HomeMy WebLinkAbout1545 FARADAY AVE; ; CB970043; Permitup:
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APPROVAL
_ DATE /l~ It ·77
CLEARANCE ____ _
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
FOR OFFICE USE ONLY
PERMIT APPLICATION 9100'±3
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad CA 92009
(619) 438-1161
EST.VAL._-4--,~__..........,'-""'---.....,q
Plan Ck. Deposit -----------4
Validated BY--....-~ ........ +-,,,..-~:;....;:.-
Date _____ -4-....._...;__._-+--+----
Business Name (at this address)
,,... Lot No. Subdivision Name/Number Unit No. Phul No. Total I of units
(:T~) -Z-¥ ~ ]2 ~IS-
ting Use Proposed Use
Name Address City State/Zip Telephone I Fax I
13. AW,JCANT O Contractor CJ.Agent o Contr.JiCtor 0 Owner O Agent [or 0Yfil8r _..;. --.,. ..,;'" ___ ,.i._.:r._'lil. .. ~ -..;..;.~..G._.I!..:.._ __
Name Address City St1ta/Zip Tll1phone I
CONTRACJ'OR::.COMP~
(Sec. 7031 .5 Business and Professions Code: Any City or County which requires• p1rmit to construct, 11t1r, improve, demolish Ot repeir eny structure, prior to its
issuance, also requires the applicant for such permit to file • signed statement that he is licensed pursuant to the provisions of the Contractor's License Lew
[Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, end the basis for the alleged
exemption. Any violation of Section 7031 .5 by any applicant for a permit subjects t a plic1nt to I!.. civil P.41n11ty of not more fiv hundr d dollars (t500)).
H-N ()0 "
State License I _ .... t.f .... )_..t-:_.z.__~..__._/ _3 __ _ License Class __ ._($'-------
City Sta e/Zi'l 2. (I• Telephone I
City Business License I z_? ~ (,{q 1) / I/ Ji
Designer Name Address City State/Zip Telephone
State License I----------
111. 'W._ORl(ERS' COMPENSATION. 11 ·
Workers' Compensation Declaration: I hereby 1ffirm under penalty of perjury one of the following declaretiona:
0 I have 1nd will maint1in a certificate of consent to salt-Insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance
of the woric for which this permit is issued.
~ I hive and will maintain workers' compensation, as required by Section 3700 of the Labor Code, fo, the performance of the work for which this permit is F~-My worker's com tion insurance carrier nd policy number are: _ ?
lnaur1nce Company Policy No. 22/ly/t, / C.'i$'9 7 Expiration Date /u / 9
(THIS SECTION NEED NOT BE COMPLETED IF T E PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS)
0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I 1h1II not employ 1ny per1on in any manner so as
to become subject to the Workers' Compensation Laws of C1lifornia.
WARNING: Flilure to Mc:ure•worken' compenution coverege is unllwful, end shall subject en employ1r to cri"*-1 peneltla ind dvll fines up to one hundred
thouund dollars ($100,000). in addition to the coat of compensation, d1magea as provided for in Section 3706 of the Labcv code, lnt-t and ettomey'a f-.
SIGNATURE DATE
7. OWNER-BUILDER DECLARATION -:-;--::;:=:;;::;;;:;;::;;:;;::::::;;;;::::.....'"""""..,..~ ..... -
I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
0 I, as owner of the property or my employees with wages as their sole compensation, will do the work end the structure is not intended or offered for sale
(Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to 1n owner of property who builds or improves thereon, 1nd who does
such work himself or through his own employees, provided that such improvements ere not Intended or offered for sale. If, however, the building or Improvement is
sold within one yHr of completion, the owner-builder will hive the burden of proving that he did not build or improve fo, the purpon of sale).
0 I, 1s owner of the property, 1m exclusively contrecting with licensed contrectors to construct the project (Sec. 7044, Buainaa ind Profeuions Codi: The
Contractor's License Law does not 1pply to an owner of property who builds or improves thereon, end contrects fo, auch projecta with contr1ctor(1) licen11d
purausnt to the Contractor's License Law).
0 I 1m exempt under Section ------Business end Professions Code for this reason:
1 . I personally plan to provide the major labor and materi1ls for construction of the proposed property improvement. 0 YES ONO
2. I (have I have not) signed an application for I building permit for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed construction (include name I address I phone number / contractors license number):
4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise end provide the major work (include name / address f phone
number I contractors license number)=----------------------------------------------
5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone number I type
of work):.~--------------------------------------------------------
PROPERTY OWNER SIGNATURE ______________________ _
~OMJILUE THIS SECTION FOR l{ON;;RESIDENT]AL BUILDING ~ITS ONL :::=-=~~-~~~=~~~=~
Is the applicant or future building occupant required to submit a business plan, ,cutely hazerdous m1teriell regiatr1tion form or rilk manegement ind prevention
progrem under Sections 25505. 25533 or 25534 of the Presley-Tinner Huardous Substance Account Act? 0 YES O NO
Is the 1pplicant or future building occup1nt required to obtein I permit from the 1ir pollution control district or 1ir quelity meneo-ment district? 0 YES O NO
Is the facility to be constructed within 1,000 fNt of the outer bound1ry of a school site? 0 YES O NO
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE
REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
8, CONSTRUCTION LENDING AGENCY
I hereby affirm that there ,s a construction lending agency for the performance of the work for which this permit is iuued (Sec. 3097(i) Civil Code).
LENDER'S NAME --------------
9. APPLICANT CERTIFICATION
I certify that I ha11e reed the application and state that the abo11e information is correct and that the information on the plans is accurate. I agree to comply with 111
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 TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST AU LIABILITIES,
JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 1tories in height.
EXPIRATION: Every permit issued h{I Building Offici1I er the provisions of this Code shell expire by limitetion ind become null 1nd void if the building or
work authorized by such permit is not c menced ithin days from the date of such permit or if the building or work 1uthorized by such permit is suspended
or abandoned It any time after the · comm c r 11>41riod of ~days (Section 106.4.4 Uniform Building Codi).
APPLICANT'S SIGNATURE k! _ , DATE I -I O -"I 7
•
YELLOW: Applicant PINK: Finance
PERMIT# CB970043
DESCRIPTION: 1000
HIJK
TYPE: RETAIN
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 07/03/97
SF RETAINING WALLS,3 AREA
BUILDING
INSPECTOR AREA PD
PLANCK# CB970043
OCC GRP
CONSTR. TYPE NEW
JOB ADDRESS: 1545 FARADAY
APPLICANT: GROVER, DONALD
CONTRACTOR:
AV STE: LOT: 104
OWNER:
REMARKS: B/931-1130
SPECIAL INSTRUCT:
TOTAL TIME:
--RELATED PERMITS--
CD LVL DESCRIPTION
PERMIT#
CB961363
SE960097
AS960061
TYPE
INDUST swow
ASC
PHONE: ~
PHONE: 619-436-4951 ?IL
PHONE: ~
INSPECTOR@/ ---~~------~--
STATUS
ISSUED
ISSUED
ISSUED
ACT COMMENTS
19 ST Final Structural
29 PL Final Plumbing
39 EL Final Electrical
49 ME Final Mechanical __ l--
~-------------------~-------------------
***** INSPECTION HISTORY*****
DATE DESCRIPTION
020397 Grout
012297 Footing
ACT INSP
AP PY
AP PD
COMMENTS
C-4 3'-8"
PLANNING/ENGINEERING APPROVALS
PERMIT NUMBER CB q 100 L!_3
RESIDENTIAL
RESIDENTIAL ADDITION MINOR
( < $10,000.00)
DATE _L.....-l--~l_;:;.O_-_q_7.L-__
TENANT IMPROVEMENT
PLAZA CAMINO REAL
VILLAGE FAIRE
COMPLETE OFFICE BUILDING
PLANNER _ __.j,,.,,O"'-'-pJ"'---_ZPr--=-'--\.,,_._,: r::)L.;:.....I_S '.<___,\'"'---·. --DA TE _ __,.f-:-...L-/_O_-_q--"7:____
-
ENGINEE70·7YJ~ DATE /--/5-~7 •
o~J-, ~ ~,19-,;1/I . 12--10'9b
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C:\WP51 \FILES\BLDG.FRM Rev 11 /15/90