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HomeMy WebLinkAbout1850 MARRON RD; ; CB962233; PermitA pl/Ownr : 1 5 MI B U L ION PA l G P E Su 4 Lt#: ·on #· P rmlt N Pro t N D ve ... upm nt t\ 1 X ----- ------- EC RI PERM.! PPROVAL INSP. DATE ;/.'Jin CLEARANCE---~= CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92{)()() (619) 438-1161 PERMIT APPLICATION City of Car-lst.d Buildi~ Deper-tmnt 2075 La Palms Dr-., Car-lst.d, CA 92009 (619) 438·1161 1. P£kMtl IWE 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 I f)GO M~('('O/\ M. :ff-J O~ Building or Suite No. CHECK BEWW IF sDBMI 11 Eb: 0 2 Energy Cales O 2 Structural Cales O 2 Soils Report D 1 Addressed Envelope DESCRIPTION OF WORK 0GV CV'tl-i#ts, Ff..\001; ";,At,'(... .J. oOft/:\.i?1IB p(2op C:,81L/J..Jt,, f<t:;t;o OrT6 6XJ',f DUCI PROPO~USE SQ. IT. # OF STORIES # OF BEDROOMS 3. WN IACI Pf]{5()N (tr dmerenf from applicant) NAME (last name first) ADDRESS # OF BATIIROOMS CITI STATE ZIP CODE DAY TELEPHONE 4. Al'PUCAN'"I OCONIRActoR QfAG£NI fORWNIRACIOR DOWNER OACENI FOR OWNER "' NAME(lastnamefirst) R~~I, ':>T{;:Ve, ADDRESS 8t 4 r-\012.~0A Bl-V"J7 . j:!.?0<-1 CITI SAUV/Btju STATE c..A ZIPCODE 1z)/O DAYTELEPHONE z;,\I-Sz.,z s. PkdP£1tlY oWN£1t 1-.lUt\ Ht;..5 JJDJlT P 2 4.3,i...rrJ A>Sbt JA-t'0D NAME (last name first) t/O '-{Uv.~P> iUV~S'f"N~vt> ADDRESS ?. 0. ~c'..h< 6700 CITI YJe,(.(jJ)op..t°l:>e-A4:H STATE &~ ZIP CODE t{ 'U:::68 DAYTELEPHONE 6. CDN"i"RACIOR A< J NAME(lastnamefirst) \J...1e,e:.UR).), -RAIJPY ADDRESs.:t4s) OU~A@ f-W, CITY ?l)...tJ P1~vio STATE Cf). ZIP CODE t1. Z IO 7 DAY TELEPHONE Z-2 2--5"0 5' STATE UC. # 4-8 7bl Z.. LICENSE CLA.SS CITI BUSINESS UC. # DESIGNER NAME (lase name first) ADDRESS CITI STATE ZIP CODE DAY TELEPHONE STATE UC.# 1. WoltxElts' CDMPENsA'tlON Workers' COmpensauon Oeclarauon: I hereby affirm that I have a cemficate of consent to sell-insure issued by ihe Director of lndusmal Relations, or a certificate of Workers' Compensation Insurance by an admined insurer, or an exact copy or duplicate thereof certified by the Director of the insurer thereof filed with the Building lnspe<;tion Department (.Section 3800, Lab. C). un tt-c:,co ,11 l INSURANCE COMPANYS -fU /JP POLICY No.Z, b EXPIRATION DATE \-\ r ( SIGNATURE DATE 8. oWNER-BOllD£1t OFl:tAltAnoN Owner-Builder Declarauon: I hereby affirm that I am exempt from the Contractofs License Law for the following reason: D 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.). 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 contractor(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 pennit co 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 the applicant to a civil penalty of not more than five hundred dollars [$500]). S1GNA1l1RE DATE COMPLETE fills sEclioN FOR NoN-RES1DEN11At BOILOINC PERMI l's oNtV: Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration Conn 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 disttict or air quality management disttict? 