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Home My WebLink About1120 CAMINO DEL SOL CIR; ; CB911047; PermitBUILDING PERMIT 07/17/91 14:20 Page 1 of 1 Job Address: 1120 CAMINO DEL SOL CR Str: Permit Type: RESIDENTAL ADD/ALT (UNDR $10K) Parcel No: 206-261-11-00 Valuation: 1,404 Construction Type: VN Occupancy Group: Class Code: Description: 216 SF PATIO COVER Permit No: CB911Q47 Appl/Ownr : SEVERSEN CONSTRUCTION 1750 SILVER FOX LANE VISTA, CA 92084 Project No: A9101285 Development No: Fl: Ste: 3519 0?/17/n 0001 01 02 C-WKT 59-00 CJL/993 Status: ISSUED Applied: 07/17/91 Apr/Issue: 07/17/91 Validated By: KZH 619-940-9550 CONTRACTOR : SEVERSON 3785 MONRO CARLSBAD, OWNER : VERKLEER *** Fees Required Fees : Adjustments: Total Fees: Fee description Building Permit Plan Check Strong Motion Fee * BUILDING TOTAL CON 416634 619-729-6849ra-w</:^^a:X\ v* *.v/.A fcT. uV "*!w.' *** . 00 .00 59.00 Ext fee Data 35.00 23.00 1 .00 59 . 00 RNAL APPROVAL DATE ^ CITY OF CARLSBAD 2075 Las Palraas Dr., Carlsbad CA 92009 (619) 438-1161 PERMIT APPLICATION City of Carlsbad Building Department 2075 Las Palwis Dr., Carlsbad, CA 92009 (619) 438-1161 1. PERMIT IYPK A - U Commercial U New building O Tenant Improvement B - D Industrial Q New Building D Tenant Improvement C - D Residential D Apartment DCondo D Single Family Dwelling ^Addition/Alteration D Duplex D Demolition D Relocation D Mobile Home D Electrical D Plumbing D Mechanical DPool D Spa D Retaining Wall D Solar DOther__ •TAc 2. PROJECT INFORMATION PLAN CHECK NO. EST.VAL PLAN CK DEPOSIT, VALID. BY DATE FOR OFFICE USE ONLY Address Nearest Cross Street Building or suite no. LEGAL DESCRIPTION Subdivision Name/NumDer CHECK BELOW lh bUBMll Energy Calcs D 2 Structural Calcs D 2 Soils Report D1 Addressed Envelope ASSESSQR!S_PARCEL_EXISTING USE PROPOSED USE DESCRIPTION OF WORK SQ.FT.# OF STORIES 3. (JUNTAuT FKKSONT" dinerem irom applicant) NAM CITY ADDRESS STATE &*< ZIP CODE DAY TELEPHONE TUTLICANT NAME CITY JNTRAUTOR UAOLN1 rOKCONlKAt-lUK ADDRESS OOWNhH U ACitN 1 MJK UWNLH STATE ZIP CODE %2+ff DAY TELEPHONE 5. PRUPER1T NAME /«. CITY STATE ZIP CODE DAY TELEPHONE 0. CUM TKALUJK CITY STATE STATE UC. # ADDRESS ZIP CODE LICENSE CLASS DAY TELEPHONE ^T^-^^lS^ CITY BUSINESS LIC. # LJtblUNtK PtAME CITY STATE AUUKtSS ZIP CODE DAY TELEPHONE STATE LIC. # WUHKUIO' Workers' Compensation Declaration: I hereby affirm that I nave a certificate or consent to self-insure issued by the Director of industriaT 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 POLICY NO.EXPIRATION DATE certificate of Exemption: i certify that in the performance or the work for which this permit is issued, isnaH not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE 8. OWNER-BUILDER DEUAHATKJN Owner-Builder Declaration: I hereby affirm that I am exempt from the Contractors License Law for the following 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 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). D 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]). SIGNATURE DATE COMPLETE THIS SECTIUN NON-RESllAL BUILDINC RMITS 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? D YES D NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES D NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY], 1989 UNLESS THE APPIJCANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. UUH5TKbl!i'UjN LKHDIMCi AtiKHCY ______ _______ _______ I hereby affirm that there is a construction lending agency tor the performance oHHe work tor which this permit is issued (.Sec 3OV7li) Civil UxJeJ. LENDER'S NAME LENDER'S ADDRESS ID. APPLICANT CERTIFICATION I certify that I have read the application and statetnat the above intormation is correct. 1 agree to comply with all City ordinances ana 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 ALSO AGREE TO SAVE TNDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILrnES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS 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). APPLI S SIGNATURE DATE: WHITE: File YELLOW: Applicant PINK: Finance PERMIT* CB911047 CITY OF CARLSBAD INSPECTION REQUEST FOR 11/06/91 DESCRIPTION: 216 SF PATIO COVER TYPE: RADJOB ADDRESS: 1120 CAHINO DEL SOL CRAPPLICANT: SEVERSEN CONSTRUCTIONCONTRACTOR: SEVERSON CONSTRUCTIONOWNER: VERKLEEREN, JOHN REMARKS: RS/RON/729-2603SPECIAL INSTRUCT: TOTAL TIME: —RELATED PERMITS--PERMIT* TYPE INSPECTOR AREA PY PLANCK* CB911047 OCC GRP CONSTR. TYPE VN STR: FL: STE: PHONE: 619-940-9550 PHONE: 619-729-6849 PHONE: INSPECTOR STATUS CD 19 CB891266 PLUM EXPIRED LVL DESCRIPTION ACT COMMENTS ST Final Structural ***** INSPECTION HISTORY ***** DATE DESCRIPTION 080691 Ftg/Foundation/Piers ACT INSP AP PY COMMENTS