HomeMy WebLinkAbout2775 CARLSBAD BLVD; ; CB911336; PermitBUILDING PERMIT
10/09/91 11:24
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Job Address: 2775 CARLSBAD BL Str:
Permit Type: MISCELLANEOUS
Parcel No: 203-143-07-00
Valuation: . 0
Construction Type: VN
Occupancy Group: Class Code:
Description: ADD SINK/ELEC/MOVING DOOR
Permit No: CB911336
Project No: A9101703
Development No :
Fl: Ste:
4751 10/09/91 0001 01 02
C-PRHT 89-00
Appl/Ownr : ST MICHAEL'S BY-THE-SEA
2775 CARLSBAD BLVD
CARLSBAD, CA 9200
*** Fees Required ***
Fees :
Adjustments:
Total Fees:
Fee description
Miscellaneous Fee
Miscellaneous Fee
Miscellaneous Fee
* MISCELLANEOUS TO
(619)
Status: ISSUED
Applied: 09/24/91
Apr/Issue: 10/09/91
Validated By: SBB
729-8901
41/00
.00
*25.00T,
cted & Credits * *
.00
41.00
89.00
Ext fee Data
41.00 PLN CKK
64.00 BLDGPERMIT
25.00 PLMB/ELEC
130.00
PPROVAL
DATE/
CLEARANCE
CITY OF CARLSBAD
2075 Las Pahnas Dr., Carlsbad, CA 92009 (619) 438-1161
PERMIT APPLICATION
City of Carlsbad Building Department
2075 Las Palnas Dr., Carlsbad, CA 92009 (619) 438-1161
1. PERMIT TYPK
A - Q Commercial U New Building U Tenant Improvement
B - D Industrial D New Building P Tenant Improvement
C - D Residential D Apartment D Condo D Single Family Dwelling Jj^Additioi
D Duplex O Demolition D Relocation D Mobile Home D Electrical D Plumbing
D Mechanical DPool D Spa D Retaining Wall D Solar D Other
2. PROJECT INFORMATION
PLAN CHECK NO. / 2 ^ /
PLANCKD
VALID. BY
DATE
C-PRMT 41-00
FOR OFFICE USE ONLY
Building or Suite
f~C A *•*#*>*-*•.
Subdivision Name/Number
Address 3-775-
Nearest Cross Street CO&L&&49
Lot No7LEGAL Unit No.Phase No.
CHECK BLJJJW lr MJBM11 lt,LJ;
D 2 Energy Calcs D 2 Structural Calcs O 2 Soils Report D 1 Addressed Envelope
PARCEL EXISTING USE PROPOSED USF
DESCRIPTION OF WORK
CQ # OF
J. (JUN1AL.1
NAME
CITY
in anterent irom applicant.)
STATE
ADDRESS
ZIP CODE DAY TELEPHONE
4. APPLICANT
NAME
CITY
LJUJN1RAC1OR U AtrhN I J-UR CON 1KAC1UH LJUWNtK
ADDRESS £-7 -p 5-
AGhrJl hOR OWNER
STATE ZIP CODE DAY TELEPHONE
5. PROPERTY UWHhH
CITY STATE
ADDRESS
ZIP CODE DAY TELEPHONE
t>. CONTRACWK
NAME
CITY STATE
STATE LIC. #
ADDRESS
ZIP CODE
LICENSE CLASS
DAY TELEPHONE
CITY BUSINESS LIC. #
DESIGNERTNAML
CITY
7. WORKERS^ CJUMJ'KNitAIlCJN
STATE
ADUKtsa
ZIP CODE DAY TELEPHONE 6*?LJC. #
Workers Compensation Declaration: I hereby afiirm mat 1 have a certilicate or consent to sen-insure issued by the Director ot Industrial
Relations, or a certificate of Workers' Compensation Insurance by an admitted 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 >vt<.POLICY NO
.™EXPIRATION DATE
CertiHcare ot Exemption: I certify that m the performance or tne work tor wtiicn this permit is issued, l snail not employ any person in any manner
so as to become subject to the Workers' Compensation Laws of California.
SIGNATURE DATE
5.
D
Owner-Builder Declaration: I hereby affirm that I am exempt rrom the Contractors License Law tor the following reason:
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 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 that he did not build or improve for the purpose of sale.).
I, as owner of the properly, 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 therepn, 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 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 [$500]).
SIGNATURE
COMPLETE THIS SECTION FOR NON-HiaibENTlAL BUlLblMGTEEMTT
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?
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
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
D YES D NO
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT
HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
i). cUNSTRUl'liON LLNUlNt; AGENCY ~~~
FKereby allirm that there is a construction lending agency for the performance ot the work tor whicrTtftis permit is issued~(Sec i097lU Civil Code).
LENDER'S NAME LENDER'S ADDRESS
10. APPLICANT CERTIFICATION
I certify that 1 nave read the application and state that tne above intormation is correct. I agree to comply witn all City ordinances and Mate laws
relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection
AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SATO CTTY IN CONSEQUENCE OF THE GRANTING OF THIS 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 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).
