HomeMy WebLinkAbout2626 MALLORCA PL; ; CB920625; PermitEU'IDIN
!lb/ b/4.,; ! :4l
c1 ~· 1 < f ...
I< b Al ire., : 2l 2h MALLURCA PL
P •rm1 t • ... yp0: PA'" I 1/ >E K
r l!CP1 Ne: l.1.t-lf<Q ... 7 (J'J
Vt.1lt.at1on: 2,:4 >
r on t nt t 1or. Tn:.e: NE-.W
J ·,up ncy br oup:
Descr1pt1on· lO X 11 PER SPE':'!:i
p E R M I r
,1 l t
>t #:
Pe ffil t N'i:
Pro r·t r~' Al
.)E'Velc ~>m n +-,J :
8262 06/26/92 0001 01 02 41 lj:)00 C-PRt1T 90-00
.:.> l +-t.. •
Apr , (l: ' ) 1--,
At r / ! . "ll ~ :
Vc1 1dcir ( '': Appl/Ownr MEANS, f'{ANDALL
1~.:-'-1 VIA Q.JIN'"c.,
OC'EANSI[,E, CA
61~ l40-19M8
(-E'f'S:
AdJu~tM€'nt.:
ota: fee$:
E-eP-ocsc:r::.pt::.or.
Bu11,3 nq PerMit
Plc1n C-heck
Strong Motion Fee
"-Bl'ILD.::NG T•JTA~. 0
CITY OF CARLSBAD
2075 Las Palrnas Dr., Carlsbad, CA 92009 (619) 438-1161
. (
• 1,,[l
90, \ I
E .. x t f ( c ! > +-1
,4.
. ( u
1 . l
9 ( • I
. --'".....__,.. ________ _ -•--"~----··-·---------------------
PERMIT APPLICATION ~ V
PLAN CHECK NO.
City of C8rlsbad Building Departllent
~.VAL dr C/) 2075 Las Pal..a Dr., carlsbad, CA 92009 (619) 438-1161
PIAN CK DEP06IT _______ _
VAIID. BY __________ _
I. PRkMII I YPE DATE
A -U COmmerc1al U New Butldmg u I enant Improvement
B -□ Ind~ □ New Building □ Tenant Improvement ___.--
C -~idential □ Apanment □ Condo □ Single Family Dwelling 91Gfciition/ A1teration
□ Duplex □ Demolition □ Relocation □ Mobile Home □ Electrical □ Plumbing
□ Mechanical □ Pool □ Spa □ Retaining Wall □ Solar □ Other
2. PRClJECf INFORMATION FOR OFFICE USE ONLY
1.2Tt i-1 ... ~ Butldmg or Suite No.
Nearest Cross Street
LEGAL DESCRil'i iuN Lot No. SufxhVIs1on Name/Number Omt No. Phase No.
CHECK BEWW IF SOBMI 11 ED:
□ 2 Energy C.alcs □ 2 Structural C.alcs □ 2 Soils Report □ 1 Addressed Envelope
EXISTING USE PROPQSED USE
3. WN J~PFJ<SON (II dnferenf from apphcant)
NAME ADDRESS
ZIP CODE CITY STATE DAY TELEPHONE
4. XPPLICAN I
NAME
UC0NIRACIOR OAGENI F0RLUNIRACIUR □OWNER UAGENI FOR OWNER
ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE
s. ~1}lN:1N~~ ADDRESS 2tf U, 1-'I, -I..W..()(l<-4-
ZIP CODE 9 2-Q::>?{ DAY TELEPHONE CITY ( ~.,., ,-, \2,,:,.,, STATE t....._,
6.wNI~
NAME \Zt.,...\1~ LL ,6. t-114,..i "> ADDRESS \it-'t, Vlt..~V\'4\"0
',\(JI.,, STATEC,.,...
STATE IJC. #
ZIP CODE '(,!o:,(, DAY TELEPHONE C(l.\,o' \ '(;,~t, -"'
IJCENSE CLASS (_,-2.1 CITY BUSINESS IJC. # ~
CITY STATE ZIP CODE DAY TELEPHONE STATE IJC. #
7. WOkkHllS' WMPRNSXIION
Workers• Compensation Declaration: I hereby afhrm that I have a certificate of consent to seif-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).
INSURANCE COMPANY POIJCY NO. EXPIRATION DATE
Cert1hcate of Exempuon: I certJfy that m the performance of the work for which this permit 1s issued, I shall not employ any person m any manner
so as to become subject to the Workers' Compensation Laws of California.
SIGNATURE DATE
8. OWNill-BOllDEk DFl!CAAXIKJN
Owner-Builder Oeclarat1on: I hereby afhnn that I am exempt from the COntractor's Llcense Law for the followmg reason:
D 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
Code: The Contractor's Llcense 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 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 Llcense Law (Chapter 9, commencing with Section 7000 of Division 3 of the Business and Professions Ccxle)
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]).
SIGNA111RE DATE
COMPLf:IE IHIS SEGIION FOR NON-RESIDENIIAL BUILDING PERMll'S 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?
□YES □NO Is the applicant or future building occupant required to obtain a permit 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 □ NO
IF ANY OF 1lIB ANSWERS ARE YES, A FINAi.CERTIFICATE OF oa:IJPANCY MAY Nill Bl! ISSUED AFI1!R..llfl.Y I, 1989 UNLESS 1lIB APPIJCANT
HAS MET OR IS MEIITING 1lIB REQllIREMENT5 OF 1lIB OFFICE OF EMERGENCY SERVICES AND 1lIB AIR POILUTION WN111.OL D1Sl111Cf.
9. WNSIROCIIUN mNDING AGENCY
I hereby affirm that there 1s a construction lendmg agency for the performance of the work for which this penn1t 1s issued (Sec 3097(1) Civil Code).
LENDER'S NAME LENDER'S ADDRESS
10. APPUCXN I CPJlliFICAliuN
I certify that I have read the apphcation and state that the above mformatmn 1s correct. I agree to comply with all C1fy ordinances and State laws
relating to buildin construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection
purposes. I m SAVE INDEMNIFY AND KEEP IIARMIBSS 1lIB CTIY OF CARlSBAD AGAINsr ALL LIABilITIES, JUDGMEN"I'S, CX>STS
AND EXPEN MAY IN ANY WAY ACCRUE AGAINST SAID CTIY IN WNSF.QIIENCE OF 1lIB GRANTING OF TIIlS Pl!RMIT.
it is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height.
nnit issued by the Building Official under the provisions of this Ccxle shall expire by limitation and become null and void if the
thorized by such pennit is not commenced within 365 days from the date of such pennit or if the building or work authorized by
nded or abandoned at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code).
DATE: _____ _
WHITE: File YEIJ.OW: Applicant PINK: Fmance
PERMIT# CB920625
DESCRIPTION: 30 X 11 PER SPECS
TYPE: PATIO
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 06/02/93
JOB ADDRESS: 2626 MALLORCA PL STE:
INSPECTOR AREA PY
PLANCK# CB920625
OCC GRP
CONSTR. TYPE NEW
LOT:
APPLICANT: MEANS, RANDALL
CONTRACTOR:
PHONE: 619 940-1988
OWNER:
REMARKS: MH/ANITA/436-1317
SPECIAL INSTRUCT:
TOTAL TIME:
~:~::: /J 11-: \. /J ;J
INSPECTOR~c.....-!;f--d'.e:..=...~'J-J,-f-~~""":c....-----
ACT COMMENTS CD
19
LVL DESCRIPTION
ST _F_i_n_a_1_s_t_r_u_c_t_u_r_a_1 _______ ~ frrJ ~
------------------
------------------
***** INSPECTION HISTORY*****
DATE DESCRIPTION ACT INSP COMMENTS