HomeMy WebLinkAbout2678 OCEAN ST; ; CB901927; PermitB U I L D I N G P'E R MI T Permit No:••CB901927
12/11/90 15:15 - Project No: A9001393.
Page 1 of 1 1 . Development No:
Job Address: 2678 OCEAN ST A .Str: Fl: Ste
Permit Type: DEMOLITION PERMIT .. .
Parcel No: 203-141-09-00
Valuation: 0
Construction Type: .VN
Occupancy Group: . Class Code:. . -:Status: ISSUED
Description: 1375 SF DEMO DUPLEX . Applied: 12/11/90
Apr/Issue: . 12/11/90
Validated By: DC
Appl/Ownr : RETZ, GEORGE 619.729-8755 -
3821 EL CAMINO REAL
CARLSBAD, CA 92008 ----- . -.
OWNER :,I. J. GORDON' P /'\\ /:-Li2
6116)c
OWNER
CONTRACTOR :-.ANDERSON HOUSE ,MOVERS / C\123885 619-724-3447
692 BARSBYSTREET'\ -'J/ -
VISTA, CA' 9208
-
•
*** -Fees Required! *** . 4.* •.Fees ted & Credits
Fee------oo'
__
_________________ AdjUstments:' 1 \ .00
Total Fees ( ' 00 Payiients \ 00
Balanc Due - ' 00
Fee description i- ---' - Ext fee Data
vi"o,
Enter "1" for Bui lding Fee N -">\,ffl14' (QJ/J / . " -20
Enter "Y" for Plumbing Fee\'. 45i', / -
.10.50
\\loss t) /1
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1_ - •-'
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 (619) 438-1161
1. PERMIT TYPE I
A p CoMMERCIAL DNEW [-]TENANT IMPROVEMENT
B 0 INDUSTRIAL DNEW DTENANT IMPROVEMENT
C RESIDENTIAL DAPARTMENT DCONDO DSINGLE FAMILY DWELLING DADDITION/ALTERATION
DOUPLEX KDEMOLITION DRELOCATION [-]MOBILE HOME DELECTRICAL []PLUMBING
DMECHANICAL DPOOL DSPA DRETAINING WALL DSOLAR D0TR,
------ nfl- F
VAL
I
PLAN CK DEPOSIT
VALID. BY
DATE
Nearest Cross Streets
fl2 Energy Calcs 02 Structural Cates 2 Soils Report Ui Addressed Envelope
ASSESSOR'S PARCEL ' I. I & OV9 EXISTING USE --
PROPOSED USE
Qo.A.o 4Le1r Qt-t(
ADDRESS '$( C( 1PAC9 42LP
STATE ZIP CODE DAY TELEPHONE '1:24q •
BLDG. SO. FIG.
CONTACT PERSON
NAME evemspe, 00M
CITY
SIGNATURE —
A OF STORIES
APPLICANT OCONTRACTOR DAGENT FOR CONTRACTOR DOWNER DAGENT FOR OWNER
NAME ,
ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE
PROPERTY QWNER NE DLESSEE [:)TENANT
, m), 7t2t't4 ADDRESS ( 4't
CITY tio C1 STATE 'ZI P CODE DAY TELEPHONE 41 1 Q" "f'3
CONTRACTOR
NAME ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE
STATE LIC. #_/iZt''5'' LICENSE CLASS CITY BUSINESS LIC. #
SIGNATURE /41JaD0A/ 1OVS-1 4VUC.i TITLE DATE
DESIGNER NAME ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE STATE LIC. A
WORKERS' COMPENSATION Workers' Compensation Declaration: 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' Compensation Insurance by an ac*iiitted 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
Certificate of Exemption: I certify that in the performance of the work for which 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
OWNER-BUILDER DECLARATION
Owner -Builder Declaration: I hereby affirm that I am exempt from the Contractors License Law for the following reason:
0 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 Contractors 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.).
o 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).
0 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 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 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 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 IS5001 I.
SIGNATURE DATE
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY:
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention
program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act?
DYES ONO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
DYES ONO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
DYES ONO
IF AllY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1, 1989 IMLESS THE APPLICANT HAS PET OR IS MEETING THE REQUIREMENTS
OF THE OFFICE OF EMERGENCY SERVICES AIAJ THE AIR POLLUTION CONTROL DISTRICT.
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 30970) Civil Code).
