HomeMy WebLinkAbout2837 VISTA MARIANA; ; CB950709; PermitB :J .i ., [> I N 1 P E R M l 1
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Farcel No: 21o-4bl-27-00 C-PRMT 69-00
V<1luc1ti ,n: 1 ,72ti
l'onstruct 10n Typ,::-: NEW
Reterence#: Occupc1ncy G1 c:,up •
Description : 25b SF PATIO COVER PE::f< Sf E•-::=,
Appl/Ownr CHAS!:rAGNE, NED
2~J7 VISTA MARIANA
CARLSBA[i,
Fees:
A, i ju~trnents :
Total Fees :
Fee ,1escr1pt1on
Buildir.q Perrn1r
Plan Check
Strong Motion Fee
, BUILDING TOTAL
bl:3 931-8107
5t:i.tLts:
Appl 1P<1:
Ar r/ls£"ue:
Entered ;,,y:
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[)~/L$'l
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.uo
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69.00
Ext fl='e f>ata
41.0U
27.00
1.00
b 9 . II (.1
PPROV~l .1 DATE "rJ 619S"
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CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
PERMIT APPLICATION PI.AN CHECK NO.
City of Carlsbad Building Department
2075 Las Palms Dr., Carlsbad, CA 92009 (619) 438-1161 EST.VAL. ___________ _
t. PERMIT 'IYPE PI.AN CK DEPOSIT ________ _ VAIID.BY ___________ _
DATE
From List 1 (see back) give code of Permit-Type: ____________ _
For Residential Projects Only: From List 2 (see back) give
Code of Structure-Type: ______________________ _
Net Loss/Gain of Dwelling Units ___________________ _
2. PROJECT INFORMA110N
Address :l_ %) 7 ,nA.illAAAi.... Building or Suite No.
FOR OFFICE USE ONLY
CHECK BEWW IF s08MI 11 ED:
D 2 Energy Cales □ 2 Structural Cales D 2 Soils Report D 1 Addressed Envelope
ASSESSOR'S PARCEL EXISTING USE PROPOSED USE
DESCRIPTION OF WORK
# OF BEDROOMS # OF BATHROOMS
I
NAME (last.name first) ADDRESS
ZIP CODE CI1Y STATE DAY TELEPHONE
4. APPUCAN I □ CUN I ltACI OR
NAME (last name first)
0 ACEN I FOR CUN I RACIOR
ADDRESS
0 OWNER O ACEN I FOR OWNER
CllY STATE ZIP CODE DAY TELEPHONE s. PROPERIY oWNElt
NAME (last name first) ~r;W"lt-6-Ne ~r~ ADDRESS :l <?37 Vl S~
'l,)..ocJq DAY TELEPHONE Cf STATE ZIP CODE
NAME (last name first) ADDRESS
CllY O \..v ,.,'<..•( STATE ZIP CODE
LICENSE CLASS
DAY TELEPHONE
6 ,J ' ,_ 0 ~•L STATE LIC. # CllY BUSINESS LIC. #
DESIGNER NAME (last name hrst)
CllY STATE ZIP CODE
ADDRESS
DAY TELEPHONE STATE UC.#
1. WoRKERS' CDMPENsA noN
Workers· compensanon oec1arat1on: I hereby alhrm that I have a ceruhcate of consent to sell-insure issued by the Director ol 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
ceruhcate of Exempuon: I certify that in the performance of the work tor which this permit 1s issued, I shall not employ any person in any manner
so as to become subject to the Workers' Compensation Laws of California.
SIGNATURE DATE
B. oWNER-BUIWER OECI.ARA'l1oN
□
D
Owner-Builder Declaration: I hereby afhrm that I am exempt from the Contractor's License Law for the following reason:
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 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 permit 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 is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit
subjects the applicant to a civi natty of not more than five hundred dollars ($500]).
SIGNATIJRE DATE
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 permit from the air pollution control district or air quality management district?
□ YES □ NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
□ YES D NO
IF ANY OF TI-IE ANSWERS ARE YES, A FINAL CERTIFICATE OF oa;upANCY MAY NOf BE ISSUED AFTER JULY I, 1989 UNLESS TI-IE APPUCANT
HAS MET OR IS MEIITING TI-IE REQUIREMENTS OF TI-IE OFFICE OF EMERGENCY SERVICES AND TI-IE AIR POU.UTION CDNTROL DISIRICT.
9. CDNS'IR0CnoN LENDING AGENCY
I hereby albrm that there 1s a construction lending agency for the performance of the work for which this permit 1s issued (Sec 3097(1) CIVIi Code).
LENDER'S NAME LENDER'S ADDRESS
10. APPUCAN I CERl1FICAIION
I cerufy that I have read the appltcauon and state that the above mlormat1on 1s correct. I agree to comply with all 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 ALliO AGREE 'IU SAVE INDEMNIFY AND KEEP HARMLF.SS TI-IE CflY OF CARLSBAD AGAINST AIL UABIIJ11F.S, JUDGMENTS, CDSTS
AND EXPENSES WlilOI MAY IN ANY WAY Aa:RUE AGAINST SAID CflY IN CDNSEQUENCE OF THE GRANTING OF nos 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 and become null and void if the
building or work authorized by such permit is not commenced ithin 365 days from the date of such permit or if the building or work authorized by
such permit is suspended or abando ed at an time fter t rk is commenced for a period of 180 days (Section 303(d) Uniform Building Code).
APPLICANTS SIGNATURE DATE:
PINK: Fmance
CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT# CB950709 FOR 07/06/95
DESCRIPTION: 256 SF PATIO COVER PER SPECS
TYPE: PATIO
MARIANA STE:
INSPECTOR AREA PY
PLANCK# CB950709
OCC GRP
CONSTR. TYPE NEW
LOT: JOB ADDRESS: 2837 VISTA
APPLICANT: CHASSAGNE, NED
CONTRACTOR:
PHONE: 619 931-8107
PHONE:
OWNER:
REMARKS: RS/MR. CHASSAGNE/931-8107
SPECIAL INSTRUCT:
TOTAL TIME:
CD LVL DESCRIPTION
PHONE: '7
INSPECTOR ✓ I /----1--1 ---
ACT COMMENTS
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***** INSPECTION HISTORY*****
DATE DESCRIPTION
053195 Ftg/Foundation/Piers
ACT INSP
AP PY
COMMENTS
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2075 Las Palma~
Carlsbad, CA 921.
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PLOT PLAN
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