HomeMy WebLinkAbout2412 LA COSTA AVE; ; CB911547; PermitB ' I I :, I > I N G P
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Liescri!_:>tl ,r.: CHANGE OUT TUb
Ar,p~/Own.r : HARRIS, PETE£.
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2412 LA C'CSTA AVENUE
CARLSBA~, CA qL009
Fees Required
Feec:
Adjustments:
Totdl Fees:
0.
0
1 -0. I
c.. ),le:
St l : [·
l> •ve ~ot ment l~o:
5268 11/15/91 0001 01 02
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Apr I r -ue: 1. 1
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t1<i 672 0L'7
P es cted & Crerii ts
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.00
l L:. OD
10.00
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Fee" description Ext feE :::.>:lt.:1 -------------------~----------------~------Enter "Y" for Plumb t1g I,""Ssue FeP \
Each Plumbing Fixturt> or ~rar, >
A PLUMBING TOTAL
CITY OF CARLSBAD
1 ~.5
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
7. Sl Y
2. • 5 0
10,(,0
PERMIT APPLICATION PLAN CHECK NO.
City of carlsbad Building Departaent
2075 Las Palms De., caelsbad, CA 92009 (619) 438-1161
l!A. V PLAN CK DEPOSIT _______ _
l
l!ST. VAL
VAUD. BY __________ _
I. P£kMl I hPE
A . U COmmerc1al U New Building U l'enant Improvement
B -□ Industrial □ New Building D Tenant Improvement
C -U Residential □ Apartment □ Condo □ Single Family Dwelling □ Addition/ A1teration
□ Duplex □ Demolition □ Relocation U Mobile Home □ Electrical D Plumbing
D Mechanical □ Pool □ Spa D Retaining Wall D Solar □ Other
DATE
2. PROJECT INFORMATION FOR OFFICE USE ONLY
BuUdmg or Suite No.
o. mt o. ase o.
CHECK BEWW IF SOBMII 1£D:
□ 2 Energy Cales O 2 Structural Cales □ 2 Soils Report □ l Addressed Envelope
ASSESSOR'S PARCEi. EXISTING USE PROPOSED USE
NAME ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE
4. APPDCAN I
NAME
UCONIRXCIOk UAGENI FORtUNIRACIOR □OWNER □AGENI FOR OWNER
ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE
t..-t' ,,5 /., ,Ive 5. PROPEkh OWNlfit
~/,-r //,,,r;~
CITY C4'rfi6.,,,/ STATE ZIP CODE DAYTELEPHONE 67J-(7~;&7
NAME ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE
STATE UC.# UCENSE CIASS CITY BUSINESS UC. #
CITY STATE ZIP CODE DAY TELEPHONE STATE UC.#
7. WORRERS' WMPENSkliON
Workers' Compensation Oedarat1on: I hereby afiirm that I have a certificate of consent to self-msure issued by the Director of lndustnal
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
Ceruhcate of Exempbon: I certify that m the performance of the work for which this pernut 1s issued, I shall not employ any person m any manner
so as to become subject to the Workers' Compensation Laws of C'.alifomia.
SIGNATURE DATE
8. UWNrut-BOilDER DFl!OOlA:lluN
dwner-Builder Oeclarabon: I hereby affirm that I am exempt from the Contracto?s Lcense Law for the foilowmg 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 Ccxle: 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 Llcense Law).
□ I am exempt under Section ________ Business and Professions Code for this reason:
(Sec. 7031.S 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 [$500]).
SIGNATURE DATE
COMPLEIE IRIS SECIION FOR NON-RESIOENIIAL 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 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act?
□YES □NO Is che applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
CYES ONO
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, A FINALCER11FICATE OFoa:IJPANCYMAYNOT Bl! ISSUED AFil!RJULY I, 1989 UNIJ!SS THEAPPUCANT
HAS MET OR IS Ml!I!11NG THE REQUIREMENTS OF nm OFFICE OF EMERGENCY SERVICES AND THE AIR POIJ.IJ11ON WN11lOL DIS1lllCT.
9. WNSIR0CIJUN LENDING AGENCY
I hereby afhrm that there 1s a construction lending agency for the performance of the work for which this permit 1s issued (Sec 3097 OJ Civil Code).
LENDER'S NAME LENDER'S ADDRESS
IO. APPLICXNI OJtllFICA:tlON
I certify that I have read the appitcauon and state that the above mformatlon 1s correct. I agree to comply with all City ordmances and State laws
relating to building construction. I hereby authorize representatives of the City of C'.arlsbad to enter upon the above mentioned property for inspection
purposes. I AISO AGREE ID SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARISBAD AGAINST All. IJAIIIUl1ES, JUDGMENTS, CDSTS
AND EXPENSF.S WIDCH MAY IN ANY WAY NDUJE AGAINST SAID CITY IN WNSEQUENCE OF nm GRANTING OF 11IlS PERMIT.
OSHA: An OSHA permit is required for excavations over 5'0" 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 permit or if the building or work authorized by
such permit is suspended or abandoned at any time after the work is commenced for a pericxl of 180 days (Section 303(d) Uniform Building Code).
DATE: /l-11/-f/
YEU.OW: Applicant PINK: Fmance
City of Carlsbad
■=-1 1 11dllll·l•J§•61 Iii ,14 ,I I
DATE: 10/27/92
TO: HARRIS PETER M
2412 LA COSTA AV
CARLSBAD CA 92009
RE: BUILDING PERMIT EXPIRATION
PERMIT NUMBER: CB911547
ISSUE DATE: 11/15/91
LAST INSPECTION:
PLEASE CALL FOR AN INSPECTION
IF WORK IS COMPLETE
ADDRESS: 2412 LA COSTA AV
our records indicate that your building permit will expire by limitation
of time on 11/15/92.
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