HomeMy WebLinkAbout2378 PIO PICO DR; ; CB901020; PermitJob Address: 2378 PIO PICO DR
Permit Type: RAD
Citv of Carlsbad
RESIDENTAL ADD/ALT (UNDR
Status:
Applied:
Permit No: CB901020
EXPIRED
06/20/1990
Parcel No: 1560322600 Lot#: Approved:
Reference No: Issued:
PC#: Inspect Area:
Project Title: 720 SF 2ND STORY ADDITION/DECK
Applicant: Owner:
SILVA, TESSA SILVA MERRILLJ&TESSA TRS
2378 PIO PICO DR
CARLSBAD, CA
619-729-6003
00136104885 Plan Check
Fees: $265.00 Additional Fees:
$265.00
$0.00 Total Fees: $265.00 Balance: $0.00
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PERMIT APPLICATION 11\ '1P
City of Carlsbad Building Department EST. VAL 2075 Las Pal mas Dr., Carlsbad, CA 92009 (619) 438-1161
VALID. BY,_~..t,~~--=-----
1. PERMIT TYPE om -=~---'<:l,C..J...!,Oc.__ ___ _
A
8
2.
COMMERCIAL TENANT IMPROVEMENT
0 INDUSTRIAL 0NEW 0TENANT IMPROVEMENT
~RESIDENTIAL O APARTMENT
OouPLEX 0DEMOLITION
0MECHANICAL 0POOL
0CONDO {JIS!NGLE FAMILY DWELLING QiADDITION/ALTERATION
0RELOCATION QM061LE HOME QELECTRICAL 0PLUMBING
0SPA 0RETAINING WALL
PROJECT INFORMATION PLAN CHECK No.
Address ~ 37 g P.o p,,o /), ·
Nearest Cross Streets fay e+t °f.; L 4 < El4 r:e (
p2 Energy Cales 02 Structural Cales 02 Soils Report 01 Addressed Envelope
ASSESSOR'S PARCEL 15"{,p ~ :!)~ all. EXISTING USE
DESCRIPi ION OF UORK
• 1-,
F
Unit No. Phase No.
lcl6
PROPOSED USE
:;;-t..,A,o Dh J,'1!'1Floor 1 f?ebu,'/cl lowe-rbcifl. <f«f,l,t1 ,o.,..._.o,(J,·,,"1;10.::r
~-~·=LD~G~·-·=·~·c.:.FT~G~.~..J.C..S<-.:;,._C-------~""--#C..:O~f~S~T~O~R~IE~Sc__ ___ .JI ~ ... ,, ... ~
3. CONTACT PERSON /?
4.
5.
6.
7.
NAME TES:SA <;/LVJf ADDRESS J_ )7 2 /Jo ,(/) Dr
r~ ,-!~/)ad L(a, STATE ZIPCOOE q,)._tJtJj CITY
SIGNATURE
0 CONTRACTOR O AGENT
5' I l-VA 'I /VI e nl/lJ,
CJ TY STATE
Cl TY STATE
CONTRACTOR
NAME
CITY STATE
STATE LIC. # ____ _
SIGNATURE
FOR CONTRACTOR
ADDRESS
Z!P CODE
DAY TELEPHONE
Jc), -/,;003
~OWNER O AGENT FOR OWNER ;:), "'7 :I 11,oP, co Or
('.:1 DAY TELEPHONE
ADDRESS d 3 7 f' P,,,
QLESSEE 0TENAl,IT
Acu JJ,
ZIP COOE DAY "'"'o" ZJ. 7 -;:a ,:;;s
ADDRESS
ZIP COOE DAY TELEPHONE
LICENSE CLASS ------CITY BUSINESS LIC. #
TITLE DATE
DESIGNER
CITY J
NAME
el , f?e;c\ /1 t fb. /1 ADDRESS C/i-lC 0-Yo~e,.,
STATE ZIP CODE
5" ~0"!. :!
DAY mma.,JJO 8· '3 STATE LIC. #
Workers' CO!ll)ensat1on Declaration: hereby aff,rm that I have a certificate of consent to self-insure issued by the Director of Industrial Relations,
or a certificate of Workers' Coq,ensat ion Insurance by an actni t ted insurer, or an exact copy or duplicate thereof certified by the Di rector of the
insurer thereof filed with the Building Inspection Department (Section 3800, lab. C).
INSURANCE CQo1PANY POLICY NO. EXPIRATIOM DATE
certificate of Ex~tion: I certify that in the performance of the work for which this permit is issued, I shall not ~loy any person in any manner
so as to become subject to the Workers' C~nsation Laws of California.
SIGNATURE DATE
8. OWNER-BUILDER DECLARATION
Owner·Builder Declaration: I hereby affirm that I am ex~t from the Contractor's License Law for the following reason:
D I as owner of the property or my errployees with wages as their sole Coirf)ensation, 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 errployees, provided that such improvements are not intended or offered for sale. If, however, the building
or iflllrovement is sold within one year of COlll)letion, the owner-builder will have the burden of proving that he did not build or ifll'rove for the purpose
of sale.).
ijJ 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).
