HomeMy WebLinkAbout2031 LEE CT; ; CB911376; PermitB ' I I L [1 I N G ;:, E R M I "'
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5375 11/22/91 0001 01 02 C-PRMT 180-00
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Appl/Ownr : KILEY,THOMA~ 714 7 9 6bllb
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f:L TORO, CA 926211
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AL APPROVAL
INS ._, __ DATE fJ:·0·9/
CLEARANCE ____ _
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
Pmu,m" APPLICATION
City of Carlsbad Building Depart.ent
2075 Las Pal•s Dr., C&rlsbed, CA 92009 (619) 438-1161
I. PERM11 IYPE
A -U Commercial Li New Bu1ldmg U lenant Improvement
B -0 Industrial □ New Building D Tenant Improvement C-PRl1T
C -BResidential D Apartment D Condo C Single Family Dwelling □ Addition/ Alteration
□ Duplex □ Demolition U Relocation □ Mobile Home □ Electrical O Plumbing □ Mechanical □ Pool 11 Spa □ Retaining Wall □ Solar II Other a._ti o 0 t,Ask
2. PRQIBC'f INFORMATION FOR OFFICE USE ONLY
Address /1 ,_ _ J .;;J. o3 I M (, C;I-· LA ,-I 1$0<'-Q
Nearest Cross Street
BuHdmg or Smte No.
LEGAL DESCH IP I ION Lot No. SufXhvtsmn Name/Number
G!HECR BEWW IF S0BMI I IEO:
□ 2 Energy <;:ales □ 2 Structural Cales □ 2 Soils Report □ 1 Add~ Envelope
Omt No. Phase No.
ASSESSOR'S PARCEL EXISTING USE PROPOSED USE
DESCRIPTION OF WORK
SQ. FT. Ji:tf # OF STORIES
3. WN IACI ~ (II dlIIereni from appJJcanO
NAME S-c.e. <II-i ADDRESS
CITI STATE ZIP CODE DAY TELEPHONE
4. M'YUU\NJ UWNIRACJOH DAGEN! FORWNIRACIUR iS)WNER □AGENI FOR OWNER
NAME 7horn,I\,:, It;/~ ADDRESS ciJ.&,,S-71 ll~rwia-~..I<--N-t;IIT
CITY /:£.. 7l)/i!o STATE CA ZIPCODE 9z.,3.:, DAYTELEPHONE 7IY -73/1-~00'-
NAME
CITI
NAME
CITI
CITI
5"A-tA€
STATE
;S"A'1'1.€'"° STATE
STATE !JC.#
STATE
ADDRESS
ZIP CODE DAY TELEPHONE
ADDRESS
ZIP CODE DAY TELEPHONE
LICENSE CIASS CITI BUSINESS !JC. #
ZIP CODE DAY TELEPHONE S'.fATE !JC.#
7. WURRF.RS' WMPF.NSA:IION
Workers; Compensation Declaration: I hereby affirm that I have a ceruhcate of consent to self •insure issued by the Director of lndustnai
Relations, or a certificate of Workers' Compensation Insurance by an admicted 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 POIJCYNO. EXPIRATION DATE
59.00
Cemhcate of Exemption: I certify that m the performance of the work for which this permit 1s issued, I shall not employ any person m any manner
so as to become subject to the Workers' Compensation Laws of California.
s_sg,;~~~~ DATE /fl-7-~/
□
□
Owner•Bu1ider Declaration: I hereby affirm that I am exempt from the Contracto?s Lcense Law for the followmg 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 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 License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects
with conrractor(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 pennit
subjects the applicant to a c· 'I penalty of not more than five hundred dollars [$5001).
filGNATIIRE _,,,'!Ma.._ DATE
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration fonn 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 ANYOFTIIEANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFI1!RJULY 1, 1989 UN1JlSS TIIE APPIJCANT
HAS MIIT OR IS MEETING TIIE REQU1REMEN7S OF TIIE OFFICE OF EMERGENCY SERVICES AND TIIE AIR POUUTION WNTIIDL DISTRICr.
9. WNSJRUCIION LF.NDING AGENCY
I hereby afhrm that there ts a construction lendmg agency for the performance of the work for which this permit 1s issued (Sec 3097(1) Civti Code).
LENDER'S NAME LENDER'S ADDRESS
IO. APPIICXNI tmlfiJiCAIION
I certify that I have read the apphcat1on and state that the above mformatmn 1s correct. I agree to comply w1ih ail 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 AI.50 AGREE ID SAVE INDEMNIFY AND KEEP HARMLESS TIIE CITY OF CARISBAD AGAINST AIL LlAIIIU11ES, JUDGMENTS, CDSfS
AND EXPENSES WIDCH MAY IN ANY WAY A£IlUJE AGAINST SAID CTIY IN WNSF.QUENCI! OF TIIE GRANTING OF TIIlS PERMIT.
~ An OSHA permit 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 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 period of 180 days (Section 303(d) Uniform Building Code).
APPLICANTS SIGNATURE DATE: /17 -7-91
WHITE: File 'YELLOW: Applicant PINK: Finance
PERMIT# CB911376
DESCRIPTION: 340 PATIO COV,
ELEC&GAS ISSUE
TYPE: MISC
LEE CT
CT
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 12/04/91
SPA,GAS,ELEC
SEPARATE FIELD INSP REQ
PHONE: no
STR:
INSPECTOR AREA PD
PLANCK# CB911376
OCC GRP
CONSTR. TYPE NEW
FL: STE: JOB ADDRESS: 2031
APPLICANT: 2031 LEE
CONTRACTOR: PHONE: ,
OWNER: KILEY, THOMAS
REMARKS: MH/TOM/714-739-6606 AM PLS
SPECIAL INSTRUCT:
TOTAL TIME:
CD
19
29
39
49
LVL DESCRIPTION
ST Final Structural
PL Final Plumbing
EL Final Electrical
ME Final Mechanical
***** INSPECTION
DATE DESCRIPTION ACT
120291 Underground Plumbing AP
120291 Electric/Conduit/Wiring co
112591 Underground Plumbing CA
PHONE: 714 7JU
INSPECTm{f d ¼
HISTORY *****
INSP COMMENTS
PD GAS TEST OK
PD
PD BY TOM