HomeMy WebLinkAbout2425 LA COSTA AVE; ; CB940691; Permit07/18/94 09:59
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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\. .
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"'-"::-----== (. (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
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' 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