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HomeMy WebLinkAbout2710 Inverness Dr; ; CB931115; Permit. ,. YI.' : t. J ! I I[ . ? I # EP:.A E l'E w ... '"". )Wn t < cifJ 4~ E 'I R JU i l ("• l i & ~ el: I u l • t ... Ext AL ./!it_ APPR Q'!M7 , /,,,, IN SP.r_:_ DA1Eh~ 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