HomeMy WebLinkAbout1768 YOURELL AVE; ; CB930571; PermitL N ,
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A ADD/A 2713 06/11/93 0001 01 02
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, i:ipt~on: PATIO COVER CITY ~P~C
: LAT ICE COVER
Api / wnr : AGA EP , DON
2 56 RO SEVELT ST
CARL,BAD, A q2 0
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Fe de ... cript1on
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Bu1l 1ng Permit
Pl Ch
Strong Mot1on Fee
"B LD NG AL
1<:1-434-10
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
C-PRMT 46-00
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PERMIT APPLICATION PLAN CHECK NO. 9t>~S7(
City of Carlsbad Building DepartlM!f'lt
~V~_D_EPOS_IT __ -_-....,-,...,i.,...:_=-"'('/~....,,.~....,...'-~::v-:.-=--=-
2075 Las Pal.as Dr., Carlsbad, CA 92009 (619) 438-1161
VAIID. BY ___________ _
1. PEltMI I IYP£ DATE _____________ _
A -U Commercial □ New Building U Tenant Improvement
B -0 Industrial D New Building D Tenant Improvement
C -□ Residential O Apartment O Condo □ Single Family Dwelling □Addition/Alteration
□ Duplex □ Demolition □ Relocation □ Mobile Home □ Electrical D Plumbing
□ Mechanical O Pool O Spa □ Retaining Wall O Solar □ Other :T( C
2. PRWEC'f OO"ORMATION FOR OFFICE USE ONLY
Address Building or Su11e No.
mt o.
30 ~z_
CHECK BEwW IF sDBMII IED:
□ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope
EXJSTING USE PROPOSED USE
DESCRI
NAME
Cl1Y STATE
ADDRESS
ZIP CODE DAY TELEPHONE
◄. API>UCANl
NAME
□CONIRACIOR □ AGEN I FOlt cON I RACIOR
ADDRESS
□ OWNER □ AGEN I FOR OWNER
CI1Y STATE ZIP CODE DAY TELEPHONE
S. PilOP£itlY 0WN£it
NAME ~e'-l '-t "Su5A1...> t;2o..,s~
CI1Y ~AC2 • ~~ .C:..C:::, STATE Cb ZIP CODE CIJZ.e>oe:PAY TELEPHONE 4 34 -\ ::z_c:x::::> 6. OON11tAcmR
NAME ADDRESS
CITY STATE
STATE UC.#
ZIP CODE DAY TELEPHONE
CI1Y BUSINESS UC. #
DbEld!QER NAME ~-r:
r::::,c:,,._. A.~A"""C~
UCENSE CI.ASS
ADDRESS :z_q.5,b t2.c:::c,::,o;;.e;u5c....Z "'=-• 4-1.(
DAY TELEPHONE 4 "3. CI1Y ~~f2-t.>.:, l';AQ STATE CA. ZIP CODE 9
Workers' Compensation Declarauon: I hereby all1rm chat I have a ceruhcace of consent to sell-insure issued by the Director of Industrial
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 POUCY NO. EXPIRATION DATE
terubcace of Exempuon: I ceruly that m the perlormance of the work for which this permit 1s issued, I shall not employ any person m any manner
so as to become subject to the Workers' Compensation Laws of California.
SIGNATURE DATE
8. oWNElt-80UD£lt oEci.ARATION
D
D
Owner-Builder Declarauon: I hereby affirm that I am exempt from the Contractor's License Law tor 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
subjec licant i n o n e hundred dollars ($500)).
SIGNATIJRE
Is the applicant or future building occupant required to subm a business plan, acutely hazardous materials registration form or risk management and
prevention program under Sections 25505, 25533 or 25534 o 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 D NO
IF ANY OF TIIE ANSWERS ARE YES, A FINAL CERTIFICATE OF oa:uPANCY MAY Nor BE ISSUED AFTER JULY 1, 1989 UNLESS nm APPLICANT
HAS MET OR IS MEETING nm REQlJIREMENTS OF nm OFFICE OF EMERGENCY SERVICES AND TIIE AIR POJ.J..lJ11ON ffiN11lOL DISl1UCT.
9. OONS'lltoCiiON LJ!NDlNG AG£NCY
I hereby alhrm that there 1s a construcuon lend mg agency for the perlormance of the work for which this permit 1s issued (Sec 3097{1) C1VIf Code).
LENDER'S NAME LENDER'S ADDRESS
to. APPOCAN't cmt'm'ICATION
I cemly that I have read the apphcauon and state that 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 Carlsbad to enter upon the above mentioned property for inspection
purposes. I AL50 AGREE 1U SAVE INDEMNJFY AND KEEP HARMLF.SS nm CTIY OF CARISBAD AGAINST AIL UABIIJ11ES, JUDGMENTS, CDSfS
AND EXPENSES WIDO·I MAY IN ANY WAY AO:RUE AGAINST SAID CTIY IN (X)NSEQUENCE OF nm 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 the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code).
DATE: ~ '-. n,,;;, \l_ 9 3
YEI.l..OW: Applicant PINK: Finance
PERMIT# CB930571
DESCRIPTION: PATIO COVER CITY
LATTICE COVER
TYPE: RAD
JOB ADDRESS: 1768 YOURELL
APPLICANT: AGATEP, DON
CONTRACTOR:
OWNER:
REMARKS: MH/SALLY/729-3890
SPECIAL INSTRUCT:
TOTAL TIME:
LVL DESCRIPTION
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 12/07/93
SPECS
AV STE:
INSPECTOR AREA PY
PLANCK# CB930571
OCC GRP
CONSTR. TYPE NEW
LOT:
PHONE: 619-434-1056
PHONE:
PHONE:
ACT COMMENTS CD
19 ST _F_i_n_a_1_s_t_r_u_c_t_u_r_a_1 _______ /1f----------------
***** INSPECTION HISTORY*****
DATE DESCRIPTION
061793 Rough/Ducts/Dampers
ACT INSP
AP PY
COMMENTS
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