HomeMy WebLinkAbout2773 SOUTHAMPTON RD; ; CB930649; PermitPERMIT APPLICATION PLAN CHECK NO.
City of carlsbad Building Oepartaent
2075 Las Palms Dr., carlsbad, CA 92009 (619) 438-1161 PIAN CIC DEPOSIT _______ _
I
EST. VAL
VAIID. BY __________ _
DATE
I. PFltMII JiPE
A -U COmmerc1al □New Bu1ldmg U tenant Improvement
B -□ Industrial □ New Building D Tenant Improvement
C -□ Residential □ Apartment □ Condo IX Single Family Dwelling □Addition/Alteration
□ Duplex □ Demolition □ Relocation □ Mobile Home }'Electrical U Plumbing
□ Mechanical □ Pool □ Spa □ Retaining Wall □ Solar □ Other
2. PRCllECf INFORMATION FOR OFFICE USE ONLY
Address .l "J 7 J s..,,..h,,,,,..,,,lrm /?J. Buuding or Suite No.
Nearest Cross Street T{)./r\fA rt.1.t. k d,-/'tn\.. f,~c_
LEGAL DESCRIMIUN Lot No. Subd1V1s10n Name/Number Omt No. Phase No.
I O ,S,-fo-1YL• •~• k I',,.""/-
CHECK BEWW IF S0BMII IED: □ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope
ASSESSOR'S PARCEL f'SDNG USE PROPOSED USE
DESCRIPTION OF WORK
SQ. IT. # OF STORIES /
3. WN IACI PFltSON (II duierent from apphcant)
NAME ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE
4. ~1:j/,;1:~w';h":c:rI:-tEN I FOR ~~kts~m: 7 ~WNERJd-:::.tc;i::.WN~ J
CITY C(lr/J/,~J STATE Cl/ ZIPCODE 7,tOO DAYTELEPHONE J/-J'l°IJ..
NAME A, Ke A C,,_ f!..,,-iy ADDRESS .? 7) J S = fA,.,,,,, )" /4.,, ,f .!
G,.-IJJ,,,_J STATEC ZIPCODE 7,,/0Dy DAYTELEPHONE 931-]!, CITY
NAME
CITY STATE
STATE UC.#
ADDRESS
ZIP CODE
UCENSE CLASS
DAY TELEPHONE
CITY BUSINESS UC. #
CITY STATE ZIP CODE DAY TELEPHONE STATE UC.#
7. WukkERS' WMPENSAilON
Workers• Compensation Declaration: I hereby affirm that I have a certificate of consent to self -msure issued by the VI rector 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).
POUCYNO. EXPIRATION DATE INSURANCE COMPANY Ceruhcate of Exempt10n: I certify that m the performance of the work for which ifos penmt 1s issued, I shall not employ any person m any manner
so as to become subject to the Workers' Compensation Laws of California.
SIGNATURE DATE
8. uWNffi-BOllDER uffiARAJlUN
Owner-Bmlder beciarat1on: I hereby affirm that I am exempt from the Contracto?s License Law for the foilowmg reason:
\l2f 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 Llcense 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 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).
□ I am exempt under Section ________ Business and Professions Code for this reason:
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration fonn 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 □ NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
□YES □NO IF ANY OF THl!ANSWERS ARE YES, A FINAL CERTIFICATE OFOOCUPANCY MAY NOT BE ISSUED AFTER.JULY I, 1989 UNIJlSS THl!APPIJCANT
HAS MET OR IS MElmNG THI! REQlllREMEN1'S OF TIIE OFFICE OF EMERGENCY SERVICI!S AND THI! AIR POLLUTION CDNTilOL DISllUCT.
9. WNSIRUCIIDN LENDING AGENCY I hereby athrm that there 1s a constructmn lend mg agency for the performance of the work for which this permit 1s issued (Sec 3097 (I) dvll Code).
LENDER'S NAME LENDER'S ADDRESS
10. XPPllCAN I t!FlliWit!AliuN
I certllY that I have read the apphcatton and state that the above mlormat1on 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 Garlsbad to enter upon the above mentioned property for inspection
purposes. I ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMIJlSS THI! CJ1Y OF CARISIIAD AGAINST AIL UAIIIUl1ES, JUIJGMENTS, <X>!ITS
AND EXPENSES WIIlCH MAY IN ANY WAY NilUJE AGAINST SAID CJ1Y IN CDNSEQUENCI! OF THI! GRANTING OF TIDS 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 che 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 JM!ITDit 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 ruilfing Code).
APPU)r~A 4, A DATE: 7 // /~ J
YELLOW: Applicant PINK: Fmance
PERMIT# CB930649
DESCRIPTION: ADD CIRCUIT IN
TYPE: ELEC
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 11/23/93
GARAGE
RD STE:
INSPECTOR AREA PD
PLANCK# CB930649
OCC GRP R-3/M-l
CONSTR. TYPE NEW
LOT: JOB ADDRESS: 2773 SOUTHAMPTON
APPLICANT: MCCAFFERTY, MIKE
CONTRACTOR:
PHONE: 619 931-3962
OWNER:
REMARKS: RS/MIKE/434-7228
SPECIAL INSTRUCT: HE NEEDS AN
TIME HE CAN
TOTAL TIME:
CD LVL DESCRIPTION
::~::: /) II -~ /J;J
INSPECTO~J!Jl-·
INSPECTOR BETWEEN 12 AND 1 PM--IT IS THE ONLY
BE THERE AND YOU NEED TO GET INTO THE GARAGE.
ACT COMMENTS
_11 __ sT_I_n_t_e_r_io_r_L_a_t_h_f_D_r_~_a_1_1 ____ f 6~~
------------------------------------
***** INSPECTION HISTORY*****
DATE
110393
090793
DESCRIPTION
Interior Lath/Dr~all
service Change/Upgrade
ACT INSP
CO PD
AP PD
COMMENTS
NO ACCESS 12:30
NOT FINAL