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HomeMy WebLinkAbout2539 EL GAVILAN CT; ; CB971484; Permit..... T' ·-., ......,.lPPROVAl ~ ......... DATE 1/1461 CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PE..-ttMIT APPLICATION FOR OFFICE USE 0 ~ h '(' PLAN CHECK NO . I~( CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 EST. VAL. /t. Plan Ck. Deposit ~aoa v,1;dated__:ly 'f{_ J 1 Date ~ (_iJ 1. PROJECT INFORMATION J..53 o/ £L G4Vlt.,Av Cdt/&'[ Address (include Bldg/Suite #) /'J..S Business Name (at this address) eee1..stJ11 0 ..,-C(::Jt 7.3#;1.f Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units ;J...IS 5 35 d ~ &CJ /.10 />Je H P "1 c Proposed Use Assessor's Parcel # Existing Use IZGh?PVG tv.A,LL- Description of Work SQ. FT. #of Stories # of Bedrooms # of Bathrooms 2. CONTACT PERSON (If dlffM91lt from applicant) Name Address City State/Zip Telephone# Fax # 3. APPLICANT 0 Contractor O Agent for Contractor r/./Oe '-6 't :i.53'1 6''- ~wner O Agent for Owner C frVIL.A v G 7 CA-/.?£58,.,_!) CA 1~~L!f 43k:-#5.:3 6,{'AIIAM Name Address City State/Zip Telephone # 4. PROPERTY OWNER Name S/-re>? G- Address City State/Zip Telephone# 5. CONTRACTOR • COMPANY NAME (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, commending 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 eny applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($5001). Name Address City State/Zip Telephone# State License # ----------License Class ----------City Business License # -------- Designer Name Address City State/Zip Telephone State License # ---------- 6. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 0 I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My worker's compensation insurance carrier and policy number are: Insurance Company Policy No. Expiration Date _______ _ _ (TH~ SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) ~ CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage la unlawful. and shall subject an employer to criminal penalties and civil flna1 up to one hundred thousand dollars 00,000) I addition to the cost of com Ion, damages III provided for In Section 3706 of the labor code, Interest and attorney's fees. SIGNATURE ,<Z DATE 7. OWNER:JUILDER DECLARATION -====-=--=::=:==::_ h y affirm that I am exempt from the Contrac r's License Law for the following reason: 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 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). 0 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 l aw 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). 0 I am exempt under Section ------Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ONO 2. I (have I have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name I address I phone number I contractors license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name I address I phone number I contractors license number)=---------------------------------------------- 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone number I type ofwork): ___________ --:--r--r.~--,,-...,f"-----,..----------==-----------------------~ DATE fa -s -9' ·-;; 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? 0 YES O NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district ? 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site 7 0 YES O NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 8. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME ----------------LENDER'S ADDRESS ________________________ _ 9. APPLICANT CERTIFICATION I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the Citt of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS 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 w ork authorized by such permit is suspended or abandoned at any time after the w : ls~m~yor a period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE ~ #~~4 DATE (; --~ -f 2 WHITE: File PINK: Finance PERMIT# CB971484 DESCRIPTION: REMOVE CREATE CITY OF CARLSBAD INSPECTION REQUEST FOR 11/18/97 PORTION OF WALL TO INSPECTOR AREA TP PLANCK# CB971484 OCC GRP AN OPENING TYPE: MISC JOB ADDRESS: 2539 EL GAVILAN CT APPLICANT: THORLEY, GRAHAM CONTRACTOR: OWNER: REMARKS: C/GRAHAM/438-4433 SPECIAL INSTRUCT: TOTAL TIME: CD LVL DESCRIPTION 19 ST Final structural STE: CONSTR. TYPE NEW LOT: PHONE: 760 438-4433 PHONE: j/ PHONE: INSPECTOR~~'--~~~~~~~~- ACT COMMENTS .&.. ---------- ***** INSPECTION HISTORY***** DATE 071197 071197 071197 DESCRIPTION Final Structural Frame/Steel/Bolting/Welding Rough Electric ACT INSP NS TP AP TP AP TP COMMENTS MISSED All structure to be rer1ovecl is s ho.clecl in yellow All wo.ll s tuds t o be rer1 ovecl ore 2 x 6 Existing Footing F r o nt View Present Str ucture to b e secured to new 2 x 12's '----.a.'x9* '----7 'x6 *-------' 25 39 E l GQ vilQn Court CQrl s b Qd) CA 92 009 Re 01 o ving °' Be Qring WQll Outs icle of Unit 2 x 12's to be secured to outs icle wo.ll studs Existing Double Top Plo. tes 4 x 6 to be secured to outsicle wo.ll s tuds Existing Foot ing Cf_ Side V ie w NOTE: 4 x 6's to be secured to existing footing \ 7'-013/4' Existing Footing NE\v STRUCTURE ~-LJ.'x9• F ront Vi ew '-----7'x611·--- 2539 El G0 vil0n Court C0rlsb0d) CA 92009 Outs ide of Unit Existing Plo. tes Existing Footing Sid e View All structure to be rer.oved is sho.ded in yellow All wo.ll stud s to be r er.ov e d a.r e 2 x 6 Ex isting Footing EXISTING STRUCTURE F ro nt Vi e w 2539 E l Go_ vi l o_n Cou r t Co_rl s b o_c( C A 9200 9 Outside of Unit Exis ting Double Top Plo. tes Existing Footing ~ Sid e V ie w