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Home My WebLink About1000 MERGANSER LN; ; CB961846; Permit:5 1 B lJ L ~ N G P E R M I T s: 1000 ME GANSE LN S l e~ml Typ : ATIO/DE K c.:r.c l o: 15-760-0 -0 L #: B 84 No: 6 Valua·ion: 1 3 Constr ct1on cup Referenc Descr ior ~F COVERED PATIO-MODEL ISLA MA A 1/0wnr : RIC M D ERICA 17310 EDHILL AV IRV E CA 926 A:t,: Fe .;, Reg 1r --------------------------- Fe e-c~ip 1 n u1ld1ng Perm1 1 n Check ~trong ot1on ee B ILDI G TOTAL HO E 4 714 75 -7 7 I 'S CLE CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 9200') (619) 438-1161 ~ta uc-: ISSUED Ap lie : 09 25/ Apr/Issue: 10/0 / b En r y: RMA Cre i.., .OU . 0 . 0 Ext fee 3 . 00 25.00 5.00 a CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB961846 FOR 10/09/96 DESCRIPTION: 242 SF COVERED PATIO-MODEL FOR ISLA MAR TYPE: PATIO JOB ADDRESS: 1000 MERGANSER LN STE: INSPECTOR AREA PLANCK# CB961846 OCC GRP CONSTR. TYPE NEW LOT: APPLICANT: RICHMOND AMERICAN HOMES CONTRACTOR: PHONE: 714 756-7373 OWNER: REMARKS: MW/JIM/603-9294 SPECIAL INSTRUCT: TOTAL TIME: --RELATED PERMITS-- CD LVL DESCRIPTION PERMIT# TYPE CB960729 SFD 19 ST Final Structural --------------------------------------------------------- PHONE: ✓0 PHONE: /-U INSPECTOR STATUS ISSUED ACT COMMENTS --..---------- /1/2 ________ _ ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS PERMIT APPUCA110N City of C.rlsbm 8uildi111111 Depart.rat Z075 La Pal .. Or •• carllltai, CA 92009 (619) 435-1161 e . . . PLAN OIECK NO • lf4t I . PmtMfi' IYPE From Ust 1 (see back) give code of Permit-Type: ___________ _ For Residential Proiects Only: From Ust 2 (see back} give Code of Structure-Type: ____________________ _ Net Loss/Gain of Dwelling Units __________________ _ 2. PRClJF.Cf INFORMATION FOR OFFICE USE ONLY ress o. D 2 Energy Cales □ 2 Structural Cales □ 2 Soils Repon □ 1 Addressed Envelope ASSESSOR'S PARCEL EXISTING USE PROPOSED USE DESCRIPTION OF WORK ""'6Qa._ fl~ 1-~"":r..:--odR".~ri:Emdrcrram1erenni'on'ri6imcaiif1_;...._ _____ ;...._#_0_F_B_E...;.D_R_OO_M_s ______ ...;#;....;;.O;;..F.;;..BA;.;.IB;.;.;;;.R;.;;OO=..M...;.S ___ _ ADDRESS CllY STATE ZIP CODE DAY TELEPHONE 4. APPLICXNI □WNl"RACIOR uAGENI FOR CORIRACIOR &OWNf:R OAGENI FOR OWNER NAME (last name fi~t).... n _ ..__,... ADDRESS ( I'/ "{ (6 1,Z t. i, w-<, l. 1., (\:-Ult ~~ r,.,,.o....,.-o --~l!C-, .. 1 ~ CilY ~i/y/tJ,t... STATE CA ZlPCODEj'Z,h{'( DAYTELEPHONE 1/l( ?~ -7~13 S. l'R{jptifi'Y OWNER. NAME (last name first) ')~ ADDRESS CITY STATE ZIP CODE DAY TEL£PHONE 6. wN'fkACIUR NAME (last name first) "', ~ ADDRESS CITY STATE STATE UC.# ZIP CODE LICENSE CU.SS DAY TELEPHONE CilY BUSINESS UC. # DESIGNER RAM£ (last name hrst) ADDRESS CITY STATE ZIP CODE DAY TELEPHONE STATE UC.# 1. WOkktits' wMPENSAtiuN Workers' Compensauon Oedarauon: I hereby allmn that I have a cemhcace of consent to self-insure ISSUed by ihe b1rector of lndusmal Relations, or a ceniftcare of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof cenified by the Direc1or of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C). INSURANCE COMPANY POLICY NO. EXPIRATION DATE Cemhcate of Exempt10n: I cerufy that m the performance of the work for which this permit 1s issued, I shall not employ any person m