The URL can be used to link to this page

Home My WebLink About1232 PINE AVE; ; CB930738; PermitCtJt 17.Js--/ ' . r 3 'I. z A APPROVAL IN P.~...;_-DATE JD· J-D. lf CLEARANC E _____ , CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPI.ICATION ~ w PLAN CHECK NO. 1 :r 7 3 y City t,f 'carlsbad Building Depertlllent 2075 Las Palmas Dr., Carlsmt, CA 92009 (619) 438-1161 ESf. VAL I, {fl Go PLAN CK DEPOSIT __ __,_.. ___ _ 1. PmtMI I 'IYP.E AUD.BY~~~--'-=-cu;:;_-+-~~~ JlA.'IE~----~'-t-~'+-"!1,,&o--- A . LI Commercial LI New Builcling LI Tenant Improvement B • LI Industrial LI New Building LI Tenant Improvement C -n"Resldential LI Apartment LI Condo D Single Family Dwelling D Addition/ Alteration D Duplex D Demolition D Relocation D Mobile Home D Electrical LI Plumbing D Mechanical LI Pool LI Spa D Retalnlng Wall D Solar D Other ___ _ 2. PROJF.Cf INFORMATION FOR OFFICE USE ONLY Address \ 7-3 z_. p, N£ ft\) . Building or Swte No. Nearest Cross Street Pi~ ~I t.Q LEGAL DESCRIPTION o. sutxhVJSion Name/Number Omt No. Phase No. CHECK B£U5W IF SOBMII fill: D 2 Energy Cales D 2 Structural Cales D 2 Soils Report D 1 Addressed Envelope ASSESSOR'S PARCEL EXISTING USE · PROPOSED USE 3. WN JJ\l";1'£RSON (1f different from applicant) NAME ADDRESS CTIY STATE ZIP CODE DAY TELEPHONE CTIY STATE STATE IJC. # ADDRESS ZIP CODE IJCENSE CIASS DAY TELEPHONE CTIY BUSINESS UC.# DESIGNER NAME ADDRESS CTIY STATE ZIP CODE DAY TELEPHONE STATE IJC. # 1. WORRERS' OOMPl!NSXIJON Workeis' CornpensatK>n Oeclarauon: i hereby affirm that I have a certlhcate of consent to selt-Ul8Ure issued by the Director o1' lndustnal Relations, or a certificate of Workers' Compensation Insurance by an admlned 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 POUCY NO. EXPIRATION DATE Ceriificate of Exemption: I certlly that in the performance of the work tor which this pernut IS Issued, I shall not employ any person In any manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE s. 0WNER-B0ILD£lt Dl!CI.ARA'l'.loN bwner-Builder Dedarauon: I hereby affirm tliat I am exempt from the Contractors Llcense Law for the followmg reason: <El 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 Llcense 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 contractoc(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 Llcense Law (Chapter 9, commencing with Secdon 7000 of Division 3 of the Business and Professions Code) or that h ·s exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subj app t civil penalty of not more than five hundred dollars [$500]). DA'IE -2_7-53 Is the ap cant 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? DYES D NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? C YES Cl NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YF.S D NO IF ANY OF nm ANSWERS ARE YES, A FINAL CEl11FICATE OF CXDJPANCY MAY NOT BH ISSUHD AFI'ER JULY I, 1989 ~ 11IH APPLICANT HAS MET OR IS MEKTING nm REQUIREMENTS OF nm OIIFICH OF EMERGENCY SERVICE; AND TIIE AIR POU.UTION CDNmOL DISl'RICT. 9. WNS'IROCl'ION Ll!NDING AGENGi' I hereby athnn that there JS a construction lending agency tor the performance of the work tor which this permit Is Issued (Sec 3097(1) Civil Code). LENDER'S NAME LENDER'S ADDRESS to. .APPtlcAN't CE.R1mcA1'JoN I certify that I have read the application and sfiite that the above mformauon IS correct. I agree to comply wan au City orcunances ane1 Mate 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 AI.50 AGREE 10 SAVE INDEMNIFY AND KEEP HARMLESS nm Cl'IY OP CARLSBAD AGAINST All llABIIJTIES, JUDGMENTS, CXlSTS AND EXPF.NSF.S WHJal MAY IN ANY WAY ACXJlUH AGAINST SAID CI1Y IN CDNSEQUF.NCE OF nm GRANTING OF TIIIS 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 ls commenced for a period of 180 days (Section 303(d) Uniform Building Code). APPttt~ DATE, 7-zz-'13 WHITE: File YELl.OW: Applicant PINK: Finance CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB930738 FOR 10/13/94 DESCRIPTION: ENLARGE WINDOW, MOVE SUB PANEL ADD DOOR IN LAUNDRY 1232 PINE AV STE: INSPECTOR AREA PD PLANCK# CB930738 OCC GRP R-3/M-1 CONSTR. TYPE VN :i;,.oT: TYPE: MISC JOB ADDRESS: ~PPLICANT: DAVIS, MIKE PHONE: 619 729-8107 CONTRACTOR: OWNER: REMARKS: BJN/MIKE DAVIS/931-2122 SPECIAL INSTRUCT: TOTAL TIME: CD LVL DESCRIPTION 19 ST Final Structural 29 PL Final Plumbing 39 EL Final Electrical 49 ME Final Mechanical PHONE: PHONE: M ~ INSPECTO ~ . ACT COMMENTS ***** INSPECTION HISTORY***** DATE DESCRIPTION 101293 · Frame/Steel/Bolting/Welding 091593 Rough Combo ACT INSP PA PD PA PD COMMENTS