HomeMy WebLinkAbout2732 LA COSTA AVE; ; CB910277; PermitB U I L D I N G P E R M I T Permit
Project
Development
No: CB'.310217
No: A910CJ 37
N0:
03/11/91 10:10
Page 1 of 1
Job Address: 2732 LA COSTA AV
Permit Type : RESIDENTAL ADD/ALT (UNDR $10K)
Parcel No: 216-280-17-00
Valuation: 6,000
Construction Type: VN
Occupancy Group: Class Code:
Description: RES. CARE FOR ELDERLY 6 PEOPLE
Appl/Ownr : BODJANAC, DUSANKA
3542 LUNETA LANE
FALLBROOK, CA 92008
I<** Fees Required
Fees:
Adjuetments :
Total Fees:
Fee description
Building Permit
Plan Check
Strong Motion Fee
* BUILDING TOTAL
***
1
Str:
619
Fl: Ste:
t: ?15 03 11 9 1
Status: .ISSUED
02/:9/91
03/11/<j1
Applied:
Apr/I,sue:
Validated By: DC
728-6096
~ lected & Credits
• (J ,)
r,o. OlJ
8 !'J. l, I)
it Ext fee ~dta
'r---------
81.00
SJ.GO
1. 0 O
135.00
FINAL APPROV
ft.!SP. s/;~/11 DATE /,, _ _, J 7 CLEARANCE _____ ,
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161
---------------------------
PERMIT APPLICATION ~ V
City of Carlsbad Building Department
EST. VAL. ____ t,~c.,..-/l:_:::i~~'---2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PLMI CK DEPOSJT, _____ _,,_sc.-0_=._ __ _
l.
A
B
C
2.
PERMIT TYPE
COMMERCIAL
INDUSTRIAL
0 RESIDENTIAL O APARTMENT
□DUPLEX □DEMOLITION
□MECHANICAL □POOL
TENANT IMPROVEMENT
□TENANT IMPROVEMENT
□CONDO □SINGLE FAMILY DWELLING □ADDITION/ALTERATION
□RELOCATION □MOBILE HOME □ELECTRICAL □PLUMBING
□SPA □RETAINING WALL □SOLAR OorHER
PROJECT INFORMATION PLAN CHECK No.
Address
VALID. BY, _______ 0;_«---____ _
om -----¥""'-Z-L/~g,,Yl:...L?-,1'-----
LE~L DESCRIPTION Lot No. Subdi~on Name/Ni.nt)er e,,r, I -,1,e Unit No. Phase No.
CHECK BELOW If SUBNITTED:
3.
4.
Q 2 Energy Ca lcs Q2 Structural Cales p2 Soils Repart 0 1 Adclressed Envelope
EXISTING USE
BLDG. SQ. FTG.
/I-OJ.(~ Po I!... ~ L..Di; e.L.:::J
# OF STORIES
CONTACT PERSON
NAME .1>U:B,+-A.J IC.A BaDJ",J,-1..} It-<!..
CITY ~(.,l &eeoolC STATE
SIGNATURE .t?l(J'(X,Ulo. ~od;~tif
APPLICANT □ CONTRACTOR □ AGE<T
NAME~ltS,.,,AJI::.,~ /f;O)>.:S+tvM,
CITY
ADDRESS
ZIP CODE
FOR CONTRACTOR
ADDRESS
ZIP CODE
!I OWNER
PROPOSED USE
"'-1 X .
0 AGENT FOR OWNER
DAY TELEPHONE
5. PROPERTY OWNER □LESSEE □TENANT
NAME eMArAJ l{./;il.. &o.l):5,4--AJ,4-e,
CITY ,C,4-Pt5.1?A:.D
ADDRESS
STATE (!...It• ZIP CODE DAY TELEPHONE
6. CONTRACTOR NAME
CI TY tJ () A) E
SIGNATURE
DESIGNER NAME
CITY
ADDRESS
STATE ZIP CODE
STATE LIC, # ____ _
STATE
LICENSE CLASS _____ _
TI HE
ADDRESS
ZIP CODE
DAY TELEPHONE
CITY BUSINESS LIC. # ________ _
DATE
DAY TELEPHONE STATE LIC. #
7. WORKERS' COMPENSATION
8.
