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