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HomeMy WebLinkAbout2425 LA COSTA AVE; ; CB940691; Permit07/18/94 09:59 Page 1 of 1 B U I L D I N G AV P E R M I T Suite : Lot#: Permit No: CB940691 Project No: A9400959 Development No: 7796 07/18/94 0001 01 C-PRHT 02 234-00 Job Address: 2425 LA COSTA Permit Type: MISCELLANEOUS Parcel No : 216-240-55-15 Valuation: 23 ,000 Construction Type: NEW Occupancy Group: Reference#: Status : ISSUED 06/06/94 07/18/94 DC Description: REPAIR FLOOR AND WALLS Appl/Ownr : TOTALCHECK 2382 CAMINO VIDA ROBLE CARLSBAD, CA 92009 *** Fees Required Fees: Adjustments: Total Fees : Fee description Miscellaneous Fee #1 Miscellaneous Fee #2 * MISCELLANEOUS TOTAL *** 386 .00 > > Applied: Apr/Issue: 619 Entered By: 722-4663 Fees Collected & Credits *** Total Cr edits : Total Payments : Balance Due: Units Fee/Unit 152 .00 234.00 .00 152.00 234 .00 Ext fee Data 152.00 PLANCHECK 234.00 BLDPERMIT 386.00 FINl\L APPROVAL INS .:t.d0 ,, r DATE ---------• CLEAKA CE ---+----I CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLlCATION PLAN CHECK NO. City of Carlsbad Building Department 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438~1161 EST.VAL I. PIDlMfi IYPE PIJ\N CK DEPOSIT VALID. BY />C DATE From Llst 1 (see back) give code of Permit-Type: ____________ _ --------------------------------------------------------- For Residential Projects Only: From Llst 2 (see back) give Code of Structure-Type: ______________________ _ Net Loss/Gain of Dwelling Units 2. PROJECT INFORMA110N FOR OFFICE USE ONLY Addre$ ;::;-/,·-; r-4 /i'i,t 1~Jl@g@}jMmgorSu~t~~: .--1 ,,--0_- Nearest Cross Street LEGAL DESCRIP I ION Subct1V1s10n Name/Number Linn No. D 2 Energy Cales □ 2 Structural Cales D 2 Soils Report □ I Addressed Envelope DESCRIPTION OF WORK -::\J ci_"/-✓ ,~-, -- .«"/_--fl.rj , 0 ( ,,~ ,,,,-.:(. -·c.· c:-·_,i/ SQ. FT. /' "'--' . ·' /'-. # OF STORIES 3. WN IACI PERSON (if duferent from appJlcanf) ADDRESS ,.._........ NAME (I, name first) CITI STATE ZIP CODE DAY TELEPHONE 4. APPllCAN I □ CON I llAC I OR NAME (last name first) DAGEN I FORCONIRACIOR ADDRESS DOWNER DAGEN I FOR OWNER CITI STATE ZIP CODE DAY TELEPHONE 5. PROPIDtlYOWNER ;/..; ./(, c(~:,,,:.;e-._ ;qc·..c-r.42::" -:: ....... :..,..<.c;, NAME (last name first) /." .,---ADDRESS "· -· Phase No. 0_ ::-4 C: <.: ,~ .. 2-_) -:'- # OF BAlHROOMS CITI ""' /2°_,,,,;) -1° µ_-:;_·,.,.~ STATE ._:-/-;f ZIP CODE y,:,_ 7 .::/ C.,. DAY TELEPHONE /t,...-_f-/, 7 6 wNf"IQ(cmR ,,, , /,S -: __ , ··" _ . -., NAME (last name first) / 'c,// , ....._ :.:"""\~) ADDRESS .::::'.; ) J <-' (.,,,_; , . ..,_I,.,, .. A,-:_, C CITY,..._ _7,:,.,/t._1 ,...-~~,..) STATE----<{ ZIPCODE ~,.:.~_-).:..,.~-DAYTELEPHONE -7·7 7 STATE UC. #72 }~'Cl/ LICENSE CLASS .:":7 CITI BUSINESS UC.# DESIGNER NAME (last name tu-st) ADDRESS CITI STATE ZIP CODE DAY TELEPHONE STATE !JC. # 7. womams UJMP£NSAi10N Workers; Compensation Declarauon: I hereby afhrm Lhat I have a cerlll1cate 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). POLICY NO. EXPIRATION DATE ,,-·. INSURANCE COMPANY Certificate of Exemption: I certify that m the performance of the work for which this permit 1s issued, I shall not employ any person many manner so as to ~me sub~_.:.ct to)~Workers' Compensation.,Law~ <;J.Califo~i~;...-~ SIGNATURE -+-·c.,"-<-i-:_-.,~· '.('7J?/DATE <.:.:C:-..-· . ~~~-,.