The URL can be used to link to this page

Home My WebLink About2514 VIA ESPARTO; ; CB930080; PermitPERMIT APPLICATION PLAN CHECK NO. City of Carlsbad Building Departlllet'lt 2075 Las Palms Dr., Carlsbad, CA 92009 (619) 438·1161 ESf.VAL'--------------PLAN CK DEPOSIT ----------VALID.BY ___________ _ I. P£RMJ I IYPE DATE. _____________ _ A -U Commercial D New Building □ l'enant Improvement B -D Industrial □ New Building D Tenant Improvement C -□ Residential O Apartment D Condo □ Single Family Dwelling □ Addition/ ~teration □ Duplex □ Demolition □ Relocation □ Mobile Home □ Electrical i;;rli1umbing □ Mechanical □ Pool □ Spa □ Retaining Wall □ Solar □ Other ____ _ 2. PROJECT INFORMATION FOR OFFICE USE ONLY ~ s (" Vt ~ Nearest Cross s(reet Building or Suite No. LEGAL DESCRll>'l'ioN Lot No. SuixhVJs1on Name/Number Unit No. Phase No. CHECK B£IDW IF sOBMll 1£0: □ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope EXJSTING USE PROPOSED USE 3. WN IACI PERSON (ll dlilerent Irom apphcan[) NAME ADDRESS CITY STATE ZIP CODE DAY TELEPHONE 4. APPUCANI NAME □ cON I RAC IOR □ ACEN I FOlt CON I RACIDR ADDRESS CITY STATE ZIP CODE DAY TELEPHONE S. PllOl'filtiY OWNfilt NAME ADDRESS ZIP CODE ~ STATE DAY TELEPHO NAME r eo,;)-le,.., f.. I.(. -b L~ cinS'ct.. "'-2> 1 ~ o STATE C .I STATE UC.#"~$" 1... ADDREss 9 I-CI.... es ~l<c:.., ZIP CODE 9 ~ /). j DAY TELEPHONE LICENSE ClASS c-3 {JJ? CITY BUSINESS UC. # DESIGNER NAME ADDRESS CITY STATE ZIP CODE DAY TELEPHONE STATE UC.# 1. WOIUffiRS' CDMPENSAiiON Workers' Compensation Oeclara11on: I hereby all1rm that I have a certificate ol 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 fi with the Building Inspection Department (Section 3800, Lab. C). / INSURANCE COMPANYG-o.Rck..-v ~ I"'-S • POLICY NO. EXPIRATION DATE 8 I~ 11 3 xempuon: ceru 1c t 1s permit 1s 1ssu , s a not emp oy any person in any manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE 8. oWNElt-D0IIDElt OECI.ARA'l10N D □ D Owner-Builder Oeclarauon: I hereby afttrm that I am exempt from the Contractor's License Law for 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). 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 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]). SIGNATIJRE DATE COMPLETE THIS SECTION FOR NON-HESIDEN I !AL BUILDING PERMITS ONLY: 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 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 D NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCX:UPANCY MAY Naf BE ISSUED AFfER JULY I, 1989 UNLF.SS THE APPLICANT HAS MET OR IS MEETING TIIE REQUIREMENTS OF TI-IE OFFICE OF EMERGENCY SERVICES AND TIIE AIR POILUTION CDNTROL DISfRICT. 9. WNS'lilOC 11ON tmmrnc AGENCY I hereby all1rm that there 1s a construcuon lending agency for the performance of the work tor which this perrmt 1s issued (sec 3097(1) C1VJI Code). LENDER'S NAME LENDER'S ADDRESS 10. APPLICANT CEltmICAiloN I cerufy that I have read the appltcauon and state that the atx>ve inlormauon 1s correct. I agree to comply w1m au City ordinances ana :;rate 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 IIARMU.SS TIIE QTY OF CARI.SBAD AGAINST AU IJABIUTIF.S, JUDGMENTS, CX>STS AND EXPENSF.S WJUOI MAY rN ANY WAY Aa:RUE AGAINST SAID CJTY rN CDNSF.QUF.NCE OF THE GRANTING OF TI-IIS 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 autho ·zed 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 uildin Code). DATE: / / 't 1.J WJ-IlTE: File YELl.OW: Applicant PINK: Finance PERMIT# CB930080 DESCRIPTION: GAS REPAIR TYPE: PLUM CITY OF CARLSBAD INSPECTION REQUEST FOR 01/20/93 STE: INSPECTOR AREA PY PLANCK# CB930080 OCC GRP CONSTR. TYPE NEW LOT: JOB ADDRESS: 2514 VIA ESPARTA APPLICANT: WARD, BRIAN CONTRACTOR: PHONE: 619 278-7600 PHONE: OWNER: REMARKS: MH/RICH SPECIAL INSTRUCT: TOTAL TIME: CD 23 DATE LVL DESCRIPTION PL Gas/Test/Repairs DESCRIPTION PHONE: ACT COMMENTS ***** INSPECTION HISTORY***** ACT INSP COMMENTS