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HomeMy WebLinkAbout2403 LA COSTA AVE; C; CB930092; Permit... A l i. l c I I A 'E H• ◊'40 O!/25 '93 0001 01 c:: C 1'.•J:.f"T APPROVAL INSP. ~-DATE~&t CLEARANCE / CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION PLAN CHECK NO. City of Carlsbad Building Departllet"lt 2075 Las Pal~ Dr., Carlsbad, CA 92009 (619) 438-1161 I. P£ltM.I I liPE A -Li COmmerc1al U New Building LI lenant Improvement B -□ Industrial □ New Building □ Tenant Improvement C -□ Residential □ Apartment lll,Condo □ Single Family Dwelling □ Addition/ Alteration □ Duplex □ Demolition □ Relocation □ Mobile Home □ Electrical □ Plumbing □ Mechanical □ Pool □ Spa □ Retaining Wall □ Solar □ Other 2. PROJECr INFORMATION FOR OFFICE USE ONLY ~ 2--.4/53 [-A Cb$T't'\ l'\-J[. Bulidmg or Suue No. Nearest Cross Street £L CA'f'A-1JJO ~ llGAt DESCHIPIRJN Loe No. Suixl1v1S1on Name/Number Omt No. Phase No. CAECR BEWW IF SOBMI 11 ED: □ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope EXlSTING USE PROPOSED USE NAME ADDRESS CITY STATE ZIP CODE DAY TELEPHONE 4. APPUCAN I NAME UCONIRACIUk DAGEN I FORWNIRACIOR DOWNER UAGENI FOR OWNER ADDRESS CITY STATE ZIP CODE DAY TELEPHONE s. =Ii o~#-l't i)€ µ11-<Z.{,rz_ U--1-J ADDRESS Z.."'P' LA ee>s~ A-,)~ ?ur. C,;t-e,,l.. s ~ STATE CA-ZIP CODE ZC:09 DAY TELEPHONE _A?-> \J, lz Ci_ 0 STATE en-ZIP CODE C)z_ ( I 9 STATE UC. #l:,f'3~'7Z-ucENSE CLASS r5 DAY TELEPHONE ""'T&O 6f'\S""D CITY BUSINESS UC. # CITY STATE ZIP CODE DAY TELEPHONE STATE UC.# 7. womams• WM.PF!NSXIION Workers' Compensatton Declarauon: I hereby afhrm that I have a certificate of consent to seif-msure issued by the Director of lndustnai 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 POUCY NO. EXPIRATION DATE Cert1hcate of Exemption: I certtfY that m the performance of the work for which this penmt 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. OWNER-B0llDRk OECLXRX'hUN Owner-Builder Declarat1on: I hereby affirm that I am exempt from the Contracto?s Llcense Law for the followmg reason: D 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(s) 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.S by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$S001). SIGNATURE DATE COMPLE IE IHIS SEGI ION FOR NON-RESIDEN I IAL BUILDING PERMI I'S 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? □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? □YES □NO Is the facility to be constructed within 1,000 feet of the outer OOundary of a school site? □YES □NO IF ANY OF TIIEANSWERS ARE YES, A FINAL CERTIFICATE OFoa:IJPANCY MAY NOT Ill! ISSUED AFI"ERJULY 1, 1989 UN1ESS Till!APPUCANT HAS MET OR IS Mill!TlNG TIIE REQUIREMENTS OF nm OFFICI! OF EMERGENCY SERVICES AND TIIE AIR POLl.lmON a>NTROL DISilllCT. 9. WNSIR0CIION 1£NDING AGENCY I hereby afhrm that there 1s a construction lendmg agency for the perlonnance of the work for which this penmt 1s issued (Sec 3097(1) C1vU Ccxie). LENDER'S NAME LENDER'S ADDRESS 10. APl'UCXNI dkliPICAIIDN I cemfy that I have read the apphcat1on and state that the above mformauon 1s correct. I agree to comply wtth ali City ordinances and State laws relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the atx>ve mentioned property for inspection purposes. I A1SO AGREE ID SAVE INDEMNIFY AND KEEP IIARM1J!SS THE CTIY OF CAR1SBAD AGAINST ALL LIAB1LITIES, JUDGMENTS, CDSTS AND EXPENSES WHICH MAY 1N ANY WAY ACDUJE AGAINST SAID CTIY 1N a>NSEQUENCI! OF nm GRANTING OF nns PERMIT. OSHA: An OSHA permit is required for excavations over S'O" 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 permir 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) Unifonn Building Code). LT~~ DATE: /·Z.0,93 ' WHITE: File YEU.OW: Applicant PINK: Finance • PERMIT'# CB930092 DESCRIP~ION: R/R GARAGE+ TYPE: MISC CITY OF CARLSBAD INSPECTION REQUEST FOR 03/24/93 WATER HEATER #C INSPECTOR AREA TP PLANCK# CB930092 OCC GRP CONSTR. TYPE NEW JOB ADDRESS: 2403 LA COSTA APPLICANT: CRANE DEVELOPMENT CONTRACTOR: OWNER: REMARKS: RS/ SPECIAL INSTRUCT: AV PHONE: PHONE: PHONE: STE: /1 LOT: 619 46ol)-s4sf I INSPECTOR-~-'---',::::_ _______ _ TOTAL TIME: --RELATED PERMITS-- CD LVL DESCRIPTION PERMIT# TYPE CB930049 ELEC STATUS ISSUED ACT COMMENTS flv{._,, 32 EL Const. Service/Agricultural --1!f; _rl_ ---------------..t!f'e_ =========================== ------------------------------------ ***** INSPECTION HISTORY***** DATE 021193 021193 020193 011993 DESCRIPTION Interior Lath/Drywall Exterior Lath/Drywall Rough Combo Frame/Steel/Bolting/Welding ACT INSP AP TP AP TP CO TP PI TP COMMENTS QUESTIONS ON FRAME