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HomeMy WebLinkAbout1545 FARADAY AVE; ; CB970043; Permitup: AV L 1 0~ .f RE AINI li H K ~LD Nli A pl/Owr..r · F Rc>q J. l F es: A ustm n ot 1 e E-e s Bu1l 1n Plan Che K trc"'lJ M ti n f * IL NC; A t L ,t#: D V 92"'1 0 ... 11 /97 ,.mst UC"t N N N Er 19-(-4951 APPROVAL _ DATE /l~ It ·77 CLEARANCE ____ _ CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 FOR OFFICE USE ONLY PERMIT APPLICATION 9100'±3 CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 EST.VAL._-4--,~__..........,'-""'---.....,q Plan Ck. Deposit -----------4 Validated BY--....-~ ........ +-,,,..-~:;....;:.- Date _____ -4-....._...;__._-+--+---- Business Name (at this address) ,,... Lot No. Subdivision Name/Number Unit No. Phul No. Total I of units (:T~) -Z-¥ ~ ]2 ~IS- ting Use Proposed Use Name Address City State/Zip Telephone I Fax I 13. AW,JCANT O Contractor CJ.Agent o Contr.JiCtor 0 Owner O Agent [or 0Yfil8r _..;. --.,. ..,;'" ___ ,.i._.:r._'lil. .. ~ -..;..;.~..G._.I!..:.._ __ Name Address City St1ta/Zip Tll1phone I CONTRACJ'OR::.COMP~ (Sec. 7031 .5 Business and Professions Code: Any City or County which requires• p1rmit to construct, 11t1r, improve, demolish Ot repeir eny structure, prior to its issuance, also requires the applicant for such permit to file • signed statement that he is licensed pursuant to the provisions of the Contractor's License Lew [Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, end the basis for the alleged exemption. Any violation of Section 7031 .5 by any applicant for a permit subjects t a plic1nt to I!.. civil P.41n11ty of not more fiv hundr d dollars (t500)). H-N ()0 " State License I _ .... t.f .... )_..t-:_.z.__~..__._/ _3 __ _ License Class __ ._($'------- City Sta e/Zi'l 2. (I• Telephone I City Business License I z_? ~ (,{q 1) / I/ Ji Designer Name Address City State/Zip Telephone State License I---------- 111. 'W._ORl(ERS' COMPENSATION. 11 · Workers' Compensation Declaration: I hereby 1ffirm under penalty of perjury one of the following declaretiona: 0 I have 1nd will maint1in a certificate of consent to salt-Insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the woric for which this permit is issued. ~ I hive and will maintain workers' compensation, as required by Section 3700 of the Labor Code, fo, the performance of the work for which this permit is F~-My worker's com tion insurance carrier nd policy number are: _ ? lnaur1nce Company Policy No. 22/ly/t, / C.'i$'9 7 Expiration Date /u / 9 (THIS SECTION NEED NOT BE COMPLETED IF T E PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) 0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I 1h1II not employ 1ny per1on in any manner so as to become subject to the Workers' Compensation Laws of C1lifornia. WARNING: Flilure to Mc:ure•worken' compenution coverege is unllwful, end shall subject en employ1r to cri"*-1 peneltla ind dvll fines up to one hundred thouund dollars ($100,000). in addition to the coat of compensation, d1magea as provided for in Section 3706 of the Labcv code, lnt-t and ettomey'a f-. SIGNATURE DATE 7. OWNER-BUILDER DECLARATION -:-;--::;:=:;;::;;;:;;::;;:;;::::::;;;;::::.....'"""""..,..~ ..... - I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 I, as owner of the property or my employees with wages as their sole compensation, will do the work end the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to 1n owner of property who builds or improves thereon, 1nd who does such work himself or through his own employees, provided that such improvements ere not Intended or offered for sale. If, however, the building or Improvement is sold within one yHr of completion, the owner-builder will hive the burden of proving that he did not build or improve fo, the purpon of sale). 