HomeMy WebLinkAbout167 REDWOOD AVE; ; CB960268; PermitPermit No CB960268
Project No- A9600399
Development No:
ftlZs ''-2/21/96 3001 Oi 02
BUILDING PERMIT
02/21/96 08:58
Page 1 of 1
Job Address: 167 REDWOOD AV Suite:
Permit Type: MISCELLANEOUS
Parcel No. 204-253-19-00 Lot*. J-i-^hT U.
Valuation: 0 Construction Type: NEW
Occupancy Group: Reference*: Status- ISSUED
Description: INT REMODL-WH,NEW BATH,RE-PLUM Applied: 02/21/96
• DRAINS,RELOCATE BATH FIXT,ELECT IN BATHS Apr/Issue: 02/21/96
Entered By: RMA
Appl/Ownr CORIN, AL
10812 CHARBONO PT
SAN DIEGO, CSA 92131
619-271-0668
Fees :
Adjustments:
Total Fees
*** Fees Required ***
11
1
Fee description
Miscellaneous Fee #1
Miscellaneous Fee #2
Miscellaneous Fee *3
* MISCELLANEOUS TOTA
eted & Credits ***
.00
. 00
115.00
Ext fee Data
40 00 REMOD PERM
55.00 PLUM PERM
20.00 ELECT PERM
115.00
APPROVAL
CITY OF CARLSBAD
2075 Las Palmas Dr , Carlsbad, CA 92009 (619) 438-1161
PERMIT APPLICATION,
City of Carlsbad Building Department
2075 Las Palms Dr., Carlsbad, CA 92009 (619) 438-1161
T PERMIT TYHli
From List 1 (see back) give code of Permit-Type R. A 0 ~ D €1 IV\ t?
For Residential Proiects Only From List 2 (see back) give
Code of Structure-Type ft^ Q ~
Net Loss/Gam of Dwelling Units tfpQ /)DP (PcfcX SHc
PLAN CHECK NO.
EST.VAL .
PLANCKDEPOS
VALID BY
DATE ^L
VIA'
^ll<O- -? Ai e
2. PRCXJECT INFORMATION FOR OFFICE USE ONLY
Address
Nearest Cross Street
Building or Suite No
LEGAL DESCRIPTION Lot No
}(,
Subdivision Name/Number Unit No
(a |/Y\0 P I"
Phase No
CHECK BELOW IF SUBMITTED
D 2 Energy Gales D 2 Structural Calcs D 2 Soils Report D 1 Addressed Envelope
ASSESSOR'S PARCEL XJST1NG
^ 0
- •
____ PROPOSED USE _
1J-4ftft*t*^-f^^DESCRIPTION OF WORK
sQ FT ----
3 UUNIAL.I HtKaUN u' uitterent trom applicant)
NAME (last name first)
CITY STATE
ADDRESS
ZIP CODE DAY TELEPHONE
4 APPLICANT JB-CONIRACIOR
NAME (last name first) C<? R. 6 )
U AGENT FOR CON 1 RAL'lUR QKJWNhR U AGENT FOR OWNER
) RL~irPfl/7> ADDRESS /(? 7 fl.eO*Ut>t?& /4f-e_
STATE ZIP CODE DAY TELEPHONE
5 PROPERTY OWNKR
NAME (last name first) C o/?£ //?
CITY , /)
#j[ -f- P
STATE C / ft ZIP CODE
ADDRESS /01(2 C
3 / DAY TELEPHONE
-j-
'•06*1 -
6 CONTRACTOR
NAME (last name first)
CITY
fcV/1 0 f*~~
STATE ZIP CODE
ADDRESS
DAY TELEPHONE
STATE LIC #LICENSE CLASS CITY BUSINESS LIC #
DESIGNER NAMK (last name tirstj
CITY STATE ZIP CODE DAY TELEPHONE STATE LIC #
WORKtRS1
Workers Compensation Declaration I hereby affirm thatTnave a certilicate ot 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 ot the work tor which this permit is issued, I shall not employ any person in any manner
so as to become subject to tiyf Workers' Compensation Laws of California
SIGNATURE DATE
8. OWNUl-BI
Uwner^Builder Declaration I hereby atlirm that I am exempt rrom uie Contractors License Law lor the following 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 7 f> *77 _ Business and Professions Code for this reasonp£L
(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/ppplicanLto a civ/ penalty of not more than five hundred dollars [$500])
SIGNATURE /£</ // ^ __ DATE ^ ^- / Q ~ 9 & _
ibfr'fuH ML!>N-kli3ti5tt.j\l HAL BUILDING PERMITS ONLY
Is the applicant or future building occupant required to submit a business plan, acutely hazardous matenals registration form or nsk management and
prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act?
