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HomeMy WebLinkAbout2303 OCEAN ST; ; CB981192; Permitt l. r L p !::. t t-T ?1r,,t:.ic1 \JC\: F.~ ()lr.,.L ,., 4;~,, , ....... L>l-"V•· 1 ,,,. ··n :-N F I (f' l ( t 1 .. , A :r, • ,_·: '-11 ; c,,· i: r,!\: -:r •' •r.' 1 l t L'vPf:>: f.:LEl .. ·: · '/\: I: ._, · -,~ L I\J : ,._ 1 ~ -1 1 --(L_JJ... )(2.C> \, 'J I \ 1 cl t 1 (ll l ; ,1 ·,-uu•Hl•-y l_'r 'ltrJ: .>E-..;c11r,t l<>n : c,! l t1(~ter ec.cr>ft: l_ll, LlGHTl1,,_; .1~1'!,,11r-· 1: Ar.-1· I I:: ~-u,:.: l· :. rei-Pd r;v : r -,.>Uf:[, ll-1/ .41 tl-\ \I 4, / ,'. '± / ':-. J Iv! AJ I l.ll W!ll F.' J f:.N1LRPR1~-E: H. ·, CAk~,'.:,P.A:1 Vl!.LA._;f::; [>RIVE '1 r, I l 7 2, Y -7 (~ 14 ,-Al,L~,E'-.l\L> CA :-12111,0 *** Fees CPlleci-,=>d ,, (_11:>11t.::; ,. • -------------------------------------------------1m8 W.fu''ffl' i)~tt -01:' --o-z--C··· r:•r\MT 'i{) ., (i() A, 1 1 u:.; r nH?n r::; : T<•t ·1.1 !: f~ .. ::,: • 11. nu .00 .~o. oo Tot-a l Cr ,.3di ts : Tota 1 Pei vme n ts : Bol ancP Due: Ur· t-s F ee I Jni t . ,)( , f) I) 2 0 . II 1) E:•: t ft:.t? Dat, -------------------·-- ['tlf •:-'1 Y f-1:t·t?r "Y ---·----------------------------- t<>r e,Je, ti.;ic lc:·.,ue fc:e ~,,r ::-,,Jm0,l,=l ) 1 ( l , ! I I) \ l ) . (l I) '( ,---------,_ ____ - Flf'J I.\L i '~-·pdJ l CLEAHA.~CE CITY OF CARLSBAD 2075 Las Pal.mas Dr., Carlsbad, CA 92009 (619) 438-1161 FOR OFFICE USE ONLY PCRMIT APPLICATION "l1! i1ur·7 PLAN CHECK NO. ___ r .... 2~1~•..cct--"_ CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 EST. VAL. _________ _ Plan Ck. Deposit 7-o i ,)1) Validated By fv._, Date Lf/ L<-{( Yf;.1 1. PROJECTINFO~TION .£) ·:),. _Z=3c,.Q.,_,,,,,__,=-'o.~.:::_~,s:"'"'A:.=.A2/_~::_:_-f--_____ ~'L--1------'B,.,,. <...J..<.!~£..c.-Y=..6CJ,,:;::..n:,-,c>U9=-,:.lf'Y,=.,,":........,r""_-______ _ Address (include Bldg/Suite #) Business Name (at this Jress1 Legal Description Assessor's Parcel# t-&;zo C~/. ,4;o;l. ,. Subdivision Name/Number Unit No. Phase No. ...-9..o r Total # of units 6 Existing Use /"? le,< I .5 ./,, 'l'. e:,,-------r-:--,s.-o c:____ pfoposed Use ~I' if c'Y&-: 7<-Description of Work SQ. FT. #of Stories # of Bedrooms # of Bathrooms 2. CONTACT PERSON (If different from applicant) Name Address City State/Zip Telephone# Fax# 3. APPLICANT D Contractor D Agent for Contractor D Owner O Agent for Owner Name Address City State/Zip Telephone# 3-zS ~ 12'--~6 -trz Address /Af-l.lt C. £. City Cr1 n 1<.Me C& tJJue:$ '7 z.9 · State/Zip Telephone # 71 I'/ 6. CONTRACTOR -COMPANY NAME (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, commending 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 ($5001). Name Address City State/Zip Telephone# State License # _________ _ license Class _________ _ City Business License # _______ _ Designer Name Address City State/Zip Telephone State License # _________ _ 6. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 1 have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the labor Code, for the performance of the work for which this permit is issued. 0 I have and will maintain workers' compensation, as required by Section 3700 cf the Labor Code, for the performance of the work for which this permit is issued. My worker's compensation insurance carrier and policy number are: Insurance Company _____________________ _ Policy No. ____________ _ Expiration Date, _______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100] OR LESS) O CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE _____________________________ _ DATE _________ _ '1-. 7. OWNER-BUILDER DECLARATION \ I hereby affirm that I am exempt from the Contractor's License Law for the following reason: i{1 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). 10 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). 0 I am exempt under Section ______ Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. D YES ONO 2. I (have/ have not) signed an application for a building permit for the proposed work. 3. I h e contracted with the following person (firm) to provide the proposed construction Onclude name / address / phone number / contractors license num ,2,4 .__ . ""' 4. \ plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone number/ contractors license number): ________________________________________________ _ 5. I will provide some of the work, but I have contracted (hired) the folio of work):'---------------::--:,c!;:;;>----,,f/f-"':-,:.---,,,.,--,-------------,-----:::;:-:;;;;;---------f · Z Y -'78 ATE • PROPERTY OWNE COMPLETE THIS SECT Is the applicant or program under Sec ccupant requir to submit a business plan, acutely hazardous materials registration form or risk management and prevention 5, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act7 0 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 D NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 8. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME _______________ _ LENDER'S ADDRESS ________________________ _ 9. APPLICANT CERTIFICATION I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the Cit\' of Carlsbad to enter upon the above mentioned property tor 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 5'0w deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the Building Of· a 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 ys from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at n time after the work is c ','!cJ!.11!1'.,_,~ 180 days (Section 106.4.4 Uniform Building Code). ~ DATE "t'. ~-2--Y • 9 l!i WHITE: File YELLOW: Ap:1licant PINK: Finance • • PERMIT# CB981192 DESCRIPTION: GFI TO POOL TYPE: ELEC CITY OF CARLSBAD INSPECTION REQUEST FOR 06/24/98 LIGHTING JOB ADDRESS: 2303 OCEAN ST APPLICANT: RBJ ENTERPRISES CONTRACTOR: PHONE: PHONE: STE: INSPECTOR AREA PLANCK# CB981192 OCC GRP CONSTR. TYPE NEW LOT: 760 729-7914 OWNER: PHONE: \ \ INSPECTOR ___ Ql,.L-.~f\_· _____ _ REMARKS: C/R.D.J./729-7911 SPECIAL INSTRUCT: TOTAL TIME: CD LVL DESCRIPTION ACT COMMENTS 33 EL Service Change/Upgrade WC, A G/i::>I 71r'l'1'l:1'v.£() ,m;· ~ -_____________ & ------------- ------------------------------------ ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS