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Home My WebLink About1145 CAPE AIRE LN; ; CB951207; PermitBUILDING PERMIT 09/06/95 08:07 Page 1 of 1 Job Address: 1145 CAPE AIRE LN Suite: Permit Type: MISCELLANEOUS Parcel No: 206-140-67-00 Lot*: Valuation: 0 Construction Type: VN Occupancy Group: Reference*: Description: REMODEL BATH-DECR CLOSET,INST : JACUZZI TUB,MOVE FIXT,ADD WINDOWS Permit No: CB951207 Project No: A9501791 Development No: 3519 09/06/95 0001 OJ C-PRMT Status: ISSUED Applied: 09/06/95 Apr/Issue: 09/06/95 Entered By: RMA Appl/Ownr : BRYLL, JOHN 1561 LIVE OAK RD #185 VISTA, CA 92083 619-727-4516 *** Fees Required **,f|& Credits *** Fees : Adjustments : Total Fees: Fee description ,r;~r .00 62.00 Credits* Total Payments'* Balane* '' Units .00 . 00 62 . 00 Ext fee Data Miscellaneous Fee Miscellaneous Fee fit * MISCELLANEOUS ^" — ""**"^— — *®Km^ \ y^C*,*•. \ > W ,M* A \ ><!"**•'"1 ¥ "'i ' PCii ¥**£>*** -"f*' -" 42/00 ,-,i| / ,2t.00.,|*f 11 '?- -^ "f*^"11 ^\'f • ••"**"• j m 42.00 PLUMB PERI 20.00 ELECT PERI INAL APPROVAL 'RANGE CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION H^^@ City of Carlsbad Building Department vkkl ^JV 2075 Las Palms Dr., Carlsbad. CA 92009 (619) 438-1161 ^*BfflSr I. PKKM1TTYPK For Residential Projects Only: From List 2 (see back) give Code of Structure-Type: Net Loss/Gain of Dwelling Units Z PROJECT INFORMATION Address tl^<- fapesjarJLt.' <-U Building or Suite No. ,JA, f- _ PLAN CHECK NO. ^l^f 30 ~7 EST.VAL PLAN CK DEPOSIT VALID. BY ftA"~ i DATE ' ^ I/ \O /• — FOR OFFICE USE ONLY -f tJ&jtA A ^ {Lat/JiLS Nearest Cross Street ffy/Uf nAft /C LEGAL DfcbCRIPTION Subdivision Name/Number Phase No. iCK BELOW IF SUBMITTED: 2 Energy Calcs D 2 Structural Calcs D 2 Soils Report D1 Addressed Envelope ASSESSOR'S PARCEL EXISTING USE PROPOSED USE DESCRIPTION OF WORK SQ.FT. ^ ILL.# OF STORIES & 4 f/Jo* ** / rf oUjfrV^ CLo $of # OF BEDROOMS # OF BATHROOMS (.11 different rrom applicant.) NAME (last, name first) CITY STATE ADDRESS ZIP CODE DAY TELEPHONE 4. APPLICANT HCONTRACTORT LJ AGENT hOH CONTRACTOR^ LJ OWNER D AGENT FOR OWN NAME Oast name first) Sfi-VLL ZfoU*/ ADDRESS/^// /fVi? OrfK. A0. •* ' CITY STATE ZIP CODE DAY TELEPHONE £/*? "7f7~ 5. PROPERTY OWNER NAME (last name first) //4/v'X'-*/ CITY STATE ADDRESS fits' £#/*& ZIP CODE ^/^>tfg DAY TELEPHONE ' NAME (last name first) CITY ~?oH*/ STATED STATE LIC. ADDRESS ISU LSV<? ZIP CODE fi^*^ DAY TELEPHONE LICENSE CLASS f> _ CITY BUSINESS LIC. # - 7^7- */*>/• DESIGNER NAME (last name tirstj CITY Av/7 STATE ADDRESS ZIP CODE DAY TELEPHONE STATE LIC. # 7. WORKERif COMPENSATION Workers' Compensation Declaration: I hereoy affirmitnat I nave a certificate or consent to selt-msure issued by the Director ot 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 POLICY NO.EXPIRATION DATE Certificate ot Exemption: I certify that in the performance of the work tor which this permit is issued, Tshall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE „DATE 9- 8. OWNER-] UWner-iJuiiaer Declaration: I hereby affirm that 1 am exempt rrom the Contractors License Law tor 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). O 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 THIS SEL.'ON FOR NON-RESIDENTIAL BUILDING PERMITS 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 1, 1989 UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 9. UJNSTKUUT1UIM LENDING AGENCY I hereby affirm that there is a construction lending agency tor the performance ot the work tor which this permit is issued (.bee 3097 iij LENDER'S NAME Af /^7 LENDER'S ADDRESS 1O. APFLHJAMT I certify that f have read the application and state that the above information is correct. 1 agree to comply with all City ordinances and Mate 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 INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SATO 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 ~ APPLICANTS SIGNATUREX? S ^ /7 ^fl DATE: V- WHITE: File YELLOW: Applicant PINK: Finance CITY OF CARLSBAD INSPECTION REQUEST PERMIT! CB951207 FOR 11/16/95 DESCRIPTION: REMODEL BATH-DECR CLOSET, INST JACUZZI TUB, MOVE FIXT,ADD WINDOWS TYPE: MISC JOB ADDRESS: 1145 CAPE AIRE LN APPLICANT: BRYLL, JOHN PHONE: CONTRACTOR : PHONE : OWNER: PHONE: INSPECTOR AREA PY PLANCK* CB951207 OCC GRP CONSTR. TYPE VN STE: LOT: 619-727-4516 REMARKS: MW/ JOHN/727 -4 516 INSPECTOR SPECIAL INSTRUCT: HOMEOWNER WILL BE HOME BETWEEN 12 AND 3 TOTAL TIME: CD LVL DESCRIPTION 29 PL Final Plumbing ACT COMMENTS ***** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP 092895 Frame/Steel/Bolting/Welding AP PY 092895 Rough/Topout AP PY 092895 Rough Electric AP PY COMMENTS x y /syy y/ //^ o o XXX X XXX/ /y// y yI •>••» /// <0 VJ X / / £«< «r§x City of Carlsbad Building Department WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self-insure for A. workers' compensation as provided by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation, as required by section 3700 B. of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: INSURANCE COMPANY POLICY NO.EXPIRATION DATE: (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) certify that in the performance of the work for which this permit is issued, hall not employ any person in any manner so as to become subject to the workers compensation laws of California. Signature Date ?- Warning: Failure to secure workers' compensation coverage is unlawful, and shall be subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor Code, Interest and attorney's fees. March 3, 1995 2O75 Las Palmas Dr. - Carlsbad, CA 92OO9-1576 • (619) 438-1161 • FAX (619) 438-O894