Loading...
HomeMy WebLinkAbout1795 EAST POINTE AVE; ; CB981294; Permit'6/12/S8 'age 1 of Job Acidress Permit Type Parcel No: Valuation: BUILD : 00 1 : 179 5 EAST POINTE AV : RESIDENTAL ADD/ALT 207-073-13-00 29.848 ING PERMIT Suite Permit No Project No; Development No: 8032 06/12/98 CB98129 A980170 Lot#; OOOl 01 C-PRHT 02 Occupancy Group: Reference#: Description: POOL HOUSE/CABANA 364 SF Appl/Ownr : WRIGHT SAM 1287 BUENA VISTA WAY CARLSBAD CA 92008 *** Fees Requiretd 76 0 Construction Type: Status: Applie<d: Apr/Issue: Entered By: 729-7789 ollected & Credits 398 VN ISSUED 05/01/9 06/12/9 JM * * * -00 Fees Adjustments Total Fees Fee description Building P'ermit Plan Check Strong Motion Fee * BUILDING TOTAL ^ Enter "Y" for Plumfc Each Plumbing Fixtu' Each Building Sewer Each Install/Repair Each Vacuum Breaker Enter "Y" for Electr Single Phase Per Ah Enter 'Y' for Mechanical' . 00 150.00 398.00 Ext fee Data 276 179 3 458 20 21 15 7 7 10 10 0 0 0 0 00 00 00 0 0 00 0 0 00 00 00 N '"VSR 3 f> CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 1. PROJECTINFORMATION Address ^include Bldg/Suite #) ' FOR OFFICE USE OIM PLAN CHECK NO EST. VAL. Plan Ck. Deposit Validated By Date ^ ^^^^ Business Name (at this address) Legal Description Lot No Subdivision Name/Number Existing Ui Unit No. Phase No. Total # of units t)!'S^^^71^,A^<SA£-^ Proposed Use Z''''-:''' '' '•'i''. ,^'.(^ Assessor's Parcel tt Existing Use / I Description of Work SO. FT. ISON (if different from aDDlicantI f 2. CONTACT PERSON (if different from applicantl «0N . Name Acidress I City #of Stories tt of Bedrooms tt of Bathrooms 3. APPLICANT • Contractor • Agent for Contractor • Owner .„^<ftgent for Owner State/Zip Telephone # Fax tt Name 4. . PROPERTY OWNER Address City State/Zip Telephone tt Nai 5 » rnvrt.ni i v/v¥i«c:n n ifriE Address City State/Zip T"eleph( Ephone tt CONTRACTOR - COIVIPANY IMAME (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, commending with Section 7000 of Division 3 of the Business and Professions Codel or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Sect/qp 7^^.5 tfy any applicant for a permit subjects the apQ|jcaflI,to a^il penalty of not more than five hunflWd dollars [$500fi. Name State License tt . Any violation of Sectiop 7032.5 ijv any applicant for a permit subjects the aj Address License Class 3 a civil penalty or HOT mt p>t^rP>f^^4A) City ' State/Zip City Business License # Telephone # Designer Name State License # Address City State/Zip Telephone 6. WORKERS' COMPENSATION Policy No._ HUNDRED DOLLARS ($1001 OR LESS) in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as Laws of California. DATE Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations; n I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 1 have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My worker's compensation insurance carrier and policy number are; ^ r . Insurance Company •SfT^i'pS Ca,t'^tf&t/\j^^fflOlslI. t^HP> Policy No. Z.'Z. ^ • ^7 Q Expiration Date '^A'?'? (THIS SECTION NEED NOT BE COIj^ET^D \y^E JP^RMIT IS F(5R ONE I • CERTIFICATE OF EXEMPXK to become subject to the Wg WARNING: Failure to thousand dollars ($10Q ,»^1GNATURE_ 7. OWNER-l I hereby affj»m thSt I afn exempt from ift*'Contractor's License Law for the following reason; • IrSs owner of tf^e propertyoHmy employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business afsLJEto+eSsions 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). • 1, 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 contractorls) licensed pursuant to the Contractor's License Law). • 1 am exempt under Section Business and Professions Code for this reason: 1. 1 personally plan to provide the major labor and materials for construction of the proposed property improvement. • YES DNO 2. 1 (have / have not) 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 (include name / address / phone number / contractors license number); ion coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred of compensation, damages as provided for in Section 3706 of th^Labor c/de, interesl and attorney's fees. 4. I plan to provide portions of the work, but 1 have hired the following person to coordinate, supervise and provide the major work (include name / address / phone number / contractors license number); 5. 1 will provide some of the work, but 1 have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type of work): PROPERTY OWNER SIGNATURE DATE COMPLETE THIS SECTION FOR/VOJV-fffS/OEV77>t£ 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? Q YES • NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Q VES Q NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? • YES • NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 8. CONSTRUCTION LENDING AGENCY 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME LENDER'S ADDRESS 9. APPLICANT CERTIFICATION I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. 1 agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the CitV 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 ANYVAY ACCRUE^AINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over^B/O" deep andd^olition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the Bliilding OjAAa\ under XhAprovySions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not cowmence^Alfhin 365 daif^ from^he date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the vjoj/yis iiliijli Mil fiilVp^iil iil An days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE ^ASf^jAf.:^.^ At^T?'^ * DATE i'HITE: File YELLOW: Applicant PINK: Finance /A^7^ City of Carlsbad Inspection Request For: 4/1/99 Permits CB981294 Title: POOL HOUSE/CABANA 465 SF Description: Inspector Assignment: PD 1795 EAST POINTE AV Lot Type: RAD Sub Type: Job Address: Suite: Location: APPLICANT : WRIGHT SAM Owner: MCDONALD JOHN A&BRIX Remarks: IS GETTING PLANS FROM THE CONTR Phone: 7604349289 Inspector: Total Time: Requested By: JOHN Entered By: CHRISTINE CD Description 19 Final Structural 29 Final Plumbing 39 Final Electrical 49 Final Mechanical Act Comments AP W W W Inspection History Date Description Act Insp 9/16/98 17 Interior Lath/Drywall AP PD 9/16/98 18 Exterior Lath/Drywall AP PD 9/15/98 16 Insulation AP PD 9/8/98 16 Insulation CA PD 9/2/98 14 Frame/Steel/Bolting/Welding AP PD 9/2/98 24 Rough/Topout CO PD 9/2/98 34 Rough Electric AP PD 9/2/98 44 Rough/Ducts/Dampers AP PD 7/30/98 84 Rough Combo CO PD 7/23/98 83 Roof Sheathing/Ext Shear AP PD 7/16/98 62 steel/Bond Beam WC PD 7/16/98 66 Grout AP PD 7/9/98 11 Ftg/Foundatlon/Piers PA PD 7/7/98 11 Ftg/Foundation/Piers CO PD 7/7/98 21 Underground/Under Floor AP PD Comments NOT WRAPPED ^//f^ ^^^Ji/O^^P^JUTL. f-A^r^. AAOTtAi. TT) ^M<7 t/ft/'i^ xuT- a:p- 'Mi/i^ (^ kyjul/l-JH {_S.%^ [ \ 4 -yU/i''-^ (^V^ J (/^^\jj-f- ArPROVALS running ^ _ r'ro - Coastal Health Assoc. •lb ApplcanI From HAZ MAT FORM MD WASTE APP SCHOOLFEEFORM PUN CORR ENOnOCORR BUSLIC WOOMP FIRE PLANS ASSESSOR PLANS COFO