HomeMy WebLinkAbout2412 LA COSTA AVE; ; CB920260; Permitlll/16/'-12 10:
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2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
PERMIT APPLICATION PLAN CHECK NO.
City of Carlsbad Building Departaent
2075 Las PalES Dr., Cerlsbad, CA 92009 (619) 438-1161
I. PRkMI I liPE
A-UCommerc1al □New Bu!Jdmg LI lenant Improvement
B -D Industrial □ New Building D Tenant Improvement
C -D Residential □ Apartment □ Condo □ Single Family Dwelling □ Addition/ A1teration
□ Duplex U Demolition U Relocation □ Mobile Home U Electrical □ Plumbing
U Mechanical O Pool □ Spa □ Retaining Wall □ Solar U Other
2. PR RMATION FOR OFFICE USE ONLY
mt o. ase o.
CHECK BEWW IF S0BMI 11£0:
□ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ I Add~ Envelope
ASSESSOR'S PARCEi. EXISTING USE
DSQE~ f·o~NOOFWORK Q,el t>IV j;',.1,1:-, ll6 vs., PBOPQSED USE
Vw. IT . .t; # OF STORIES
3. WN IAC J,~ (I( dnferent from applicant)
NAME ADDRESS
CflY STATE ZIP CODE DAY TELEPHONE
4. APPUCXNI
NAME
□WNIRACIOR □AGENI FURCONIRACIOk □OWNER □AGENI FOR OWNER
ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE
e , ll•rh°J ADDRESS 2'f /2 t, ~ ... ~ ,fy,e..
C .,,,-/s 1,,,,/ STATE <• DAY TELEPHONE o/ }6-/ 11,5
6. wN tRM;Iuk
NAME "7,
ZIP CODE 1Jt>I> 'f
ADDRESS
CITY STATE
STATE LIC. #
ZIP CODE
LICENSE CLASS
DAY TELEPHONE
CITY BUSINESS LIC. #
CITY STATE ZIP CODE DAY TELEPHONE STATE LIC. #
7. WOIUMts' WMPENSAIIUN
workers' compensat10n uec1arat1on: I hereby afhrm that I have a ceruhcate of consent to selt-msure issued by Che 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 POLICY NO. EXPIRATION DATE
Ceruhcate of Exemption: I certllY that m the performance of the work for whtch 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. UWNttil-BOllDitil DPl!OOlAliuN
Owner-Builder Declaration: I hereby affirm that I am exempt from the COntracto?s Llcense 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.).
D 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. 7031.5 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 Llcense 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 7031.5 by any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars [$5001).
SIGNATURE DATE
COMPLETE THIS Sf:CIION FOR NON-RESIDENTIAL BOIIDING PERMll'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
ls the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
CYES CNO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
□YES □NO
IF ANY OF TIIE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFI'ER.JULY 1, 1989 UNJJlSS TIIE APPIJCANT
HAS Mirr OR IS MEETING TIIE REQUIREMENTS OF nm OFFICI! OF EMERGENCY SERVICES AND TIIE AIR POillfl10N CDNTROL DISllUCT.
9. WNSIROCIIUN LENDING AGENCY
I hereby ahtrm that there ts a conscrucuon lendmg agency for the periormance of the work for which tfos permll 1s issued (Sec 3097(1) C1vU Code).
LENDER'S NAME LENDER'S ADDRESS
lo. XPPUCXNI CFJtliPICAIIUN
I certUY that I have read the apphcauon and state that the above mformat1on 1s correct. I agree to comply with ail City ordmances 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 Al.50 AGREE m SAVE INDEMNIFY AND KEEP HARMLESS TIIE CflY OF CARISBAD AGAINST All. LIABll1TIES, JUDGMENTS, CDSTS
AND EXPENSES WIIlCH MAY IN ANY WAY A£IlUIE AGAINST SAID QTY IN CDNSF.QUENCI! OF TIIE GRANTING OF TIIlS 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 period of 180 days (Section 303(d) Uniform Building Code).
DATE: ______ _
YEllOW: Applicant PINK: Fmance
City of Carlsbad
M :.Jllld 11,1· 1•14 ·61 ;;, ,i§ ,; I
DATE: 12/30/92
TO: HARRIS, PETER
2412 LA COSTA AV
CARLSBAD CA 92009
RE: BUILDING PERMIT EXPIRATION
PERMIT NUMBER: CB920260
ISSUE DATE: 03/06/92
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 01/04/93.
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
12/30/92 INSPECTION HISTORY LISTING
FOR PERMIT# CB920260
DATE INSPECTION TYPE INSP ACT COMMENTS
11/10/92 Final structural RI RI MH
11/10/92 Final Structural TP CA
07/08/92 Ftg/Foundation/Piers RI RI MH
07/08/92 Ftg/Foundation/Piers TP AP 5
07/08/92 Ftg/Foundation/Piers TP AP 5'TO DAYLITE DEPTHS(PIERS)
06/30/92 Ftg/Foundation/Piers RI RI MH
06/30/92 Ftg/Foundation/Piers TP co SEE NOTICE
06/30/92 Ftg/Foundation/Piers TP co SEE 6/29 INSP REC
06/30/92 Steel/Bond Beam TP co
06/26/92 Ftg/Foundation/Piers RI RI MH/
HIT <RETURN> TO CONTINUE ...
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