HomeMy WebLinkAbout1047 BEACON BAY DR; ; CB983207; PermitBUILDING PERMIT Permit No: CB983207
09/24/98 13:ll Project No: A9804188
Page 1 of 1 Development No:
Job Address: 1047 BEACON BAY DR
Permit Type: PATIO/DECK Parcel No: 214-530-27-00 Lot#: Valuat i on : 1,914 constA%%P&/P4~~ O2 74-00 Occupancy Group: Reference#: Status: ISSUED
Description: 264 SF COVERED PATIO-PER CITY' Applied: 09/23/98
: SPECS Apr/Issue: 09/24/98
Suite: I
Entered By: RMA
Appl/Ownr : WOSCIECHOWSKI, DAVID 760 431-1506
1047 BEACON BAY DR
CARL SBAD *** Fees Required
Fees :
Adjustments:
Total Fees:
Fee description
Building Permit
Plan Check
Strong Motion Fee * BUILDING TOTAL
.oo .oo
74.00 Ext fee Data .__-__---------
44.00
29.00
1.00
74.00
FI C-APPROVAL
l!NSdl , DATE
i I CLEARANCE
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
.'ERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad CA 92W
(760) 438-1161
PRWECT INFORMATION
FOR OFFICE
PLAN CHECY
Blmlnms N8m btthis address) '3-n aLCC)h c--cI
Legal Description Lot No. SuWivWonhkm.lhkrmkr w No. he No. Total I of unin
Assessor's Parcd I Exhtinom Proposed use
x of tkthms
(See. 7031.6 Business and Professions issuance. also requires the applicant for such parmit to fik e signod statomant that ha ia llnroed pursuant to the provisions of tha Contractor's UCWIM Law
IChapter 0, commending with Section 7000 of Divkion 3 of tho Bwimu and Professions Codel or that ha b exempt th.nfrom, Md the buh for tho alloged
exemption. Any violation of Section 7031 .6 by any applica for a permit .ubi.ctr tho applkant to a dvil pmlty of not mom thon flve
Name
ndred ddlars 1$6001).
Gf-&/rn &I- 9 wd?a 9Y W/sa /@Nl d cwAC/p rn
StatdZip Telephone I . Address citv
State License 4% Q 9 / 3 UCOnMCl~ c-27 C~~YBU~,~OSSL~-OX /20 S27?
SUN UP &bWs
Designer Name AddfOSS city StateRip Td.photm
St
a( e.
W
0 of the work for whid, this permit Is iswed.
0 issued. My worker's compensation insurance carrier and policy number am:
(THIS SECTION NEED NOT BE COMPLETED IF THE P€RMIT IS FOR ONE "DM0 DOUARS 1#1001 OR LMS)
0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for wMch thia permit is issued, I rh.l1 not employ any parson in any manner 00 as to become subject to the Workers' Compensation Laws of California.
WARNINQ: Fellum to oocum wortrr' comp.nutkn COY.C.OI b unl.wN. md ohdl .ubs.ct m mplgrto uhnhml pw)tkr md drl tim up to om hudnd
thousand dollars ~SlOO.OOO1. In lddltkn to th. oort of -. dnrg.. Y prov#d *In lketbn 3708 ofth. W cab, Intomst md attormy'. hw.
I have and will maintain a ceftlficate of consent to self-insure for workm' cv * u prow by section' 3700 of tho ~abw code, for tho performance
I have and will maintain workers' compmsatlon. as required by Saction 3700 of the Labor Code, for tho p.rtorm.nc0 of tho work for which thh permit is
Insursnce Company - Policy No. Expmion oat.
I hereby affirm that I am exempt from the Contractor's l.ic@nse Law for tho fOW0~ n~on:
0 I, as owner of the pr-y or my mployeOs with wages u thdr rok compensation, win do the work and th stmcture b not intandad or offord for rdr
(Sec. 7044, Business and Profedom Code: The Contractor's Ucensa Law doen not apply to an ow of pmp~y who builds or improwa thmon, and who doa such work himself or through his own employees, provided that such improvements are not Intended or offered for MI^. If, however, tho building or lmpmwmant I8
sold within one yeor of complatim, tha owner-bulldw wIH tuvo tha burdm of proving that he did not build or Improve for the purpose of sale).
0 1, as owner of the propmy, am exclusively contracting with lican8ed contracton to comtrwt tho project (Sac. 7044, Bud- urd Rot.lrlon Cod.: The
Contractor's Llcmae Low doas not apply to an own# of property who builds or improves thuoon, and contracts for such proi.ct. with contnctds) Iiconwd
pursuant to the Contractor's Licrue Law).
0 I am exempt under section
I personally plan to pmvidr tho major labor ad matedalr for contNctlon of tha propoud ploprty imprwrmt. 0 YES ON0
I (have / have not) signed an lpplicltion for a buildiq P.rmit for tho propond work.
I have contracted with the following parson (flrm) to provide tha propod conmwkm (induda MIM I addma I phone number / cartncton licema number):
Buai~ and Prof.rrlw CDdr for tM. mason:
1.
2.
3.
~~ ~ ~
4. number / contractors licwe numbor):
5.
