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HomeMy WebLinkAbout2723 WOODWIND RD; ; CB950528; PermitB U I L D I N G P E R M I T Permit No: CB950528 Project No : A9500773 Development No: 04/20/95 16:07 Page 1 of 1 Job Address: 2723 WOODWIND RD Suite: Permit Type: MISCELLANEOUS Parcel No: 156-331-13-00 Lot#: Valuation: O Construction Type: NEW Occupancy Group: Reference#: Description: REPLACE COLUMNS, DECK-PER SPEC Appl/Ownr : PACIFIC GEO SERVICE INC 630 D GRAND AV CARLSBAD, CA 92008 fees Required Fees: Adjustments : Total Fees : Status: IS5UED Applied: 0 4/20/95 Apr/Issue: 04/20/95 Entered By: RMA 619-729-5505 .00 .00 B 74.00 Fee description • Ext fee Data -----------------------• ----------------- Miscellaneous Fee > 74 .00 DECK-COLU~ * MISCELLANEOUS T 74.00 1593 04/20/95 0001 01 02 C-PRMT 74-00 PRO' L I I D E J tJ/41/1 ,_. 7 7 t _______ , CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION City of Carlsbad Building Department 2075 Las Palaas Dr., carlsbad, CA 92009 (619) 438-1161 1. PERMIT 1YPE From Llst 1 (see back) give code of Permit-Type: ____________ _ For Residential Projects Only: From Llst 2 (see back) give Code of Structure-Type: _____________________ _ Net l.Dss/Gain of Dwelling Units __________________ _ 2. PRQJF.Cf INFORMATION Address 1...'71.:~ Woo1)vJ1ND ~D. Bu1ldmg or Suite No. Nearest Cross Street LEGAL DESCRIPTION G5tNo. Subd1V1s1on Name/Number CHECK BEWW IF SOSMI 11 ED: □ 2 Energy catcs □ 2 Structural calcs D 2 Soils Report D 1 Addressed Envelope ASSESSOR'S PARCEL EXISTING USE DESCRIPTION OF WORK PLAN CHECK NO. CJ CjJl) 5 ~y ESf. VAL 6, t)c)l) PLAN CK DEPOSIT _______ _ VAUI). BY ltk I DATE r _::g:::J:'.bP _ q r FOR OFFICE USE ONLY Unit No. Phase No. PROPOSED USE SQ. IT. # OF STORIES # OF BEDROOMS # OF BATIIROOMS 3. WN JACI PERSON (11 different from applicant) NAME (last name first) ~ 1 1:)ou~ ADDRESS '=-~ 1) l'.; j2Atl, 1) AJ ~ CITY ~~A-t;> STATE CA--ZIP CODE 't"lec:>€:;, DAY TELEPHONE 72.-J!\-S"5bS- 4. Al'PUCAN I 0'~0Ni RACIOR LI AGEN'ti-OR wN I RACIOR LI OWNER LI AGEN I FOR OWNER NAME (last name first) ~~ ADDRESS CITY STATE ZIP CODE DAY TELEPHONE s. PROPER !Y OWNER NAME (last name first) ~ ~ o ,,-ADDRESS CITY'B02:6'MA-tJ STATEf,'11 ZIPCODE~~"l,7) DAYTELEPHONE 'tf)(o ~f3'1-9!71Cf 6. OON'l1tAcluR NAME (last name first) P/!C.iHC,.... yet> $B'R.~\<x, ,~ ADDRESS G:,.'° D Cj~-11) Av~ CITY ~Ml) STATE lA--ZIP CODE '71.-<>-e f, DAY TELEPHONE 1 U, -~) STATE UC.# !;ie)1'j7Z-:-LICENSE CI.ASS A,~ CITY BUSINESS UC.