HomeMy WebLinkAbout1010 TURNSTONE RD; ; CB984215; PermitPERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad CA 92009
(760) 438-1161
FOR OFFICE USE ONLY
PLAN CHECK NO. (87l{5
EST. VAL. 2 7C 2-
Plan Ck. Deposit --~+-.Al-f-:illl~.t-
Validated By-=-+--t---lµi~-
Date __ +-__ 'f-ili::::l,,-;H::#7'~--
Business Name (at this address)
Legal Description Lot No.
Assessor's Parcel I
Description of Work
2.
Name
:3. APPLIC
Name Address
4. ;+ Q riiitut,w·
Subdivision Name/Number
City
• 0 6wnir • 0 Agent ior Owner
I of Bedrooms
State/Zip
Total I of units
I of Bathrooms
(Sec. 7031.5 Business end 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 permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law
(Chapter 9 commending w)th Section 7000 of Division 3 of the Business end Professions Code) or that he Is exempt therefrom, and the basis for the alleged
ti n of Sectio 031.5 b eny applicant for I permit subjects the applicant to• civil pen■ltv. of not e ■n five undred dollars ($500)). / -/(7_, --q I ~ 7
~ 7
License Class_..,_..______ _......,....__'""--_._.~.,::; 7 &;0 b
D_esigner Name Address City State/Zip
State License I _________ _
6 . WORKERS' COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
0 I have end will maintain a certificate of consent to self-Insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance
of the work for which this permit is issued.
r"'-/i have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit Is
j;'~d. My worker's com e satio insure carrier I policy number are: . / L(C ::-\,77 _c, ? . . 9
Insurance Company -Pohcy No _2 (I_ 0 l/ 7 t[_ Expiration Date / / . / • 0, _ /Ff -/-(THIS SECTION NEED OT BE COMPlETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1•100) OR LESSJ
0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is i11ued, I 1hall not employ any person In any manner so as
to become subject to the Workers' Compensation Laws of California.
WARNING: Failure to secure workers' compenntlon coverage Is unlawful, and shall subject an employer to criminal penalties and civil
thousand dollars 1•100,0 h tot t f a Ion, damagea u provided for In Section 3706 of the
s up to -hundred
ttomey's fees.
SIGNATURE ___ ..L-..J-L-..:::..~.r......:.....~.:..::=:.....;::;....:~"""-------------DATE -----,.--.--r-,-,,--
7. OWNER-BUILDER DE ' ' •• :· ,. -· •• ·, ... ' • ' f"J'lr •-· -••
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 and the structure Is not intended or offered for Hie
(Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to 1n owner of property who builds or Improves thereon, and who does
such work himself or through his own employees, provided that auch Improvements ■rt not Intended or offered for Hie. If, howev■f, the building or Improvement 11
sold within on■ year of completion, the owner-builder will have the burden of proving that he did not build or Improve for the purpoH of 11le).
0 I, as owner of the property, am excluslvaly 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(al licen11d
pursuant to the Contractor's License Law).
0 I am exempt under Section ______ Business and Professions Code for this reason:
1. I personally plan to provide the major labor and materials for construction of the proposed property Improvement. 0 YES ONO
2. I (have / have not> signed en application for I building permit for the proposed work.
3. I have contracted with the following person (firmJ to provide the proposed construction {Include name / address / phone number / contractors license numberJ:
4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work {Include name / address / phone
number/ 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 / address / phone number / type of work): _________________________________________________________ _
PROPERTY OWNER SIGNATURE ______________________ _ DATE __________ _
1COMPLETE THIS SECTION FOR NON-RESIDENT1Ai. iUIUMN0 PERMITS oNi. y,,;•1~~,r-,...._i"" '''l"'"";','i,;,~•?.":"""-~-~_,.r':"".::, ~;,·~ .. -. -•• • • ,., ·---··· •••••• ····-·
Is the applicant or future building occupant required to submit a business plan, acutely hazardous material■ registration form or risk management and prevention
program under Sections 25505, 25533 or 25534 of the Presley-Tenner Hazardous Substance Account Act? 0 YES O NO
Is the applicant or future building occupant required to obtain e permit from the air pollution control dlstr(ct or air qu1llty management district? 0 YES O NO
Is the facility to be constructed within 1,000 feet of the outer boundary of• 1chool 1ite7 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.
I certify that I have read the application and state that the above Information Is correct end 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 Citt 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 All 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 stories in height.
EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation end become null end void if the building or
work authorized by such permit is not ommenced within 365 days from the date of such permit or If the building or work euthorizedq such p?r -is suspended
or abandoned at any time after the k itCT n f r • d of 180 days (Section 106.4.4 Uniform Building Codel. ' I . -~
APPLICANT'S SIGNATURE --+-.J...iµ~~U~~~~..L-------------DATE ___ ..__cf'----'--_J---'--''-----
. WHITE: File YELLOW: Applicant PINK: Finance
City of Carlsbad Inspection Request
For: 3/19/99
Permit# CB984215
Title: PATIO COVER 312 SF 4CBO 1841-P
Description: ~~
Type:PATIO Sub Type:
Job Address:
Suite:
Location:
1010 TURNSTONE RD
Lot
C..PPLICANT : SKYLINE SUNROOMS
Owner: HAMANO YOICHl&NORIKO
Remarks:
Total Time:
Act Comments
Inspector Assignment: RB ---
Phone:
Inspector:
Requested By: NA
Entered By: CHRISTINE
CD Description
19 Final Structural If/::> _____________ _
Inspection History
Date Description Act lnsp Comments
3/4/99 15 Roof/Reroof WC RB
3/4/99 19 Final Structural co RB
3/4/99 39 Final Electrical co RB
2/18/99 19 Final Structural co RB SEE NOTICE
2/18/99 39 Final Electrical co RB
12/15/98 11 Fig/Foundation/Piers AP RB
12/11/98 11 Fig/Foundation/Piers co RB MISSN 3/8 BOLTS THRU POS