HomeMy WebLinkAbout2016 PINTORESCO CT; ; CB970652; Permittp:
A,.. • H "A
Ai : wn
E-ptl n
[
p
V
E lt
+-t, .
>I• ~ t-
#.
6 y 4
RT
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
re ht
~ xt
2C ,
7.
2. .
FRO~ AJFOSTER INC FAX 461 5443 PHONE NO. Mar. 24 1997 04:13PM P3
-· FOR OFFICE USE ONLY
PERMIT APPLICATION PLAN CHECK NO. 17&;6 ]._.
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad CA 92009
EST. VAL. _________ _
Plan Ck, Deposit ________ _
(619)438-1161 . Validated By __________ _
Date. _____________ _
ti~~li#'AWN''.
2016 Pintoresco Ct.
AddtHS (Include lltdg/Sult, fl
Aa$t1sor' • Parcel I
li#NPlll.liN
l!ualn11ss N•m• let thlt tddresal
l.ot No. Subdlvlalon Name/Number Unit Ho. Phase No. Tot&I I of unit■
SFR
blfllnn Use Proposed u ..
I of 8&droom5 I ol 81thfooms
Nam• Adllre,e City Fn I
s~~~~/E'~i~;;~~~~t!~~etiu ~_. 4WJ~L
Name Address City St1t11/Zip Teleph-,
~.rmtriP.~;Mi'i,ij\ij,~i&'iliilRlll'fPPttt.im I ~~ffl~~•'' Orr Rawroi . 2016 Pintoresco Dr. CARLSBAD CA. YLUUY -
N•r,{• Adclreu City State/Zip Telephone I
~F~=~~ m~J
fSec. 7031.6 Business ancl PrefM!llons Cl>de: Any City or Couftty which req\llfes I permit to eamotruct • ..,.,, lmp,ov,, dtrnollth Of ~pair 11ny struotu,e, ptlOf to It■
lssut"c,. ,tao rtQ\llrn the apr,kant for sue+, parmlt to fl• • •lgned 1\ttemtnt that l'tt Is IC-ed pur9Ullnt ,., the PfOY'9lonl of the Conuactol"1 Uc.., .. Law ··
(Chapter 9, commendloQ wilh Sec1lon 7000 or Dlvls10fl 3 of thll Buslnns and Profe•slont Codtl Of thlt he "" 1111,mpt th"9lrom, end t!I• basis for t~• ■lteged
tJt9mptlon. Any violation ol Section 7031.5 by 11ny appllnan't lor • permit IIAij,,cts the sppllc■nt to I clvM ll'fttltv of not 11\0tl th'2rve hu~ d~ia,,1•!iOOI).
A & ,I FOSTER ELIJMBING 13706-B HWY 8 BUS. EL CAJON CA. 920 -
Name Adchsa City St11t/ZfZ003S 4T•t■ph-I
S111• license I 630120 UCll'tt Cltn C-3 6 City 8uslnen LieflMe I ______ _
Designer Neme Address City SttttfZID T■t1111hon•.
O ( hive 1nd win maintain a certllieste ol eentMt to Mlf-lnsti<t lot wortt.,,• compen11tlon •• ptOYltled by Section 3700 of the labor Codt, fo, the pertonn■nce
ot th■ work for which thia permit •• Issued.
X O I have encl 'Will m,1n1,1n worltert' COMPMMtlOrl, •• requlf■d by s,ctlon 3700 11f the Laba, Code, for the performenc. of th• work for which this perff!lt la
Issued. My wonu1<'s comp-•tlon h•9<1ren1:• cirri■, 1nd oollcy number ,,.:
lnau,enoeCol'n!'enyFARMER INSURANCE PollcyNo.N2007-56-51 Explr"'°" D~;._l_-_9_7 ___ _
!THIS &!CtlON "EEO "OT IIE COMPLETED II' THl l'UIIIIKT 18 FOR ONE Ht.lNOREO DOU.AAS It 100S OR WSI
0 Cl!RTll'ICATI! OF ~XEMnlON: I ~lfy th•t In tht 11trlorm111,ca of the won for wt.Id, 'tht.i' permit la iuued, I llh■II not employ tnV pi,,i,on In •RY-·,.,....,., 10 •• ·
to b!ICome subject to the Workers' Comp■N■tlon Laws of C•Hfo'"ta, · · · · .. · · · · ·
WARNING: Fallure 10 oeeu,e•-lte<t' compitnndeft eev ..... I• ""4lowlul, llfld ..... nul,Joot -,i employer to C>tlrnlntol p....tllea Mid cl'fl flnet, u,·to -""'1dr9d
tt.ollHnd doll••• It 100.0001. In addition to the cost of com,,tnHtlon, d1ffilges .•• ""'"1-.Jed fer"' S•ctlon 3708 of the ~ code, lntll<ftt end attomay·• r... ..
