HomeMy WebLinkAbout2709 OBELISCO CT; ; CB931205; PermitC·!}-Ylf . •
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CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
Pf::R.Mrr APPLICATION
City of carlsbad Building Depert111ent
PI.AN GIECK NO. 1
2075 Las Palms Dr., carlsbad, CA 92009 (619) 438-1161
1. PIDlMl I IYPF:
A -D Commemal O New Building D Tenant Improvement
B -D Industrial D New Building D Tenant Improvement
C -JI Residential D Apartment D Condo El Single Family Dwelling J8f Addition/ Alteration
0 Duplex O Demolition O Relocation O Mobile Home O Electrical O Plumbing
C Mechanical O Pool O Spa O Retaining Wall O Solar O Other ____ _
2. PRQJECT INllQRMATION FOR OFFICE USE ONLY
Address Bu1idmg or Suite No.
1"2...700) Of3EL1Sc...o c.f. CA.a.L~F;,l:1.0
Nearest Cross Street ~ A
LEGAL DESCRIPTION Lot No. Subd1vis1on Name/Number Unit No. Phase No.
S°> I
CHECK BEIDW IF sOSMII IED:
L 6 CO<;,,D M ~\')OvJS ~
D 2 Energy Cales D 2 Structural Cales D 2 Soils Report D l Addressed Envelope
ASSESSOR'S PARCEL PROPOSED USE DESCRIPTION OF WORK
# OF STORIES
1 1 eren
NAME t2A.L-,?~ Vl:i\..E~ ADDRESS <?481 t..t...\Ltr l!,AC..l) DVL
c 1TY Sru-J f) 1 ~o STATE C.A ZIP CODE 'f '"Z.11 q DAY TELEPHONE 4~0 ~,3 4--Z.. l
4. APPUCAN"t LI CON I RAC! OR DACENI l·OltCONIRACIOR OOWNER OACENI FOROWNEH
NAME ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE
S. PROP£RIY OWN£R
NAME ~~ ~.._, D6(2.<50,J ADDRESS ,Z. 1 cP)
ZIP CODE 9 WOJ
0 b GL...1 '5C.,O c.. 1"",
STATE C...11 DAY TELEPHONE ?~
6. OOR'l'ltAC'lolt
NAME ADDRESS
ZIP CODE CITY STATE DAY TELEPHONE
STATE UC.# LICENSE CLASS CITY BUSINESS UC. # DESIGN£R NAME ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE STATE LJC. #
1. WORJMtS' OOMP£NSAl10N
Workers' Compensauon Deciaralmn: I hereby allirm that I have a cen1hca1e ol consent to sell-insure issued by lhe Director of industrial
Relations, or a cenificate of Workers' Compensation Insurance by an admined 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
D
D
Cen111cate of Exempuon: I cerufy that m the perlormancc of ihe work for which ih1s permu 1s issued, I shall nol employ any person in any manner
so as to become subject to the Workers' Compensation Laws of California.
ere ya 1rm t at am exempt rom w or t e o owing reason:
I, as owner of the property or my employees with wages as their sole compensation, will do lhe work and the structure is nor intended or
offered for sale (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 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 lhat 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 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).
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 ro the
provisions of the Contractor's License Law (Chapter 9, commencing wilh Section 7000 of Division 3 of the Business and Professions Code)
or that he is exempt therefrom, and the basis for lhe 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 [$500)). 51~~~ ~DENTIAt BUILDING PERMITS ONLY: DATE tJOJ 4-I qq?
Is lhe 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 lhe Presley-Tanner Hazardous Substance Account Act?
D YES D NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
D YES D NO
ls the fac.ility to be constructed within 1,000 feet of the outer boundary of a school site?
C YES D NO
IF ANY OF TI-IE ANSWERS ARE YES, A FINAL CERTIJ,lCATE OF ocnJPANCY MAY NCYf BE ISSUED AFir:R JULY 1, 1989 UNLF.SS 1HE APPUCANT
HAS MET OR IS MEEllNG TIIE REQUIREMENTS OF TIIE OFFICE OF EMERGENCY SERVI~ AND nm AIR POl.llITlON CDNTROL DISJ'RlCT.
9. OONSI ROCl10N illNDCNC .At:£NCV
I hereby all,rm iliac there 1s a construcuon lending agency lor 1he performance of the work for which this permit 1s issued (Sec 3097(1) Civil Code).
LENDER'S NAME tJ/A LENDER'S ADDRESS
1 o. AJlpUCAN'f c£1nU'lcA11oR
I cerufy ihat I have read ihe apphcauon and state that the above iniormauon 1s correct. I agree to comply with all City ordinances and State laws
relating 10 building construction. I hereby authorize representatives of the City of Carlsbad co enter upon the above mentioned property for inspection
purposes. I ALSO AGREE TO SAVE INDEMNilY AND KEEP HARMLF.SS TI-IE CTIY OF CARISBAD AGAINST AIL UABIUilES, JUDGMENTS, CXlSTS
AND EXPENSES WHIOI MAY IN ANY WAY NXRUE AGAINST SAID CITY IN CDNSF.QUENCE OF TIIE GRANTING OF nos PERMIT.
OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height.
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 365 days from the date of such permit or if lhe 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).
APPLICANT'S SIG~ ~
DATE: tJOJ l'.\ l q q 2y
WHITE: File YELLOW: Applicant PINK: Finance
.,
• 4
PERMIT# CB931205
DESCRIPTION: CONVERT CLOSET TO
TYPE: PLUM
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 11/24/93
BATHROOM
INSPECTOR AREA TP
PLANCK# CB931205
OCC GRP
JOB ADDRESS: 2709
APPLICANT: ANDERSON,
CONTRACTOR:
OBELISCO CT
ROGER
STE:
CONSTR. TYPE NEW
LOT:
PHONE: 619 460-3427
OWNER:
REMARKS: RS/ANDERSON/460-3427
SPECIAL INSTRUCT:
TOTAL TIME:
CD LVL DESCRIPTION
34 EL Rough Electric
PHONE: _,,/
p::::~CTOR ~-~~~~-'~~~~~~-
ACT COMMENTS
***** INSPECTION HISTORY*****
DATE
111293
110993
DESCRIPTION
Rough/Topout
Rough/Topout
ACT INSP
CO TP
NR TP
COMMENTS
SEE CALL SLIP
NO RESPONSE
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