any manner so as 10 become subject to the Workers' Compensation Laws of California. SIGNATURE DATE I. oWRER-sOfiDEk Dlti.ARXfioR Owner-Builder Declaration: I hereby amrm ffiat I am exempt from ffie Contractors license Law for ffie loliowmg reason: □ I, as owner of the property or my employees with wages as their sole compensation, will do the work and the sb'Ucture is not intended or offered for sale (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 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.). [3" 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 Ucense Law does not apply 10 an owner of property who builds or improves thereon, and contracts for such projects with contracror(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 Coun ry 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 c.ode) 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~nt tfa civil penalty of nor more than five hundred dollars ($500)). SIGNATIJRE~ <-J'~ 1tc~---DATE ~~~t~b CbMP1.£1"£ THIS sE:eiioN FOR NON•RESIOE:NTIAl aotthiNG PERM! I'S ONLY: Is the applicant or future building occupant required to submil 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 10 obtain a permit from the air pollution control district or air quality management district? C YES □ NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school sire? C YES □ NO IF ANY OF 1lfE ANSWERS ARK YFS, A FINAL CER.TlFlc.ATE OP cxx:tJPANCY MAY Nar BE~ AFI'ER JULY 1, 1989 UNLESS 1lIE APPIJCANT HAS MET OR JS MEETING nm RF.QUIREMEN1'S OF nm OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION OONTilOL DISTRlCT. 9. wRSniUChOR I.ENDING .AGENCY . I hereby alunn that there JS a conscrucuon lendmg agency lor the performance of the work for which ffi15 permit 1s 1SSued (Sec 3097(1} Cavti Code). LENDER'S NAME LENDER'S ADDRESS to. APPLICXNI CERl1FICAIION l cemfy that I have read the apphcauon and state that the above mionnauon IS correct. I agree to comply with all Cny ordinances and State laws relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned propeny for inspection purposes. I AUiO AGREE 10 SAVE INDEMNIFY AND KEEP HARMIESS 1l:IE crIY OF CARlSBAD AGAINST AU. UABunn:s, JUIXjM£NTS, CDSTS AND EXPEN~ WIIlCH MAY IN ANY WAY AO::RUE AGAINST SAID Cl1Y IN OONSF.QUENCE OF nm GRANTING OF nus PERMIT. OSHA: An OSHA permit is required for excavations over S'O" deep a_nd 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 ·1 is not commenced within 36S days from the date of such permit or if the building or work authorized by such permit is suspended or o any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Buij4i~ APPLICANT'S SIGNATUR · ...__ ____ ~ -DATE:C.V ___ l,U_b_""te YEU..OW: Applicant PINK: Finance 0 LETTER OF TRANSMITTAL DATE: ATTENTION: TRANSMITTAL: PER YOUR REQUEST D FOR YOUR INFORMATION D VIA: OVERNIGHT □ MAIL D COURIER □ COMMENTS: .. ;{c,,~"'41~ raL ~pu_ 'f~e> <??VZ-'= f~tTJ '2 '('2. .. b~t J' . ~ . ~':c'. . (& ~ ---1"=> cq '. r~ ~ S .. 1tP(\l'n'= .. @ ... i-,---t', ... .. .. . . .. 1) f~ (~) t---~tJ BY: CC: l \ e:. , 'Z , r< 2 -it.. . tCj. fPr; PLEASE REPLY D OTHER □ 17310 REDHILL AVENUE SUITE 320 • IRVINE • CALIFORNIA 92714 •· 714/756-7373 • Fax 714/757-4333 (WHITE -Recipient YELLOW -File Copy)