HomeMy WebLinkAbout2361 TERRAZA SALVO; ; CB901901; PermitPERMIT APPLICATION
City pf Carlsbad Building Department
EST. VAL __ -,;.c......-"'-----------2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438 1161
PLA~ CK DEPOSIT ____________ _
VALID. HY ______________ _
1. PERMIT TYPE DATE _______________ _
A 0 COMMERCIAL NEIi 0 TENANT IMPROVEMrnT
B 0 INDUSTRIAL □NEIi 0 TENANT IMPROVEMENT
C 0 RESIDENTIAL 0 APARTMENT □CONDO □SINGLE FAMILY D1/Ell!HG 0 ADD I TI ON/AL TE RAT !ON
□DUPLEX 0 OEMOL IT ION 0 RELOCATION 0 MOB I LE HOME 0 ELECTRICAL 0 PLUMBING
0 ME CHAN I CAL □POOL □SPA 0RETA1NI NG I/ALL Os□LAR 0 OTHER .})£i;;J5_
2. PROJECT INFORMATION PLAN CHECK No.
Address
Nearest Cross Streets
LEGAL DESCRIPTION Lot No.
CHECK IIElOII IF SUBMITTED·
2 Energy Cales D 1 Addressed Emelo
3.
4.
5.
6.
7.
BLDG. SO. fTG. # OF STORIES
CONTACT PERSON
NAME
CITY
s:+ £ t/ E N E/2/2, ck 11 2sl. 1 -reRR;A "Z/+ f!fil'{TATE
SIGNATURE
EXISTING USE
ADDRESS
ZIP CODE
APPLICANT CONTRACTOR □ AGENT FOR CONTRACTOR □ OWNER
PROPOSED USE
• DAY TELEPHONE
NAME
Cl TY
~r:.....+-'---+--tE,...u-,A, v1LtZEt,/JJ)J£ v roN8 'ft"' ZIP cooi! /
AGENT FOR OWNER f\ .,.-_d 0 2 <) of Gv,C-t N/Ti'fr.S <....JT -, Oe--4
DAY TELEPHONE 7ss , 7 s
PROPERTY 0 LESSEE
NAME
CITY DAY TELEPHONE
CONTRACTOR
NA~E Qwu~ ADDRESS
CITY ZIP COOE DAY TELEPHONE
STATE LIC. # LICENSE CLASS CITY BUSINESS LIC. #
SIGNATURE TITLE DATE
DES I GNER NAME ADDRESS
CITY STATE ZIP COOE DAY TELEPHONE STATE LIC. f
WORKERS' COMPENSATION
Workers• Compensation Oectaratfon; h-ereby affirm that have a certihc:ate of consent to se-lf·insure 1ssued by the Director of Industrial Relations,
or a certiffcate of i..iorkers~ C~nsation Insurance by afi aCITlitted insurer~ or an exact copy ar duplicate thereof certified by the Director of the
insur-er ther-eof filed with the Building Inspection Departmer.t (Sect)on 3800, Lab. C).
INSURANCE COMPANY POLICY NO. EXPIRATION DATE
Certiffcate of E1<.~t1on: I cert1fy that 1n the performance of the work for which this permit 1s. issued, J s.hal I not ,e--n-ptoy .any p?r:Son 1n any manner
so as to become-subject to the !,,orkers1 Compensation Laws of Califorr1la,
SIGNATURE DATE
8. OWNER-BUILDER DECLARATION
Owner,Builder Declaration: I hereby affirm th.at I ,::im exempt from the Contractor•~ License Lai.. tor the-following reason:
D I as owner of the property or my employees with wages .a<,. their sole compensation, 'l,,lill do the 1oJork ~nd the strwcture 1~ not 1ntc-ndc-d or offered for sale
{Sec. 7044, 8lJs1ne,;;s and Professions Code: The Contractor's License Law does not apply to ;m owner a'f property who builds or improves thereon., .and who
does such -..ork himself or through his own employees, provided that such improvements are not inte-ndc-d or of1ered for sale. If, however, the tx..iilding
or improvement is sold 111lthln one year of completion, the oiolner-bu1lder io1llt have the burden of prm,ing that he did not b.Jild or improve for the purpose
of sale.).
D t, as owner of the property, am e-xclusively contractlng with l ic-e11s-ed contractors to construct the project (Sec.. 7044, Business. and Professions Codt::
The Contractor1s License Law does .not BpPly to an owner of property who builds. or improves thereon, and contracts. for such, projects iolith contractor(s)
licensed pursuant to the Contractor's License Law).
0 I am exerrpt under Section ___________ _ Business and Professions Code for this reason:
(S-ec. 7031.5 Business and Professions Code: Any City or County whlch requires a permit to construct, alter, lAJ?rove, demolish, or repair any structure-,
prior to its issuance, also requires the applicant for such permit to file a siened statement that he is licensed pursuant to the pro'!ilislons of the
Contractor's License Law (Chapter 9, coomencing with Section 7000 of Division 3 of the Bus,ness and Professions Code) or that he is e,empt therefrom,
and the basis for the alleged ""errption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to• civil penalty of not
more than five hundred do! Lars [$500] ) • J_.
SIGNATURE DATE c<,.,e.L ,5·-'1 i)
COMPLErE THIS SECTION FOR NON·RESIDENTIAL BUILDING PERMITS ONLY;
Is the apPlicant or future building occupant required to submit a business plan, acutely ha2.ardous mati?rials registration form or risk management and prevention
program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act?
□YES 0NO
ts the applicant or future buildijng occupant required ta obtain a permit from the alr pollution control dlstrlct or air quality management distrjct?
□YES □NO
!s the facility to be constructed within 1,000 feet of the outer boundary of a school site?
IF ANY OF THE ANSWERS ARE TES, A FINAL CERTIFICATE OF OCCUPANCY NAY NOT BE ISSUED AFTER JULY 1, 1989 UIILESS THE AWLICANT HAS NET 1111 IS MEETING THE REQUIREMENTS
OF THE OFFICE Of EMERGENCY SER~ICES AND THE AIR POLLUTION COIITROl DISTRICT_
9. CONSTRUCTION LEN~ING AGENCY
hereby affirm that there is a cons\ ruction lending agency for the performance of the work for which this P"rmi t is issued ( Sec 3097( i l Ci vi l Code).
LENDER'S NAME
10. APPLICANT'S SIGNATURE
I certify that I have read the application informatlon is correct. I agree to comply with a{l City ordinances. and Stilte laws relatlr,g
to bui ldlng construct 1011. thereby authorize epre-SC-f"!tat1vcs of th~ City of Carlsbad to enter upon the ilbovc mcntionc-d property for inspection purposes. I ALSO
AGREE TO SAVE INDEMNIFY AND KEEP HARPILESS THE CITT OF CARLSB~ AGAINST All LIABILITIES, JlDGMENTS, COSTS AND UPENSES WHICH NAY IN ANY WAY ACCRUE AGAINST SAID
CITY IN COIISEQUENCE OF THE GRANTING OF THIS PERMIT.
Expiration. Every pe-rmit issued by the Building Offlcial under the provisions of this Code shall C'~pirc by l1mitation and become nult .and void if th-c building
or work authorized by sud, permit is riot conmenced v.i thin l 80 day-s f rorn the da t-e of such pern11 t or if the-bu i l ding or work .1uthar i zed by such pcrmi t i ~ -suspended
or abandoned at any tlme after the work ls coomenced for a period of 180 days (Section 303(d} uniform Building Code).
PL ICANT 'S SIGNATURE D o~NER OcoNTRACTOR 0 BY P~ONE APPROVED BY:
DATE;
WHITE: File YELLOW: Applicant PINK: Finance
CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT# CB910132 FOR 02/06/91
DESCRIPTION: 132 SF PATIO COVER REAR
+ GAS LINE AND ELECTRIC 2 OUTLETS
TYPE: RAD
INSPECTOR AREA TP
PLANCK# CB910132
ace GRP
CONSTR. TYPE VN
JOB ADDRESS: 2375
APPLICANT: LORCO
CONTRACTOR: LORCO
OWNER:
TERRAZA SALVO STR: FL: STE:
REMARKS: MH/LORCO/434-8945 PM PLEASE
SPECIAL INSTRUCT: GAS & ELECTRIC
TOTAL TIME:
CD LVL DESCRIPTION
19 ST Final Structural
21 PL Underground/Under Floor
29 PL Final Plumbing
29 PL Final Plumbing
29 PL Final Plumbing
39 EL Final Electrical
ACT
£
i1l£_
£_
id!::_
~
PHONE: 619 434-8945
PHONE: 619-43,t-:-R9.A5
p::::~CTOR ' I ~
COMMENTS
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***** INSPECTION HISTORY *****
DATE DESCRIPTION ACT INSP COMMENTS
013191 Ftg/Foundation/Piers AP TP
013191 Gas/Test/Repairs AP TP
013191 Underground/Conduit-Wiring AP TP
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tf,U. 2. 11-r-ll
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