SIGNATVRE . DATE .
7, •· ·oWNER-IIUILOEII OECI.ARATID,.'l-1¼'~ :2~:7;;~f~f,, e',\i.tt,~~~,f.bf:it::7.ili;;?fl~·#~!-: !~~f~Ji:,~~~~i,'i.1l!it'i.?t/@;.~•tI.::: t ·:
I "-•tby affirm that I am non,pt frolTI the Contrector'• License law for lhe lollowlng renon:
d I, ., owner of ti.a 1>r11oertv III rny emolovNs with w~o,i. "" their sole comi,enseilon; wlit do tht woik and the &ttil~tJ;, It not i;,i..:ithid ;,; ~fl~relf for sale
!Sac. 7044, BuSiness ind Profe,iilon• Cvd_t: The Contriitt~•~ licama Liiw lioes no\ ~pply jo ,ii owritr al property who .~U!idfi i,~ Imp',~-~;.~~ w+,o dij~i
tllCh we,lt hlM~oll or \tlf6iJ9N hll bwh •mi>lilytit, pn,vldU 11\ilt illch lmj,rblltments lte r,ijt lntiiidid cir of/(r#tcl fa, .. 1.. 11, HJwt,t.;, Uif · ' IJI lliiJtll\temer,( fi
eotd within -y1er of compe•lon, tht ownef-wtdtr will hen the burdefl If DfOvinv ttw1 he did not llulld ,. tm,,oYt to, the IINl'IINI Of tllel. ·
Q I, IS OWnllf of tti. orop1rty, 111n exrllu,,lv■ly eontr•ctfnv with Nc:11n1ed oonttaototi to ton1tru1.t' tht swof1et CBeo. 7044, ~ ancl'~etitlonc C&lf~,1":ffi~ .. ::
Contr1etor'1 t.iClnae Lew does Mt -ly to ·■n 0-ol' property Who bulld1 O\' lmtrOYH INNlon, llnCI oonCr-for IUoh f:l'O~ wlih ooi1tractorlt) kfflffd .
putl\llmt to O,■ Contrector•• License Lawl. · . · · · · · · ·
0 I '"' tlltmpt under Section _____ ltutlnaaa and Profenlor,s Coda for thll renon:
1 . 1 perso,,ally plen 10 provide the niejof ltbor ■nd materl•ls lo, e~structlon or th• prnpo-■d property lrnprcr...mtnt. 0 YES ONO
2, I fh1ve / h1v1 not) signed en ,oollcttlon for a building p.-mlt for th• propot•d wor►,;
3. I have contracted with the following perso11 lflrml to p1ovlda th• proposed coris1ructlon llnduda name I address / phone numbtt / r;ontr1ctor1 ~cenH numtierl
4. t pl•n lo provide portion, of the work, but t hovo hired th• followlnv peraon to eoordln■te, euperYIII tntl JtrOVlde the major worlt Unclude n■ma / addr"' / phon• number / contttctors Ucen111 number): _________________ ;..._ _______________________ _
5. I wlll provide &am• of the work, 11111 I htVt contracted (hirecll the following pt<son• to provklt lilt work Indicated «~• name / tddrN5 I phone null'ber / typ• of workl: __________________________________________________ _
PROPERTY OWN!A SIGNATURE_______________________ PATE
'.c.o~Jw.:'tl!~OfQQft.H,m:iin.'(p_m~lff11;~Jil'&Ni:'dl'ff!Yt~ ------~---.. ;~~w~:~:.:-
