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HomeMy WebLinkAbout1880 MARRON RD; 104; CB960061; Permit.. B U I L D I N G P E R M I T 01/12/96 09:12 Page 1 or 1 Job Address: 1880 MARRON RD Permit Type: MISCELLANEOUS Parcel No: /5{JJ .301 I~ oo Valuation: o Suite: Lot#: Occupancy Group : Reference#: Description: 39 LIN. FT OF NON-BEARING WALL : AND TRACK LIGHTING Permit No: CB960061 Project No: A96DU106 Development No: 104 5503 01/12/96 0001 01 ':-RMT Construction Type: Status: Applied : Apr/Issue: o. VN Appl/Ownr : CLIFFORD, SMITH 2553 STATE ST SAN DIEGO, CA Entered By: 619-233-7657 ISSUED 01/11/96 01/12/9b MDP *** Fees Required Fees: Adjustments : Total Fees : Fee description Miscellaneous Fee Miscellaneous Fee #2 * MISCELLANEOUS T-T~t 92101 ~------ CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 .00 .00 70.00 Ext fee Data 20 .00 ELECTRIC 50,00 WALL 70,00 PERMIT APPLICATION City of car-lst.d Bui ldire Deper-ment 2075 Las Pal-Dr-•• car-lsbed, CA 92009 (619) 438-1161 1. PERMl'i' 1"YPE ~ ~ From List l (see back) give code of Permit-Type:------------ --------------------------------------------------------- For Residential Projects Only: From List 2 (see back) give Code of Structure-Type:--------------------- Net Loss/Gain of Dwelling Units 2. PRQJF.CT INFORMATION I ress Nearest Cross Street LEGAL DESCRJPTION Lot No. Su&l1V1s1on Name/Number CAECR BEtlJW IF sOSMII IEO: 0 2 Energy Cales C 2 Structural Cales C 2 Soils Report O I Addressed Envelope PLAN CHECK NO. <JZ ()0 t I PST.VAL. ___________ _ PLAN CIC DEPOSIT ________ _ ~1::-; l I ds..l'lt FOR OFFICE USE ONLY Unit No. Phase No. ASSESSOR'S PARCEL EXISTING USE PROPOSED USE DESCRl~~IOF ;;;Rf )( &'° I -( ii.A.ck ~ SQ. FT. # OF STORlES # OF BEDROOMS # OF BATIIROOMS NAME (last name first) ADDRESS CITI s. PROPER'IY oWNElt NAME (last name first) 9f(Ze {c(e(L s~ ADDRESS 2Sf"'> 5i-A--f...c_ $1- ST A TE C,i,. ZIP CODE '12. ( 0 I DAY TELEPHONE ~ > 3 ? ' ., ...... ? CJTI s-1) 6. Cof(ffiAc'iuR ~5"'11~ (!,fi'f,{()~d. ADDRESS ,2.5'$"'3 >i-A-1-C. S-f-NAME (last name first) CITI g4"'-"' j)~ 'JO STA TE C,14-ZIP CODE <j 2 / 0 / DAY TELEPHONE 2. '3 7 7 C:: f' ? STATE UC. # LICENSE CI.ASS CITI BUSINESS UC. # CITI Jvi, DESIGNER NAME (last name hrst) ~ Ro""'5 ~ ~ (.)-i; tU...sTATE ADDRESS 1. WoRXERS' CdMPENsXlidN ZIP CODE DAY TELEPHONE STATE UC.# Workers' Compensauon Declarauon: I hereby alhrm iliac I have a cerulacace of consent to sell-insure assued by ilie 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 3800, Lab. C). -INSURANCE COMPANY ~'~M /:>.C/4J()Jn POLICY NO. eve. 7flel/ !RATION DATE --=:..:..;.;:;.;.~.:;;.;.;:,:;,,;.;;.~~,=,,;,~~~~~~~:.,.:;;;::,:;,.:.,.