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HomeMy WebLinkAbout1015 LAGUNA DR; ; CB950921; PermitJob Address: 1015 LAGUNA DR Permit Type: RAD Citv of Carlsbad RESI DENTAL ADD/ ALT Status: Applied: Permit No: CB950921 EXPIRED 7/11/1995 Parcel No: 2031300200 Lot#: Approved: Reference No: Issued: PC#: Inspect Area: Project Title: 481 SF ROOM ADDITION+ 177 SF GARAGE Applicant: Owner: MATYN, KELLY MATYN THOMAS A&KELLY K 1015 LAGUNA DR CARLSBAD, CA 619-434-4226 00136104885 Plan Check Fees: $270.00 Additional Fees: $270.00 $0.00 Total Fees: $270.00 Balance: $0.00 {!),, tr-3 3/~ PLAN CHECK NO. PERMIT APPLICATION City of Carlsbad Building Depart-,t 2075 Las PalES Dr., Carlsbad, CA 92009 (619) 438-1161 I. PFltMII fiPH From List 1 (see back) give code of Permit-Type: __ ,_tzAp='-'=------- ---------------------------------------------------------C-Pf/MT For Residential Projects Only: From Llst 2 (see back) give Code of Structure-Type: ____ ,...=:.>::.,_F_:D::;_ _________ _ Net Loss/Gain of Dwelling Units 2. PRCllF.CT INFORMATION FOR OFFICE USE ONLY Address /C? /';i" Nearest Cross Street mt o. ase o. □ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report ASSESSOR'S PARCEL DESCRIPTION OF WORK PBOPQSED USE NAME (last name first) CITY STATE ZIP CODE ADDRESS DAY TELEPHONE Workers• Compensation Declaratton: I hereby afurm that I have a cert1hcate of consent to self-msure 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, I.ab. C). or w 1c t 1s pernut 1s issue , s a not emp oy any person m any manner lifomia. SIGNATU □ □ Owner-Builder Declaration: I hereby afhnn that I am exempt from the Confradofs License Law for the ioilowmg 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 Llcense I.aw 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 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 Llcense 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 pennic 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 Llcense 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 e applican o a ci 'I penalty of not more than five hundred dollars [$500]). SIGNATIJRE ~;_,,.;~mtr-i;Ji,~ DATI! 7 Is the applicant or futur uilding occupant req 'red 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 □NO Is the applicant or future building occupant required to obtain a pennit 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 IP ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATI! OF OCDJPANCY MAY Nill BE~ AFIER JULY 1, 1989 UNLESS THE APPIJCANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION <DNTROL DISllUCT. 9. WNSIKOCiiON lliNDLNG XGRNCY I hereby afhrm that there 1s a construct10n lending agency for the perionnance of the work for which this penmt 1s issued (Sec 3097(1) CIVIi Code). LENDER'S NAME ~ LENDER'S ADDRESS N4: JO. APPUCANI CFJll I certify that I have read the apphcatton and state that the above mformauon as 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 purpcses. I Al50 AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CfIY OF CARlSBAD AGAINSf AIJ. UABILITIES, JUDGMENTS, CXlSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINSf SAID CfIY IN <DNSEQ\IENCE OF THE GRANTING OF TIIIS PERMIT. OSHA: An OSHA permit is required for excavations over S'O" deep and demolition or construction of structures over 3 stories in height. Expiration. Every permit issued by the Building Official under the P. building or work authorized by such permit is not commenced wi such permit is suspended or abandoned at any time t thew PU rs SIGNATURE d,. is Code shall expire by limitation and become null and void if the m the date of such permit or if the building or work authorized by for a period of 80 days (section 303(d) Unifonn Buildin e). DATE. PINK: Finance 0 City of Carlsbad N:.Jlj I &ll,1· 1 •t4•fil ;;,,[§, Ii DATE: 05/29/96 TO: MATYN, KELLY 1015 LAGUNA DR CARLSBAD, CA 92008 PLAN CHECK EXPIRATION PC# CB950921 DATE: 07/10/96 ADDRESS: 1015 LAGUNA DR You have applied to have your plans checked on the date shown above, and you have not obtained your building permit. The provisions of Section 304(d) of the Uniform Building Code state: "Section 304(d) Expiration of Plan Review Applications for which no permit is issued within one year following the date of application shall expire by limitation, and plans and other data submitted for review may thereafter be returned to the applicant or destroyed by the Building Official. In order to renew action on an application after expiration, the applicant shall resubmit plans and pay a new plan review fee." Please check the appropriate box indicating your choice and return this letter to the BUILDING DEPARTMENT. PROJECT ABANDONED. I WILL PICK UP PLANS WITHIN 10 DAYS. PROJECT ABANDONED. PLANS MAY BE DESTROYED. If you have any questions, please contact the Building Department at (619) 438-1161 extension 4331. RAENETTE ABBEY Building Department 2075 Las Palmas Dr. • Carlsbad, CA 92009-1576 • (619) 438-1161 • FAX (619) 438-0894