HomeMy WebLinkAbout2710 Inverness Dr; ; CB931115; Permit. ,.
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CLEARA CE
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
PERMfT APPLICATION ~ ~
.City of Carlsbad Building Department EST. VAL ______________ _ 2075 Las Palmas Dr., Carlsbad, CA 92009 (6191 ,,a-1161 PLAN CK DEPOSIT, ____________ _
•VALID. BY _______________ _
1. PERMIT TYPE DATE _______________ _
A 0 COMMERCIAL TENANT IMPROVEME"-IT
8 0 INDUSTRIAL ONE.I 0TENMH IMPROVEMENT
-~SIDENTIAL 0APARTMENT 0COND0 ~NGLE FAMILY OIJELLING 0ADDJTION/ALTERATJON
DouPLEX 0DEMOLITION 0RELOCATIJ 0MOBILE HOME 0ELECTRICAL ~UMBING
0MECHANICAL 0PD0L 0SPA 0RETAINING WALL 0SOLAR OorHER
2. PROJECT INFORMATION PLAN CHECK No. F
AddcessoG-10 ~V€.AI\..U:5 <"J),Z.. • Building or Suite No.
Nearest Cross Streets
LEGAL DESCRIPTION Lot No. Subdivision Name/Number Unit No. Phase No.
CHECK BELOw IF SUBMITTED:
3.
4.
5.
7.
Q2 Energy Cales 02 Structural Cales
ASSESSOR'S PARCEL
bESCRlPI toN
BLOG. SO. FTG.
CONT~RS(!_N/. __ -f'
NAME :::J.l ~
D 2 Soi ls Repcrt D 1 Addressed Envelope
E)(ISTING USE PROPOSED USE
# OF STORIES
ADDRESS ~&7
CITY
SIGNATURE
STATEM
?'In.I'--
ZIP COOE Cl)J~/ DAY !ELEPHONE <5l.l)G::>-l./6Q>
~GENT FOR Qol.lNER /y~Ety)
Cl TY DAY TELEPHONE
NAME
CJ TY
SJGNATU Tl TLE DATE /0
OESIGNE ADDRESS
CI TY STATE ZIP CODE DAY TELEPHONE STATE LJC. #
Workers' Compensation Declaration: hereby affirm that have a certificate of consent to self-insure issued by the Director of Industrial Relations,
or a cert it icate of l.lorkers' C~nsat ion Insurance by an admitted insurer, or an exact copy or duplicate thereof certified by the Di rector of the
insurer ther filed .iith the Building Inspection Departmcr;it (Sectio~ ~b. C).
INSURANCE COMPA: Y • • -OLICY N6~ EXPIRATION DATE /-/ -~
emption: I certify that in the performance f the work for which this permi is Issued, I shall not employ any pers in any manner
subject to the Workers' Compensation Laws
SIG~ATURE DATE
8. OWNER-BUILDER DECLARATION
Owner-Builder Declaration: I hereby affirm that I ;im exempt from the Contractor·•s License Law for the following reason;
DJ as owner of the property or my employees with wages as their sole compensc1t1on, will do the worl< and the structure is not intended or offered for sa(e
(Sec. 7044, Business and Professions Code: The contr.ictor's License Law does not .ipply to an owner of property who builds or improves thereon,, and who
does such work himself or through his own employees, provided that such i~rovements 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.).
0 I, as owner of the property, am exclusively contracting with licensed contractors to con~truct 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)
ti censed pursuant to the Contractor's License Law).
D 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, corrrnencing 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 civi! penalty of not
more than five hundred dollars [$500]).
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
Is the applicant or future building occupant required to obtain a permit from the air pol(ution 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 schoo( site'
IF ANY OF THE ANSWERS ARE TES, A FINAL CERTIFICATE OF OCaJPANCY NAT NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS MET 0A: IS MEETING THE REQUIREMENTS
OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
9. CONSTRUCTION LEN~ING AGENCY
hereby affirm that there 1s 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 SIGNATURE
I certify that I have re;,d the application and state th;,t the above 1nlormat1on is correct. I ilgr·ee to co111ply with all City ord1nilnces and State laws re!ating
to building construction. J hereby authorize representatives of the City of Carlsbad to enter upon the ;:ibovc mentioned property for 111spection purpoc,e<;, I ALSO
AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARlSBAD AGAINST All LIABILITIES, JWGMENTS, COSTS AND EXPENSES \.iHICII MY IN ANY WAY ACCRUE AGAINST SAID
C!TY IN CONSEQUENCE or THE GRANTING or THIS PERMIT.
Every permit issued by the Building Offic1a( under the provisions of this Code <;h~ll expire by limitation and become null and void If the building
coorncnced w1th1n 180 days from the date of such permit or 1f the building or· work ,1uthor1zcd by such perm,t 1s suspended
coITTTienced for a period of 180 days (Section 303(d) Un1fon11 Building Code).
0 01.'NE~O~TRACTOR D BY PHONE
YELLOW: Applicant PINK: Finance
APPROVED BY: ---------
DA TL
CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT# CB931115 FOR 10/25/93' INSPECTOR AREA
PLANCK# CB931115
OCC GRP
DESCRIPTION: REPLACE QUEST WITH COPPER
TYPE: PLUM
JOB ADDRESS: 2710 INVERNESS DR
APPLICANT: TORREY PINES PLUMBING
CONTRACTOR:
OWNER:
REMARKS: RS
SPECIAL INSTRUCT:
TOTAL TIME:
CD LVL DESCRIPTION
24 PL Rough/Topout
STE:
CONSTR. TYPE NEW
LOT:
PHONE: 619 566-4533
PHONE:
PHONE: ~
INSPECTOR -+---..~----
ACT COMMENTS
fj£_ _____ _
***** INSPECTION HISTORY*****
DATE DESCRIPTION ACT INSP COMMENTS