Q YES D NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control distnct or air quality management distnct?
D YES Q 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 TIIE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT
HAS MET OR IS MianTOGIlIE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT
9. UUNSTKUirriUN LENUlNCi AGENCY
I hereby attirm that there is a construction lending agency tor the performance ot the work tor which this permit is issued (Sec 3097(1) Civil Code)
LENDER'S NAME LENDER'S ADDRESS
I certiry that 1 have read the application and state uiat the above intormation is correct I agree to comply with all City ordinances 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 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 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 stones 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 penod of 180 days (Section 303 (d) Uniform Building Code)
APPLICANTS SIGNATURE DATE
WHITE: File YELLOW: Applicant PINK: Finance
CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT^ CB960268 FOR 02/27/97
DESCRIPTION: INT REMODL-WH,NEW BATH,RE-PLUM
DRAINS,RELOCATE BATH FIXT,ELECT IN BATHS
TYPE: MISC
JOB ADDRESS:167
APPLICANT: CORBIN, AL
CONTRACTOR:
OWNER:
REMARKS: BJN/AL/434-6887
SPECIAL INSTRUCT:
REDWOOD AV STE;
INSPECTOR AREA PY
PLANCK# CB960268
OCC GRP
CONSTR. TYPE NEW
LOT:
PHONE:
PHONE:
PHONE:
619-271-0668
INSPECTOR
TOTAL TIME:
CD LVL DESCRIPTION
25
29
ACT COMMENTS
PL Water Heater/Vents
PL Final Plumbing
***** INSPECTION HISTORY *****
DATE DESCRIPTION ACT INSP
022097 Final Combo CO PY
022296 Frame/Steel/Bolting/Welding CO PD
COMMENTS
SEE INSP NOTES
CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT* CB960268 FOR 02/20/97
DESCRIPTION: INT REMODL-WH,NEW BATH,RE-PLUM
DRAINS,RELOCATE BATH FIXT,ELECT IN BATHS
TYPE: MISC
JOB ADDRESS:167 REDWOOD AV STE
INSPECTOR AREA PY
PLANCK# CB960268
OCC GRP
CONSTR. TYPE NEW
LOT:
APPLICANT: CORBIN, AL
CONTRACTOR:
OWNER:
REMARKS: MW/AL
SPECIAL INSTRUCT:
TOTAL TIME:
PHONE:
PHONE :
PHONE :
619-271-0668
INSPECTOR
CD LVL DESCRIPTION ACT COMMENTS
19
29
39
49
ST Final Structural
PL Final Plumbing
EL Final Electrical
ME Final Mechanical
***** INSPECTION HISTORY *****
DATE DESCRIPTION ACT INSP
022296 Frame/Steel/Bolting/Welding CO PD
COMMENTS
CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT* CB960268 FOR 02/22/96 INSPECTOR AREA
DESCRIPTION: INT REMODL-WH,NEW BATH,RE-PLUM PLANCKf CB960268
DRAINS,RELOCATE BATH FIXT,ELECT IN BATHS OCC GRP
TYPE: MISC CONSTR. TYPE NEW
JOB ADDRESS: 167 REDWOOD AV STE: LOT:
APPLICANT: CORIN, AL PHONE: 619-271-0668
CONTRACTOR: PHONE:
OWNER: PHONE:
REMARKS: MW/PAM/271-0668 INSPECTOR
SPECIAL INSTRUCT: 887-6149 DID NOT SAY WHAT TYPE INSPECTION //
JUST SAID MISCELLANEOUS PERMIT y
TOTAL TIME:
CD LVL DESCRIPTION ACT COMMENTS
14 ST Frame/Steel/Bolting/Welding
INSPECTION HISTORY *****
DATE DESCRIPTION ACT INSP COMMENTS
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CITY OF CARLSBAD
BUILDING DEPARTMENT
NOTICE 438-3550
2075 LAS PALMAS DRIVE
TIME,
LOCATION
PERMIT NO.
FOR INSPECTION CALL 4M-3101 RE-INSPECTION FEE DUE? | | YESy
FOR'FURTHER 'iNFK , CONTACT.
PHONE
BUILDING^NSPECTOR CODE ENFORCEMENT OFFICER