APPLICANTS SIGNATURE DATE-.
WHITE: File YELLOW: Applicant PINK: Finance
CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT* CB911336 FOR 02/27/92
DESCRIPTION: ADD SINK/ELEC/MOVING DOOR
TYPE: MISC
JOB ADDRESS
APPLICANT:
CONTRACTOR:
OWNER:
2775 CARLSBAD BL
ST MICHAEL'S BY-THE-SEA PHONE:
PHONE:
PHONE:
INSPECTOR AREA PD
PLANCK# CB911336
OCC GRP
CONSTR. TYPE NEW
STR: FL: STE:
(619) 729-8901
REMARKS: MH/FATHER WOODRIDGE INSPECTO
SPECIAL INSTRUCT: AM PLEASE. FATHER DID NOT SAY WHAT
TYPE OF REQUEST OR LEAVE PHONE NO.
TOTAL TIME:
—RELATED PERMITS —PERMITS TYPE
CB881270 SIGN
STATUS
EXPIRED
CD
19
29
39
49
LVL DESCRIPTION
ST Final Structural
PL Final Plumbing
EL Final Electrical
ME Final Mechanical
ACT COMMENTS
***** INSPECTION HISTORY *****
DATE DESCRIPTION
112091 Rough Electric
101691 Underground/Under Floor
101691 Rough/Topout
ACT INSP
AP PD
AP PK
AP PK
COMMENTS
2560 ORION WAY <SUUJ
CARLSBAD, CA 92008 F/fl
TELEPHONE
(619) 931-2121
PLAN
ppftjisfifSTT lu i. c fleet's B/THr St-fl
"ARCHITECT P^-'t^r S/L.-J Df5^ </ Sfit'l tfa*
OWNFH :ST n Ur r I Af <_ '?> &/ IHt St A
nr.niiPAisir.Y t">2, CONST
n SPRINKI FRED -R/TENANT IMP. 57 Fl7
' ui Kuau&oau
E DEPARTMENT
CHECK REPORT
ADDRESS ^^7^ /^^KIS^H.)
PAGE 1 OF _J_
APPROVED
DISAPPROVED
PLAN CHECK#
?<uj
ADDRESS *S"/V,I ! Uy iS ^c" y PHONE 6 1^-9^ 7* 7^£
ADDRESS ^ V:l S t&}JL) PHONE 7^9 — fC 1( ' /
T^TALSO FT STORIES
APPROVAL OF PLANS IS PREDICATED ON CONFORMING
TO THE FOLLOWING CONDITIONS AND/OR MAKING
THE FOLLOWING CORRECTIONS:
6.
7.
. 9.
.10.
.11.
.12.
.13.
PLANS, SPECIFICATIONS, AND PERMITS
Provide one copy of: floor plan(s); site plan; sheets
Provide two site plans showing the location of all existing fire hydrants within 200 feet of the project.
Provide specifications for the following:
ermits are required for the installation of all fire protection systems (sprinklers, stand pipes, dry chemical, halon,
a, alarms, hydrants). Plan must be approved by the fire department prior to Installation.
slness owner shall complete a building information letter and return it to the fire department.
\ FIRE PROTECTION SYSTEMS AND EQUIPMENT
The following fire protection systems are required:
D Automat Icfire sprinklers (Design Criteria: )
D Dry ChemlcalN^alon, CO2 (Location: - . )
D Stand Pipes (Type: _)
D Fire Alarm (Type/Oacation: , __)
Fire Extinguisher Requfrements:
D One 2A rated ABQ extinguisher for each
extinguisher not to exceed, 75 feet of travel.
D An extinguisher with a mlnirhum rating of
sq. ft. or portion thereof with a travel distance to the nearest
_ to be located:
D Other:
8. Additional fire hydrant(s) shall be provided
Exit doors shall be openable from the inside
A sign stating, " This door to remain unlocked
doors _ '
EXITS
ithout the use of a key or any special knowledge or effort.
ring business hours" shall be placed above the main exit and
EXIT signs (6" x V*" letters) shall be placed over all re
clearly Indicate the location of exit doors.
Ired ex tits and directional signs located as necessary to
GENERAL
Storage, dispensing or use of any flammable or combustible
hazardous chemicals shall comply with Uniform Fire Code.
, flammable liquids, flammable gases and
14. Additional Requirements.
Building(s) not approved for high piled combustible stock. Storage In closely packed plies shall not exceed 15 feet
in height, 12 feet on pallets or in racks and 6 feet for tires, plastics and soi^e flammable liquids. If high stock pil-
ing is to be done, comply with Uniform Fire Code, Article 81.
. Cr'
.15. Comply with regulations on attached sheet(s).
Plan Examiner.
Report mailed to architect Met with
Date.
\
h /'?/
.Attach to Plans