HomeMy WebLinkAbout1778 GUEVARA RD; ; CB930619; Permit: t
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Fl,NAlJAPPROVAL
INSP. ~ DATE /&:7/2t' 7 7 CLEARANCE _____ 1
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
• I l!A. ~
9'3-YJ// PERMIT APPLICATION PLAN CHECK NO.
City of carlsbad Building Departaent
EST. VAL ___ /_f?:,-r} ___ _ 207S Las PalES Dr., Carlsbad, CA 92009 (619) 438-1161
PIAN CK DEPOSIT ________ _
VAUD. BY __________ _
I. P£RM1 I IYPE DAT!!
A-UCommerc1al •New Buildmg Li tenant Improvement
B -• Industrial • New Building • Tenant Improvement
C -JI-Residential • Apartment • Condo ij,single Family Dwelling i9-Addition/ Alteration
• Duplex • Demolition • Relocation • Mobile Home • Electrical • Plumbing • Mechanical • Pool • Spa D Retaining Wall • Solar • Other
2. PROJECT INFORMATION FOR OFFICE USE ONLY
BuUdmg or Suite No.
C. ,t,/LL ~~AD CA.
LEGAL DESCklP I ION Lot No. SufXhvtsmn Name/Number Unit No. Phase No.
CHECK BEWW IF SOBMI 11 ED: • 2 Energy Cales • 2 Structural Cales • 2 Soils Report • I Addressed Envelope
ASSESSOR'S PARCEL EXISTING USE PROPOSED USE
DESCRIPTION OF WORK
SQ. Ff. so I # OF STORIES
3. ~~ACM ~fil~(II ~4~ ~gtant) ADDRESS
CI1Y Cl4a-::>e~o STATE CA-ZIP CODE DAY TELEPHONE
NAME M l "-6° f'er~-l ADDRESS t{p 06 ", ._
CITY C..-A;ZJ,56A.o STATE CA ZIPCODE qzoas DAYTELEPHONE --vo--rre"lfl
5
· =A\~ff 'f"AlC,oveE ADDRESS 1,7t, e,veVAtt..4
6
_ %1: iJErtr'=SB"° STATE c,4 ZIP CODE q-zoc>;> DAY TELEPHONE 43q:-~s ~ -tt
NAME
CITY STATE
ADDRESS
ZIP CODE DAY TELEPHONE
STATE UC. # LICENSE CLASS CITY BUSINESS UC. #
DESIGNER NAME ,.,, 1 u Per~tesw1 ADDRESS _ m v1,+ v6,t.?;4-
CITY th B.+O STATE i::::;,+. ZIP CODE DAY TELEPHONE STATE UC. #
Workers' Compensation Declarat1on: 1 hereby aff1rm that I have a certificate of consent to self-msure issued by the Director 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).
INSURANCE COMPANY POLICY NO. EXPIRATION DATE
Certthcate of Exemption: I cerufy that m the performance of the work for which this penmt 1s issued, I shall not employ any person many manner
so as to become subject to the Workers' Compensation Laws of California.
SIGNATURE DATE
8. oWNER-B0mmR DFil.JutAI IUN
•
•
Owner-Builder Deciarauon: I hereby affirm that I am exempt from the Contractor's Lcense Law for the followmg reason:
l1 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 to an 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 pennit 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 i pt therefrom, and the basis for the alleged exemption. Any violation of lion 7 31.S by any applicant for a pennit
subjecF., ~E nt to a civil penalty of not more than five hundred dollars [$500]). /.J, QA_
SIGNATURE ~ DATE G:, 'Z,-1 -, /
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form 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 pennit from the air pollution control district or air quality management district?
C YES • NO
ls the facility to be constructed within 1,000 feet of the outer boundary of a school site? • YES • NO
IP ANY OF THE ANSWERS ARI! YES, A FINAL CERTIFICATE OF oa:IJPANCY MAY NITT BE ISSUED AFfER JULY I. 1989 UNLESS THE APPLICANT
HAS MIIT OR IS MEETING THE REQUIREMENTS OF nm omCE OF EMERGENCY SERVICES AND THE AIR POillJTION CONlROL DISTRICT.
9. WNSJRUCIIUN LRNDING ACENCY
I hereby afhnn that there ts a construction lending agency for the performance of the work for which this penn1t 1s issued (Sec 309?(1) Civil Code).
LENDER'S NAME LENDER"S ADDRESS
IO. APPLICXfH CFJlllFICAIION
I cerufy that I have read the apphcauon and state that the above mformat1on 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 Carlsbad to enter upon the above mentioned property for inspection
purposes. I AI.'10 AGREE ID SAVE INDEMNIFY AND KEEP HARMIJlSS THE CfIY OF CARIS8AD AGAINST AIL IJA8IIJTIES, JUDGMENTS, CDSTS
AND EXPENSES WIDCH MAY IN ANY WAY MDUJH AGAINST SAID CfIY IN CONSEQUENCE OF THE GRANTING OF TIIIS PERMIT.
OSHA: An OSHA pennit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height.
Expiration. Every pennit 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 rmit 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 abando at any time after the work is commenced for a period of 180 days (Section 303(d) Unifo Bui! ing Code).
APPLICANT'S SIGNATUR~-9'.J,.t;;;;I--DATE: {p '3
WJ-IlTE: File YEU.OW: Applicant PINK: Finance
PERMIT# CB930619
DESCRIPTION: ADD 50 SF BAY
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 01/26/94
WINDOW
TYPE: MISC
JOB ADDRESS: 1778
APPLICANT: TALCOVE,
CONTRACTOR:
OWNER:
GUEVARA RD
MITCH PHONE:
PHONE:
PHONE:
STE:
INSPECTOR AREA PY
PLANCK# CB930619
CCC GRP
CONSTR. TYPE NEW
LOT:
619 434-3538
REMARKS: MH/434-3538/424-3030
SPECIAL INSTRUCT:
INSPECTOR d_
TOTAL TIME:
CD
19
29
39
49
LVL DESCRIPTION
ST Final Structural
PL Final Plumbing
EL Final Electrical
ME Final Mechanical
7
ACT COMMENTS
,4/J _________ _
$---
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***** INSPECTION HISTORY*****
DATE
121_593
120993
120993
120993
110993
092093
090993
062293
DESCRIPTION
Interior Lath/Drywall
Insulation
Exterior Lath/Drywall
Rough Electric
Frame/Steel/Bolting/Welding
Ftg/Foundation/Piers
Ftg/Foundation/Piers
Ftg/Foundation/Piers
ACT
AP
AP
AP
AP
AP
co
co
AP
INSP
PY
PY
PY
PY
PY
PY
PY
PY
COMMENTS
ADD DOWELS 48110.C./REM BRK FT
OK TO POUR