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HomeMy WebLinkAbout2624 OBELISCO PL; ; CB900373; Permit,« & PERMITBUILDING 03/05/90 11:52 Page 1 of 1 Job Address: 2624 OBELISCO PL Str Permit Type: RESIDENTAL ADDITION/ALTERATION Parcel No: Valuation: 1,000 Construction Type: NEW Occupancy Group: Class Code: Description: 80 SF SUN ROOM ICBO 3421P Permit No: CB900373 Project No: A9000472 Development No; Fl: Ste: ?787 .i3/05/-90 0001 01 (1^^1311 Status Applied Apr/Issue Validated By ISSUED 03/05/90 DC OWNER : MALEWIC2, T. J. AA* Fees Required aa* , \ Fees: 42.00 Adjustments: .00 Total Fees;42.00 Lie 619 931-0426 T J^es Collected & Credits AAA V. Fee description Building Permit Plan Check Strong Motion Fee A BUILDING TOTAL ii. Total Credits: 'otal Payments: Balance Due: Units Fee/Unit . 00 . 00 42,00 Ext fee Data 25.00 16.00 1 . 00 42.00 ^«AL>PfWAL INSP. CLEARANCE CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 PERMIT APPLICATION City of Carlsbad Building Department 2075 Las Palmas Dr., Carlsbad, CA 92009 (6i9) «8-n6i 1. Permit Type A • □commercial □ new □tenant ihprovememt B- □ industrial GnEH GTSNAHT ihprovement C - trfnESIDENTIAl GaPARTHEHT GCONDO GSINGLE fAMILT DWELLING ©<bOITION/ALT£RATIOH GouPLEx Gdemolition GRElocaiion □''MILE HOHE Gelectrical Gplumbing □ mechanical GPOOI- QsPA Gretaining wall GSOLAH Gother EST. VAL. PLMi CX DEPOSIT. VALID. BY DATE Address Nearest Cross Streets LEGAL DESCRIPTION Lot No. Subdivision l^me/Number ^ ^Unit No. Phase No. y CHECK BELOW IF SUBMITTED: n2 Enerqv Calcs n2 Structural Calcs ["12 Soils Report Gl Addressed Envelope ASSESSOR'S PARCEL ^7 C"- d EXISTING USE PROPOSED USE BESCRIPTION OF UORK ^ ^ BLDG. SO. FTC. # OF STORIES /C^ 3. Contact Person NAME CITY SIGNATURE ADDRESS 2IP CODE DAY TELEPHONE 4. APPLICANT ^ □contractorNAME y-. Jr, C.□ AGENT FOR CONTRACTOR ADDRESS STATE ZIP CODE ^OWNER □ AGENT FOR^NER O 9 DAT TELEPHONE 9 ^/ 5. PROPERTY OWNERNAME CT. CITY 4:?-^ ^ OWNER ADDRESS STATE ZIP CODE Glessee ^Gtenant ^^ 0*1 telephone 9 - 6. CONTRACTOR NAME CITY ADDRESS ZIP CODE DAY TELEPHONE STATE Lie. «LICENSE CLASS CITY BUSINESS Lie. # DES,G.E» «.Me ^ »»»ESS CITY C SIATP ZIP CODE ^ ^ OAT TELEPHONE TATE Lie. # 7. WORKERS' COMPENSATIONWorkers' Conpensation Oecleration: I hereby affirm that I have a certificate of consent to self-insure issued by the Director of Industrial Relations,or a certificate of Workers' Ccwpensation 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 3B00, Lab. C). INSURANCE COMPANY POLICY NO.EXPIRATION DATE Certificate of Exemption: 1 certify that in the pcrtormanee of the work for uhich 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. SIGNATURE DATE 8. OWNER-BUILDER DECLARATIONOwner-Builder Declaration: 1 hereby affirm that 1 am exempt from the Contractor's License Law for the following 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 sate(Sec. 70W, Business and Professions Code: The Contractor's License Law does not apply to an owner of prtperty who builds or improves thereon,, and whodoes such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the buildingor 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.). Q 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 704A, 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 Cwitrector's License Law). G I WK exempt under Section Business and Professions Code for this reason: (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 theContractor'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 permit subjects the applicant to a civil penalty of not more than five hundred dollars tS500]). Signature Date COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUflOING PERMITS ONLY: Is the applicant or future buildir>g occupant required to submit a business plan, acutely haiardous materials registration form or risk management and preventionprogram under Sections 25505, 25533 or 25536 of the Presley-Tanner Hazardous Substance Account Act? Gtes GhoIs the applicant or future building occupant required to obtain a permit from the air pollution control district or air t^ality management district? □ yes nNO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ yes Qno IF ANT Of ire ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCT MAY NOT BE ISSUED AFTER JULY 1. 1989 UNLESS THE APPLICANT HAS Mtl UK IS HbtllNG THE REOUIREMEHTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 9. 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 10. APPLICANT'S SIGNATUREI certify that 1 have read the application and state that the above information is correct. I agree to comply with all City ordinances and State laws relatingto building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned properly for inspection purposes. I ALSOAGREE TO SAVE INDEMNIFY AMD KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JtBGWMTS, COSTS AND EXPENSES WHICH MAT IN ANT WAY ACCRUE AGAINST SAID CITY IN COHSECXJENCE OF THE GRANTING OF THIS PERMIT. 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 buildingor work authorized by such permit is not commenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspendedor abandoned at any time after the work is conmcnced for a period of 180 days (Section 303(d) Uniform Building Code). APPLICANT'S SIGNAT,OWNER Q CONTRACTOR ^8* PHONE APPROl^O BY: DATE: ___ WHITE: File YELLOW: Applicant PINK: Finance DATE PERMIT # *^'^"373 UNSCHEDULED INSPECTION INSPECTOR JOB ADDRESS O n TIME ARRIVE:TIME LEAVE: CD LVL DESCRIPTION .£2_ ACT COMMENTS ■?/y/9 / a£L. f /?dolj ^ CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB900373 FOR 02/13/91 DESCRIPTION: 80 SF SUN ROOM ICBO 342IP TYPE: RAD JOB ADDRESS: 2624 OBELISCO PL APPLICANT: MALEWICZ, T. J. CONTRACTOR: OWNER: MALEWICZ, T. J. REMARKS: MH/931-0426 SPECIAL INSTRUCT: TOTAL TIME: —RELATED PERMITS—PERMIT# TYPE CB891424 RAD CB900896 RAD PHONE: PHONE: PHONE: INSPECTOR AREA TP PLANCK# CB900373 OCC GRP CONSTR. TYPE NEW STR: FL: STE: 619 931=0426 619 ^931-0 INSPECTOR STATUS ISSUED ISSUED CD 19 29 39 49 LVL DESCRIPTION ST Final Structural PL Final Plumbing EL Final Electrical ME Final Mechanical ACT COMMENTS Stj'Ay AdPrn n DATE DESCRIPTION ***** inspection HISTORY ***** ACT INSP comments