFTHEANSWERSARE YES, A FINALCERTIFICATEOFoa:uJ>ANCY MAY NOf BE IS.SUED AFIEUULYJ, 1989 UNLESSTHEAPPUCANT
HAS MET OR IS MEETING TIIE REQUIREMENTS OF TI-IE OFFJCE OF EMERGENCY SERVICES AND TI-IE AIR POlllJTION CDNTROL DISI'RICT.
9. wNS'lll0CIION U!NDlNC AC£NCY
I hereby all1rm that there 1s a cons1rucuon lending agency lor 1he perlormance of the work for which this permit 1s issued (Sec 3097(1) C1V1! Code}.
LENDER'S NAME LENDER'S ADDRESS
Io. APPDcAN'I cEit.1n:'lcA'fioN
I ceruly that I have read lhe appl1ca11on and state that the above informauon 1s correct. I agree 10 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 A1.'iO AGREE 10 SAVE INDEMNIFY AND KEEP HARMLF.SS 11-IE CTIY OF CARLSBAD AGAINST AU. UABIUllF.S, JUDGMENTS, CDSTS
AND EXPENSES WJD□I MAY IN ANY WAY ACXJHJE AGAINST SAID CTIY IN CDNSF.QUENCE OF nm GRAN'llNG OF nos 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 the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code).
DATE: q/f 7/13
WHITE: File YELl.OW: Applicant PINK: Finance
CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT# CB930833 FOR 03/18/94
DESCRIPTION: 144 SF DECK/235 SF PATIO PER
SPECS PLUS CHANGE OUT WINDOW WITH DOOR
INSPECTOR AREA PY
PLANCK# CB930833
OCC GRP
TYPE: PATIO
JOB ADDRESS: 2693 VANCOUVER ST
APPLICANT: SANTY, PAUL
CONTRACTOR:
OWNER:
REMARKS: RS/260-5705
SPECIAL INSTRUCT:
TOTAL TIME:
STE:
CONSTR. TYPE NEW
LOT:
PHONE: 619 260-5705
PHONE:
PHONE:
CD LVL DESCRIPTION ACT COMMENT~__j.-
Pcf-~ 9J1K'l. 19 ST Final Structural
-------------------./-, --
------------------
------------------
***** INSPECTION HISTORY *****
DATE DESCRIPTION ACT INSP COMMENTS
102693 Final Combo AP PY DECK ONLY
100593 Frame/Steel/Bolting/Welding AP PY
100593 Rough Electric AP PY
093093 Ftg/Foundation/Piers AP PY ON LANDING FTNGS
092493 Ftg/Foundation/Piers AP PY
. '\
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'PA-TIO C.Ot/ER. I 2.. , ---,;.-i
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AP~VED
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AUG 1 7 1993
City 01 c~ru.s&AD
BUILDING DEPT .,JG
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