\lorkers' Compensation Declaration: 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 admitted insurer, or an e11act copy or duplicate thereof certified by the Director of the
insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C),
INSURANCE C(»IIPANY POLICY NO. ElCPIRATION DATE
Certificate of E11~tion: I certify that in the performance of the work for which this permit is issued, I shall not ~loy 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: ! hereby affirm that I am e11empt from the Contractor's License Law for the following reason:
D I as owner of the property or my e,rployees 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 Contractor's License Law does not apply to an owner of property who builds or in,::,roves thereon,, and who
does such work himself or through his own employees, provided that such in-provements are not intended or offered for sale. If, however, the building
or improvement is sold within one year of c~letion, the owner-builder will have the blJrden of proving that he did not build or improve for the purpose
of sale.).
D I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7D44, 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 exerrpt 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, conmencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is e11~t therefrom,
and the basis for the alleged exemption. Any violation of Section 7031.S by any applicant for a permit subjects the applicant to a civil penalty of not
more than five hundred dollars [S500J ).
SIGNATURE DATE
C(»IIPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY:
Is the applicant or future b!Ji ldi ng occupant required to submit a business plan, acutely hazardous mater i at s registration form or risk management and prevention
program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act?
□YES ONO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
□YES ONO
Is the facility to be constructed within 1,00D feet of the outer boundary of a school site?
□YES o,o
If MY OF TIE ANSWERS ARE YES, A FINAL CERTIFICATE Of OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT IIAS MET OR IS IEETING THE REQUIREMENTS
OF THE OFFICE OF EMERGENCY SERVICES AND TIIE AIR POLLUTION CONTROL DISTRICT.
9. CONSTRUCTION LENDING AGENCY
hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(!) Civil Code).
LENDER'S NAME LENDER'S AODRESS
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 INOENNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JLOGMENTS, COSTS AND EKPENSES WHICH M.Y IN ANY WAY ACCRUE AGAINST SAID
CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
E11piration. Every permit issued by the Building Official under the provisions of this Code shall e11pire by limitation and become null and void if the building
or work authorized by such permit is not conmenced 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 coomenced for a period of 180 days (Section 303(d) Uniform Building Code).
'1J, OWNER □ CotHRACTOR □BY PHONE APPROVED BY:
OAT£:
WHITE: File YELLOW: Applicant PINK: Finance
!CITY OF CARLSBAD/
PERMIT# CB910277
DESCRIPTION: RES. CARE FOR
I INSPECTION REQUEST/
l FOR 04/11/91 )
ELDERLY 6 PEOPLE
INSPECTOR AREA TP
PLANCK# CB910277
OCC GRP
TYPE: RAD
JOB ADDRESS: 2732
APPLICANT: BODJANAC,
CONTRACTOR:
OWNER:
LA COSTA AV
DUSANKA PHONE: 619
PHONE:
CONSTR. TYPE VN
STR: FL: STE:
728-6096
PHONE: ~
REMARKS: MH/MRS.BODJANKA/753-8318
SPECIAL INSTRUCT: VERY ELDERLY LADY.
INSPECTOR I ~ PLEASE CALL WITH ~T=I~M='-E.~==~l------
TOTAL TIME:
CD
19
LVL DESCRIPTION
ST Final structural
--------------------
ACT COMMENTS
Af:! __________ _
***** INSPECTION HISTORY*****
DATE DESCRIPTION
040291 Frame/Steel/Bolting/Welding
ACT INSP
AP PK
COMMENTS
WILL NEED FINAL INSP
DATE: '1 I
ESGIL CORPORATION
9320 CHESAPEAKE DR., SUITE 208
SAN DIEGO, CA 92123
(619) 560-1468
JURISDICTION: j
PLAN CHECK NO: 9'I -2-77 SET: T QFILE COPY
QUPS CJ DESIGNER
PROJECT ADDRESS:---'=1~7'--"'5~~----'L=-/Cl-'--=C~o~sc....:..;_i~~•-~ll--~·~t~~=2'-__
D
D
□
D
D
The plans transmitted herewith have been corrected where
necessary and substantially comply with the jurisdiction's
building codes.
The plans transmitted herewith will substantially comply
with the jurisdiction's building codes when minor deficien-
cies identified ,'?t:2....a vr J are resolved and
checked by building department staff.
The plans transmitted herewith have significant deficiencies
identified on the. enclosed check list and should be corrected
and resubmitted for a complete recheck.
The check
The plans
plans are
list transmitted herewith is for your information.
are being held at Esgil Corp. until corrected
submitted for recheck.
The applicant's copy of the check list is enclosed for the
jurisdiction to return to the applicant contact person.
The applicant's copy of the check list has been sent to:
15.g Esgil staff did not advise the applicant contact person that
· plan check has been completed.
