HomeMy WebLinkAbout2841 TORRY CT; ; CB973522; Permit• FROM•: AJFOSTER I ~~C FAX 461 5443 PHONE m .
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad CA 92009
1619) 438ff1161
lt~\l'JIW!C~fNta"'4ltW!I 2841 Torr· ct.
too•• OucripOon
Ntf'le AdrJrn,
lol &torlH
Nov. 17 1997 03:19PM P5
-FOR OFFICE USE oq13c · ~
PLAN CHECK NO. :) 2,
EST, VAL _________ _
Plan Ck. Oepoait ________ _
Validated By __ -..:..---~----
D11te _____ ~-------~
Unit No.
Prc,pond Ua•
I of B~rooms
S~~~~~c&~:k~~~~&Uii~~~~M
N1mt Addl Hs
l~B0f.Ml'.Xt0.WH~fil~
BPrry, oavUl N•m•
l,i!jji~CDlitM.r..tbe:$t:o.MtAN V
lS@c. 7031.6 1!111111u1111d Proln.i""' Codt: Any Chy a, C1>1111tv ll<Ndl ,eq<Aru • P911T11t to canatrui:t, •h•r, lmp,ov., demorl,h or rtpalr any •t,uc\urf, prl"Dr ,., It•
1,,0,net, tlJo roQUlru lh• 1ppllc,,n1 It>, ,wti pr,mh to m, ■ •lgl'hld 1t■tement that 1M la nettiHd purtllaot to th• provlJlon, ol th11 C11nt..,ctor'1 Uc&nse law
!Ch•ow 9, comm11ndlnr, wl1h s,~tlim 1000 of 1>1v1,1.,,, 3 "' tht 811slnu• ttld Profn1l111111 CffiJ "' tl\lt It& 11 exerr,pt th11retr0m, •ml the b,,..r, 111, 1h8 1ll•g9d
ax,mptlon, Any lllol•llon of SecllDn 7031.5 by 1ny 1tppNctnt hu a pttmlt •ubl•ct• lht •llll"-:.■nJ I<> • dvlt ptn1l1y...PJ net IT\<l(}~l five l~d 4~'1, I U,OOJ).
A &· J FQSTER PL~ING 1:3706-B HWY 8 BUS. .EL CAJON CA, ::J, ":::,v-
~i.m, . Addr•u _ 6 Chy S11t■ff~QQ3S4 T1l1ph.,n1 fl
SUI• Uc•"-"• I:) 30120 Ui..nu ci .. ,c .'3 , Cit)' !1u1lnH■ Ucen.w I ______ _
Duiontt Neme Addreu Cllr St•l•l.llp l,tephon•
$1•1• Ucantt I ... N .. ( ... A _________ _
-. :ii.,li.W<>IUl'.EJl.8~,,coMPEN!IA,'t\Q;{~\JMmlfflllaNffi~lffl~mll'a'111ffllD(IJllf.lURilli11D11lDlil!llmlH!i'l!ffif1'£!1%7~~•~.;f . .,,, Work,r■' Competia11lon D1cl1t11tll!N'I: I hoH,by 111\rm lhldar p.,,alty 111 Ptl/lirv -fll Iha l0Nowlng_dtd■l'lllona1
X
D I ht•• •nd wlll m~nt1ln • ci•rtlfla11t •I 1:on1ent to u!l-!n,urt l<>r wotktt•' eo,,.p■nt ■thm H ll<<rVlded by s■ctlcm 3700 ol th• Labo, Cod■. ror th• pellormar,e•
"' !ht WMk for which lhl!l pttmlt i. l■JUtd.
0 I h■YI •nd WIii m■lnttln 'WOik•·· ~o-nnflon, H ,■qwl-cl by S•atlon 3.700 "' 1h11 Lfbor Codi, ,or th• J>11rla,m1no• of th• wmk for whlch u,1. permit I•
luulkl. My •,:,<hr'■ comPtM•llon lnltlfanu e•,rler and polky mimtitr 1ta:
,...,uflnc• cmnp11nfARMER INSURANCE Ney NJ.'1200 7-56-51
!TlilS SECTIQH Hf.l!O NOT Ill! COMP'LETEO IF THI! tERMlT IS IIOR ONE HUNDRED DOI.Ul.1111•1001 OR I.USJ
CONTINUOUS
Ellplr1tlon D•••--~----
0 t£F\TIFICATf. DI' l!XIMPTION, 1 cartlfy lh1t In 1h1 t>•rfortn•n"• al the wo,IC Jo, wllk:h thl• permit I. f1-u1d, I shall nat 1mP1oy any l'"'M'" In any m&nna, •o n •
to l>tcome •ublect 1a th• Worker•' ,;;omp■nnllon Lnu "DI C■llloml1. •
WARNING: Fob• to Hr:w•·-ller■• -~--llon eootav• la una.•ful, .iw •hall tvvj1C111111,nployar 10 ~lmln1I p1n111t1tt, 111d elvll flMa ur '" on■ t,u.,drod
tl,nu1,i,d' dmla11 lt100,0001, m ■ddltlOII to lht cv■t cl ~i,mptnutlffl, il•m■tt■ U prowlde.t lot In S1etloQ 3701 ot the ltlbq, eod1. 11\lwr"I 111<1 ■m1m1y'1 Jen.
