HomeMy WebLinkAbout2605 MADISON ST; ; CB920801; Permit...
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2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
PERMIT APJ!UCATION PLAN CHECK NO.
City of Carlsbad Building Departaent
2075 Las Pal..,s Dr., Carlsbad, CA 92009 (619) 438-1161
I. P£kMi I iiPE
A -U COrnmerc1al U New Butldmg Li lenant Improvement
B -□ Industrial □ New Building D Tenant Improvement
C -)Qlesidential □ Apartment □ Condo D Single Family Dwelling O("Addition/ Alteration
□ Duplex □ Demolition □ Relocation □ Mobile Home □ Electrical □ Plumbing
U Mechanical □ Pool □ Spa D Retaining Wall D Solar □ Other
2. PRClJECT INFORMATION FOR OFFICE USE ONLY
Address '2,"0S' ;tlJifl>iJfrl JJvl,. BuUdmg or Smte No.
Nearest Cross Street lll-/il/Al/'J
LEGAL DESCRIPIION Lot No. Subd1V1s1on Name/Number Omt No. Phase No.
CHECK BEWW iF S0BMII IED:
□ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope
rom app 1can
NAME ADDRESS
CITY STA TE ZIP CODE DAY TELEPHONE
4. AYt'UU\Nl ,xtccJNikACIOR □AGENI FORWNIRACIUR UUWNtH DXGENJ FOR OWNER
NAME lt>t,,,L 4>,,;s,-r,c. Ca ADDRESS ,i9:,7 ,AA"H:>,'.JM 4,rc., il/6 /
CITY t:,,.,,.,,e,t,S, STATE Uf, ZIP CODE '1U4t' DAY TELEPHONE r,l,3,}--tJ1',7t)
S. :~£k_D'2~% /U4/UA/O ADDRESS t,(,,O:, ,,,,.lf"PtJn, ,l}-,/C.,
CITY ~ STATEL.-:1 ZIPCODE CJ~tr DAYTELEPHONE 7,t?-/J'Zz
NAME / Pr 19 t,.. c .. ,,,., I.,, t.c,, ADDRESS ,Z9'~ /1,llf;t>r.JA-, ,(h,,t, 't'14'/
c1TY c~ STATE C4. z1p CODE 9z;1Y DAY TELEPHONE <i1.zJ--,~7v
STATE UC. # JfJ-Z/1/' LICENSE CIASS J5-/ CITY BUSINESS UC.#
CITY STATE ZIP CODE DAY TELEPHONE STATE UC.#
7. WORkERS' WMPRNSAliON
□
□
□
Workers' Compensation Uedarat1on: I hereby afi1rm that I have a cert1hcate of consent to self-msure issued by the Director of lndustnal
Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer1 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).
~ /4n;
DATE
0Wner-Bu1lder beclarahon: I hereby affirm that I am exempt from the COntracto?s license Law for the followmg 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 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.),
I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions
Ccxle: 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 Ccxle for this reason:
(Sec. 7031 .5 Business and Professions Ccxle: Any City or County which requires a pennit to construct, alter, improve, demolish, or repair
any structure, prior to its i~uance, also requires the applicant for such pennit 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 pennit
subjects the applicant to a civil penalty of not more than five hundred dollars [$5001).
SIGNATIJRE DAT!!
COMPLEIE IHIS SEGIION FOR NON-RESIDEN IIAL B0ILbING PERMil'S ONLY:
Is the applicant or future building occupanc required to submit a business plan, acucely hazardous materials regiscration fonn or risk management and
prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act?
□YES ONO
Is the applicant or future building occupant required to obtain a pennit from the air pollution control district or air quality management district?
CYES □NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
□YES ONO
IF ANY OF nm ANSWERS AIU! YES, A FINALCERTIFICATI! OFoa:IJPANCY MAY NOT Bl! ISSUIIDAFl1!RJIILY I, 1989 UNLESS nmAPPUCANT
HAS MET OR IS Ml!ETING nm REQUIREMENTS OF nm OFFICE OF l!MERGENCY SERVICES AND nm AIR POlllITION mNTROL DISTRICT.
9. WNSIRUCIIUN I.ENDING AGENCY
I hereby afhnn that there ts a construction lend mg agency for the performance of the work for which thts pennif 1s 1~ued (Sec 3097 (I) C1vU Code).
LENDER'S NAME LENDER"S ADDRESS
10_ APPIJCAN I CFJtliFICAlidN
I cerufy that I have read the appJJcat1on and state that the above mformauon 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= AGREE ID SAVE INDEMNIFY AND KEEP HARMIJlSS nm CflY OF CAIIL'iBAD AGAINST AU UABIU11F.S, JUDGMENTS,=
AND EXPENSES WIIlOI MAY IN ANY WAY N:X:RUE AGAINST SAID CflY IN WNSEQUENCE OF nm GRANTING OF TIIIS 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 pennit i~ued 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 pennit 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 time after the work is commenced for a period of 180 days (Section 303(d) Unifonn Building Ccxle).
APcr-,,•=•T IGNATIJRE DATE: J--/d)-9?,-
WHITE: File YEU.OW: App 1cant PINK: Fmance
PERMIT# CB920801
DESCRIPTION: WOOD COVER WITH
ICBO 3421P
TYPE: PATIO
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 07/12/93
ENCLOSURE
740SF
JOB ADDRESS: 2605 MADISON ST
APPLICANT: IDEAL CONSTRUCTION CO
CONTRACTOR:
PHONE:
PHONE:
STE:
438 0470
INSPECTOR AREA PY
PLANCK# CB920801
OCC GRP
CONSTR. TYPE NEW
LOT:
OWNER:
REMARKS: MH/MARY
SPECIAL INSTRUCT: OUTLET COVERED
PHONE:
INSPECTOR -4'11"-~~~,--------
TOTAL TIME:
CD
19
LVL DESCRIPTION
ST Final structural
ACT COMMENTS
Af ______ _
***** INSPECTION HISTORY*****
DATE
012793
012693
012693
012593
012593
012093
120292
120292
111292
092292
092292
091892
091792
081492
DESCRIPTION
Rough Combo
Final structural
Final Electrical
Final Structural
Final Electrical
Final structural
Exterior Lath/Drywall
Final Structural
Final Structural
Roof/Reroof
Frame/Steel/Bolting/Welding
Final structural
Roof/Reroof
Ftg/Foundation/Piers
ACT INSP
AP PY
CA PY
CA PY
NR PY
NR PY
CO PY
CO PY
CO PY
CO PY
AP PY
AP PY
CA PY
PA PY
AP PK
COMMENTS
ND OUTLET COVER
NOT READY
SEE INSP NOTES
SEE INSP NOTES
FINISH STUCCO AT CEILING
RN NLNG OK/ND SEE FLSH@ EXIS