HomeMy WebLinkAbout2590 EL CAMINO REAL; ; CB940464; Permit06/02/94 16:08
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B U I L D I N G
REAL
P E R M I T
Suite:
Lot#:
Permit No: CB940464
Project No: A9400655
Development No:
Job Address: 2590 EL CAMINO
Permit Type: MISCELLANEOUS
Parcel No: 167-030-29-00
Valuation: 0
Construction Type: VN
Occupancy Group: Reference#: Status: ISSUED
04/26/94
06/02/94
MOP
Description: ADD SINKS,
: COOLER AND
WATER HEATER,
NON-BEARING WALL
Appl/Ownr : HUTCHINS, FRANK
4747 MORENA BLVD. #301
SAN DIEGO, CA. 92117
*** Fees Required
Fees:
Adjustments:
To tal Fees:
Fee description
Miscell aneous Fee #1
Miscellaneous Fee #2
Miscellaneous Fee #3
Miscellaneous Fee #4 * MISCELLANEOUS TOTAL
***
196.00
,00
196.00
***
Applied:
Apr/Issue:
619
Entered By:
274-5733
Fees Collected & Credits ***
Total Credits:
Total Payments:
Balance Due:
Units Fee/Unit
76.00
60.00
30.0 0
30 ,00
.00
.00
196.00
Ext fee Data
76.00 PLUMBING
60.00 ELECTRIC
30 .00 MECHANICAL
30.00 WALL
196.00
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
.
PERMIT APPLICATION e . . PLAN CHECK NO. qc{--l.{{pi
City of Carlsbad Bui ldire Department
2075 Las Palms Dr., tarlsbed, CA 92009 (619) 438·1161 FST.VAL. ___________ _
t. PERMIT TYPE
PLAN CK DEPOSIT _______ _
VAIJD.BY __________ ~
From List 1 (see back) give code of Pennie-Type:------------DATE·-------------~
For Residential Projects Only: From List 2 (see back) give
Code of Structure-Type:---------------------
Net Loss/Gain of Dwelling Units------------------
2. PRQJF.Cf INFORMATION FOR OFFICE USE ONLY
ntt o.
CHECK BEWW IF sOBMli IEb:
D 2 Energy calcs D 2 Structural calcs D 2 Soils Report D 1 Addressed Envelope
ASSESSOR'S PARCEL EXlS]JNGMSE PROPOSED USE
DESCfilPTIONOFWORK~/]1oL2Gl CbA/V l!f'd 4£ /..ICE D "jj/ZG
SQ. IT. # OF BEDROOMS # OF BATIIROOMS
NAME (last name first) ,/?1A"£.l /U ?e7JZ.o~~ ::5",VC.
Cl1Y 5,t-dt G-'/ ZIP CODE DAY TELEPHONE
NAME (last name
0
first) 5flclL, 0/? t:Js-mr'4-Jt.1,I ADDRESS
'A-A/c/bf STATE g/r ZIP CODE '9c,2,.it)_3
NAME (last name first) (!) W ;J 'fj(_
01Y STATE
ADDRESS
ZIP CODE DAY TELEPHONE
STATE UC.# UCENSE Cl.ASS Cl1Y BUSINESS UC. #
DESIGNER NAME (last name hrst) ADDRESS
CI1Y STATE ZIP CODE DAY TELEPHONE STATE UC. #
1. WoltJ<Eits' CDMPENsAifilN
Workers' Compensation beclarauon: I hereby allmn that I have a ceruhcate of consent to self-msure issued by the Director ol lnduscnal
Relations, or a certificate of Worke.rs' 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 ol Exempuon: I certify that tn the pertonnance of the work lor which this penn1t IS issued, I shall not employ any person m any manner
so as to become subject to the Workers' Compensation Laws of California.
SIGNATURE DATE
A. oWRER-BOfiDER oEClARA'MoR
D
D
Owner-Builder Deciarauon: I hereby afhnn that I am exempt from the ContracfoPs License Liw for the ioliowmg 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 pennit 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 refrom, and is for the alleged exemption. Any violation of Section 7031.5 by any applicant for a pennit
subjects the ap · ?:1civil th five hundred dollars [$500)).
SIGNATIJRE DATE ,,
e applicant or future building occupant required to submit a business plan, acutely hazardous materials r gistration fonn or risk management and
prevention program under Sections 255~, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act?
0 YES tiJ" NO
Is the applicant or future building occu.J)jM'!'t required to obtain a pennit from the air pollution control district or air quality management district?
0 YES a'°NO
Is the facility to be constructed within 1,900 feet of the outer boundary of a school site?
0 YES li'YNO
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF ~ANCY MAY Nar BE ll?SlJED AFlcR JULY 1, 1989 UNLESS 1llE APPUCANT
HAS MET OR IS MEETING nm REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVI~ AND 1llE AIR POll.UTION OONTROL DISl'RlCT.
9. WNSIROCl10N LENDlNG AGENCY
I hereby athnn that there IS a construction lendmg agency lor the pertonnance of the work for which this penn1t 1s issued (sec 3097(1) UVJl Code).
LENDER'S NAME LENDER'S ADDRESS
10. APPUCAN I CEltnFICXnON
I cerufy that I have read the apphcauon and state that the above tniormauon 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 Carlsbad to enter upon the above mentioned property for inspection
purposes. I ALSO AGREE ro SAVE INDEMNIFY AND KEEP HARMLF.SS nm CJ1Y OF CARIS8AD AGAINST AU. UABIIII1FS, JUDGMENTS, CDSTS
AND EXPENSES WI-DOI MAY IN ANY WAY ACX:RUE AGAINST SAID CJ1Y IN CDNSF.QUENCE OF THE GRANTING OF nDS PERMIT.
OSHA: An OSHA pennit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height.
PINK: Finance
l ~· CITY OF CARLSBAD
~ INSPECTION REQUEST
PERMIT# CB940464 FOR 08/15/94
DESCRIPTION: ADD SINKS, WATER HEATER,
COOLER AND NON-BEARING WALL
TYPE: MISC
REAL STE:
INSPECTOR AREA PY
PLANCK# CB940464
OCC GRP
CONSTR. TYPE VN
LOT: JOB ADDRESS: 2590 EL CAMINO
APPLICANT: HUTCHINS, FRANK
CONTRACTOR:
PHONE: 619 274-5733
PHONE:
OWNER:
REMARKS: RS/FRANK/434-4189
SPECIAL INSTRUCT:
TOTAL TIME:
--RELATED PERMITS-~
CD LVL DESCRIPTION
PERMIT# TYPE
WDP02112 WOP
CB940161 ITI
PHONE:
STATUS
ISSUED
ISSUED
ACT COMMENTS
19
29
ST Final Structural
PL Final Plumbing ~---
DATE
071594
070894
070894
070894
070594
061494
061494
061494
061494
060694
060694
***** INSPECTION HISTORY*****
DESCRIPTION
Rough Combo
Frame/Steel/Bolting/Welding
Rough/Topout
Rough Electric
Final Combo
Frame/Steel/Bolting/Welding
Rough/Topout
Rough/Ducts/Dampers
Rough Electric
Rough/Topout
Underground/Under Floor
ACT co
NR
NR
NR
NR
AP
NR
NR
AP
AP
AP
INSP
PK
PY
PY
PY
TP
PY
PY
PY
PY
PY
PY
COMMENTS
SEE NOTICE
HANDICAP INC/EXT LITING
OFFICE WALL ONLY
Consume~ Food Protection Plan Check
and ~construction Unit
Paid $400
Ck I 5215 PLAN CORRECTION SHEET
REMODEL OF Et/ El3939
EST. NAME _CAM--_I_NO--S-----------------------EST. TYPE
OFFICE USE ONLY
Remoc
SITE ADDRESS 259v ~~ Camino Real CITY Carlsb d ZIP )08-1201
rlin Petroleum Inc. PHONE 74-5733 --------------------------------------------------~ OWNER/BUILDER
MAILING ADDRESS 7 Morena Blvd Suit 301
GENERAL CONTRACTOR-----------------------------
P/U CONTACT rank Hutchins
PLANS: APPROVED/Dl-SAPPRE)VE[) PLAN CHECKER
(.Circle One)
Est.
PHONE
PHONE
CITY ZIPJ 17-3468
START DATE
74-5733 or site 434-l
Mo/Yr
DATE
(Signature)
RECHECK FEE REQUIRED: $ ______ __ Time--------RECHECK APPOINTMENT DATE
ENV. HEALTH OFFICE (S.D.)
1255 Imperial Ave.-3rd Flr.
San Diego, CA 92186
(619) 338-2222
DHS:EHS-886 (8/91)
EAST CO. ENV. HEALTH OFFICE
151 Van Houten Ave. Ste. B
El Cajon, CA 92020-4429
(619) 441-6666
SAN MARCOS OFFICE
338 Via Vera Cruz
San Marcos, CA 92069
( 619) 4 71-0730