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
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SCHOOLFEEFORM
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