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Home My WebLink About2830 ESTURION PL; ; CB921079; PermitAr wr 1. Ai U t t Q6:0 i0/0? /92 0001 01 02 C-PRMT Z? .oo t 1 en •. p t -------- 2 /. X ----- CITY OF CARLSBAD 2075 Las Paimas Dr., Carlsbad, CA 92009 (619) 438-1161 ) .. PERMIT APPLICATION -w PLAN QffiCI( NO. City of carlsbecl Building Deportment 207S Laa Pal-Dr •• carlsbad, CA 92009 (619) 438-1161 I. PfiltMII IYP£ A -LI Cqmmercial LI New Building LI Tenant Improvement B--D Industrial LI New Building D Tenant Improvement C -LI Residential LI Apartment D Condo LI Single Family Dwelling LI Addition/ Alteration LI Duplex LI Demolition LI Relocation LI Mobile Home LI Electrical D Plumbing LI Mechanical D Pool D Spa D Retaining Wall D Solar LI Other ___ _ 2.. PROJECT INFORMATION FOR OFFICE USE ONLY LEGAL bEStR.IP'NoN Lot No. SulxhVJslon Name/Number Orut No. Phase No. CHECK BEWW IF sOBMII I ill: D 2 Energy Cales D 2 Structural Cales D 2 Soils Report D I Addressed Envelope EXISTING USE ·. LcNF LEA!i< TO # OF S'roRIES PROPOSED USE P1T NAME ADDRESS CITY STATE ZIP CODE DAY TELEPHONE 4. APPllCA.N'I' NAME DCONIRAC'IOR DAGEN'I FORCONIRACIOR DOWNER DAGENI ffiROWNER ADDRESS CITY STATE ZIP CODE DAY TELEPHONE Lm ADDRESS STATE ZIP CODE DAY TELEPHONE NAME ADDRESS CITY STATE ZIP CODE DAY TELEPHONE STATE UC.# LlCENSE CLASS CITY BUSINE.SS UC.# DESIGNER NAME ADDRESS CITY STATE ZIP CODE DAY TELEPHONE STATE UC. # 1. WOJtkERS' wMPl!.NSA"l'ION Workers' Compensanon DeciaratIOn: I hereby alhrm that I have a ceruhcate of consent to self-insure 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). INSURANCE COMPANY POUCY NO. EXPIRATION DATE Cerrificate of Exempnon: I certify that m the performance of the work for which this penrut 18 1SSUed, I shall not employ any person m any manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE 8. OWNF.R-BOllDF.R DECLA8A11oN ., Owner-Builder DecJaratIOn: I hereby affirm that I am exempt from the Contractor's Llcense Law for the foliowmg 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, B~iness 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.). D 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 to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) lkensed 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 dty or County which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to ill! issuance, also requires the appUcant for such permit to file a signed statement that he Is licensed pursuant to the provislons of the Contractor's License I.aw (Oiapter 9, commenclng 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 pennit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]). SIGNATIJRE DATE coMPLE't'E 1Hls sEEtloN FOR NON-RP.slDENTIAL BUILDING PERM11's 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? LI 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 disnict? DYES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? LI YES D NO IF ANY OF 1lIE ANSWERS ARE YES, A FINAL CERTIFICATE OP ocx;{JPANCY MAY NOT BE ISSUED AFI'ER JULY 1, 1989 UNIJl'.SS TIIE APPLICANT HAS MET OR IS MEJmNG TIIE REQUIREMENTS OP TIIE Of'FKl! OP EMERGENCY SHRVICl!S AND TIIE AIR POILUTION CDNTROL DIS'l1UCf. 9. OONSIROCIJON IENDING AGENCY I hereby afhrm that there IS a construction lendmg agency for the performance of the work for wfilcli this penrut IS 1SSUed (Sec 3097(1) Civil Code). LENDER'S NAME LENDER'S ADDRESS lo. APPLICANT CER'l1F1CA11oN I cernty that I have read the applicauon and state that the above mtormation 1s correct. I agree to comply with ail City ordmances 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 ID SAVE INDEMNIFY AND KEEP HARMLESS TIIE CI1Y OF CARISBAD AGAINSf AIL IlABllII1ES, JUDGMENTS, CDSI'S AND EXPENSES WJilCH MAY IN ANY WAY ALXllUE AGAINST SAID CITY IN CONSF.QUF.Nal: OF nm GRANTING OF nns 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 it is suspended or abandoned at any time after the work Is commenced for a period of 180 days (Section 303{d) Uniform Building Code). DATE: ______ _ .. ,. ,. PERMIT# CB921079 DESCRIPTION: GAS REPAIR CITY OF CARLSBAD INSPECTION REQUEST FOR 10/08/92 TYPE: PLUM JOB ADDRESS: 2830 ESTURION PL APPLICANT: ROSENFIELD, JAMES CONTRACTOR: OWNER: REMARKS: MH/DAVID/931-8036 SPECIAL INSTRUCT:' PAUL TO DO WEDNESDAY PM TOTAL TIME: PHONE: PHONE: PHONE: INSPECTOR AREA PY PLANCK# CB921079 OCC GRP CONSTR. TYPE NEW STR: EL: STE: 619 931-8036 CD LVL DESCRIPTION ACT COMMENTS 23 PL Gas/Test/Repairs {t_ ______ _ ***** INSPECTION HISTORY***** DAT:fu DESCRIPTION ACT INSP COMMENTS