I plan to provide portionrof tho work, but I have hired tha fdlowhg pmon to coordinate, swse nd prod& tho mjor work (L.rdud. nuno /.db.rr/phocr
I will provide MMH of the work, but I have contracted (hired) the fdkwinp #nonrto Pr0vid.h work hrdlclt.d ind dud. name/ oddram / phone nunkr/ty#
DATE me- .. PROPERTY OWNER SIGNATURE
COMPETETHlb: mH &R
Is the appiiint or futuro building ocwpant rrquimd to submit a kah.rr pkn, acutdy hazudow nutodola
program under Sections 25606.26633 o! 26634 of tho PmsIoy-Tann~r Huardow Subotanco AccWm Act?
IS the spplicant or futuro hllding occupant requIrod to obtain a pumit from tho air pdlut)on rontml dlraM or sir qwW manrgunont di.trict?
Is the facility to bo comtructd within 1 ,OOO foot of tho outor boundary of a school dto?
IF ANY OF THE ANSWERS ARE YES. A FfNAL CERTFICATE OF OCCUPNCY MAY NOT BE ISSUED WESS TbE "T HAS MET OR tS ME€TINQ THE
form or ri8k mrwgwnmt and pl.vmt)on
0 YES 0 NO
0 YES 0 NO
0 YES 0 NO
REQUIREMENTS OF THE omcL OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL mwm.
.D-W-at Id-
I keby affirm ht tho IS 0 #MStWCth Idng aOncy for tha pUfWlMm of tha WWk for Which thh PUlIIk b irrurd I-. 3097(1) Civil Goa).
LENDER'S NAME LENDER'S ADDWSS
L 4 r. . . %mklZmFW~~ - ; u;T.?P2&qd-,TJ: '"YkZ;\ - 'e. -APPLidANtmRi~
I certify that I have readthe .ppwcltlon and atat0 that tha above lnfonnrtla, b camct mdtht tholnfonndon on tho plans k accwmto. I agm to comply with .I Cl ordicunca and Sat. lawe rdmting to buydin0 conmuctbn. I homby Icnhaho mpmnntrthnr of tho of Cubbad to amor upon tho above momhod
property for inspoetion prporu. I AUK) AQREE TO SAVE, WDEMNWV AN0 KEEP HARMLESS THE ClTV OF CARLSEA0 AQAINST AU UMlLmES, JUOQMENTS. COSTS AND EXPENSES W" MAY IN ANY WAY ACCRUE AQAINST SAID ClTV IIY CONSMUENCE OF THE QM"Q OF THlS PERMIT.
OSHA: An OSHA pormit ia r.quirod for excavstlmr ovu 6'0' dnp md demolition or conmuction of structures over 3 atoriu in height.
EXPIRATION: Every permit iuwd by tho Bullding Official undor thm prmrirknr of thh Codo ahall oxpiro by Ymitnion ad ~OCOIIIO nuSl and vdd If the b*(diog or work authorized by such from tho doto of such pumit or If the building or work authorized by such permit is suspended or abdonod at any time
APPLICANT'S SIGNATURE DATE
pwlod of 180 dew ISutkm 108.4.4 Unlfown Bullding Code).
VEI I nw. A~~I~~~~+ DINUY. pinancr
CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT# CB983207 FOR 10/14/98 INSPECTOR AREA PD
DESCRIPTION: 264 SF COVERED PATIO-PER CITY' PLANCK# CB983207
TYPE: PATIO CONSTR. TYPE NEW JOB ADDRESS: 1047 BEACON BAY DR STE: LOT: APPLICANT: WOSCIECHOWSKI, DAVID PHONE: 760 431-1506
CONTRACTOR :
SPECS OCC GRP
OWNER:
REMARKS: R/944-1152 INSPECT0
SPECIAL INSTRUCT:
TOTAL TIME:
CD LVL DESCRIPTION ACT COMMENTS
19 ST Final Structural
***** INSPECTION HISTORY *****
DATE DESCRIPTION ACT INSP COMMENTS
100198 Ftg/Foundation/Piers AP PD
COASTAL PERMIT DETERMINATION FORM
(To Be Completed By Planning Staff)
This form is used to identify and record those projects which either require a
Coastal Development Permit or which are exempt from the requirement for a
Coastal Development Permit.
Note: This is not a building permit or a determination under the California Environmental
Quality Act.
COASTAL PERMIT DETERMINATION NUMBER: 48 /33
ASSESSOR'S PARCEL NUMBER: d 1 - 5 3b - d7
ADDRESS: \Oqq bGcOr\ b* tau.
LOCATION OF PROJECT (IF DIFFERENT FROM ABOVE):
PROJECT DESCRIPTION: W&O PAU
COASTAL PERMIT DETERMINATION:
1. This development is exempt from the requirement for a coastal permit. F
0 2. This development requires a coastal development permit from the City of
Carlsbad.
0 3. This development is in the State of California Coastal Commission area of
jurisdiction.
4-ar- cr &- I Plainer's &nature Date
This determination relates only to the project described above and shown on the attached plans.
Any change to the project may change the determination status. If the information contained in
this submittal (including plans) is changed, found to be incorrect, or incomplete this determination
shall be invalid.
c: Applicant, Project File, Building Permit File (when applicable)
H:W)MIMCOUNTER\DEERMINAWN FORM (CDP)