0 I, 1s owner of the property, 1m exclusively contrecting with licensed contrectors to construct the project (Sec. 7044, Buainaa ind Profeuions Codi: The Contractor's License Law does not 1pply to an owner of property who builds or improves thereon, end contrects fo, auch projecta with contr1ctor(1) licen11d purausnt to the Contractor's License Law). 0 I 1m exempt under Section ------Business end Professions Code for this reason: 1 . I personally plan to provide the major labor and materi1ls for construction of the proposed property improvement. 0 YES ONO 2. I (have I have not) signed an application for I building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name I address I phone number / contractors license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise end provide the major work (include name / address f phone number I contractors license number)=---------------------------------------------- 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone number I type of work):.~-------------------------------------------------------- PROPERTY OWNER SIGNATURE ______________________ _ ~OMJILUE THIS SECTION FOR l{ON;;RESIDENT]AL BUILDING ~ITS ONL :::=-=~~-~~~=~~~=~ Is the applicant or future building occupant required to submit a business plan, ,cutely hazerdous m1teriell regiatr1tion form or rilk manegement ind prevention progrem under Sections 25505. 25533 or 25534 of the Presley-Tinner Huardous Substance Account Act? 0 YES O NO Is the 1pplicant or future building occup1nt required to obtein I permit from the 1ir pollution control district or 1ir quelity meneo-ment district? 0 YES O NO Is the facility to be constructed within 1,000 fNt of the outer bound1ry of a school site? 0 YES O NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 8, CONSTRUCTION LENDING AGENCY I hereby affirm that there ,s a construction lending agency for the performance of the work for which this permit is iuued (Sec. 3097(i) Civil Code). LENDER'S NAME -------------- 9. APPLICANT CERTIFICATION I certify that I ha11e reed the application and state that the abo11e information is correct and that the information on the plans is accurate. I agree to comply with 111 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 purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST AU LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 1tories in height. EXPIRATION: Every permit issued h{I Building Offici1I er the provisions of this Code shell expire by limitetion ind become null 1nd void if the building or work authorized by such permit is not c menced ithin days from the date of such permit or if the building or work 1uthorized by such permit is suspended or abandoned It any time after the · comm c r 11>41riod of ~days (Section 106.4.4 Uniform Building Codi). APPLICANT'S SIGNATURE k! _ , DATE I -I O -"I 7 • YELLOW: Applicant PINK: Finance PERMIT# CB970043 DESCRIPTION: 1000 HIJK TYPE: RETAIN CITY OF CARLSBAD INSPECTION REQUEST FOR 07/03/97 SF RETAINING WALLS,3 AREA BUILDING INSPECTOR AREA PD PLANCK# CB970043 OCC GRP CONSTR. TYPE NEW JOB ADDRESS: 1545 FARADAY APPLICANT: GROVER, DONALD CONTRACTOR: AV STE: LOT: 104 OWNER: REMARKS: B/931-1130 SPECIAL INSTRUCT: TOTAL TIME: --RELATED PERMITS-- CD LVL DESCRIPTION PERMIT# CB961363 SE960097 AS960061 TYPE INDUST swow ASC PHONE: ~ PHONE: 619-436-4951 ?IL PHONE: ~ INSPECTOR@/ ---~~------~-- STATUS ISSUED ISSUED ISSUED ACT COMMENTS 19 ST Final Structural 29 PL Final Plumbing 39 EL Final Electrical 49 ME Final Mechanical __ l-- ~-------------------~------------------- ***** INSPECTION HISTORY***** DATE DESCRIPTION 020397 Grout 012297 Footing ACT INSP AP PY AP PD COMMENTS C-4 3'-8" PLANNING/ENGINEERING APPROVALS PERMIT NUMBER CB q 100 L!_3 RESIDENTIAL RESIDENTIAL ADDITION MINOR ( < $10,000.00) DATE _L.....-l--~l_;:;.O_-_q_7.L-__ TENANT IMPROVEMENT PLAZA CAMINO REAL VILLAGE FAIRE COMPLETE OFFICE BUILDING PLANNER _ __.j,,.,,O"'-'-pJ"'---_ZPr--=-'--\.,,_._,: r::)L.;:.....I_S '.<___,\'"'---·. --DA TE _ __,.f-:-...L-/_O_-_q--"7:____ - ENGINEE70·7YJ~ DATE /--/5-~7 • o~J-, ~ ~,19-,;1/I . 12--10'9b ~~aYlf~ C:\WP51 \FILES\BLDG.FRM Rev 11 /15/90