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HomeMy WebLinkAbout2855 CARLSBAD BLVD; ; CB930426; PermitBUILDING PERMI 05/10/93 15:53 Page 1 of 1 Job Address: 2855 CARLSBAD BL Suite Permit Type: MISCELLANEOUS Parcel No: 203-231-01-00 Lot#: Valuation: . 0 Construction Type: NEW Occupancy Group: Reference**: Description: FLOOR REPAIR, GAS TEST, FIX : WASTE LINE & ELECTRIC REPAIR Permit No: CB930426 Project No: A3300639 Development No; 2259 05/10/93 0001 01 02 C-PRMT 84-00 Status: ISSUED Applied: 05/10/93 Apr/Issue: 05/10/93 Entered By: MDP Appl/Ownr : UHL, RICK 2855 CARLSBAD BLVD. CARLSBAD, CA. 9200 *** Fees Required *** Fees : Adjustments: Total Fees: Fee description 619 729-2377 Miscellaneous Fee Miscellaneous Fee Miscellaneous Fee * MISCELLANEOUS TO cted & Credits ** it .00 .00 84.00 Ext fee Data 20,00 ELEC. 34.00 PLUM. 30.00 PC/BP 84,00 CITY OF CARLSBAD 2075 Us Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION City of Carlsbad Building Department 2075 Las Palms Dr., Carlsbad, CA 92009 (619) 438-1161 T. PERMIT TYPE A - LJ Commercial LJ New Building U Tenant Improvement B - D Industrial D New Building D Tenant Improvement C - D Residential D Apartment D Condo D Single Family Dwelling D Addition/Alteration D Duplex D 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 Address PLAN CHECK NO. EST.VAL PLAN CK DEPOSrr_ VALID. BY DATE FOR OFFICE USE ONLY bu"dmg or Nearest Cross Street LEGAL DESCRIPTION _Lot No. Subdivision Name/Number Unit NoT pliase No. CHECK BfcLOW IV D 2 Energy Calcs D 2 Structural Calcs D 2 Soils Report D 1 Addressed Envelope ASSESSOR'S PARCEL A*«SC # OF STORIES EXISTING VRE.G VR V . PROPOSED USE DESCRIPTION OF WORK SQ.FT. . uuNlAt.1 FEHh*JN IK aitterent trom applicant; NAME CITY STATE ADDRESS ZIP CODE DAY TELEPHONE 9. APPLICANT a CONTRACTOR u AGENT FOR CONTRAL IUR LJ OWNER ADDRESS -2.Q 53"AGtNT FOR OWNER CITY STATE C-A,ZIP CODE DAY TELEPHONE NAME CITY MO>H$S\DDRESS STATED ZIP CODE & °P DAY TELEPHONE V 1~ "^ - 13 1 "J 6. GONTRAClUR NAME CITY STATE STATE LJC. # ADDRESS ZIP CODE LICENSE CLASS DAY TELEPHONE CITY BUSINESS LIC. # UbMtiJNbK INAME CITY STATE ZIP CODE DAY TELEPHONE STATE LIC. # 77 WORKERS' Workers' Compensation Declaration: I hereby aflirm that 1 have a certificate ot consent to self-insure issued by the DirectoroTIndustnaT 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 ot Exemption: I certify that in the performance ot the work tor which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE 8. OWNER-BUILDER DECLARATION TJwner-Builder Declaration: Thereby affirm (hat I am exempt trom 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 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 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 subjectsjhe applicant to a civil penalty of,not more than five hundred dollars [$500]). DATE P D COMPLET IS^ECTION FOR NON-RI TTIAL BUILDING PERMITS ONLY: Is the applicant or future building occupant required to submit a business plan, acutely hazardousCpraterials 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 O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES a NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1,1989 UNLESS THE APPUCANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 9. cUNSTRULTiON LkNLiuNt; AUENO1 ~~~ I hereby attirm that there is^a construction lending agency tor the pertormance ot the w6rK~tor which this peririit is issueiTTSec 309711)' CivirCode). LENDER'S NAME LENDER'S ADDRESS 10. APPLICANT CERTIFICATION 1 certify that I have read the application ana state mat the above inrormation 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 AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF TEDS 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). LICANTS SIGNATURE DATE: TE: File YELLOW: Applicant PINK: Finance CITY OF CARLSBAD INSPECTION REQUEST PERMIT* CB930426 FOR 05/25/93 DESCRIPTION: FLOOR REPAIR, GAS TEST, FIX WASTE LINE & ELECTRIC REPAIR TYPE: MISC JOB ADDRESS: APPLICANT: CONTRACTOR: OWNER: : 2855 UHL, RICK CARLSBAD BL PHONE; PHONE: PHONE; INSPECTOR AREA PY PLANCKfl CB930426 OCC GRP CONSTR. TYPE NEW STE: LOT: 619 729-2377 REMARKS: MH/RICK/729-2377 SPECIAL INSTRUCT: TOTAL TIME: INSPECTOR CD LVL DESCRIPTION ACT COMMENTS 19 29 39 49 ST Final PL Final EL Final ME Final Structural A Plumbing ![_ Electrical J~ Mechanical f_B r 1 1 I/ INSPECTION HISTORY ***** DATE DESCRIPTION 051993 Interior Lath/Drywall 051993 Frame/Steel/Bolting/Welding 051893 Frame/Steel/Bolting/Welding 051893 Sewer/Water Service 051893 Gas/Test/Repairs 051893 Underground/Conduit-Wiring 051493 Frame/Steel/Bolting/Welding 051293 Rough/Topout 051293 Rough Electric ACT PA AP AP AP AP AP CO CO CO INSP PY PY PY PY PY PY PY PY PY COMMENTS FLOOR SHEATHING LIGHT FIXTURES MEET 7 CONFER MEET AND CONFER MEET AND CONFER 10 c > ov v VED MAY t 0 1993 Ctty of CARLfiftAD BUILDING DEPT