0 YES ONO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? C YES D NO IF ANY OF nm ANSWERS ARE YES, A FINAL CERTIFICATE OF OCDJPANCY MAY NCJf BE~ AFI'ER JULY 1, 1989 UNu:SS 1lIE APPUCANT HAS MET OR IS MEETING nm RF.QUIREMENTS OF nm OFFICE OF EMERGENCY SERVICES AND nm AIR POll.UTlON a>NTROL DISilUCT. 9. WNSl'ROCnoN LENDING AGENCY I hereby alf1nn that ihere IS a construcuon lending agency for ihe performance of ihe work for which ih1s permit 1s 1SSued (sec 3097(1) CIVIi Code). LENDER'S NAME LENDER'S ADDRESS to. Al'PUCANi CEkitFICAnON I cerufy chat I have read the apphcauon and state that the above mfonnauon 1s correct. I agree to comply w1ih all C1cy ordinances and State laws relating to building construction. I hereby authorize representatives of the City of Carlsbad co enter upon the above mentioned property for inspection purposes. I AISO AGREE m SAVE INDEMtfilY AND KEEP HARMLF.S.5 nm CllY OF CARI.S8AD AGAINST AIL UABllJTlES, JUDGMENTS, CDSTS AND EXPENSES WI-IlCH MAY IN ANY WAY ACX:RUE AGAINST SAID CllY IN a>NSF.QUENCE OF nm GRANTING OF nns PERMIT. File YEllOW: Applicant PINK: Finance FINAL BUILDING INSPECTION DEPT: BUILDING ENGINEERING PLAN CHECK#: CB962233 PERMIT#: CB962233 FIRE PLANNING U/M PROJECT NAME: CREATE APPLICATION ROOM IN EXISTING TENANT SPACE ADDRESS: 1850 MARRON RD SUITE# 104 CONTACT PERSON/PHONE#: MW/RANDY/PG 580-5943 SEWER DIST: WATER DIST: _av WATER DATE: 12/09/96 PERMIT TYPE: MISC :=-· INSPECTED DATE 1-/0 BY: "'-· ~~J INSPECTED: APPROVED ) DISAPPROVED INSPECTED DATE BY: INSPECTED: APPROVED DISAPPROVED INSPECTED DATE BY: INSPECTED: APPROVED DISAPPROVED ----===-----===----------------------------------------====================== COMMENTS: CITY OF CARLSBAD INSPECTION REQUEST PERMJ''l'# CB962233 FOR 12/09/96 DESCRIPTION: CREATE APPLICATION ROOM IN INSPECTOR AREA TP PLANCK# CB962233 OCC GRP EXISTING TENANT SPACE TYPE: MISC JOB ADDRESS: 1850 MARRON RD APPLICANT: ROSSI, STEVE CONTRACTOR: OWNER: REMARKS: MW/RANDY/PG 580-5943 SPECIAL INSTRUCT: TOTAL TIME: CD 19 29 39 49 LVL DESCRIPTION ST Final Structural PL Final Plumbing EL Final Electrical ME Final Mechanical CONSTR. TYPE VN STE: 104 LOT: PHONE: 619 291-8272 ::~::: ~ INSPECTOR ~---,J~~~~~~~~~~­,- ACT COMMENTS ***** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP COMMENTS 112596 Interior Lath/Drywall AP TP 112296 Frame/Steel/Bolting/Welding AP TP 112296 Rough Electric AP TP WALLS 7.~ 39tld tJt)f"6 ·. u.At,J~ (J}, ,"I 1 0 , t, , ·~ STl\fA~p~E 0 A5° \I ~f Fl?.M, .. ll~ o~ &~fl. ~ 2X4 STUD WALL Ofl. , s-~" -1,4 .?iA WI E;}Q L ~,I,;\()~ e "24 ~ o.c..- s HoT PIN @ 32" 0.C. MIN. ~EXIST_ CONC. SLAB 1" = 1 '-011 £Ll816l619 00 :01 P661/80/10 ' I I I .__r-·· . I I ' , I 00("6 ·. U,At,J)J~ (9 "1 1 0. t, . STA<A~ ~e.E0 AS0 Ti ~a>f" fi2A~IUA 0 ~ f;~/,,c ~ EXIST. DROP CEILING ,• 2X4 STUD WALL SHOT PIN @ 32" O.C. MIN. ~ EXIST. CONC. SLAB 1" -1 '-0"