D I am exefll)t 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, al so requi res the appl i cant for such permit to f i le a signed statement that he is I i censed pursuant to the provisions of the
Contractor's License Law (Chapter 9, coomencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is ex~t therefrom,
and the basis tor the alleged exeffl)tion. 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 iars [S500J).
SIGNATURE DATE
COMPLETE THIS SECTION FOR NON·RESIOENTIAL BUILDING PERMITS ONLY:
Is the appl i cant or future building occupant required to submit a business pl an, 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?
DYES ONO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
DYES ONO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
DYES o,o
IF MY OF TIE MMRS ARE YES, A FINAL CERTIFICATE OF OCCl.PMCY MAY NOT BE ISSUED AFTER JULY 1, 1989 UIIILESS THE APPLICANT HAS NET Cit IS MEETING THE REQUIRBENTS
OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
9. CONSTRUCTION LENDING AGENCY
hereby aft i rm that there is a construct ion lending agency for the performance of the work for which this permit is issued ( Sec 3097( i ) Ci vi L Code).
LENOER'S NAME LENOER'S ADDRESS
10. APPLICANT'S SIGNATURE
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, JOOQENTS, COSTS AND EXPENSES WHICH MAT IN ANY WAY ACCRUE AGAINST SAID
CITY IN CONSEQUENCE OF THE GRANTING Of THIS PERMIT.
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 perm1t is not conmenced within 180 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 cooroenced for a period of 180 days (Section 303(d) Uniform Building Code) .
APPL CA T'S SIGNATURE ..esJ. CNNER OcoNTRACTOR D BY PHONE
WHITE: File YELLOW: Applicant PINK: Finance
APPROVED SY:-------
DATE;
C•lif. Co••t•l C011111iaaion
lJJJ Camino Del Rio So. Suite 125
S•n Diego, C•. 92108-3520
J•n. 'J, 1991
Att: Ricurd Crepa•u U: 2378 Pio Pico Dr., Carlab8d
Room •ddition Dur Sir:
Pl•••• refund our fee; •fter aever•l f•mily diacuasio~a. due
to my Mother'• canat8ntly cun6 in6 he•lth need•, we h•v• decided to
w•it to build. Perhltpa the •cre•s• •croaa the atreet will develop
•nd we will beve • better ide• of how to build. Our ocun view could
get blocked evan frOII • 2nd atory t ... l.
At 92 ay Mother ia •lert •nd •ctive but hit• oateoporia which
limits her •ctivitie, •nd 1he needs • C.N.A. 24 hours • d8y currently.
We v•nt to th.Dk you for your helpful •ttitude.
cc: Melvin Liat, ,Architect
Sincerely,
Tusa Silva
729-6003
--1
J
-N "' " " "
DOD
PLANNING CHECKLIST
Plan Check No. 9{;-l~ZO
APN: /57,-(? 32-ZC,
Planner ;J1tie; 6;~
Address
Phone _4'""3'""8'---..,_l "-'16...,1~----
(Name) ..ti-I_/_
Type of Project and Use __ 6"'-'-F_--'0/fJk.,'-+~=-.......,-~------------
Zone --'P.,_--'-/ ____ Facilities Management Zone --------
Legend
CZ] Item Complete
~ Item Incomplete -Needs your action
I, 2, 3 Number in circle indicates plancheck number that deficiency
was i dent i fi ed
Environmental Review Required: YES __ NO _ TYPE ------
DATE OF COMPLETION:
Compliance·with conditions of approval? If not, state conditions which
require action.
Conditions of Approval
J Discretionary Action Required: YES .6_ NO __ TYPE------
APPROVAL/RESO. NO. DATE:---------
PROJECT NO. · OTHER RELATE"'"D_,C,._,.A-sE""sc-:-_-_-_-_-_-_-_____________ _
i th
Coastal: YES ~
Compliance with conditions of approval?
require action.
If not, state conditions which
Conditions of Approval
DOD
(3o@J
ODO
ODD
ODD
ODO
DOD
ODO
•.
Landscape Plan Required: YES __ NO __
See attached submittal requirements for landscape plans
Site Plan:
1.
2.
3.
4.
. Zoning:
1.
2.
3.
4.
Provide a fully dimensioned site plan drawn to scale. Show:
North arrow, ~rty 1 ines, easements, existing and proposed
structure~ree • existing street improvements. right-of-way
width and · nsioned setbacks. ·
Show on Site Plan: Finish floor eleva_at~'i..O.Jl$...-~~l-U~s of finish
grade adjacent to building, existi opographrcal lines, isting
and proposed slopes and driveway.------------
. ).'.
Provide legal description of property.
Provide assessor's parcel number.
Setbacks:
Front: Required Shown
Int. Side: Required Shown
Street Side: Required Shown
Rear: Required Shown
Lot coverage: Required Shown
Height: Required Shown
Parking: Spaces Required Shown
Guest Spaces Required Shown
;I'· Additional conments z.iid 1i:~11arks have been 111ade on the building plans. These
marked-up plans ~ay be picked up at the Building Depa~tment. These marked-
up plans must be resubmitted with the revised plans for this project.
Addi ti anal
01( TO ISSUE ---------DATE --------
PLNCK.FRM
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