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Home My WebLink About2683 WATERBURY WAY; ; CB950442; Permit03/29/95 13:37 Page 1 of · 1 B U 1 L D I N G P E R M I T Job A<llress: 2li83 WATERBURY WY Suite: Per~1t Type: PATIO/DECK Pe1mit No: C89S 442 Project No: A95UOoJ7 )evt:>lopment No: 1265 03/29/95 0001 01 02 Parcel No: 107-441-21-0U Lot#: Valuation : J , 3t<8 C-PRMT 105-00 Construction Type: NEW Occupancy Group: Reference#: Description: INSTALL ICBO PATIO ENCLOSURE : ICBO # 3190 Status: ISSUED Applied: 03/29/95 Apr/Issue: 03/29/95 Entered By: PD 619-229-0642 Appl/Ownr : MONTELLO ,T. 4715 60TH ST SAN DIEGO,CA,9211 I< A A Fees Required ----------------------Fees: Adjustments: Total Fees : Fee description Building Permjt , Plan Check Strong Motion Fee * BUILDING TOTAL .uo .00 105.00 Ext fee Data 63.ou 41.00 1.00 1os.uo APPROVAL ! NSP. ----DATE __ s:,........,,.....__I CLEARANCE _____ 1 CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION PI.AN CHECK NO. City of Carlsbad Building Oepartaent 2075 Las Pal•s Dr., Carlsbad, CA 92009 (619) 438-1161 1. PERMI I lYPE From List 1 (see back) give code of Pennie-Type: ____________ _ For Residential Projects Only: From List 2 (see back) give Code of Structure-Type: _ __,Pt_,___.~_,__fl]-4-_,/_D ________ _ Net Loss/Gain of Dwelling Units 2. PRQJECf INFORMATION FOR OFFICE USE ONLY Address .2 ~ ~ 3 we(' bvr"\/ W~icf or SUite No. Nearest Cross Street Unit No. Phase No. R BMII : □ 2 Eeagy Cala □ 2 s=crural '& '□ 2 SoH, Report □ I Add~S<d En~lope PROPOSED USE # OF BATI-IROOMS ZIP CODE '1 STATE UC.# NSE ClASS CllY BUSINESS UC. # ast name 1rst CllY STATE ZIP CODE DAY TELEPHONE STATE UC. # 1. Woitl<ER.S' OOM1>ERsA'i1oN Workers' Compensauon Declarauon: I hereby athrm that I have a cerubcate of consent to sell-insure issued by the Director ol lndustnat Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified by the Director of e insurer thereof fi ed with the Building Inspectio~artmell{ !Jf'/i~OjJ, Lab. C). POLICY NO. UJ r</ /5J,c~_:fi~b!rfdJ DATE so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE A. oWNER-BUllDER OilCLARA'i1oN Owner-Builder Declaration: I hereby athnn that I am exempt from the Contractor's License Law for the iollowmg reason: D 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.). D 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). D 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 pennit 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 is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a pennit subjects the applicant to a civil penalty of not more than five hundred dollars [$500)). SIGNA11JRE DATE COMPLETE TAls SECTION FOR NON-RESIDENTIAL BUlilliNG PERMITS ONLY: Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration fonn or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? □ YES ONO Is the applicant or future building occupant required to obtain a pennit from the air pollution control district or air quality management district? □ YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES D NO IF ANY OF TI-IE ANSWERS ARE YFS, A FINAL CERTll'ICATE OF ocx;upANCY MAY NOT BE ISSUED AFfER JULY 1, 1989 UNLF.SS TI-IE APPUCANT HAS MET OR IS MEETING TI-IE REQUIREMENTS OF TI-IE OFFICE OF EMERGENCY SERVICES AND TI-IE AIR POILUTION OONTilOL DISl1UCT. 9. CXJNS'l1t0Ci1ON I.ENDING AGENcY I hereby alhrm ihat ihere 1s a construction lending agency for ihe performance of the work tor which this permit 1s issued (Sec 3097(1) CIVIi Code). LENDER'S NAME Qm e J:ENDER'S ADDRESS lo. APPDCAN l C£R I certify ihat I have read ihe apphcat1on and state that the above inlormauon 1s correct. I agree to comply w1ih 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 AISC) AGREE ro SAVE INDEMNIFY AND KEEP HAR.MLF-5S TI-IE CTIY OF CARISBAD AGAINST AIL UABill11ES, JUDGMENTS, CX>STS AND EXPENSES WlDCH MAY IN ANY WAY ACX:RUE AGAINST SAID CTIY IN OONSEQUENCE OF TI-IE GRANTING OF TI-OS PER.MIT. 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 pennit is not commenc within 365 days from the date of such pennit or if the building or work authorized by such pennit is suspended or aband any • a t • commenced for a period of 180 days (Section 303(d) Uniform Qi~~l:;;V--- APPUCANT'S SIGNATURE DA'l].;J__: .... ~"--+--~ 0 PINK: Finance PERMIT# CB950442 CITY OF CARLSBAD INSPECTION REQUEST FOR 05/01/95 ENCLOSURE DESCRIPTION: INSTALL ICBO PATIO ICBO # 3190 TYPE : PATIO STE: INSPECTOR AREA PLANCK# CB950442 OCC GRP CONST. TYPE NEW LOT: JOB ADDRESS: 2683 WATERBURY WY APPLICANT: MONTELLO,T . PHONE: 619-229-0642 CONTRACTOR: OWNER : REMARKS: MW/CHRIS/469-9556 SPECIAL INSTRUCT: TOTAL TIME: CD 19 LVL DESCRIPTION ST Final structural ------------------------------------ -- ---------------- PHONE: PHONE: ACT COMMENTS Af!_ <f-LASf v.f<f t? tf'~& I C:.IQ Nd": (~ Jt,?1u.) ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS