The URL can be used to link to this page

Home My WebLink About2389 VIA PELICANO; ; CB930538; PermitA. # ~s0 1 06 02'93 0001 01 02 ti· t I A A JU i.t c• j A• ·+-m •1.t ·: .... F •t : . . 1VAOMdd\/ 1\/Nl.:I CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION PLAN CHECK NO. • City of carlsbad Building Departa!f'lt 2075 Las Pal-s Dr., Carlsbad, CA 92009 (619) 438-1161 1. PERMI I IYPE A -0 Commercial D New Building O Tenant Improvement B -D Industrial D New Building D Tenant Improvement C -□ Residential D Apartment D Condo □ Single Family Dwelling D Addition/ Alteration D Duplex D Demolition O Relocation D Mobile Home D Electrical D Plumbing □ Mechanical O Pool D Spa O Retaining Wall D Solar □ Other ____ _ 2. PROJECT INFORMATION FOR OFFICE USE ONLY Building or Suite No. mt o. CHECK BEl15W IF S0BMI 11£0: □ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope ASSESSOR'S PARCEL EXlSJJNG USE PROPOSED USE DESCRIPTION OF WORK SQ. FT. ~ ~ # OF STORlES 3. wNIACI P~ (If duierent from applicant) NAME ADDRESS CITY STATE ZIP CODE DAY TELEPHONE 4. APPUCAN'i NAME □ cON I RACIOR □ ACEN I FOR cON I RACIOR ADDRESS DOWNER □AG£NI FOR OWNER CITY STATE ZIP CODE DAY TELEPHONE ADDRESS ZIP CODE ..:1~ tc, V/ IJ Pe.i.ic,tND 6. OOR'litACIOlt NAME SA-..l./J11 STATE CA q'u)oC/ DAYTELEPHONE G:,(q-"'{,3J-t,9,P-2) ADDRESS CITY STATE STATE UC.# ZIP CODE LICENSE CLASS ADDRESS DAY TELEPHONE CITY BUSINESS UC. # DESIGNER NAME CITY STATE ZIP CODE DAY TELEPHONE STATE UC. # 7. WOltkiltS' wMPENSAnON Workers' Compensauon Oeclarauon: I hereby affirm that I have a certificate of consent to sell -insure issued by the Director of 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 ceruhcate of Exempuon: I certify that in the performance of the work tor which this 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. OWRElt-b0ttnElt Dw.AltA11oN bwner-Bu1fder Oeciarauon: I hereby affirm that I am exempt from the Contractor's License 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.). 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, 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? m..are than live hundred dollars ($500]). SIGNA1URE ~ ~' DATE (-,:/-'fJ COMPLETE TIiis SECTION FOR NON-REslD£N'MAL BUILDING PERMlts 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 ONO 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 □ NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF ocx:tJPANCY MAY Nar BE IS.SUED AFfER JULY 1, J 989 UNLESS THE APPUCANT HAS MET OR IS MEETING 11 IE REQUIREMENTS OP nm OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUllON ffiNTROL DISfRJCT. 9. WNS1it0C110N LENDING AGENCY I hereby affirm ihat there 1s a construction lending agency (or the performance of the work tor which this permit 1s issued (Sec 3097(1) Civil Code). LENDER'S NAME LENDER'S ADDRESS to. APPUCAN"I' C£Jt'l1Fld\l10N I certify that I have read the apphcauon and state that the above mlormauon 1s 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 10 SAVE INDEMNIFY AND KEEP HARMLF.SS THE CflY OF CARISBAD AGAINST AIL UABIUTIES, JUDGMENTS, CDSTS AND EXPENSES WI-OCH MAY IN ANY WAY Aa:RUE AGAINST SAID CflY IN ffiNSF.QUENCE OF nm GRANTING OF nus 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). APPLICANTS SIGNATURE /I' A ~~-DATE: _____ _ WHITE: File YEll.OW: Applicant PINK: Finance f 04/01/94 INSPECTION HISTORY LISTING FOR PERMIT# CB930538 DATE INSPECTION TYPE INSP ACT COMMENTS 01/21/94 Final Structural RI RI MH/SALMI/431-6983 01/21/94 Final Structural TP AP 12/06/93 Final Structural RI RI RS/ELLEN SALMI 12/06/93 Final Structural PD co 4 11 MAX GUARDRAIL SPACING 06/11/93 Ftg/Foundation/Piers RI RI MH/MRS. SOMNI/ 06/11/93 Ftg/Foundation/Piers TP AP 06/10/93 Ftg/Foundation/Piers RI RI MH/SOLNAI/431-6983 06/10/93 Ftg/Foundation/Piers TP co SEE JOB CARD HIT <RETURN> TO CONTINUE ... mO ., c~ c:.... ~ > .. _ o C: "\1 6~ :z: ... .,~~ C) Z:.t,. N Q :.t~ ,.... -r,C'• c..o c..o ne• w :!I l> 0