~~:.,;.,;,,:.;~~~;;;,:.:;;:.::.;...;,:..;;.,:~~f,.b~~~:.....,_=:-=------~ ru 1cate o xempuon: cern at m e pe o ance o c e wor or w so as to become subject to the Workers' Compensation Laws of California. SIGNATU~ DATE s. dWNER~ER o£l.1A.ltAl1oN D Owner-Builder Declaration: I hereby atfmn that I am exempt from the Contractor's License Law for the lollowing 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.). D 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). D 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 for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500)). SIGNATI.JRE DATE CoMPtl'.'lt fills sEclioN FOR NON-RESibENtiAL BUILDING PERMI I'S ONLY: Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? C YES ONO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? C YES ONO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? a YES ONO IF ANY OF nm ANSWERS ARE YES, A FINAL CERTlFICATE OF OCDJPANCY MAY NCYf 8£ l$lJED AFTER JULY 1, 1989 UNU:SS nm APPUCANT HAS MEf OR IS MEETING 1lIE REQUIREMENTS OF 1lIE omo: OF EMERGENCY SERVICES AND 1lIE AIR POU.lJTION CDNTilOL DISI'RICT. 9. tnMS'IROCliON LENDING AGENCY I hereby affirm ihat ihere IS a construcuon lending agency for ihe performance of ihe work for which ih1s permit IS assued (Sec 3097(1) CIVIi Code). LENDER'S NAME LENDER'S ADDRESS 10. APPUCANI Cfl{l1FICAl10N I certify iliat I have read ihe apphcauon and state iliac the above mlormauon 1s correct. I agree 10 comply w1ih 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 MSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLF.SS nm Cl1Y OF CARLSBAD AGAINST All. UABIIIIlF.S, JUDGMENTS, CDSTS AND EXPENSES WHIOI MAY IN ANY WAY Aa:RUE AGAINST SAID Cl1Y IN CDNSEQUENCE OF nm GRANTING OF nns PERMIT. OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. WHITE: File YEILOW: Applicant PINK: Finance -~- CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB960061 FOR 02/06/96 DESCRIPTION: 39 LIN. FT OF NON-BEARING WALL AND TRACK LIGHTING TYPE: MISC INSPECTOR AREA PD PLANCK# CB96006l OCC GRP CONSTR. TYPE VN STE: 104 1 LOT: JOB ADDRESS: 1880 MARRON RD APPLICANT: CLIFFORD, SMITH CONTRACTOR: OWNER: REMARKS: MW/CLIFFORD SPECIAL INSTRUCT: ASKED FOR FINAL/SIGN ON OF OCCUPANCY FROM FIRE? PHONE: 619-233-7657~-· PHONE: ~·, ~ PHONE: .... / .... ~ INSPECTo:· . , . o~ ' BATHROOM?/NEED LETT~- TOTAL TIME: CD LVL DESCRIPTION ACT COMMENTS =19== =-S-T ==F=i=n=a=l=S=t=r=u=c=t=u=r=a=l=============~----------------------------- ~-------------------------------- ***** INSPECTION HISTORY***** DATE 020296 012296 011996 011896 011896 DESCRIPTION Final Combo Rough Electric Rough Electric Frame/Steel/Bolting/Welding Interior Lath/Drywall ACT INSP CO TP AP PD AP PD AP PD AP PD COMMENTS SEE JOB CARD/OK TO OCCUPY DRYWALL OK FINAL BUILDING INSPECTION DEPT: BUILDING ENGINEERING FIRE PIANNING ... U/M WATER PIAN CHECK#: CB960061 PERMIT#: CB960061 PROJECT NAME: 39 LIN. FT OF NON-BEARING WALL AND TRACK LIGHTING ADDRESS: 1880 MARRON RD SUITE# 104 CONTACT PERSON/PHONE#: MW/CLIFFORD SEWER DIST: WATER DIST: DATE: 02/02/96 PERMIT TYPE: MISC By ===================================================~====mmm:-J~ir.ii;iiiminiiiiimiiinn~s~• INSPECTED~ BY: ~ INSPECTED BY: INSPECTED BY: DATE I ( INSPECTED: ,9 ( '10 APPROVED K. DATE INSPECTED: DATE INSPECTED: APPROVED APPROVED DISAPPROVED DISAPPROVED DISAPPROVED ---------------------------------------==---~----=------~~-~-------------~-~-COMMENTS: