HomeMy WebLinkAbout1805 OAK AVE; ; CB950332; PermitB U I L D I N G P E R M I T Permit No: CB950332
Project No: A9500155
Development No:
03/07/95 16:40
Page 1 of 1
Job Address: 1805 OAK AV
Permit Type: MISCELLANEOUS
Parcel No: 205-080-78-00
Valuation: o
Construction Type: NEW
Occupancy Group:
Description: ~EMO EXISTING
Appl/Ownr : PACKARD,GARTH
2057 CHESTNUT
*** Fees Required
Fees:
Adjustments:
Total Fees:
Fee description
Suite:
Lot#:
Reference#:
SFD,BUILD NEW
0965 03/07/95 0001 01 02
C-PRHT
Status:
Applied:
Apr/Issue:
30-00
Entered By:
619-729-7447
ISSUED
03/07/95
03/07/95
PD
m:
.00
.00
30,00
***
Ext fee Data
30.00 DEMO
30.00
CLEARANCE _____ ,
CITY OF CARLSBAD
2075 Las Palrnas Dr., Carlsbad, CA 92009 (619) 438-1161
PERMIT APPLICATION ~ ~
PLAN CHECK NO.
City of Carlsbad Buildi!ll Department
2075 Las Palms Dr., Carlsbad, CA 92009 (619) 438-1161 F.Sf.VAL. ___________ _
t. PERMIT 1YPE
PIAN CK DEPOSIT _______ _
VAIJD.BY __________ _
DATE·-------------~
From List 1 (see back) give code of Permit-Type:------------
For Residential Projects Only: From List 2 (see back) give
Code of Structure-Type:---------------------
Net Loss/Gain of Dwelling Units------------------
2. PRQJF.Cf INFORMATION FOR OFFICE USE ONLY
Address Building or Suite No.
Nearest Cross Street
LEGAL DESCRIPTION SubchV1s1on Name/Number Unit No. Phase No.
CHECK BEillW IF s08Mil lED:
O 2 Energy Cales O 2 Structural Cales LI 2 Soils Report O I Addressed Envelope
ASSESSOR'S PARCEL EXISTING USE PROPOSED USE
DESCRIPTION OF WORK
o/-/)o,,,
I
NAME (last name first)
CIIT
4. APPUCAN I O cON I RAc IOR
NAME (last name first)
ADDRESS
STATE ZIP CODE
0 AGEN I FOR CON I RACIOR
ADDRESS
STATE ZIP CODE
# OF BEDROOMS # OF BATI-IROOMS
DAY TELEPHONE
OOWN£R OAGENI FOR OWNER
DAY TELEPHONE
/)1,
1'~ STATE
ADDRESS /f'D .JD~~
/'A .1.JJ a c,Zs;).c?
{_.,J;r/J7,£pcoDE /• 0 DAY TELEPHONE b/J -?'29f<f?0
NAME (last name first)
CIIT STATE
STATE UC.#
DESIGNER NAME (last name hrst)
CIIT STATE
1. WoRXERs' OOMPENSAiioR
ZIP CODE
LICENSE CLASS
ZIP CODE
ADDRESS
DAY TELEPHONE
CIIT BUSINESS UC. #
ADDRESS
DAY TELEPHONE STATE UC.#
Workers' Compensation beclarauon: I hereby allmn that I have a ceruhcate 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, uib. C).
INSURANCE COMPANY POLICY NO. EXPIRATION DATE
I
Certthcate of Exempuon: I certify that in the performance of the work for which this permit 1s issued, I shall not employ any person in any manner
so as to become subject to the Workers' Compensation uiws of California.
SIGNATURE DATE
A. oWREit-BOllDEit D£Ci.AltA11oR
0
0
Owner-Bu1ider OeclaraL1on: I hereby afhrm that I am exempt from the Contractoi"s License Law tor the toliowing 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 Llcense uiw 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 Llcense uiw 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 Llcense uiw).
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 uiw (Chapter 9, commencing with Section 7000 of Division 3 of the Business and Professions Code)
subjects the aP. 1 nt · I al(Y. not more than five hundred dollars [$500]).
or that he is ex~th e ~an the sis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit
SIGNATIJRE h DATE 7
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?
0 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?
0 YES ONO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
0 YES ONO
IF ANY OF TIIEANSWERS ARE YF.S, A FINAL CERTIFICATE OF ocx:tJPANCYMAYNOf BE~ AFrnR.JULY 1, 1989 ~ TIIE APPLICANT
HAS MET OR IS MEETING 11-IE REQumEMENTS OF TIIE omCE OF EMERGENCY SERVICES AND TIIE AIR POILU110N CDNTROL DISfRICT.
9. WNSl'ROCl10N rnmmc AGENCY
I hereby afllrm that there IS a construction lending agency tor the performance of the work for which this permit ts issued (Sec 3097{1) C1V1I Code).
LENDER'S NAME LENDER'S ADDRESS
10. XPPUCAN I cm 11FICXl10N
I certify that I have read the apphcatton and state that the above intormauon ts 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 AISO AGREE lO SAVE INDEMNIFY AND 1CEEP HARMUSS TIIE ClTY OF CARLSBAD AGAINST AIL UABI.IJ11ES, JUDGMENTS, CDSTS
AND EXPENSES WIIlOI MAY IN ANY WAY ACX:RUE AGAINST SAID ClTY IN CDNSEQUENCE OF 11IE GRANTING OF nos 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
such permit is suspended or abandon .,r yaf)f · aft e ork is commenced for a period of 180 days (Section 303(d) Uniform Building Code).
building or work authorized by such pe is n ~e ed · hin 365 days from the date of such permit or if the building or work authorized by
APPLICANT'S SIGNATURE ~/2 '-DATE:----
WHITE: File YELl..OW: App 1cant PINK: Finance
PERMIT# CB950332
DESCRIPTION: DEMO EXISTING
TYPE: MISC
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 03/17/95
SFD,BUILD NEW
JOB ADDRESS: 1805 OAK AV STE:
INSPECTOR AREA
PLANCK# CB950332
OCC GRP
CONSTR. TYPE NEW
LOT:
APPLICANT: PACKARD,GARTH PHONE: 619-729-7447
CONTRACTOR: PHONE:
OWNER: PHONE:
REMARKS: MW/PAUL/729-4904 INSPECTOR ~--,,,.f!..--17---~~~~~~-
SPECIAL INSTRUCT: SEWER DISCONNECT/GAS DISCONNECT/ELEC DISCQhNECT
PLS SIGN FINAL PLEASE CALL WITH TIME 1
TOTAL TIME:
CD
19
29
39
49
DATE
LVL DESCRIPTION
ST Final structural
PL Final Plumbing
EL Final Electrical
ME Final Mechanical
DESCRIPTION
***** INSPECTION HISTORY*****
ACT INSP COMMENTS