HomeMy WebLinkAbout1885 HIGH RIDGE AVE; ; CB931143; Permit.1
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CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
PERMIT APPI.k:ATION
City ol C&rlsbad Building Departaent
2075 Las Pal..,. Dr., carlsbad, CA 92009 (619) 438-1161
I. PFltMI I ii PR
A -0 Commerc1al O New Bu1ldmg Li lenanr Improvement
B -D Industrial □ New Building □ Tenant Improvement
l!A. V
~dential □Apartment □Cond~gle Family Dwelling □Addition/Alteration
□ Duplex □ Demolition □ Relocation □ Mobile Hoff!-~rical □ Plumbing
□ Mechanical □ Pool □ Spa D Retaining Wall D Solar □ Other
PLAN CHECK NO.
2. PI«lJF.CT INFORMATION t, /?icfse Buudmg or Suite No.
FOR OFFICE USE ONLY
Address / io3 ft i
Nearest fross Street
mt o.
CHECK BEWW IF SOBMI 11 :'J
□ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report D 1 Addressed Envelope
ASSESSOR'S PARCEi,% 0 7 -32?;: ·-q J EXISTING USE ,€ / PROP9SED USE
DESCRIPTION OF WORK
SQ. Ff. 2 Lf /YJ # OF SIDRIES /
3. WNIACI ~IIIerent from appJlcant) .eec42:eL I +o 20014tey!)
NAME G-v-ea Ka. ~ /:A_ ADDRESS
CITY ':-) STATE ZIP CODE
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U AGEN I FOR CON IRACIOk
ADDRESS
DAY TELEPHONE
:),tiwNER DAGEN I FOR OWNER
STATF.L'A 'o/ 20 () y' DAY TELEPHONE s. PKuPffll Y o\4Nf!k
NAME
ZIP CODE
ADDRESS
ZIP CODE
6. ~lkl\CI~~ f' STATE DAY TELEPHONE
NAME ADDRESS
CITY STATE ZIP CODE
IJCENSE CIASS
ADDRESS
DAY TELEPHONE
DESIGJW-'jfe_ STATE UC. # CITY BUSINESS IJC. #
7. ~1J.mjj.~IION STATE ZIP CODE DAY TELEPHONE STATE IJC. #
Workers• Compensation Declaration: I hereby afhrm that I have a cert1hcate of consent to self-msure 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, Lab. C).
INSURANCE COMPANY POIJCYNO. EXPIRATION DATE
Cen1hcate of Exemption: I certify that m the performance of the work for which this permit 1s issued, I shall not employ any person m any manner
so as to become subject to the Workers' Compensation Laws of California.
SIGNATURE DATE
8. UWNEk-B0nnmt DECWlA:liON
Owner-Builder Declaration: I hereby afhnn that I am exempt from the Contracto?s Llcense Law for the following reason:
□
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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 Llcense 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 Llcense Law).
□ 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 to construct, alter, improve, demolish, or repair
any structure, prior to its issuance, also requires the applicant for such pennit to file a signed statement that he is licensed pursuant to the
provisions of the Contractor's Llce Law (Chapter 9, commencing with Section 7000 of Division 3 of the Business and Professions Code)
or that he is exempt theref the basis for the alleged exemption. Any violation of Secti 7031.5 by any applicant for a pennit
subjects the nt .,,_,,. 'i'"~'l"'J••lty of not more than five hundred dollars [$5001).
SIGNATIJRE DATE C(
uture ii mg occupant required to submit a business plan, acutely hazardo s material registration fonn or risk management and
m under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous 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?
Cl YES Cl NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
Li YES □ NO
IF ANY OF TIIE ANSWERS ARI! YES, A FINAL CERTIFICATI! OF oa:tJPANCY MAY NITT BE ISSUED AFTER JULY I, 1989 UNLESS TIIE APPLICANT
HAS MET OR IS MEETING TIIE REQUIREMENTS OP nm omCE OP EMERGENCY SERVICES AND 1111! AIR POII.IITION CJONTilOL DISfRICT.
9. wNSlkUCllON LENDING AGENCY
I hereby afhrm that there 1s a constructmn lendmg agency for the performance of the work for which this pennll 1s issued (Sec 3697(1) Cival Code).
LENDER'S NAME ~'f LENDER'S ADDRESS
10. APPLICAA I CEit
I certify that I have read the apphcat1on and state that the above mformatlon 1s 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 10 SAVE INDI!MNIFY AND KEEP HARMLESS 111E CI1Y OP CARISIIAD AGAINsr AU. UABlllTIES, JUDGMENTS, CDSTS
AND EXPENSES WIIlCH MAY IN ANY WAY A£DUIE AGAINST SAID CI1Y IN CJONSEQIJENCE OF TIIE GRANTING OF 11DS PI!RMIT.
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 pennit is not commenced within 365 days from the date of such permit or if the building or work authorized by
such permit is suspended or abandoned at any t~me after e or is commenced for a period of 180 days (Section 303(d) Uniform uilding e).
APPIJCANTS SIGNATURE DATE: ~Cf,C.-"",~~--
Applicant PINK: Fmance
DATE: 03/30/94
TO: KAFFKA GREGORY C&KAREN S
1885 HIGH RIDGE AV
CARLSBAD CA 92008
RE: BUILDING PERMIT EXPIRATION
PERMIT NUMBER: CB931143
ISSUE DATE: 10/21/93
LAST INSPECTION:
PLEASE CALL FOR AN INSPECTION
IF WORK IS COMPLETE
ADDRESS: 1885 HIGH RIDGE AV
Our records indicate that your building permit will expire by limitation
of time on 04/25/94.
The provisions of UBC, Section 303(d) state: "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 building or work authorized by such
permit is not commenced within one calendar year from the date of such permit,
or if the building or work authorized by such permit is stopped at any time
after the work is commenced for a period of six consecutive calendar months or
if the building or work authorized by such permit exceeds three calendar years
from the issuance date of permit. Work shall be presumed to have commenced if
the permittee has obtained a required inspection approval of work authorized
by the permit by the building official within one year of the date of permit
issuance. Work shall be presumed to be stopped if the permittee has not ob-
tained a required inspection approval of work by the building official within
each six month period upon the initial commencement of work authorized by such
permit.
Before such work can be recommenced, a new permit, or a renewal permit as
specified below, shall be obtained.
1. PERMITS WHERE WORK HAS NOT COMMENCED.
not commenced in the first calendar year from the
permit may be obtained provided:
For permits where work has
date of issuance, a renewal
(A) No changes have been made or will be made in the original plans and
specifications for such work.
(B) That the expiration has not exceeded three years from the original
issuance date.
(C) That the same edition of the model codes is in effect as used in
the initial plan check.
(D) That a fee equal to one-half the amount required for a new permit
be paid.
The renewal permit shall expire three calendar years from the date of initial
permit issuance.
03/?0/94 INSPECTION HISTORY LISTING
FOR PERMIT# CB931143
DATE INSPECTION TYPE
10/27/93 Rough Electric
10/27/93 Rough Electric
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INSP ACT COMMENTS
RI RI MH/KAREN/729-5308
TP PA OK TO RESET METER, ND RO.INSP