HomeMy WebLinkAbout2809 JACARANDA AVE; ; CB930808; PermitA
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CLEARANCE _____ ,
2075 Las Palrnas Dr., Carlsbad, CA 92()()() (619) 438-1161
PERMIT AP.PLICATION . cra-r;o ct PLAN CHECK NO.
City of carlsbad Building Departaent
2075 Las Pal..,. Or., Carlsbad, CA 92009 (619) 438-1161 EST. VAL'.-===-:-'-/....,½c.::;,,?::.:_...:7'." __ _ PIAN CK DEPOSIT ________ _
VAIJD.BY 12<=---
DATE
Li New Bmldmg LI lenanr Improvement
B • D Industrial □ New Building D Tenant Improvement
C -□ Residential □ Apanment □ Condo □ Single Family Dwelling □Addition/Alteration
LI Duplex LI Demolition O Relocation □ Mobile Home □ Electrical □ Plumbing
□ Mechanical □ Pool □ Spa □ Retaining Wall □ Solar □ Other
2. PRClJECT INFORMATION FOR OFFICE USE ONLY
BuUdmg or Suite No. ~"goq .::rACA(ZA "-'DA i'fearest cb Street AV'=-i C-l'H<.LS B A-D
CHECK BEWW IF SOBMll 1£0:
□ 2 Energy Cales C 2 Structural Cales O 2 Soils Report □ 1 Addressed Envelope
ASSESSOR'S PARCEL EXISTING USE DESCRIPTION OF WORK ~ ~ ~ /4,-,.-..
SQ. IT. I ~ ... # OF STORIES
3. WN IACJ PERSON (II dlHereni from appUcanf)
NAME ADDRESS
Omt No. Phase No.
PROOOSEPUSE
CI1Y STATE ZIP CODE fu DAY TELEPHONE
4. APPIJCANI UCONIRACIOR □AGENI FOHCONIKACJUR ___,kJ WNER □AGENI FOk4wNEC
~fffR1µEo Af?.111v tA t-J ADDRESS ol-l!o4 :ra-.c.o..<<A.-"""-= u_-., e...
c11Y ls sTATE Q:,.. zIPCODE'?Jo-0'9 DAY TELEPHONE 3Ca, _ o 3 q_ b
SA \<.lS t\~tkJIA l'J 4rn:htllsf-11--Jt;:: ~'BO"t :r~Co........,_.d.,o.._
L..S f3 /rV STATE <:'J\ , ZIP CODE (j .?co '7 DAY TELEPHONE 4-3 b -0 3 '-/-6
u. eo ~"Y) (.,ADDRESS 34 7 SM ,qv.1 G-LI SE w A'J
CI1Y ~/VC/N(Tf+S STATEC,4. ZIPCODE""12.0l.-L\ DAYTELEPHONE (ffitq) q4-4; -~IZ~
STATE Lic. #0 ts 36'o LICENSE cLASs I?::> cilY ausINEss Lic. # ~, D II os 2-. -::t DESIGNER NAME ADDRESS
CI1Y STATE ZIP CODE DAY TELEPHONE STATE LIC. # 7. WOitkERS' WMPF.NSXliON
workers' compensatton uec1arat1on: I hereby afhrm that I have a certificate of consent to self-msure issued by the Director of lndustnal
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).
PCLICY NO. Z..531 'lG -1-\Ja,IRATION DATE 8
n m any manner
SIGNATURE DATE
8. UWNf:k-BOtmm Dfi!tARAIIUN
bwner-Bmlder beclarat1on: I hereby affirm that I am exempt from the Contracto?s License Law for the followmg reason:
D 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 Ccxle: 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.).
D I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions
Ccxle: The Contractor's Llcense 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 Llcense Law).
D I am exempt under Section ________ Business and Professions Code for this reason:
(Sec. 7031.S 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 Llcense 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 ---...,,1,i,' ,cts the applicant to a civil penalty of not more than five hundred dollars [$500]).
DATE
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? □ YES □ NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □YES CNO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
□YES □NO
IF ANY OF TIIEANSWERS ARE YES, A FINAL CERTIFICATE OFoa:tJPANCY MAY NOT BE ISSUED AFl'ERJIJLY I, 1989 IJNIJ'.SS TIIE APPLICANT
HAS MET OR JS MEIITING TIIE REQIJJI\EMENTS OF TIIE OFFICE OF EMERGl!NCY SERVICES AND TIIE AIR POIJ.UTION ffiNTilOL DISl1UCT. 9. WNS I kOCI ION LENDING AC ENCY
I hereby afhrrn that there 1s a construction lending agency for the perlormance of the work for which this permit 1s issued (Sec 3097(1) LlvlJ Code).
LENDER'S NAME LENDER'S ADDRESS
10. APPLiCAN I CEit IMCAUUN
I certify that I have read the application and state that the aOOve mformauon 1s correct. I agree to comply with all City ordmances and State laws
relating to building construction. I hereby authorize representatives of the City of c.arlsbad to enter upon the above mentioned property for inspection
purposes. I ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS TIIE QTY OF CARISBAD AGAINSf AIL IJABIIJTIES, JUDGMENTS, CXlSTS
AND EXPENSES wmaI MAY IN ANY WAY ACCRUE AGAINsr SAID QTY IN ffiNSF.QIIENCE OF TIIE GRANTING OF TIUS PERMIT.
OSHA: An OSHA permit is required for excavations over S'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 authori 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 ban ned at any {ime er the work is commenced for a period of 180 days (Section 303(d) Uniform Building Ccxle).
APPLICANTS SIGNATURE DATE: <g -)J _ '3_3
PINK: Finance
.,.
PERMIT# CB930808
DESCRIPTION: 16 SF ADD PER
TYPE: MISC
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 11/03/93
PETERSON
STE:
INSPECTOR AREA TP
PLANCK# CB930808
OCC GRP
CONSTR. TYPE NEW
LOT: JOB ADDRESS: 2809 JACARANDA AV
APPLICANT: ARC CONSTRUCTION
CONTRACTOR:
PHONE: 619 944-9124
PHONE:
OWNER: PHONE: /J /) ~ ., /JIJ
REMARKS: MH/ARTIMIAN/436-0346
SPECIAL INSTRUCT: DID NOT SAY WHAT TYPE OF
INSPECT~t:~ •
INSPECTION
TOTAL TIME:
CD LVL DESCRIPTION ACT COMMENTS
liA ST Frame/Steel/Bolting/Welding 1 L
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***** INSPECTION HISTORY*****
DATE DESCRIPTION ACT INSP COMMENTS
101493 Final Combo co TP
082793 Frame/Steel/Bolting/Welding AP PK
082793 Insulation AP PK
082793 Interior Lath/Drywall AP PK
082593 Ftg/Foundation/Piers AP TP