HomeMy WebLinkAbout1880 PALISADES DR; ; CB931112; PermitPERMIT APPLICATION ~ '10
PLAN CHECK NO. '=t) -l \ \ L-
FST. VAL~ '2..-¥c:) City of Carlsbad Building Departaent
2075 Las Pal_,. Dr., Carlsbad, CA 92009 (619) 438-1161
PIANCKimrostt _______ _
VAIID. BY __________ _
DATE I. PERMII hPE
A-UCOmmerc1al □New BuJldmg U tenant Improvement
B -Li Industrial □ New Building □ Tenant Improvement
C -□ Residential □ Apartment Li Condo □ Single Family Dwelling l!Ji\ddition/ Alteration
Li Duplex U Demolition □ Relocation □ Mobile Home IH'.lectrical □ Plumbing
□ Mechanical □ Pool □ Spa □ Retaining Wall □ Solar □ Other
2. PROJECf INFORMATION FOR OFFICE USE ONLY
Address / g go J'AZ1 ~A DES JR, iJ I!. BuHdmg or Suite No.
I o. mt o. ase o.
CHECK BEWW IF SOBMll th1 L/
□ 2 Energy c.alcs □ 2 Structural Cales □ 2 Soils Report □ I Addressed Envelope
EXISTING USE ,{',=" f:l PROPQSEP USE RLfcllB!n o dA-L ASSESSQB'S PAR<;Et. ~ Cl -, -3 RI -~ J1
DESCRIPTION OF WORK ~,_:c, E...fac... ~l-~ p
SQ. Ff. ~ # OF S10RIES /
3. WN JACI ~ (II dlliereni from apphcanl)
NAME ADDRESS
.SAm~ STATE ZIP CODE DAY TELEPHONE
4. APPUCXNI □WNiRACIOk .a-AGENI FORWNIRACIOR DOWNER □AGENI FOR OWNER CllY
NAME ::r;;_ "i)ySm/kC..1£.y' ADDRESS 'i~«,, GALS l?J rv r;,.tti vi!.
ZIP CODE "Jo) 07 J DAY TELEPHONE f?3 SJ-I C/ 7 f
S. PROPPJthw ADDREss J'iJ 10 /)IIL1s11D£s b.e NAME :::JoHIIJ B£sroso
Cl1Y ~LSBAP STATECA ZIPCODE 9.,JoO ~ DAYTELEPHONE 7:JCJ-'-1-I .3G.
o. ~~(1/11.-1~111 flfjno ,BIJ)QS ~orelADDRESS J!><J~ t=°'rl y~ S,ll.E.£T ' ~
c11Y cL C..I\Jo rJ STATEQ_,A ZIP CODE 'J~o.;i. o DAY TELEPHONE '-1<19-3"f / I
STATE UC.# {i/&, T7G, LICENSE CLASS 13 CI1Y BUSINESS UC.#
DESIGNER NAME .:n::_Bo c:l'-~ f f' ADDRESS
CI1Y STATE ZIP CODE DAY TELEPHONE STATE UC.#
7. womcmr• WWSF!NSXIION
Workers' Compensation Declaratlon: I hereby afhrm that I have a cert1hcate of consent co self.insure issued by the Director of industnal
Relations, or a certificate of Workers' Compensation Insurance by an admicted 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).
□
□
□
arauon: ere ya mn t at am exempt ram e s w or t e o owmg 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 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.).
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).
I am exempt under Section _______ Business and Professions Code for this reason:
(Sec. 7031.S 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, 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.S by any applicant for a pennit
subjects the applicant to a civil penalty of not more than five hundred dollars [$500]).
SJGNATIJRE DATI!
COMPI£ IE I HIS SECI ION FOR NON-RESIDEN I IAL BUILDING PERMI I'S ON LY:
Is the applicant or future building occupant required to submit a business plan, acutely ha1.ardous materials registration form or risk management and
prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Ha1.ardous Substance Account Act?
□YES □NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
CYES ONO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
□ YES □ NO IP ANY OP nm ANSWERS ARI! YES, A PINAi.CERTIFiCATE OFoa:uPANCT MAYN<rr BE ISSUl!D AFrnRJULY 1, 1989 IINUl5S TIIEAPPUCANT
HAS MET OR JS MEl!TING TIIE RF.QUIREMENTS OF nm Ol'l'ICE OF EMERGENCY SERVICES AND TIIE AIR POU.IJTION OONTilOL DISl1UCT.
9. WNS I KOCI ION IENDING AGENCY
I hereby afhrm that there 1s a construcuon lendmg agency lor the perlormance of the work for which this penmf 1s issued (Sec 309?(1) C1vU Code).
LENDER'S NAME LENDER'S ADDRESS
10. XPPllCAA i CF.kliPK!AiiON
I certify that I have read the apphcat1on and state that the above mformauon 1s correct. I agree to comply with ail City ordinances and State laws
relating to building construction. I hereby authorize representatives of the City of c.arlsbad to enter upon the above mentioned property for inspection
purposes. I ALSO AGREE ID SAVE lNDEMNIPY AND KEEP HARMIJ'.SS TIIE crIY OF CARISBAD AGAINST ALL IJABllJTIES, JUDGMENTS, CDSTS
AND EXPENSES WIDCH MAY IN ANY WAY ACDUJE AGAINST SAID crIY IN OONSEQIJENCE OP TIIE GRANTING OF TIIlS PERMIT.
OSHA: An OSHA pennit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height.
Expiration. Every pennit 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 pennit is suspended or 9doned at any time a,r the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code).
APPLICANT'S SIGNATURE .._::::,g,{:.-<...;i!l--"'-1 d'~ DATE: JC) j J4) 9 3
PERMIT# CB931112
DESCRIPTION: 120 SF PATIO
ICBO #2621P
TYPE: PATIO
CITY OF ,CARLSBAD
INSPECTION REQUEST
FOR 10/21/93
ENCLOSURE W/ELEC.
JOB ADDRESS: 1880 PALISADES DR
APPLICANT: SMALLEY, JUDY
CONTRACTOR:
PHONE:
PHONE:
OWNER:
REMARKS: MH/DAVID/449-3991
SPECIAL INSTRUCT:
TOTAL TIME:
PHONE:
INSPECTOR AREA
PLANCK# CB931112
OCC GRP
CONSTR. TYPE VN
STE: LOT:
619 258-1978
CD LVL DESCRIPTION ACT COMMENTS
14 ST Frame/Steel/Bolting/Welding t¥ --------~-t<-_Vh_,=.J _______ ~ ---------------
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***** INSPECTION HISTORY*****
DATE DESCRIPTION ACT INSP COMMENTS
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OCT I 4 1993
City of CAfilLSIIAO
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