CIflflF5't WAMF LENDER'S ADDRESS
10. APPLICANT'S SIGNATURE I certify that I have read the application and state that the above information is correct. I agree to comply with all City ordinances 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 TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JIAJOMENTS, COSTS AND EXPENSES WHICH MY IN ANY WAY ACCRUE AGAINST SAID
CITY IN CONSEQUENCE 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 building
or 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 suspended
or abandoned at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code).
APPLI DOWNER DCONTRACTOR 0 B PHONE APPROVED BY:
DATE:
WHITE: File YELLOW: Applicant PINK: Finance
V Ila AU 7337 TRADE STREET, ROOM 5460
1 FA&V SAN DIEGO, CALIFORNIA 92121
Notice of Service Discontinuance
PERMIT DEPARTMENT -
CITY OR COUNTY OF j /-'Th Li , L ( i
TELEPHONE SERVICE TO:
Eic7g 31
ADDRESS
WILL BE DISCONTINUED, AND ALL SERVICE LINES WILL BE REMOVED
BY /1 / 1
DATE
THIS BUILDING CAN BE MOVED OR RAZED AFTER THE ABOVE DATE.,
, /
PACIFIC BELL!
BY_____________________
DATE__________________
TELCO 213
TELEPHONE__________________
HE SAN DIEGO GAS & ELECTR1C
P.O. BOX 1831. SAN DIEGO. CALIFORNIA 92112
Notice of Service Discontinuance
PERMIT DEPARTMENT
CITY OR COUNTY OF
ELECTRIC AND/OR GAS SERVICE TO -
70 4 OcsZ c,
ADDRESS
WILL BE DISCONTINUED, AND ALL SERVICE LINES WILL BE REMOVED
BY_________________
DATE
THIS BUILDING CAN BE MOVED OR RAZED AFTER THE ABOVE DATE.
SAN DIEGO GAS & ELECTRIC
BY____________
DATE___________
FORM 106-2152A TELEPHONE /ôt:::1-7651 ç/
.
BUILDING PERMIT APPLICATION 0 10
929~ ity of CARLSBAD, CALIFORNIA
Applicant to complete numbered spaces only. OCT -8-70 5!!!0
JOB ADDRESS
eq 7I (000 Q i
LEGAL I DESCR.
LOT NO.LK I
TRACT
(SEE ATTACHED SHEET) .rj!
OWNER MA L ADDR
2
ZIP PHONE
DRESS aTRN
Z f "
R
6t4't4
PHONE LICENSE NO.
CHITECT OR DESIGNER MAIL ADDRESS
4 -.------
PHONE LICENSE NO.
' .- ENGINEER MAIL ADDRESS
5—
PHONE LICENSE NO.
LENDER MAIL ADDRESS
6
BRANCH
USE OF BUILDING
a0&'t "'L n4
B Class ofwork: 11 NEW 13 ADDITION DALTERATION AIR 0 MOVE 0 REMOVE
9 Describe work: •
10 Change of use from
Change of use to
— —
11 Valuation of work: $ 3 3 9 PLAN CHECK FEE PERMIT FEE / 8
SPECIAL CONDITIONS: Type of
Const. N Group
Occupancy
Division
_ Size of Bldg.
Tyotal) Sq. F
No. of
Stories
Max.
0cc. Load M?1)L
Fire
Zone
Use
Zone
Fire Sprinklers
Required Dyes DNo APPLICATION ACCEPTED BY: 919~;F No. of
Dwelling Units
OFFSTREET PARKING SPACES:
Covered Uncovered
NOTICE
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB.
ING. HEATING, VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-
MENCED.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR-LOCAL LAW REGULATING CONSTRUCTION PERFORM-2-1 OF CONSTRUCTION.
? Is /V7o 4 Ø
Special Approvals - Required Received *Not Required
ZONING
HEALTH DEPT.
FIRE DEPT.
SOIL REPORT
OTHER (Specify)
RjrOF CONTRACTOR OR AUTbRIZEO AGENT
;7 ___
SIGNATURE _OF_ OWNER _(IF _OWNER _BUILDER) (DATE)
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
Form 100.1 9-69 REORDER FROM: INTERNATIONAL CONFERENCE OF BUILDING OFFICIALS 41 5050. LOS ROBLES 0 PASADENA, CALIFORNIA 91101
INSPECTION RECORD
DATE REMARKS - INSPECTOR
FOUNDATIONS:
TRENCH
REINFORCING
FOUNDATION WALL&
WEATHER PROOFING
CONCRETE SLAB -
FRAMING
INT. _LATHING _OR_DRYWALL
EXT. LATHING
MASONRY - - -
FINAL
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.