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HomeMy WebLinkAbout1822 MARRON RD; 100; CB980905; Permit05/11/98 1.2:07 Page 1 of 1 B U I L D I N G Job Address: 1822 MARRON RD Permit Type: MISCELLANEOUS Parcel No: Valuation: 0 PERMIT Permit No : CB980905 Suite: 100 Lot#: ProJect No: A9801187 Development No: Occupancy Group: Reference#: Construction Type: VN Status: ISSUED Applied: 03/27/98 Apr/Issue: 05/11/98 Entered By: MDP Description: FILL IN PASS-THROUGH AND BUILD : NEW 7 FOOT PARTION WITH ELECTRIC Appl/Ownr : EXPRESS PERMITS 1327 POST AVE #H TORRANCE, CA. 92501 *** Fees Required *** Fees: Adjustments: Total Fees: Fee description Miscellaneous Fee# Miscellaneous Fee# * MISCELLANEOUS TO 310 328-6300 Collected & Credits *** --- -69.1..'l ...lf.,,t W-9&--0ee-.i-ei---o2--C-PRMT 60-00 .00 .00 60.00 Ext fee Data 20.00 ELECTRIC 40.00 PERMIT 60.00 CLEARANCE---~:::======== CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 1. PROJECT INFORMATION Ah,-#,, Cvo,(tt N ,..;/4~ Address (include Bldg/Suite #) Legal Description I #of Stories 2. CONT ACT PERSON (If clff.,...t from 8Pflllcant) 11?ttck ~u-~ B.rmi<b ©) n,sf: 4-e Sw!. ti 7rx:n,:nc~ 'Name Address City ;ptAgent for Ow~ Name City 6. CONTRACTOR • COMPANY NAME FOR OFFICE USE ONLY ~ PLAN CHECK NO. 12>,.._CCf!_:) EST.VAL. __ ~~~-~~~~':::,,.,.__ Plan Ck. Deposit '--...._ ---~-----Validated By ___________ _ Date ______________ ~ Phase No. Total # of units # of Bedrooms # of Bathrooms &< ~/ (3'c:iJ;P~6342 (9¥9~ State/Zip Telephone # Fax # State/Zip Telephone II (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, commending 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 pena~y of not more than five hundred dollars ($5001). Ji2~::=lrt:::t~~--~,~-e~r~r....1.___J1...L.~~~~·~--=l/L~~~~Co~r,~~2..::+e~1X~8k~e~-1:~s.c.~C~ACT.._~2~0~~=9..L...L(74~~~745-g~1 City State/Zip Telephone # State License # --""~{?,'Cf_._3a...::1-=-qL-_ License Class __ ....... e, ______ _ City Business License II -------- Designer Name Address City State/Zip Telephone State License # ---------- 6. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: O I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of ~ work for which this permit is issued. 6( I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My worker's compensation insurance carrier and policy number are: Insurance Company Go\den ~\e Policy No. NWC. 41 "2.S" 40 I Expiration Date ,-1-'1 'I (THIS SECTION NEED NOT BE COMPLETED 1;?ttE PERMIT IS FOR ONE hUNORro DOLLARS ($100] OR LESS) O CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to aec:ure workers' compensation coverage ia unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars($ 0,000), In addition tot oat of ompensation, damages aa provided for in Section 3706 of the Labor code, interest and attorney's feaa. SIGNATURE ' DATE 5-/J ~q ~ 7. OWNER-B I hereby affirm that I am exempt from the Contractor's License Law for the following reason: O 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 salel. 0 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: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ONO 2. I (have I have not) signed an application for a 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 I contractors license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name I address I phone number I contractors license numberl=------------------------------------------------- 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------------------------ COMPLETE THIS SECTION FOR NON-RESIOENTlAL BUILDING PERMITS ONLY DATE ----------- 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 ~O Is tne applicant or future building occupant required to ootain a permit from tne air pollution control district or air quality management district? D YES ~O Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES ~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. ra. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performanoe of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME r!/A LENDER'S ADDRESS ___ --:..,J_./_f-3.....__ _______________ _ 9. APPLICANT CERTIFICATION I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the Citt 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 ALL 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 stories in height. PINK: Finance CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB980905 FOR 06/25/98 DESCRIPTION: FILL IN PASS-THROUGH AND BUILD NEW 7 FOOT PARTION WITH ELECTRIC TYPE: MISC INSPECTOR AREA PS PLANCK# CB980905 OCC GRP CONSTR. TYPE VN STE: 100 LOT: JOB ADDRESS: 1822 MARRON RD APPLICANT: EXPRESS PERMITS CONTRACTOR: PHONE: 310 PHONE: 328-6300 OWNER: REMARKS: C.ORVILLE/434-4098 SPECIAL INSTRUCT: TOTAL TIME: --RELATED PERMITS--PERMIT# TYPE CB981686 SIGN PHONE: INSPECTOR~--~-+-~'"""------~ STATUS ISSUED CD LVL DESCRIPTION ACT COMMENTS ~ _:~ _u_F_~~-=-~-g-~-~-~-~-~-~-~-· ~-~-f_u_i_t_-_w_i_r_i_n_g __ f fil y1 jft .cJi) ~~ -~~~~~~~~~~~~~~-~----~~-~~~~--~~-~~- ***** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP COMMENTS 062398 Final Electrical co PS OVERFILLED BOXES 062298 Final Electrical co PS OVER FILLED BOXES 060298 Frame/Steel/Bolting/Welding AP PS 060298 Interior Lath/Drywall AP PS 052998 Frame/Steel/Bolting/Welding AP PS NEW WALL ONLY 052998 Rough Electric AP PS 052798 Frame/Steel/Bolting/Welding co PS 052798 Underground/Conduit-Wiring co PS N Q w ~ (L <I H <I I I Cl:'. 0 z <I ., ('") U) (Tl .-l I U) !'--'St I Q .-l ('") 'St lD 'St .-l co (Tl (Tl .-l ' .-l Q ...__11 I.!, c;; ·a_:, ---~· a·---7 -·---,--._~___,-----""".d>---~-=--~~-~ J -~"-"" ----EXISTING 4" ©--- LENSCRAFTERS #245 CARLSBAD, CA 6/1/98 STEEL TUBE COLUMN NEW 2 1 /2" (MIN) x 20 GA METAL STUDS NEW 5/8" TYPE 'X' GYP. BD. TO UNDER SIDE OF CEILlNS