HomeMy WebLinkAbout2796 CARLSBAD BLVD; ; CB930163; Permit** *Fees Required
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Total Fees:
Fee description
Miscellaneous Fee
* MISCELLANEOUS T
Suite:
Lot#:
02/19/93 08:17 B"ILDING PERMITPage l Of i
Job Address: 2796 CART <*ft*is «To&-«w• , _, **ij\r wrtKiiiJtiAD BL
Pa^if MYPei MISCEL^ANEOUSfarcel No: 203-172-15^00
Valuation: %^
Construction Type: NEW
Occupancy Group:
Description: BUILD ROOF OVER
: Roof
Appl/Ownr : CHRISTIANSEN, KAY
2796 CARLSBAD BL
CARLSBAD,CA.9200
Permit No: CB930163
Project No: A9300241
Development No:
1225 02/i9/93 0001 01 02
StStfW: ISSUffi'OO
Applied: 02/16/93
Apr/Issue: 02/19/93
Entered By: PD
***
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.00
25.00
Ext fee Data
25.00 BP
25.00
CLEARANCE
PERMIT APPLICATIONCity of Carlsbad Building Department2075 Las Palnas Dr., Carlsbad, CA 92009 (619) 438-1161T. PERMIT TYPEA - d Commercial U New Building D Tenant ImprovementB - D Industrial D New Building D Tenant ImprovementC - O Residential D Apartment D Condo D Single Family Dwelling D Addition/AlterationD Duplex D Demolition Q Relocation D Mobile Home D Electrical D PlumbingD Mechanical D Pool D Spa D Retaining Wall D Solar D Other2. PROJECT INFORMATION PLAN CHECK NO.EST. VALPLAN CK DEPOSIT,VALID. BYDATE FOR OFFICE USE ONLYAddressNearest Cross Street or suite No.'</efLEGAL DESCRIFI10N Lot No.Subdivision Name/Number Unit No.Phase No.
CHECK BELOW !>• SUBMI11 hU:
D 2 Energy Calcs D 2 Structural Calcs O 2 Soils Report D 1 Addressed Envelope
ASSESSOR'S PARCEL EXISTING USE PROPOSED USE
DESCRIPTION OF WORK
SQ. FT.# OF STORIES
3. UJNTAtJT VEHSUN (.a ainerent Trom applicant)
NAME
CITY STATE
ADDRESS
ZIP CODE DAY TELEPHONE
4. APPLICANT
NAME
CITY
DNTRACTOR UAdLNl KJR CONTRACTOR U OWNER Q AGENT FOR OWNERfg^ ' , ^ __ — ^ f* f ^ I - - -m.f ^* *ADDRESS
STATE ZIP CODE pAY TELEPHONE , 7 3.*? '
6.
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CITY t—'T ^/» *"**-*
CUN1KACIUK
NAME
CITY
STATE LIC
ULMUNtK NAML
CITY
WUltKEKS' (JUMFENSA'nUN
STATE C
STATE
.#
STATE
#. ZIP CODE ^X<-^C
ADDRESS
ZIP CODE
LICENSE CLASS
AlJUKtbS
ZIP CODE
JO DAY TELEPHONE / A
DAY TELEPHONE
CITY BUSINESS
DAY TELEPHONE
.**) -OM O
LIC. #
STATE LIC. #
Workers Compensation Declaration: I hereby allirm that T nave a certificate or consent to self-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 COMPANY POLICY NO.EXPIRATION DATE
Certificate of Exemption: I certify that in the performance ot the workTor which mis permit is issued, T snail not employ any person in any manner
so as to become subject to the Workers' Compensation Laws of California.
SIGNATURE DATE
8. OWNER-BUILDER DfeCLAHAnON
Owner-Bunder Declaration: I hereby affirm that I am exempt Trom the Contractors License Law tor the FoIIowmg 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 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 loan owner of property who builds or improves thereon, and contracts for such projects
with contractors) licensed pursuant to the Contractor's License Law).
I am exempt under Section Business and Professions Code for this reason:D
(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 —-if^sst -^^JErzF^ 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?
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, 19«9 UNLESS THE APPLICANT
HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
9. IXJNSTKUC'l ION LENDING AGENCY
I hereby affirm that there is a construction lendingligency for the performance of the work Tor whlcn this permit is issued (Sec 3097(1) Civil Code).
LENDER'S NAME LENDER'S ADDRESS
10. APPLICANT CERTIFICATION
T certify that I have read the application and state that the above information is corfecLT agreeto 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 INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS
AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA permit is required for excavations over S'O" 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 BuildingyCode).
APPLICANTS SIGNATURE DATE:
WHITE: File YELLOW: Applicant PINK: Finance
-ATE
' TOSCHESVLED ;;iS?ECS
INSPECT
?L/uNCK
ADCRSSS
ririi: ATJIIVE:TIKE LEAVE:
CD LVL OESCRIPTIOH ACT CC!UIEHTS
L/
3 e-
G/1D/09
CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT* CB930163 FOR 03/01/93
DESCRIPTION: BUILD ROOF OVER EXISTING
Roof
TYPE: MISC
JOB ADDRESS: 2796 CARLSBAD BL
APPLICANT: CHRISTIANSEN, KAY PHONE:
CONTRACTOR: PHONE:
OWNER: PHONE:
REMARKS: RS/KEN/729-4185
STE:
619-729-011
INSPECTOR AREA TP
PLANCK* CB930163
OCC GRP
CONSTR. TYPE NEW
LOT:
INSPECTOR
SPECIAL INSTRUCT: DID NOT INDICATE WHAT KIND OF INSPECTION
TOTAL TIME:
CD LVL DESCRIPTION ACT COMMENTS
14 ST Frame/Steel/Bo It ing/Welding <ffa
DATE DESCRIPTION
***** INSPECTION HISTORY *****
ACT INSP COMMENTS
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