HomeMy WebLinkAbout1316 GULL CT; ; CB961844; PermitS/lb J•:L4
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11 DATE ✓ 21'97
?EARANC _-_-_-_-_~_-_j
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
J Pl!RMIT APPUCATION . 0 PLAN CHECK NO . .
City of carlsbod Buildirv D-rtant
2075 Las Palas Dr., carlsbod, CA 92009 (619> 438-1161
I. Pi!JlMJI IYPE
From List I (see back) give code of Permit-Type: ___________ _
--------·--·---------------------------------------------
For Residential Projects Only: From Llst 2 (see back) give
Code of Structure-Type: ___________________ _
Net Loss/Gain of Dwelling Units
2. PRClJF.Cf INFORMATION FOR OFFICE USE ONLY
Address /3/Co Gw79J--
Nearest Cross Street
LEGAL DESCRIP I loN Lot No. Subcl1V1s1on Name/Number Omt No. Phase No.
CHECK BEWW IF SOBMl 1 I Eb: • 2 Energy Cales • 2 Structural Cales • 2 Soils Repon • I Addressed Envelope
NAME (last name first) ;7/l-'/1(3t91lL,,f/, ~/'.'.DJ!J,stADDRESS _:;2.f-S°o1.O . l/. -~./,,:,,;-✓j lJV
cir&JN ilYl'1tZlo.J STATE Ca ZIP CODE 9.;20(:d DAY TELEPHONE ~ICJ q7,s-;zoy3
S. PkOPEkli OWNl!k /JIIIK. ,,q,,e 0 Z>"'o NAME (last name first) r ADDRESS
CI1Y STATE ZIP CODE DAY TELEPHONE
6. WN IRACiuk ,o A It, I, NAME (last name first) 7?1JM?'OV ~ (• C.Owsf-Co ADDRESS
CI1Y t ~/V YiJc;{JZ,GOJ STATE ZIP CODE
STATE UC# s'fS7'f'tJcENSE CLASS
DAY TELEPHONE
,($,· I CI1Y BUSINESS UC # DESIGNER NAME (last name hrst) ADDRESS
CI1Y ;.1,a STATE ZIP CODE DAY TELEPHONE STATE UC,# 7. WUkREJts WMPENSAIION
workers· t..:ompensauon uec1arauon: I hereby affmn that I have a cert1hcate of consenc co seif-msure issued by the b1rec1or of lndustnal
Relations, or a cenificate of Workers' Compensation Insurance by an admined insurer, or an exact copy or duplicate thereof certified
by the Director of the insurer thereof filed with the Building Inspection Depanment (section 3800, Lab. C).
INSURANCE COMPANY POLICY NO, EXPIRATION DATE
•
•
•
Uwner-BuiJder Deciarauon: I hereby afnnn that I am exempt from the Confradofs Ucense I.aw for the iollowmg 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 co 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:
(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 fo the II ed exemption. Any violation of Section 7031.5 any applicant for a pennit
subjects the a icant to a civil pe lty of not}'li-,lp-tl}.~_ff)!E hundred dollars [$500]).
SIGNATURE ~~~!m!:mt!lE DATE 9 d,n {'t
Is the aJ)J)licant or future building occupant required to submit a business plan, acutely hazardous materials registration fonn or risk management and
prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? • YES • NO
ls che applicanc or future building occupant required co obtain a permit from the air pollution concrol district or air quality management disaict? •YES •NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? • YES • NO
IF ANYOFTIIEANSWERS ARE Yl!S, AFINALCER11FICATEOF oa:LlPANCYMAYNUf BE lliSllED AFTER JULY I, 1989 UNLESS TIIE APPLICANT
HAS MET OR IS MEETING TIIE REQUIREMENTS OF TIIE OFFICE OF EMERGENCY SERVICES AND TIIE AIR POLlll1lON illNTROL DISl1UCT. 9. WNS I KOCI ION LIDdAAG N.:ENCY
I hereby aihnn that there 1S a construcbon lending agency for the perlonnance of the work for which this pernut 1s tssued (Sec 3097(1) CIVIi Code).
LENDER'S NAME LENDER'S ADDRESS
10. APPIJCANI CERJIFICAIION
I cenUY ihat I have read the appUcabon and state that me above mfonnauon 1s correct. I agree fo comply with all City ordmances and State laws
relating to building construction. I hereby authorize representatives of the City of c.artsbad to enter upon the above mentioned property for inspection
purposes, I A1SO ACREE TO SAVE INDEMNIFY AND KEEP HARMlJ!SS TIIE ClTY OF CARLSBAD ACAINSf ALL UABIUllES, JUDGMENTS, aJsrS
AND EXPENSES WIIlCH MAY IN ANY WAY MD!.UE ACAINsr SAID ClTY IN illNSEQUENCE OF TIIE GRANTING OF nns PERMIT.
OSHA: An OSHA pennit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height.
Expiration. Every pennit issued by the Building Official under the provisions of chis Code shall expire by limitation and become null and void if the
building or work authorized by sue permit is not commenc Y'(~i~ 365 days from the date of such pe it or if the building or work authorized by
such permit is suspended or aha oned at any ti after .oflr.i mmenced for a period of 180 (Sec· n 303(d) Uniform Building Code).
APPLICANTS SIGNATURE ' .;I ,5 ~ DATE:
Applicant PINK:
0
PERMIT# CB961844
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 09/27/96
DESCRIPTION: 241 SF PATIO-W/GAS
CITY SPECS
TYPE: PATIO
& ELECT PER
JOB ADDRESS: 1316 GULL CT
APPLICANT: TAMBORELLI CONSTRUCTION
CONTRACTOR:
OWNER:
PHONE:
PHONE:
PHONE:
INSPECTOR AREA
PLANCK# CB961844
OCC GRP
CONSTR, TYPE NEW
STE: LOT:
619 975-2043
REMARKS: BJN/JOEY/975-2043
SPECIAL INSTRUCT:
INSPECTOR _r'--_~v~...__ ______ _ 7/
TOTAL TIME:
CD LVL DESCRIPTION ACT COMMENTS
11 ST Ftg/Foundation/Piers /IN' ~-A-'f-
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***** INSPECTION HISTORY*****
DATE DESCRIPTION ACT INSP COMMENTS