HomeMy WebLinkAbout2409 LA COSTA AVE; D; CB911372; PermitPERMIT APPLICATION ~ '113
PLAN CHECK NO. 9/-1~7~
City of carlsbad Building Departaent
2075 Las PalllllS Dr., Carlsbad, CA 92009 (619) 438·1161
I. PFJtMII l'YPR I
ESf. VAL PIAN CK DEPOSIT _______ _
VAIID. BY __________ _
DATE
A -Li COmmerc1al U New Bu1idmg Li I enant Improvement
B -D Industrial □ New Building D Tenant Improvement
C -□ Residential □ Apartment D Condo □ Single Family Dwelling □ Addition/ Alteration
□ Duplex □ Demolition □ Relocation □ Mobile Home □ Electrical D Plumbing
□ Mechanical D Pool □ Spa O Retaining Wall □ Solar □ Other
2. PROJECT INFORMATION FOR OFFICE USE ONLY
Ail~ ;2...4D"1 ~D ~~ Street
LEGAL DEsCRIF'IION Lot No. Sufx11V1s1on Name/Number Onn No. Phase No.
CHECK BEWW IF S0BMII 1£D:
D 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope
EXISTING USE PROPOSED USE
CITY STATE
# OF STORIES
ADDRESS
ZIP CODE DAY TELEPHONE
4. APPllCAN I
NAME
UCONIRACIUR UAGENI FORCONIRACIOR □OWNER □AGENI FUR OWNER
CI1Y STATE
NAME
CITY
CITY
STATE
STATE UC.#
STATE
7. WukkRkS' WMPENSXIION
ADDRESS
ZIP CODE
ADDRESS
ZIP CODE
ADDRESS
ZIP CODE
UCENSE CLASS
ZIP CODE
DAY TELEPHONE
DAY TELEPHONE
DAY TELEPHONE
CITY BUSINESS UC. #
DAY TELEPHONE STATE UC.#
Workers1 Compensation Declaratton: I hereby afhrm that I have a cert1hcate of consent to self-msure issued by the Director of industnal
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
I
Cert1hcate of Exempaon: I certify that m the performance of the work for which this penmt IS 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. OWNmt-B0llDEll DFl!OOtAliON
Owner-Bmlder DCclarat1on: I hereby afhrm that I am exempt from the Contracto?s Lcense Law for the followmg reason:
□ 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 Llcense 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 ($5001).
SIGNATURE DATE
COMPLEIE THIS SECIION FOR NON-RESIDENIIAL BUILDING PERMIIS 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 2S50S, 25S33 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?
CYES □NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
□YES □NO
IF ANY OF THE ANSWERS ARE YES, AFINALCERllFICATE OFoa:IJPANCY MAYNUf Bl! ISSUED AFil!RJULY I, 1989 UNIJ!SS THEAPPUCANT
HAS MET OR IS MEETING THE IIF.QUIIIEMENTS OF TIIE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLU110N CDNIROL D151111Cf.
9. WNSIRUCIIDN IENDING AGENCY
I hereby afurm that there 1s a construction lending agency for the performance of the work for which tius permit 1s issued (Sec 3097(!) Ctv1i Cocie).
LENDER'S NAME LENDER'S ADDRESS
10. APPllt!AN I CFJtliFICAiIDN
I certify that I have read the apphcat1on and state that the above mformauon 1s correct. I agree to comply with ail 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 ID SAVE INDEMNIFY AND KEEP HARMLESS THE CI1Y OF CARISBAD AGAINST ALL UABl1JTIES, JUIJGMENTS, CDSTS
AND EXPENSES WIIlCH MAY IN ANY WAY ACCRUE AGAINST SAID CTIY IN CDNSF.QUENCE OF TIIE GRANTING OF TIDS PERMIT.
OSHA: An OSHA permit is required for excavations over S'O" deep and demolition or construction of structures over 3 stories in height.
WHITE: p· e YELLOW: App 1cant PINK: Fmance
, City of Carlsbad
■ =1 111611 ,;. l•iA•i=II; ,,14 ,Ii
DATE: 10/19/92 PERMIT NUMBER: CB911372
ISSUE DATE: 10/04/91
LAST INSPECTION:
TO: DARULA PETER P
2409 LA COSTA AV #D
CARLSBAD CA 92009
RE: BUILDING PERMIT EXPIRATION
PLEASE CALL FOR AN INSPECTION
IF WORK IS COMPLETE
ADDRESS: 2409 LA COSTA AV #D
Our records indicate that your building permit will expire by limitation
of time on 10/04/92.
The provisions of UBC, Section 303(d) state: "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 one calendar year from the date of such permit,
or if the building or work authorized by such permit is stopped at any time
after the work is commenced for a period of six consecutive calendar months or
if the building or work authorized by such permit exceeds three calendar years
from the issuance date of permit. Work shall be presumed to have commenced if
the permittee has obtained a required inspection approval of work authorized
by the permit by the building official within one year of the date of permit
issuance. Work shall be presumed to be stopped if the permittee has not ob-
tained a required inspection approval of work by the building official within
each six month period upon the initial commencement of work authorized by such
permit.
Before such work can be recommenced, a new permit, or a renewal permit as
specified below, shall be obtained.
1. PERMITS WHERE WORK HAS NOT COMMENCED.
not commenced in the first calendar year from the
permit may be obtained provided:
For permits where work has
date of issuance, a renewal
(A) No changes have been made or will be made in the original plans and
specifications for such work.
(B) That the expiration has not exceeded three years from the original
issuance date.
(C) That the same edition of the model codes is in effect as used in
the initial plan check.
(D) That a fee equal to one-half the amount required for a new permit
be paid.
The renewal permit shall expire three calendar years from the date of initial
permit issuance.
2075 Las Palmas Drive • Carlsbad, California 92009-1576 • (619) 438-1161
10/:i'.9/92 INSPECTION HISTORY LISTING
FOR PERMIT# CB911372
DATE INSPECTION TYPE INSP ACT COMMENTS
. 11/21/91 Final Plumbing RI RI MH/PETER/632-5330
11/21/91 Final Plumbing PY co STRAP GAS LINE
10/04/91 Gas/Test/Repairs PY NR
10/04/91 Water Heater/Vents PY NR SEE INSP NOTES
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