1. the ac,pll~nt °' futu,e bUilding occuptnt ri,qulred Ill ■ubmlt I businest pltnl •cvt•ly t'tHrffil ffil\lfllll rlllffltrntlm rmn nT litt m1n1n111N1111 1■111 ... , ... , ••
I• tl>I applicant or flnurs bu!ldlng oocupent r■qu<,ed to obttln a l>tfmfl f1om the air paltJtlon control dllltrlet or air qu•Hty mtnagemant dl,trlct? O YES O NO
Is ttMI f•clllty lo bo c""s\rvc:ted w(thiu 1,000 feet of the out• boundery of • f<:hool ""'97 0 YE& 0 NO
IF ""y OF THE ANSWlAS AR£ Yl:G, A FINAL Ct!RTIRCATI! OF OCCUPANCY MAY No·r IE l&SUED UN~l:$5 THE Al'f'UCANT HAS M!T OR IS MEETING THE
REOUIAtMl!HTS OF THE OFFICli OF EMERGENCY SERVICES ANb TH! JI.Ill POLLUTION CONTROL DISTRICT.
,a,;, ') CONS:YRUCTION LENl:IING'AGENCY ::; •~t"t#~~l,1:iji¥c.c~~:S!~M.,: '-~';~ti~"'!le~~~~&-1.~~i,:·,;.!'/,;:'.:l:\. ·. 'i, , J1... ·:
1 hereby 1fflr"1 1h11 there i• • constructlen ltn<fin11 ■gency for tho performence of 1he wort for wh<c:h 1h11 pemtlt It ltsued fSte. 8097111 Clvll Code).
\.E~OER'S HA.ME _____________ _ I.ENOUl'S A.DDFIESS. _______________________ _
,ii;,~ AePUcANT~.~m1F1CAT10ff,., .. :~::,;:1.i:''.;~J~\l}~.1::··d::~Y,,r.:1.:~:;:,..::.~,:,,::,fii~twrEi!,~~~"Qw.'u!~tI~~i;r,-·;• .. it:,:
I ~•nlfv that I heve 1ead the •wllce1ion and 11111e that the 1bove inlMm1tl11n 1, correct ond that th• lnformetlon on the p11r,s la ■cclJl'tt,. 1 agree to comi,ly with an
City ordi,,tnce1 and State law, relating to bulldln9 eon111uction.. I hot.by outhorlt• rop,ttt"llllYtl of the City of C~rlsbetf to anttT upon th• obov1 mentioned
prooeny for i"spectlor, 11ur11oso1, I ALSO AGREI! TO SAVI!. INOE,.,NIFY ANO kUP HARMLESS THE CITY OF CAII\.SIAD AOAINST ALL LIABlllllES.
JUDGMVITS, COSTS ANO EXPENSES WHICH MAY IN ANY WAY Al:CIIIUl!AOAINST 5A10 CITY IN CONSEQUENCE OF ffiE OIIMtTING OF THIS PERMIT.
OSKA: An OSHA permit is required for excevatlons over 6'()• deep end demolition or ccmatMltlon of atructu,es 11v■1 3 ■lorlea In height.
EXPIRATION: Every permit issued by the llulldlng Ofliclsl unda, the p,ovl1!ot,1 of thl• Code ahen ui,ire by llmltatlon and become nun and void If tho hulldin11 01
wMk 1utherized by such permit is I com,,.~.,i within 31!5 deys from the dote of e11ch POfmll or II the bulldlng Of work 11\ltt\ofited by 1ud-t plltlmt IA AURpendt(j
or abandoned 11 '"Y time ef war · s commenc !or• p11Yl11d ef 1 0 days !Section 106.4.4 Uniform Bulldl119 Cuda). /--. /
APPUCANT'S SIQNATURE 'li.,A,::;l:.LICIS.=e:!..:...(;~~~~;:::..~""~------------DATe( ~fod-k 1q q:· -~ ,