HomeMy WebLinkAbout1882 HIGH RIDGE AVE; ; CB950466; PermitJ4/ll4/q'"l l"i:4(J
Pa ·e 1 )f 1
Ii I' [ L !) I N
J"nh ArldrPS!.>: i 81:32 H: :iH RIDGE AV
Pcr'Tli t 'ypt.:-: PA ...... IC•/~>E(K
Fdt~el No: 2C7-Jfi~-4~-00
Valuation: 1,~15
C\,nstru,t1on Type: NEW
f E F M I '.'
~>lll t e :
Lot#:
P{.•! "11 t No: 1 B )r">l 4t,
Pr<.>jP~·t No: A;JC..O•l•~t-1
.)ev\':'~opn t>r r-l\, , :
1354 04/04/95 0001 01 02
C-F'RMT 72.00
ucrupancy Group:
[JE'Scr1pt1on: 165 SF' DECK
RererencP#: Statu..:: r.3~'fE[J
App.1e •: J4/04/ 1'.:i
Apr/Is::-ue: d4/rl4/' ,
Ent er.-,,l Bv: PI>
CITY SPEC:,
App.L/Ownr : GEORGE PEfACkETA
1882 H[SH RI~GE AV
CARLSBAD, CA. 9 l U tl8
*/,;* ** ------------------------~-
FePs:
Ad 1 u<:tmer,t:c.:
Total Ft>Ps:
Fee iescr1ption
E\u1.ld1ng Permit
Plan Check
Strong Mot l<'n Fee
,1; BUILDING TOTAL
--.-
o~a
TOtl:ll
619 434 4451
, 1ected & Credits
.00
• {I()
7 2.. 1)(1
Units E-.xt fee Dat& ~-----------------
4 J l ,)
lH,00
~. ( 0
?~.co
FINAL APPROVAL
(,lSP. J) DATE 1') ~ •9h
. :LEARANCE -----•
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
PERMIT APPLICATION
City of Carlsbad Building DepartEnt
2075 Las Pal-Dr., Carlsbad, CA 92009 (619) 438·1161
i. PFJlMII iiPE
From Llst 1 (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. PROJECT INFORMATION FOR OFFICE USE ONLY
8u1ldmg or Sune No.
4vE:. 1 CA~~ GAi:11 Cl\. 9 1..00 i'
ntt 0.
CHECK BEWW IF SOBMII IED:
□ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope
NiSESSOB'S PARCEi. EXISTING USE PBOP9SEP USE
DESCRIPTION OF WORK
SQ. FT. ( t2 5 # OF STORIES # OF BEDROOMS # OF BATIIROOMS
3. WN IACI PFJISON (1£ dlIIereni from applicant)
NAME (last.name first) ADDRESS
CI1Y STATE ZIP CODE DAY TEhEPHONE
4. APPilCANJ UCUNIHACiUH UAGENI FORWNIRACIOk
ADDRESS
□ OWNER Li AGEN I FOR OWNER
NAME (last name first)
Cl1Y STATE ZIP CODE DAY TELEPHONE
5. PKOPEklY oWNEk a NAME (lastnamefirst) G,sor:11;,C: pi=S"ACAE:TA ADDRESS l '158'::2. 1-\\G.I-\ , .... ,ni;.e: A,vt::.
CI1Y C.'°i 'A.IS I] A ~ STATE CA ZIP CODEC\ 2.o O 8 DAY TELEPHONE G, l 'i L\: 3 '-t ·£..I.'-+ S (
NAME (last name first)
CI1Y STATE
STATE LIC. #
ZIP CODE
LICENSE CLASS
ADDRESS
DAY TELEPHONE
CI1Y BUSINESS LIC. #
DESIGNER NAME (last name lust) ADDRESS
CI1Y STATE ZIP CODE DAY TELEPHONE STATE LIC. #
7. WuRkEkS' WMPENSAIION
Workers• Compensatmn beclarat1on: I hereby affirm that I have a certtftcate of consent to seif-msure issued by the 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 POLICY NO. EXPIRATION DATE
Cerohcate of Exemption: I certify that m the performance of the work for which this permit 1s issued, I shall not employ any person many manner
so as to become subject to the Workers' Compensation Laws of California.
SIGNATURE DATE
8. UWNrut-BOllDfi{ OWAitAIIDN
Uwner-Butider Declaration: I hereby afhrm that I am exempt from the Confracfofs Ucense Law for the ioiiowmg reason:
'l,(" 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 r' offered for sale {Sec. 7044, Business and Professions Code: The Contractor's Llcense 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 Llcense 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 for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit
subjects applicant to a(?'il penalty~ more than five hundred dollars [$5001).
SIGNATURE r .a.-;, CJ! DATI! 1-: L{ L "-4
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?
□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?
□YES □NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
□ YES □ NO IF ANY OF TIIE ANSWERS ARE YES, A FINAL CERTIFICATE OF oa:uPANCY MAY NITT BE e:;smID AFTER JULY 1, 1989 UNIBSS TIIE APPLICANT
HAS MET OR IS MEIITING TIIE REQUIREMENTS OF TIIE OFFICE OF EMERGENCY SERVICES AND TIIE AIR POILU11ON CDNTROL DISI1UCT.
9. WNSIRUChON IENDING AGENCY
I hereby affirm that there 1s a construction lendmg agency for the performance of the work for which (fits penn1t 1s issued (Sec 3097(1) Civil Code).
LENDER'S NAME LENDER'S ADDRESS
10. APPllCAN I CEJlltFICJUION
I cerufy that I have read the apphcauon and state that the above mformabon IS correct. I agree to comply with all City ordmances 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 AISO AGREE ro SAVE INDEMNIFY AND KEEP HARMLl!SS TIIE CTIY OF CARISBAD AGAINSf AIL IJABlllTIES, J\JDGMENTS, CXJSTS
AND EXPENSES WJilCH MAY IN ANY WAY ACDUJE AGAINST SAID CTIY IN CDNSI!QIIENCE OF TIIE GRANTING OF TIDS 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 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 su h 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 aban ed at any tim~ter the w~ommenced for a period of 180 days (Section 303(d) Uniform Buil~ips,Q¥1e).
APPLICANT'S SIGNATURE ,✓ ..a,,.q(' · DATE: "'11':!.J tt(
TE: File YELLOW: Applicant PINK: Fmance
PERMIT# CB950466
DESCRIPTION: 165 SF DECK CITY
TYPE: PATIO
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 04/07/95
SPECS
STE:
INSPECTOR AREA
PLANCK# CB950466
OCC GRP
CONSTR. TYPE NEW
LOT: JOB ADDRESS: 1882 HIGH RIDGE AV
APPLICANT: GEORGE PESACRETA
CONTRACTOR:
PHONE: 619-434-4451
OWNER:
REMARKS: MW
SPECIAL INSTRUCT:
TOTAL TIME:
CD LVL DESCRIPTION
PHONE: ~ PHONE: ~
INSPECT~~~.
ACT COMMENTS
11 ST Ftg/Foundation/Piers 1 ---------------------------------------------------------------------------------------
***** INSPECTION HISTORY*****
DATE DESCRIPTION ACT INSP COMMENTS
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APR 4 1995
City of CARLSBAD
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