# DESIGNEH NAME (last name brst) .JAco~t--l D. ADDRESS b~ .D ~Mr-JD ,A,U€>" 7. ~;g;~nON STATE ZIP CODE 4--in,'8 DAY TELEPHONE STATE UC. # Workers' Compensation Oeclarauon: I hereby affi rm iliac I have a certificate of consent to sell-insure 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 '10C-D€N rtl 1cate o xempuon: cert1 y at m e per ormance o e wor or w so as to become subject to the Workers' Compensation Laws of califomia. SIGNATURE 'f' DATE s. oWN£1t-B0llD£1t 0ECLARAnoN Owner-Builder Declaration: I hereby affirm that I am exempt from the Contractor's License Law ior 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 Llcense 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 civil penalty of not more than five hundred dollars ($500]). SIGNATIJR.E DATE cbMPLE'l'E THIS sECI ION FOR NON-REsiDEN'liAL SOlwiNG PER.Ml I'S ONLY: 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 O 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 □ NO IF ANY OF TI-IE ANSWERS ARE YFS, A FINAL CElTmCATE OF cxx::tJPANCY MAY NOf 8£ ll?SUED AFTER JULY 1, 1989 UNLFSS 1llE APPLICANT HAS MET OR IS MEETING nm REQUIREMENTS OF 1llE OFTIC£ OF EMERGENCY SERVICFS AND 1llE Am POLLUTION OONTilOL DJSllUCT. 9. WNSlitoCIION LENDING AG£NcY I hereby affirm that there 1s a construcuon lending agency for ihe performance of the work for which this permit 1s issued (Sec 3097(1) C1V1I Code). LENDER'S NAME LENDER'S ADDRESS 10. APPUCAN I 01rnFICAl10N I certify that I have read the apphcauon and state ihat the above mlormauon 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 cartsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE 10 SAVE INDEMNIFY AND KEEP HARMLF.SS nm CTIY OF CARISBAD AGAINSf ALL UABIUTIES, JUDGMENTS, CDSTS AND EXPENSES WlDCl-1 MAY IN ANY WAY ACXJlUE AGAINSf SAID CTIY IN OONSEQUENC£ OF 1llE 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 within 365 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after e work is commenced for a period of 180 days (Section 303(d) Uniform Bui12J~..?l,!;2-:, APPLICANT'S SIGNATURE >--: .. ....._ .... ~ DATE: ~ 0 .. , / WIQIIQOLIP IMIPlc;TIQN OATZ ~.Us-' INSPECTOlt,_...lio;;;~~~-r------ PERNIT • 9J-5,;2;? ,. PU!f<:Jt • J'09 ADOUSS ~ 7.)-.) ~L,'--U✓/,S / -----4r, J~fl-55l/S TIMZ .uutIV'l: _____ TIMZ t.EAV'I: _____ _ CD Lvt. OISCJtIPTION PIIIIITI •115/19 - ACT COIOCIMTS ~ ~ Ct9L,,L, .f L-/.,0 ~ I I C) \ C) (} I '?.. \ l-0 fJ J 'J 7 fl I I i I '-. I '2-381 so SHEEIS S SQUARE ~ 42-382 100 SHHTS S SQUARE )It '2-389 200 SHEEIS S SQUARE NArtDNAL. .. __ ,... • • • rt.L~S 'dWo:> ISd ~z . f"'IW 0--4, -~t-'O? ' -1.0~1;;, "Y'l"d '~<! ,:tt x ~<:1-V~ \,t..l ·f -3dk:! J\1¥? 11Z /M .JV? 3"11d j> ~Id _r-,aN -1.?0m:,Ncn ·s~wmcr., '21.x~ a.i ...1,N..~'9,<lv' "tio -d.3<11'1(1 ~ct, d~ L X ~ ~ ·~ IV/ --n1~Q I ~ ,, ':5~Wf\'i0? ,J::J e')~q 1-zl)(a -?:J<?_j ?1'1L!O~ ©~ .J''l~N ...J?01:Ll.5'NO? • ~ oa;,cn '°13/'-'71.32::! ~ ""'X~<1("" .:;!O .'.¼den$ --t , ... C) C; t-'WrnO? ..:lCl -, )( q --ti~ ?t-lUOo.::f '.7t-lUSl1'"3 _8,'IOW3~ ! 1 )( I X 1...)1--'1:> WooZ::>w1r-JI) P,.{) ~eA-t> j 0 !)€TA \L OF CoLVMN SuPPo r::-; {;x.1STIN~ CoL-V~ PcF.., e,~e-..1 ~. New Cot--!O<b-W Pl L£ CA-:...:....:___'-P'.,_--__ t'.) t:,. PA--l-l hC-C1€0 S£P.\)IC.~, f~ '// (&V)J 7 '1--'1 -S-~DS-1/i,~S- (;°)(,. I ~,1 Nl°t ~ X G:. bF ~~ COL.UMN V