SIGNA1UA~ OATI:
1, ,,·owHER,11u1W111 D£ct.AMtioN~Ci,r["i)W~~;&: ·•~:ia~. ~i~iiiW,l,\i~,, ••
1 ,w,bv 1111,m thti I 1m u1n,p1 lrom th• t: .. nu1~lor'1 Llctn'"'I t,w for 1111 IOllowtna rt11on:
O I, •~ owner ol d•• propetty"' n,y 11mplov•n with w1gu H their aol• ~mptns■tloo, wKI du •h" work and th• llnll:IUII Is no1 ll'llonded or oHued tor ,o!o
1s•,. 7044, (!u1lnn1 and p,.,lnaioni Ctlde: Tl,e c...,,,~tor't llcan•• L1w don 'IOI 1pply 10 an DW""' of J)roJl.,tY who bull.i. cu lm11ro..,.,. tti.Jr•,m, ind who dou
•~di w<>r~ t.lmntl or tlt,ou1;1h Ni own emplov•"• provld-.1 that ■u,;h lmprm,e,1'1tot. u, not .. t.ndad c, Drf•rad fnr HI•. 1r, however, Ul11 bulldltl\J o, lri,p,ov•nHnt t■
,old w~Nn ont y .. , ol 1;:omp'41h:,n, ~ owntr•bulld■r wll "-"• th■ bwdon of Ptevlnlf thll 1M did nal b,,,lld or l,np,gye hw lh• purpe11 ,:,I Hlwl.
O I, •• <lwnlf ol 111• llt'lllll"'I'• •m uclutdv.ly ,:antt1ct!n11 wllh Rg-•d C11111.•••m111 to ,::-true!" lh• prvfllCt !Ste, 7044, 11u,1n•H and 1'1'of111■ltin1 Code: lha
C:"'11r■e1o,'1 U•n•• \.e'lllr dDH nv1 epply lO In owner 01 P•OPl"Y "'"° IN,lld1 w lmprOYII lhereOl'I, moll oan1ract• for 1uctt proj•et■ with con\f10IOtl1) llc•ntt•d
P\lPIUlftl Ill tht C11ntHotor•, UcllnH L.aw). • •
I. I 1>1ra0n1tlv pl•,, to PfO'f'lde th• m1~• l1l>1,r ar,d n11tt,l1la lff o,,nalluatlon ol ltt. P•IIPOI~ prop"1Ylmprov•m"1t. Q YES QNO
2, 1 lhtv• I have Nall ■l11n1d 111 appllcatlo" lot I buldlng p■rrnlt f11r th• pr11po,ed wo,k:
3. I lint COl!lflcl•d with u .. h1llowlri11 P••11t1 111,,,,, to provide lht PIOPH•II evn11ruotlP11 llnclud1 n■ma / ■dclt,u / 11hont hllrnbtr / conl11clcr1 HcenH numl>ttl:
4. 1 plai, 10 p!OVldf por1IOl'II 111 lh• YIIOlk, but I hllvt hhd Ult followln11 ptrton ta cooidtn■t•. ,upervlH •ntt provide th1 m1J~ work U11cludt n■m• I 1ddr1u / phi;lne
numb,, I contr11;:1011 li,:11nu nu111b1rJ1. __ ~------------------------------------------
5. 1 win provide 16tnt GI lh, WOfk. but I have cantr■e11d (hired! th• 10111,.-lng per1ona lo p1ovld• th• work lndlctt♦d Clnclud1 n1m1 / tddr■•■ I phon1 nul!lll•1 I tvP9
ol workl:. ________________________________ ~---~------~---------
rAOf'EIITY OWNfl\ SIONATVAE _____________ :---___ ,..______ OATE __ ~--~----
'.i:O~l«-t$&1:nJ!INJ!C)ll,«i,N,~tJAQij!J.QIHII~#• ~.;mm:~~msit~;',!~ ·,
1, th■ tps,lk:enl or lutur, llulldlnv ocwp..,t r1qul11d to l\llmtll • blnlnNI plan, ■cutllly htHl'dovl m11t■J11l1 rtQ111r11lon form Ill' thlk ffl■l'llgemtnl ■nd prevei,tion
JIIOII'•"' unde,Slcllons 2H0I, 25533 or 255Mefth• Pre■l•J"'r■Mtl'H.a,rdoUI &u1i1i■nc■Alll:!ountAot? 0 YH □ NO
I• the eppllc■nt or hit\#■ bv\ldll'ltf 11C1111P11tt 11qulrld to •t•ln • Plffl'III from lM alt ,ollullon oanttol dlalrlc:t llf air q1n111ty 111111•11■m111t dl■trll:t 7 0 Yl!:ii □ NO
ls w f■c:IUty 10 b• construct■d within 1,000 fHI of lhl outer btlund11y of• ldN 11l•J O YES □ NO
1, IIN'f of THE AHSWP!II Alt! Yu, A FINAL CEIITIFICATe 01' OCCUl'ANCY MAY NOT 81! IHUED UNW■ THI! APPUCANT ftAS MET OR IS "'1EETINO TH!
REQUIR&MENlS OF TH( omcE OF EMIMG~CY SERVICES ANO tHE Alll ~OUUTION CUNTAOL Dl&TIUCT.
11,'. ,,, C0N5TilUCTION l~NG'AGENCY,J!W:'1'•---:~ ' M'f'~il'/i~ .. T)\,;,,., p.\: ·:
I h•••llv ,rn, .... lh■, lh■r■ la • ean■tru~tllln l1ril!l1111 •otn,:y. lor th■ P"fllrll'IMClt "' lh• worlc I« whkh thhl """''' I■ l••utG ISi,:, 309711) CMI t:odel,
LEHDl:11'9 HAMl! ~---------~--1.INllllll'S AODRess ________________ =-------------
]l:, '. ~1CANT,IOEIUIFICAl10tl;..\·•11 ~fl'.{';tM~.\~~~~~ J:,~;.::QHt· :::~,,:,, ..
l cwrtll'( thlf I he'f'■ rt1d th■ 111plt11loo •nd ti•t• lhal tl'II 1bOYI lr,h1rm•Uon II CDITkt end th1I th■ lnform■ilon 9" tht pl1nt It t.:cur■II, I •gree to oomply Wilh &II
City 01dln1nces ,.,11 St1H l•wt 11l1tlnv 10 buRdlng eonetrv<i:tlo". I ht,allv aull,o,11• r-11nt1tlv11 ol the City ,sf C1t11ll1d 111 1•1101 ui,•n th■ •ban ma,,,,.,,,..,d
pn,11env for ln111tC1iGn IMPNH, I ALSO Allllll!E TO SAVI. INOl:MNll''r AND lt;&liP ,HARMU.SS THI: CITY OF CAl'llSBAD AQAINST All UI\IIILf!'IU.
JUO!'JIIIIENTS, COSTS AHD IXPE!IISH WHICH MAY IN AN'f WAY ACCI\UI AGAINST U.lb CIT'f IN CONSE.OUU!Cl OF 1'HI! GRANTING OF THIS PERMIT.
OSHA: A11 OSHA P1"1'1h 11 r1QU111d lar ,xen■tlCN onr 6'0" d .. O 1nd d•m11.tlon o, oeN,rl.lOIIOII of ,tructu.u ewer 3 •lo;11l1• In ~Ol~lit,
£.Xl>IIIATION: Evtry petmil l,..u■d by \ht 8ulldlrlf Olllc:111 tmd■r 1"9 i,rovltlont or 1h11 Cfft ahlll 1xpl1'1' by llmllttlan 1nd become null •nd 'f'OI\! II th• building or
w11rlt 1111110,tud bv such 11••11111 1 nat 1:0mmen11od wl1'1111 366 dtVS Crom 1tt.1 d•t• af ,uc:ti per,.,it Of If tht building Ill wark lltDflr.■d v suet, p.imlt 11 •usp•ndad
0, ,b1MOntd 11 ,ny um, 11 I war 1, comm, fo, I pt1IDII of 1 ■YI 15'V\!Ofl 106.4,4 Uniform Building Ca$1ell'V
Al'PLICAN1'6 610NATUAE ~~~U~L-.!..L:.L.L'!i~!JJ.-1,.(:!1.::::~~--------~-OATE -=-~-r..i....:;+-__;:.--'-'"'-----
WHITE: FIie YELLOW: Appllnnl l"INk: f:ln•l'lo•