-.,.. ~_ . ....__ 8. OWNER-BOll':om O£CWtA:i10N Owner-Bu!Jder Declarahon: I hereby afhrm that I am exempt from the Contractor's License Law for the foliowmg 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 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 pennit 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 7031.5 by any applicant for a pennit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]). SIGNATIJRE DATE CoMPLEI E IHIS SEGIION FOR NON-RESJDEN IIAL BUILDING PERMI IS ONLY: Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration fonn or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES □ NO Is the applicant or future building occupant required to obtain a pennit from the air pollution control district or air quality management district? □ YES □ NO Is the facility robe constructed within 1,000 feet of the outer boundary of a school site? □YES □NO IF ANY OF THE ANSWERS ARE YES, AFINAL CERTIFICATE OF OCCUPANCY MAY NOT BE J!iSUED AITERJULY 1, 1989 UNIESS 1HE APPIJCANT HAS MIT OR IS MEIITING TIIE REQUIREMENTS OF ll!E OFFICE OF EMERGENCY SERVICES AND TIIE AIR POIJ.UTION OONlROL DISlRICT. 9. WNSIROCIION O:Romc AGENCY I hereby afhnn that there 1s a construcuon lendmg agency for the perfonnance of the work for which this permit 1s issued (Sec 3097(1) CIVli Code). LENDER'S NAME LENDER'S ADDRESS 10. APPUCANI liRIIFICA.iiUN I certify that I have read the apphcatlon and state that the above mformat1on 1s 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 1U SAVE INDEMNIFY AND KEEP HARMLESS 1HE CTIY OF CARl.5IIAD AGAINSf AIL IJABillllES, JUDGMF.NTS, CDSfS AND EXPENSES wmrn MAY IN ANY WAY ACXJUJE AGAINSI" SAID CTIY IN OONSEQUENCE OF 1HE GRANTING OF 1105 PERMIT. OSHA: An OSHA pennit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Expiration. Every pcnnit 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 pennit or if the building or work authorized by such pennit is suspended or abandoned at any ~-~free~ worjus s.:ommenc~d for a-~~_of 1~-~~Q.a¥8 (Section 303(d) Unifonn Buildin~-~e);. __ , APPUCANT'S SIGNATURE ~ c: ... t. ..._ __ ~ .._ ~ -·~--__ ,......-r,7.-y: ~~-DATE: c:,.: -.., -.-<.. WJ--HTE;-File YELLOW: ~plicant Pl~ Fin;;;ce C, CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB940691 FOR 09/30/94 DESCRIPTION: REPAIR FLOOR AND WALLS TYPE: MISC JOB ADDRESS: 2425 LA COSTA AV APPLICANT: TOTALCHECK CONTRACTOR: OWNER: REMARKS: MW/HERB/722-4663 SPECIAL INSTRUCT: ANYTIME IN PM TOTAL TIME: PHONE: PHONE: PHONE: INSPECTOR AREA PY PLANCK# CB940691 OCC GRP CONSTR. TYPE NEW STE: LOT: 619 722-4663 CD LVL DESCRIPTION ACT COMMENTS 19 ST Final Structural ,/}r;J ___ E---- DATE 082994 082294 081694 080494 ***** INSPECTION HISTORY***** DESCRIPTION Grout Grout Ftg/Foundation/Piers Ftg/Foundation/Piers ACT INSP AP PY AP PY AP PY AP PY COMMENTS SHORING ONLY Th_._ \ ; "" ~ t-'u::> &:op:... { ~ C ~ p.e__~,n..:__, ~~c:.... -~ be.. UA.JDVL-klc...~ <.,s..)~~u-\- ADD a..e. SS l r--J 6. ~ z~ (>f2.-0 e,c.e_//V\. . \Ls,_ ,OL0~Ln...,~ Vl,<..,-..'.:,&~ S iG,......) +-L,__ 0-\5 l/\J ~ .• ·. 0 l 5 c \A < • t1A..eJL PJ C \cAJcJ , ... Ae~~ 1 •~ ~ ~ &:_..<.:l f''i...-~ (2.z yA\.{)..S. l S v~ \ 1"""' 1.--h.o A ....JO Do~ /\J6 + A-ODR.12 ~ ~ l tl rS'3 -\ ~ l P~~\: so l~ ~ - c:.: "'-"::-----== (. (jQ -..::::::--......,..,,____,, -----------------;_::,= -8-~"". l~ ...... ~ f?