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HomeMy WebLinkAbout1215 WIND STAR WAY; ; CB984422; PermitB U I L D I N G P E R M I T Permit No: CB~84422 Pro1ect No: A9805722 Development No: 12/21/98 10: 4 PaqP 1 of 1 Job Address: 1215 WIND STAR WY Suite: Permit Type: PATIO/DECK Parcel No : 212-212-1u-oo Lot#: Valuation : 2. 088 Occupancy Group: Reference#: Description: COVERED [ATIU 288 SF Appl/Ownr : TAMBORELLI CONSTRUCTION 937 HOMESTEAD ESCONDIDO CA 92020 Fei:>s Required Fet"S : Adjustments: Total Fees : Fee description Building Permit Plan Check Stiong Motion Fee * BUILDING TOTAL 8..,. 619 4633 12/21/98 f-%M'i1 02 87 .oo Construction TyrP: tEW Status : ISSUED Appli,~d: 12/21/98 Apr/Issue: 12/21/98 Entered By: JM 990-2852 & Credits .00 .no 87.00 Ext fee Data 52.00 34.00 1.00 ts7 .00 FINAL APPROVAL INSP. ____ DAtE------- CLEAR.~NCE_------:'.~==== CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 ,r • • .. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 1. PROJECT INFORMATION FOR OFFICE USE ONLY ~ PLAN CHECK NO . j\3 ~b~ EST. VAL. -~"""=,il....:::a::~B=--:::r::,....,..-----:- Plan Ck. Deposi,.:t.=----'~+-Y::.,,,,,.,_.,,._ Validated By_~~~-::...--r-:=.:--rl~r' Date. _______ -Ji..~1--~L/---"'fr- Address c,nclude Bldg/Suite II / Business Name Cat this address) Legal Desc11ption 02 Assessor· s Parcel I Description of Work Name ·3 .• APPLICANT~ontractor Lot No. Subdivision Name/Number Existing Use lof Stories City • O 6wnir--• 0 Agiint tor Owner Unit No. Phase No. Total I of un,ts Propoaed Use II of Bedrooms I of Bathrooms Name Address City 1;-!J1 • 1~1~ vf;v~--·-·---.. -·------· •. State/Zip Telephone I 4. PROPERTY OWNER 6£1 D!lsii,ner Name Address City State/Zip Telephone Stat~ License II _________ _ 6. WORKERS' COMPENSATION ·--··---·--··-··"-, .. ,, ___ ... _. __ -. -·--·~· ,•· ~:_ Workers' Compensation Decleretion: I hereby affirm under penalty of perjury one of the following declarations: 0 I have and will maintain a certificate of consent to Hlf-lnsure for workers' compensation H provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 0 I have and will maintain workers' compensation, IS required by Section 3700 of the Labor Code, for the performance of the work for which this permit Is issued. My worker's com~satio,n insurance carrier and policy number are: r-,, / Insurance Company $I.fl.{€. 1'"" j,l O {) Policy No. Expiration Dete '<Zlf 19<rJ HI f>ECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1•1001 OR LESSI ERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is inued, I shall not employ any person in any manner so as o beco e subject to the Workers' Compensation Laws of Califo • :~:~G~~~~;~:;~;;~1~to~~~~~~~~:::~::_~~~~•~~-~•~-~~•--::_,_w_::-____ f~-~-~-~--~--~;E~.:.:~~-- 7. ow I hereby af;-.,f,-rm-..-a-:t:-;I am exempt from the Contractor's Licanae Law for the following reason: 0 I. as owner of the property or my amployees with wag■1 H their sole compensation, will do the work and the atructure la not intended or offered for Hie (Sec. 7044, Busineaa and Profe11iona Code: The Contractor's License Law does not apply to an owner of proP9rty who builds or Improves thereon, and who does such work hlmHII or through his own amployeas, provided that such Improvement■ are not Intended or offered for ule. If, howevar, the bulldlng or Improvement II sold within one year of completion, the owner-builder will have the burden of proving that he did not build or Improve for the purpoH of ule). 0 I, es owner of the property, am exclusively contracting with lic■Ned contractors to construct the project ISac. 7044, BuaineH and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contract■ for such projects with contrectorC1l lie-Id 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 propoaed property Improvement. 0 YES ONO 2. I lhave / have not) signed an application for • building permit for the propoHd work. 3. I have contracted with the following person Cfirm) to provide the proposed construction (Include name / address / phone number / contractors licenaa numberl: 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supe,viaa end provide the major work Cinclude name / addrn, / phone number / contractors license number): _______________________________________________ _ 5. I will provide some of the work, but I have contracted lhired) the following persona to provide the work Indicated (Include name / addreas / phona number / type of work): _________________________________________________________ _ Is the applicant or future building occupant required to submit • business plan, acutely hazardous materiela registration form or riak management encl prevention program under Sections 25505, 25533 or 25534 of the Preslay-Tamer Hazardous Substance Account Act? 0 YES O NO Is the applicant or future building occupant required to obtain • permit from the air pollution control district or air quality management district? 0 YES O NO Is the fecility to be constructed within 1,000 feet of the outar boundary of • school sita7 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 .·:;· •.n,, ~··---,-, .,_-a·~-''"";·-r-:r1•!";'._~'7""""-·"-~'··,.. ••• _,.,·,--:••-···-,.::-:-·~,-· --• .....,.. --.. -- 1 hereby affirm that there Is a construction lending aganc;y for the performance of the work for which this permit Is Issued CSec. 3097(i) Civil Code). LENDER'S NAME _______________ LENDER'S ADDRESS _________________________ _ i9. APPLICANT CERTIFICATION ,· ~-,-' ••• ~---,;-.. --. -•·«---;---~-~,~=-,~----,~,"":r.:..-,;,,·,·• ..... !T";""~""-·""·••W-:""."",..,""' •. .,.,. · .. i certify that I have read the application and state that the above information Is correct and that the Information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I heraby authorize reprnentativn of the Cltt of Carlsbad to enter upon the above mentioned property for inspection purposas. 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 ovar 5'0" deep and demolition or construction of structures over 3 atories in height. EXPIRATION: Every permit issu_ed by the Building Offi~ial under the provisions of this Code s~•II expira by limitation and becoma null •~d voi if the building or work authonzed by such permit 1s not com need w1th1n 365 days from the d c permit or if the building or work authorizad b such rmit is suspended or abandoned at any time after the wor • commenced for • period of 180 ectio . .4 Uniform Building Code). d /.. ~ APPLICANT'S SIGNATU _-s~::;,'--~,....:;.::::--,;~-.5,~::::;_,.--l.._c:q~-::i,,....:::::....➔..:;;,....::::.::..____ DATE __ /:-_+---------- f/27 A-1/ 11\ City of Carlsbad Inspection Request ~ Foc ~99 Permit# CB984422 'J ~ / Inspector Assignment: _D_H __ Title: COVERED [ATIO 288 SF / I Description: Type:PATIO Sub Type: Job Address: Suite: Location: 1215 WIND STAR WY Lot 4.PPLICANT : TAMBORELLI CONSTRUCTION Owner: GRIFFITHS DAVID T&JACKLYN S Remarks: Total Time: CD Description 19 Final Structural Act Comments Cb /VD, Inspection History Date Description Act lnsp Comments 12/23/98 11 Fig/Foundation/Piers AP DH Phone: 7607473500 Inspector: vl✓ Requested By: DEBRA Entered By: CHRISTINE