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Home My WebLink About2637 OBELISCO PL; ; CB921096; PermitPermit No: CB921096 Project No: A9202256 Development No: BUILDING PERMIT iU/lj/yz 14:22 Page 1 of 1 Job Address: 2637 OBELISCO PL Suite: Permit Type: MISCELLANEOUS Parcel No: 215-460-22-00 Lot#: Valuation: 0 Construction Type: NEW Occupancy Group: R-3 Reference#: Status: ISSUED Description: 50SF CLOSET,BIDET,PLANTERS Applied: : CLOSE DOOR,ADD FIREPLACE ALL INSIDE BLDG Apr/Issue: 10/13/92 Validated By: MDP Appl/Ownr : WITHERALL, MARK 619 931-1317 7172 OBELISCO CIRCLE CARLSBAD *** Fees Required Fees: Adjustments: Total Fees; Fee description Miscellaneous Fee Miscellaneous Fee Miscellaneous Fee Miscellaneous Fee * MISCELLANEOUS TO 9683 10/13/92 0001 01 02 C-PRffT 128-00 Credi ts A A A /f . 00 . 00 128 . 00 Ext fee Data 52.00 PC / BP 32.00 PLUMBING 20.00 ELEC. 24.00 MECH. 128.00 L APPROVAL INSP. /i/ DATP CLEARANCE CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPUCAnON City of Carlsbad Building Departnent 2075 Las Palms Dr., Carlsbad, CA 92009 (619) 438-1161 I. FfcllMII I'YFfc; A • U Commercial □ New Building □ Tenant Improvemeni B - □ Industrial □ New Building □ Tenant Improvement C-BJlesidentiat □Apartment DCondo □ Single Family Dwelling □ Addition/Alteration □ Duplex □Demolition □Relocation □Mobile Home □Electrical □ Plumbing □ Mechanical OPoot □ Spa □ Retaining Wall □Solar □Other 2. PROJECT INFORMATION PLAN CHECK NO. *^2 - ( 0 7 ^ EST. VAL PLAN CK DEPOSIT,VALID. BY ~ DATE FOR OFFICE USE ONLYAddress 2<i'^r /Cl^ Nearest Cross Street Buiidmg or Suite No. LECAL DEiiilRlPTION Lot No. Subdivision Name/Number CHECK UELUW IF yUBMl'lTEU: □ 2 Energy Calcs □ 2 Structural Gales □ 2 Soils Report □ 1 Addressed Envelope Unit No.Phase No. ASSESSOR'S PARCEL 2/r -EXISTING USF., , ^ PROPOSED USEC A ^ ^ & I ^ Y , C Cost,DESCRIPTION OF WORK SQ. FT./ # OF STORIES O&ofi-^ -F.flcpicae AU cA R\■i. OUN'l'AL'i' PEHSUN (it diHerent trom applicant) • ^ , —7^ NAME ADDRESS 7/'72 aiT STATE ^ ZIP CODE DAY TELEPHONE fJ/'/J/T' A. APPUCAN'l" iamNTRALTUR NAME CITY UAliENT FOR (JUN'IRACIUK ADDRESS STATE ZIP CODE □ OWNER—U AGENT FOR OWNER DAY TELEPHONE 5. PROPER'JV OWNERNAME 2^^'^ CITY STATE 6. OON'lltAL'lUR ADDRESS 7 7 ZIP CODE DAY TELEPHONE f 7 7-/ 77 ^ NAME QTY STATE ADDRESS ZIP CODE DAY TELEPHONE STATE UC. # UESIGNEH NAME UCENSE CLASS AUUHESS CITY BUSINESS UC. # CITY 7. W01U(EHN'OUMPENEA'nON STATE ZIP CODE DAY TELEPHONE STATE UC. # Workers'Compensation Declaraiion: I hereby aJlirm that I have a certificate ot consent to selt-lnsure issued by the Director of IndustrialRelations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certifiedby the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C). INSURANCE COMPANY POUCY NO. EXPIRATION DATECJeruticate ot Exemption: 1 ceriity that in the pertormance of the work lor which this permit is issued, I shall not employ any person in any mannerso as to become subject to the Workers' Compensation Laws of California. SIGNATURE fl. OWWER-BIiimRR DBUARATON DATE Owner-fiuilder Declaration: I hereby altirm that I am exempt Irom the Contracioi's License Law for the tollowing reason: 1, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended oroffered for sale (Sec. 7044, Business and Professions Code: The Contractor's Ucense Law does not apply to an owner of property who buildsor improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intendedor 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.}. 