HomeMy WebLinkAbout1947 CAMINO VIDA ROBLE; 101; CB920488; PermitBUILDING PERMIT
05/18/92 10:46
Page 1 of 1
Job Address: 1947 CAMINO VIDA ROBLE Str:
Permit Type: MISCELLANEOUS
Parcel No:
Valuation: 150
Construction Type: NEW
Occupancy Group: Reference#:
Description: INSTALL 3/0 DOOR BETWEEN OFFS
: NATIONAL TRAINING & MARKETING
Appl/Ownr : ABREU, EUGENE
1820 GUILDER GLEN
ESCQNDIDO, CA 92
CONTRACTOR : ABREU, EUGEN
1820 GUILD
ESCONDIDO
*** Fees Required
Permit No: CB920488
Project No: A92012bl
Development No:
Fl: Ste:
7687 05/18/92 0001 01 02
C-PRMT 25-00
CR- TO?
Status: ISSUED
Applied: 05/18/92
Apr/Issue: 05/18/92
Validated By: CD
4800076
NO
Fees :
Adjustments:
Total Fees:
Fee description
Miscellaneous Fee
* MISCELLANEOUS TO
& Credits
4800076
* * *
.00
.00
25. 00
Ext fee Data
25.00 BP
25.00
APPROVAL
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
PERMIT APPLICATION
City of Carlsbad Building Department
2075 Las PaI mas Dr., Carlsbad, CA 92009 (619) 438-1161
I. PERMTTTYPE
A - U Commercial U New Building LJ Tenant Improvement
B - D Industrial O New Building D Tenant Improvement
C - D Residential D Apartment D Condo D Single Family Dwelling D Addition/Alteration
D Duplex D Demolition D Relocation D Mobile Home D Electrical D Plumbing
D Mechanical D Pool D Spa D Retaining Wall P Solar D Other
2. PROJECT INFORMATION
PLAN CHECK NO.
EST.VAL
PLAN CK DEPOSIT.
VALID. BY
DATE
FOR OFFICE USE ONLY
Address
Nearest Cross Street
£***<*»Hdmg or suite NO.
SO/
LEGAL DESCRIPTION buDdivision Name/Number
CHECK BELOW II- SUBM111LU:
D 2 Energy Calcs D 2 Structural Calcs D 2 Soils Report D 1 Addressed Envelope
ASSESSOR'S PARCEL EXISTING USE PROPOSED USF.
DESCRIPTION OF WORK
SQ.FT.# OF STORIES
3. uuNTAcr PEKSUH (.it aitierent trom applicant;
NAME
CITY STATE
ADDRESS
ZIP CODE DAY TELEPHONE
4. APPLICANT
NAME,-*
CITY
I CONTRACTOR
< *
Q AGENT FOR CONTRACTOR
ADDRESS
ZIP CODE
U OWNER tJAGhNI hOR OWNER
STATE DAYTELEPHONE
5~PROPERTY
NAME
CITY STATE
ADDRESS
ZIP CODE DAY TELEPHONE
t>. UJNiKAUlUK
NAME^T ^ t.^Jft,^
CITY STATE
STATE LIC. #lj~1FJ
ADDRESS f T )
ZIP CODE
^/ LICENSE CLASS
-, / / s~*.j .
-o bu./J'-v Glr^s fSc&Hd
DAY TELEPHONE
Ql CITY BUSINESS LIC. #
f
UESIGNfcR NAML
CITY STATE
ADDRhbS
ZIP CODE DAY TELEPHONE STATE LIC. #
7. WORKERS^ COMPENSATION
Workers Compensation Declaration; thereby affirm that I have a certificate of consent to self-insure issued by the Director of Industrial
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 POLICY NO.EXPIRATION DATE
Certificate or Exemption: I certify that in the performance ot the work tor which this permit is issued, I shall not employ any person in any manner
so as to becotn^ubje^tjcvthej^terkprs' Compensation Laws of California.
SIGNATU
8. OWN
'Sr Declaration: I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
D
P
Owner
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^) licensed pursuant to the Contractor's License 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 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 7031.5 by any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars [$500]).
SIGNATURE DATE
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY:
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?
D YES D NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
D YES D NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
D YES P NO
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT
HAS MET OR IS MEETTNGnffi REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION O3NTTIOL DISTRICT.
9. CJUNSTHUC'llON LENDING AGENCY
I hereby affirm that there is a construction lending agency lor the pertormance of the work tor which this permit is issued (Sec 30970J Civil Code).
LENDER'S NAME LENDER'S ADDRESS
10. APPLICANT CERTIFICATION
I certify that I have read the application and state that the above information is 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 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.
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 365 days from the date of such permit or if the building or work authorized by
such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code).
APPLICANTS DATE:
_
WHITE: File YELLOW: Applicant PINK: Finance
UNSCHEPVLED INSPECTION
DATE ^//y/y^ INSPECTOR
/PERMIT * C& 72^£~$f / PLANCK #.
JOB ADDRESS
**/*;
TIME ARRIVE: _ _TIME LEAVE:
CD LVL DESCRIPTION ACT COMMENTS
PERMITS
6/15/89
red oak veneer with 21
minute door) Frames -
e frame). Provide
red oak veneer with
UBC.
JSE
HINED
TED
E
MAY 1 8 1S92
Cftyof CAKL&&AD
BUILDING DSPT