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HomeMy WebLinkAbout1148 KNOWLES AVE; ; CB940958; Permit08/04/94 12:35 Page 1 of 1 B U I L D I N G P E R M I T Suite: Lot#: Permit No: CB940958 Project No: A9401352 Development No: 0066 08/04/94 0001 01 C-PRMT 02 60-00 Job Address: 1148 KNOWLES AV Permit Type: MISCELLANEOUS Parcel No: 155-252-19-00 Valuation: O Construction Type: VN Occupancy Group: Reference#: Status: ISSUED 08/04/94 08/04/94 MDP Description: CHANGE ILLEGAL : BACK TO GARAGE CONVERSION Appl/Ownr : STILWELL, ANNE 1148 KNOWLES AVE CARLSBAD,CA . 92008 *** Fees Required Fees: Adjustments: Total Fees : Fee description Miscellaneous Fee #1 * MISCELLANEOUS TOT AI, *** 60 .00 .oo ti0.00 > Applied: Apr/Issue : 619 Entered By: 434-9787 Fees ~ollected & Credits *** Total Credits: Total Payments: Balance Due : Units Fee/Unit 60,00 .00 .00 60 .00 Ext fee Data 60.00 PERMIT 60.00 Jl~~Lf\PPROV~~ / / / IN~P-~DATE~ CLEARANCE _____ , CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION PLAN CHECK NO. Cj'((, °[ ~-8 City of Carlsbad Building D-rtEnt 2015 Las PalES Dr., carlsbad, CA 92009 (619) 438·1161 I. PllilMII l"YPE From Llst 1 (see back) give c<Xle of Permit-Type: ___________ _ l ~V~DEPOSIT _______ _ VAIJD. BY __________ _ DATE --------------------------------------------------------- For Residential Projects Only: From List 2 (see back) give Code of Structure-Type: ____________________ _ Net Loss/Gain of Dwelling Units 2. PROJF.Cf INFORMATION FOR OFFICE USE ONLY -✓ C~9),ooP mt o. ase o. CHECK BEWW IF S0BMII IED: □ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ l Addressed Envelope ASSESSOR'S PARCEi. EXISTING USE PROPOSED USE DESCRIPTION OF WORK SQ. IT. # OF STORIES # OF BEDROOMS # OF BAIBROOMS 3. WN IACI PFltSON (II d!Herent from apphcanO NAME (last.name first) ADDRESS CI1Y STATE ZIP CODE DAY TELEPHONE 4. APPLICAN I UCON I RACiUR OAGENI FORWNIRXCIOR ADDRESS DOWNER UAGENI FOR OWNER NAME (last name first) CI1Y STATE ZIP CODE DAY TELEPHONE s. PROPER ii OWNER r--/L "-' GLL.. NAME ~ name first) ..-> 1 )Z..J;vRE.. R ADDRESS -; CI1Y (pa.r-/cf bO. cf STATE U}. ZIP CODE 9 ,;/.,o O p DAY TELEPHONE 6. cbN 11iAC"iuk OWN EA..._ NAME (last name first) ADDRESS CI1Y STATE STATE !JC.# ZIP CODE IJCENSE CLASS DAY TELEPHONE CI1Y BUSINESS !JC. # DESIGN ER NAME (last name hrst) ADDRESS CI1Y STATE ZIP CODE DAY TELEPHONE STATE !JC.# 7. Woltk£RS' WMPENSAliuN Workers' Compensation Oeclarauon: I hereby affirm that I have a certificate of consent to self.insure 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 38001 Lab. C). INSURANCE COMPANY POIJCY NO. EXPIRATION DATE Ceruhcate of Exempuon: I certify that m the perlormance of the work for which tfos permit 1s issued, I shall not employ any person many manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE 8. OWNEk-B0rmmt DlfiAM:iiuN □ □ Owner-BulJder Oeciaration: I hereby afhnn that I am exempt from the Confradofs Llcense Law for the foiiowmg 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 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.). 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). I am exempt under Section ________ Business and Professions Code for this reason: 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? □ YES □ NO ls the applicant or future building occupant required to obtain a pennit from the air pollution control district or air quality management district? □YES □NO ls the facility to be constructed within 11000 feet of the outer boundary of a school site? □YES □NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATEOFOCCIJPANCYMAYNCYf BE !!iS\JEDAITl!RJUI.Y 1, 1989 IJNLESSTHE APPIJCANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POIJ.UTION OONTilOL DISTRICT. 9. WNS IR0CI iuN i.RNDING A.GRNCY I hereby afhrm that there 1s a construcuon lend mg agency for the performance of the work for which tfos permit 1s issued (Sec 3097 {1j Ctvti Code). LENDER'S NAME LENDER'S ADDRESS 10. APPUCAN I CEJt IIFICAIION I certify that I have read the apphcat1on and state that the above mformatton 1s correct. I agree to comply with ail City ordmances 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 purposes. I AISO AGREE 1U SAVE INDEMNIFY AND KEEP HARMLESS THE CfIY OF CARISBAD AGAINST AIL IJABILITIES, JlJDGMENTS, CDSTS AND EXPENSES WHICH MAY IN ANY WAY ACDUJE AGAINST SAID CfIY IN CONSF.Q\JENCE OF THE GRANTING OF TIIlS 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 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). APPIJCANTS SIGNATURE DATE: ___ _ WHITE: File YEILOW: Applicant PINK: Finance ·, PERMIT# CB940958 DESCRIPTION: CHANGE ILLEGAL BACK TO GARAGE TYPE: MISC CITY OF CARLSBAD INSPECTION REQUEST FOR 02/23/95 CONVERSION INSPECTOR AREA PLANCK# CB940958 OCC GRP CONSTR. TYPE VN STE: LOT: JOB ADDRESS: 1148 KNOWLES AV APPLICANT: STILWELL, ANNE CONTRACTOR: PHONE: 619 434-9787 PHONE: OWNER: PHONE: REMARKS: MW/CARL/793-1335 SPECIAL INSTRUCT: INSPECTOR -~fp=c.,..--,1-+--------- TOTAL TIME: --RELATED PERMITS-- CD LVL DESCRIPTION PERMIT# CB890507 CB900745 CB941326 TYPE RAD RAD RAD STATUS EXPIRED EXPIRED ISSUED ACT COMMENTS 19 ST Final Structural f 29 PL Final Plumbing 39 EL _F_i_n_a_l_E_l_e_c_t_r_i_c_a_i_______ _ _____________ _ 49 ME Final Mechanical ______________ _ ------------------ ------------------------------------ ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS City of Carlsbad ■ =-I• I Id 11,t• i •JY •Rlil, ,14,1 I OWNER-BUILDER VERIFICATION Attention Property Owner: An 'owner-builder' building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) __ y...,_.c~J~----- 2. I (have/have not) -;J-,...e.i=---------signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name _________________________ _ Address ________________ City ___________ _ Phone _________ Contractors License No. ____________ _ 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and provide the major work: Name _________________________ _ Address ________________ City ____________ _ Phone _________ Contractors License No. ____________ _ 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Signed: 7J ~~ Property Owne@nc_, ff/~ y.·/wc II Date: _________________ _ Phone Type of Work 2075 Las Palmas Drive • Carlsbad, California 92009-1576 • (619) 438-1161