~ ~ ~ ~ q)-(ff7-✓~~ ~ 'N-olJ ,\5 /crV .,,. ' ' ·. . ' ESGIL CORPORATION 9320 CHESAPEAKE OR., SUITE 208 SAN DIEGO, CA 92123 (619) 56(>-I 4-68 Dl\TE: !!APPLICANT .JURISDICTION LJPL.?s:-:1 CHECKER [JFILC: COPY QU?S QDESIG:SER JURISDICTION: PLAN CHECK NO: C 6 ~ 4 -u 9 I SET: r PROJECT NA!1E : _ _,,SC"'---.._,z __ -S---'-"1""$uc.aa'luc,::-.... r--"', . .,_,)q,_,("'{--f/.;;;1c.cl"'pou_,__,_t.._,~ene.,,.L( __ D D D • D The plans transmitted herewith have been corrected ~"",!Jere necessary and substantially comply with t~e jurisdictio~•s building codes. The plans transmitted herewith will substantially comply with the jurisdic~ion's building codes when minor deficien- cies identified _____________ are resolved and checked by building department staff. The plans transmitted herewith have significant aericiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck. The check The plans plans are list transmitted herewith is for your infor~ation. are being held at Esgil Corp. until corrected submitted for recheck. The applicant's copy of the check list is enclosed for the jurisdiction to return to the applicant contact person. ■ The applicant's copy l±oq...";? H~b of the check list has been sent to: • Esgil staff did not advise the applicant contact person that plan check has been completed. D Esgil staff did advise applicant that the plan check been completed. Person contacted: ____________ _ has Date contacted: _________ Telephone: ________ _ 0 REMARKS: ---------------------------- By: Q,, ~~ Enclosures:_~l'...~~~~~~n'-""-b------- ESGIL CORPORATION {.,, I 1 Oc1-1 QPC ' ' f ,l 0 i .5 l r.il r,, 1 [t, l 171 f sl r;;-i q llil ~--~ ? \ ' --~- lt-1.--' /\ -"'7-c::.c...~T.-.. /...,1"1 I -, ~ ' f; # z;; 's ':>< ,~ ... , f,<.,/••, I "::,--i ~,,.__..,...s \0 ' - ~l,-,_ .. \ ~, .. 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""•-• C"b....,.,. ._ ·''7\'° ,z.L..0,-....., -· ,~ ( b,,, .._ .. , :J.1. rs ..... Lh ... ,,.,_ • ._, -..J ,L' O,'-, •"" ,:,c>$~ , ~-~ ,..,,, .. -~ "" . . -.J -- ,\~ ':>' \ I -:Fl • "'tZ I._ '?r, c.. >"-· ~-,-r \ ,,"'i'i7"" ~-" '--•-r~ @ I~ " ~"' ..... ,. ........ ,,. . ~ /4l <.~ .1 ~ , r,,...,..y,,<....,,-.t.... (~-'>.'\ _J • . ?t1>oc: .. """~'-,. . L \,,. •·-l ~ e.."' -:r,-. -.,,, . .,, .. ,.u ....,.. . ,_-r \. -(J:.l. I. --,c.-.l •· . /j ";,.._ .,.-,-: 7'.J ,,. ... ..;(. c..\...n, ,., . (j ~ ... -rr-,. I,.) • ' I;."-.1, ~.c,_,.,,, r. <......,.t:, ...... -... -'C:. Y.c.." ....,....,._,. ..... At~ <....., -..., u -_:..'n -\,f-V\ --~ a,, r. -.D\, .. A ...... ~ . ..J ' Jurisdiction C,< ls\q,,_d., Prepared by, ~'-0"'--VALUATION AND PLAN CHECK FEE □ Bldg, Dept, g/Esgil PLAN CHECK NO, c'..-8 "1 'f Cc':) I ( 1:) BUILDING ADDRESS ;, 4-, <:.-ft b,... Co ;-r,: aw;,, APPLICANT/CONTACT H. H:, BUILDING OCCUPANCY ..,.__3 lt-1, TYPE OF CONSTRUCTION BUILDING PORTION llY I!.elHIS 1\f{u\ ~ ~ :..,~tr.ri-C- r-,_f',-,.- Air Conditionin~ Co:nmercial Residential Res. or Comm. Fire S"Orinklers Total Value PHONE NO, 72..2 -?,fCalC'$ DESJGNER PHONE --~---- CONTRACTOR PHONE ------ VALUATION VALUE MULTJPLIER \o_"',..__:t I I @ . (a @ ' I _.;... d.3 ooo I Building Permit Fee $ _____________________ ,;;,_3~4~·=C>~--- Plan Che ck r ee___,S,,___ __________________ __,$'-_1-"?_2._, -'IO::;._ __ ------c D H Ht NT S1...: ......::"'c......!'-l,'-a.L..~µ......_ ______________________ _ SHEET-@ OF CD 12/87