0 Esgil staff did advise ~that the plan check has
~ been completed. Perso~ contacted: ____________ _
Date contacted=-----~/.---Telephone# ________ _
0 REMARKS:/· S~:, L /-1 It,) I 1-f u;.,
,if--8 11-E PDE 12.. 1 J E"'..,J 5cl D1 tJG
By: ;4B£ Dal. !EIJ7P
ESGIL CORPORATION
□GA □AA ORN 0DM
Enclosures: __________ _
2 z_.-'1 )
Jurisdiction C/4 /c (__ S /3 ft 0
Prepared by1
flB~ VALUATION AND PLAN CHECK FEE
□ Bldg. Dept.
O Esgil
PLAN CHECK NO. '? I -Z.. 77
BUILDING ADDRESS -.::Z=-.7~3~~~-L/9-=-.,___o::::..:o~~~i~l"l.;.__:_,:;-,,.~·~~~r;;:-'--,,---.,..------
APPLICANT/CONTACT PksF,. <"-1'5DD,/p)JAC.. PHONE NO. {e,;9) 7 2.~ -,£, o 'f'j,
BUILDING OCCUPANCY DESIGNER PHONE _____ _
TYPE OF CONSTRUCTION ______ CONTRACTOR PHONE ____ _
BUILDING PORTION BUILDING AREA VALUATION VALUE
MULTIPLIER
fk>Hr? Fvf2.. -r 1-1-£. <:::,j_ c.o o o
~lDEIZ..LUJ ' '
'
.
~ Pe e 'U ,✓ ,-r.1, \./ ~ :,:_/:;,I--' ,_ -; _()/Js ?,· N 1..-LJ H ·r/ :)/1)
Air Conditionin£
Commercial @
Residential ia
Res. or Comm.
Fire Snrinklers @
Total Value 0,000
Building Permit Fee $ _________________ -"'-__ ,,?_/ ,_(f)_. __ _
Plan Check F ee___,$!...._ _________________ __,,$c___r, ___ -=· ~:...· :...' _6_.> __ _
COM MEN TS·._ __________________________ _
SHEET _I_ OF_~_
12/87
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C • .:
PLANNING CHECKLISI"
Plan Check No. qi -c..-77 Address
Planner VA,J lyNcl..,_
(Name)
APN: c./6-"2~0-17
Phone 438-1161 ext. t/'} -z.r
Type of Project and Use /P//St0(f:J T7Ac kOMS-c .AIZG
Zone lic-l-<O Facilities Management Zone _ __.....,_ __ _
Legend
[ZJ Item Complete
C Item Incomplete -Needs your action
1, 2, 3 Number in circle indicates plancheck number where deficiency was
identified
✓□ 0 Environmental Review Required: YES _ NO )s._ TYPE __ _
DATE OF COMPLETION: ="'---------------------
Compliance with conditions of approval? If not, state conditions which require action. Conditions of Approval _______________________ _
C9tl O Discretionary Action Required: YES _ NO DL TYPE __ _
APPROVAl.,IRESO. NO. __ _ DATE: _____ _
PROJECT NO. ___ _
OTHER RELATED CASES: ____________________ _
Compliance with conditions of approval? If not, state conditions which require action.
Conditions of Approval _______________________ _
California Coastal Commission Permit Required: YES _ NO ~
DATE OF APPROVAL:
San Diego Coast District, 1333 Camino Del Rio South, Suite 125, San Diego, CA. 92108-3520
(619) 297-9740
Compliance with conditions of approval? lf not, state conditions which require action. Conditions of Approval _______________________ _
[3"tJ O Landscape Plan Required: YES _ NOL
[31'.{o
(38 □
(:(6 □
616 □
[i;(o □
0"□ □
~□□
□□□
See attached submittal requirements for landscape plans
Site Plan:
1.
2.
3.
4.
Zoning:
JJ/4 1.
I t.J,lft/JJ'J-
tJ/ti 2.
tJ/4 3.
tv(v 4.
Additional Comments
Provide a fully dimensioned site plan drawn to scale. Show: North
arrow, property lines, easements, existing and proposed structures,
streets, existing street improvements, right-of-way width and
dimensioned setbacks.
Show on Site Plan: Finish floor elevations, elevations of finish grade
adjacent to building, existing topographical lines, existing and proposed
slopes and driveway.
Provide legal description of property.
Provide assessor's parcel number.
Setbacks:
Front: Required Shown
[nt. '!;ide: Required Shown
Street Side: Required Shown
Rear: Required Shown
Lot coverage: Required Shown
Height: Required Shown
Parking: Spaces Required Shown
Guest Spaces Required Shown
OK TO [SSUE AND ENTERED APPROVAL [NTO COMPUTER / /4J &,vth, DATE 2-"2/-<?/
PLNCK.FRM