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and ProfessionsCode: The Contractor's Ucense Law does not apply to an owner of property who builds or improves thereon, and contracts for such projectswith contractor(s) licensed pursuant to the Contractor's Ucense 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 permit to construct, alter, improve, demolish, or repairany structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to theprovisions of die Contractor's Ucense 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 SecUon 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]). SIGNATURE DATE COMPLETE THIfi FOR Nf)N-RESir>EN'nAL BUIlDtNC RFRMI'1'5 ONLY: Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management andprevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? □ YES □NOIs the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ YES □ NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ YES □ NO IF ANY OF THE ANSWFJIS ARE YVS, A FINAL GERTIFICATE OFOOaJPANCY MAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS MET OR IS MEEHING IHK RI-QUIREMENIS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 9. UUNS-mUCnON IJiNUINC AGENCYI hereby allinn that there is a con.struciion lending agency tor the perlormance ol the work tor which this permit is issued (Sec 30y7(i) Cm! Code). LENDER'S NAME 10. APPUCAN'l' CER'ni'lGA'nON LENDER'S ADDRESS J certify that 1 have read the application and state itiat the above inlormaiion is correct. 1 agree to comply with all City ordinances and State lawsrelating to building construction. I hereby authorize representatives of the City of Carlslad to enter upon the above mentioned property for inspectionpurposes. I AI.SO AGREE TO SAVE INDFMNIFY AND KEFJ> HARMIJSS THE CITY OF CARLSBAD AGAINST AIL LIABUmES, JUDGMENTS, COSTSAND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN OONSEQUFLICE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over S'O" deep and demolition or construction of structures over 3 stories in height. Expiration. Every permit issued by the Building Ofilcial under the provisions of this Code shall expire by limitation and become null and void if thebuilding or work authorized by such permit is not commenced within 365 days from the date of such permit or if the building or work authorized bysuch permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code). APPLICANTS SIGNATURE ^DATE: WHITE: File YELLOW: Applicant PINK: Finance CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB921096 FOR 11/16/92 DESCRIPTION: 50SF CLOSET,BIDET,PLANTERS CLOSE DOOR,ADDi FIREPLACE ALL INSIDE BLDG TYPE: MISC JOB ADDRESS: 2637 OBELISCO PL APPLICANT: WITHERALL, MARK PHONE: CONTRACTOR: PHONE: OWNER: PHONE: S 619 REMARKS: MH/RES SPECIAL INSTRUCT: TR: INSPECTOR AREA TP PLANCK# CB921096 OCC GRP R-3 C0NSTR. TYPE NEW STE; 931-1317 INSPECTOR TOTAL TIME: —RELATED PERMITS— CD 19 29 39 49 PERMIT# TYPE STATUS PE289068 GRADING ISSUED CB901186 POOL EXPIRED LVL DESCRIPTION ST Final Structural PL Final Plumbing EL Final Electrical ME Final Mechanical ACT COMMENTS ***** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP 111392 Final Combo CA TP 111292 Final Combo NS TP 110992 Final Combo NR PK 101692 Frame/Steel/Bolting/Welding AP TP 101692 Rough/Topout AP TP 101692 Service Change/Upgrade AP TP 101592 Frame/Steel/Bolting/Welding CO TP 101492 Frame/Steel/Bolting/Welding CO TP 101492 Rough/Topout AP TP 101492 Rough Electric NR TP 101492 Gas/Test/Repairs AP TP COMMENTS NO PLANS/RES FOR TP 11-10-92 CONF. SEE JOB CARD