HomeMy WebLinkAbout2385 VIA PELICANO; ; CB931273; Permitt ,.,
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CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
PERMIT APPLICATION PLAN CHECK NO.
City of Carlsbad Building Depart111ertt [37, 2075 Las Pal111as Dr., Carlsbad, CA 92009 (619) 438-1161 ESf.VAL;_..__,_ _________ _
PLAN CK DEPOSIT _______ _ -f
I. PERM1 I IYP£
A . D Commercial □ New Building D Tenant Improvement
B • □ Industrial □ New Building □ Tenant Improvement
C -li:l"fiesidential □ Apartment O Condo □ Single Family Dwelling ~dition/ Alteration
D Duplex D Demolition D Relocation □ Mobile Home □ Electrical □ Plumbing
□ Mechanical □ Pool O Spa □ Retaining Wall □ Solar El Other ____ _
2. PRClJECr INl'ORMATION FOR OFFICE USE ONLY
Address .l~'6~ Vic:.. Pel, c:c:..-o Building or Suite No.
Pv.~c.u (.c,.,.,il)e,/trv
mt o.
CAECR BEWW IF S0BMII 1£0:
□ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report D I Addressed Envelope
PROPOSED USE
SQ. IT. ~e q/ # OF STORIES
N (1f d1llerenl lrom apphcan(J
NAME ADDRESS
NAM~ '-"o.i(es
CITY CtAr (~ b.J? ZIP CODE
e.. I ; CA."'.,
DAY TELEPHONE ({, I 'i) (c, Cjd -'-{ ft:. ()Q
s. Pllol'£ltlY oWN£1t
NAME ADDRESS
ZIP CODE CITY DAY TELEPHONE
6. CDN mACIOlt Mc...&o""' C)tA.J A{ (JL_ NAME 5e,t.-" (. ADDRESS ~'<"UC..
CITY fvl le f'-fu~ A ZIP CODE ') .1.. LEPHONE L1 I '-t) ~ 'is-O -'-/ 399
t-J/~ STATE UC. # ~ 73 ;l~ 7 LICENSE CLASS
0£SIGN£R NAM£ ADDllESS
CITY STATE ZIP CODE DAY TELEPHONE STATE UC. #
1. WOilR£ltS' wMPf'.NSAlioN
Workers' Compensauon beclarat1on: I hereby allirm that I have a cert1hcate of consent to sell-insure issued by the DireclOr ol industnal
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
Cemltcate of Exempuon: I cerufy that in the perlormance ol the work for which this permit 1s issued, I shall not employ any person tn any manner
so as to become subject to the Workers' Compensation Laws of California.
SIGNATURE DATE
8. oWN£1t-fiOOJJ£1t 0£d.ARA'i1oN
Owner-Bu1Ider Oeclarauon: I hereby alftrm that I am exempt from the Contracto?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.).
□ 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 e applicant to a civil penalty of not more than five hundred dollars [$500]).
~ -~~ DATE /f-/'>·Ci3
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
ls the facility to be constructed within 1,000 feet of the outer boundary of a school site?
□ YES □ NO
lF ANY OF TI-IE ANSWERS ARE YES, A FINALCERTIFICATEOFoa::uPANCYMAYNUf BE ISSUEDAfTERJULY 1, 1989UNU.SS TIIEAPPUCANT
HAS MET OR IS MEETING TIIE REQUIREMErfl"S OF TIIE OFFICE OF EMF.RGENCY SERVICES AND TI-IE AIR POIJ..UTION CDNTilOL DISTRICT.
9. CDNS'Ill0CnoN l.£NOING AGf'.NCY
I hereby aflirm that there 1s a construcuon lending agency lor the perlormance of the work for which thts permit ts issued (Sec 3097(1) CiVtl Code).
LENDER'S NAME LENDER'S ADDRESS
to. APPUCAN't C£1t.'11FICA'i1oN
I cemfy that I have read ihe apphcauon and state that the a6ove 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 INDEMNJJ,Y AND KEEP UARMLF.SS nm CTIY OF CARISBAD AGAINST AIL UABIIJTlES, JUDGMENTS, CDSTS
AND EXPENSES WIDCII MAY IN ANY WAY ACDHJE AGAINST SAID CTlY IN CDNSF.QUENCE OF TIIE GRANTING OF 1111S 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 ~ ~ ~c.»--U--DATE: / ( • / ~--7 .5
WI-DTE: File YEllOW: Applicant PINK: Finance
,,
PERMIT# CB931273
DESCRIPTION: 128 SF DECK
TYPE: PATIO
JOB ADDRESS:
SECOND STORY DECK
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 12/22/93 INSPECTOR AREA PD
PLANCK# CB931273
OCC GRP
CONSTR . TYPE NEW
STE: LOT:
APPLICANT:
CONTRACTOR:
OWNER:
2385 VIA FELICANO
DUNCAN, CHARLES
REMARKS: MH/CHARLES/931-8148
SPECIAL INSTRUCT:
::g::: 61&/n_9-692-46~0~0
PHONE:
INSPECTO .:;...:...__=-------
TOTAL TIME:
CD
19
LVL DESCRIPTION
ST Final Structural
------------------
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***** INSPECTION HISTORY*****
DATE
122093
121393
120693
DESCRIPTION
Ftg/Foundation/Piers
Ftg/Foundation/Piers
Ftg/Foundation/Piers
ACT INSP
CO PD
CO PD
CO PD
COMMENTS
NO FOOTINGS
2:55 PM DOG IN YAR
ALREADY BUILT/EXPOSE FTGS
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NOV 1 7 .1993
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