HomeMy WebLinkAbout2065 LINDA LN; ; CB901941; Permit• B U I L D I N G P E R M I T Permit
ProJect
Development
No: CB901Y41
No: A900,231
No:
12/14/90 11:30
Page 1 of 1
Job Address: 2065 LINDA LN
Permit Type: RESIDENTAL ADD/ALT
Parcel No: 205-160-48-00
Valuation: 2,000
Construction Type: NEW
Occupancy Group:
(UNDR $10K)
Class Code:
Description: 336 SF LATTICE COVER PER SPECS
Appl/Ownr : DUNSMORE, REMBRANDT
2065 LINDA LANE
CARLSBAD, CA 92008
Fees Required
Fees:
Adjustments:
Total Fees:
Fee description
Building Permit
Plan Check
Strong Motion Fee
* BUILDING TOTAL
***
Str:
619
_,.
Fl: Ste:
98 1 ..11 41
Stdtus.
Applied:
Apr/Issue:
Validated By:
729-3857
12/14/90
12/ 14/'l 0
DC
t
.oo
.00
75.00
***
Ext fee Data
-~-----------------
/
45.00
29.00
1.00
75.00
I .Fli'i'f\~t>'PROVAL
INSP. ~ DATE --
CLEARANCE-----,
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161
PERMIT APPLICATION ~ V
City of Carlsbad Building Department EST. VAL. ___ &,L--'!L-'=:___,:=:_ __ _ 2075 Las Palmas Dr., Carlsbad, CA 92009 (6191 438-1161 PLAN CK DEPOSIT, ____________ _
1.
A
B
C
PERMIT TYPE
0 COMMERCIAL
D INDUSTRIAL
0 RESIDENTIAL O APARTMENT
0 DUPLEX O OEMOLI TI ON
□MECHANICAL □POOL
TENANT IMPROVEMENT
□TENANT IMPROVEMENT
□CONDO QSINGLE FAMILY DWELLING 0 ADDITION/ALTERATION
□RELOCATION □MOBILE HOHE □ELECTRICAL □PLUMBING
OSPA □RETAINING WALL □SOLAR □OTHER
"'' 2. 0 (g $'" l. / N f?-'t ,t. ,") ,,-,I Bui ld1 ng
Nearest Cross Streets J',,f()rl~()e
VALID. BY, ______________ _
DATE
LEGAL DESCRIPTION Lot No. Unit No.
'2..
Phase No.
la CHECK BELOW IF SUBMITTED: Qz Soils Report 01 Addressed Envelope
EICISTING USE
3.
4.
7.
8.
Q2 Energy Cales 02 Structural Cales
ASSESSOR'S PARCEL
BLDG. SO. fTG.
CONTACT PERSON
NAME /
CITY
SIGNATURE
APPLICANT 0 CONTRACTOR
NAME
CITY
# OF STORIES
STATE
ADDRESS
ZIP CODE
0 AGENT FOR CONTRACTOR
ADDRESS
STATE
O\JNER
TATE
STATE
ZIP CODE
ADDRESS
ZIP COOE
ADDRESS
ZIP COOE
STATE LIC. # _____ _ LICENSE CLASS _____ _
SIGNATURE TI HE
DESIGNER NAME ADDRESS
CITY STATE ZIP CODE
PROPOSED USE
DAY TELEPHONE
0 AGENT FOR Oo!NER
DAY TELEPHONE
□LESSEE □TENANT
DAY TELEPHONE
DAY TELEPHONE
C!TY BUSINESS LIC. #
DATE
DAY TELEPHONE STATE LIC. #
WORKERS' COMPENSATION Workers' C~nsation Declaration: hereby affirm that have a certificate of consent to self-insure issued by the Director of Industrial Relations,
or a certificate of Workers' COl!l)ensation Insurance by an aaflitted insurer, or an eKact copy or duplicate thereof certified by the Director of the
insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C).
POLICY NO. EXPIRATION DATE INSURANCE COMPANY
Certificate of EKemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner
so as to become subject to the Workers' C~nsation Laws of California.
SIGNATURE DATE
OWNER-BUILDER DECLARATION Owner-Builder Declaration: I hereby affirm that I am eKempt from the Contractor's License Law tor the following reason:
O I as owner of the property or my employees with wages as their sole c~nsation, wi\l 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 tor 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.).
0 !, as owner of the property, am eKclusively 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 Coritractor's License Law).
0 I am exempt under Section ___________ _ Business and Professions Code for this reason:
(Sec. 7031.5 Business and Professions Code: Any City or County wtiich 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, cOl!lllencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom,
and the basis for the alleged eK~tion. 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 do l l ars [S500J ) •
SIGNATURE DATE
COMPLETE THIS SECTION FOR HON-RESIDENTIAL BUILDING PERMITS ONLY:
Is the applicant or future building occupant required to subnit 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 Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district'>
0YEs □NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
□YES o,o
If ANY Of TH£: ANSWERS ARE YfS, A FINAL CERTIFICATE Of OCCll'ANCY NAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREN::NTS
OF THE OFFICE. OF EMERGENCY SERVICES A1r1> TNE AIR POLLUTION CONTROL DISTRICT.
9. CONSTRUCTION LENDING AGENCY
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).
LENOER'S NAME LENDER'S ADDRESS
10. APPLICANT'S SIGNATURE ! certify that I have read the application and state that the above information is correct. l agree to comply with 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 ALSO
AGREE TO SAVE INDEMNIFY AND ICEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIABILITIES, JLOGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SATO
CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
EJ\piration. Every permit issued by the Building Official under the provisions of this Code shall e,.;pire by limitation and become null and void if the building
or work authorized by such permit is not coomenced within 180 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 coomenced for a period of 180 days (Section 303(d) Uniform Building Code).
A~S SIGNA;tJJB.f-
~,e,,,·,~
□ 0.JNER O CONTRACTOR □ BY PHONE APPROVED BY; _______ _
DATE: _________ _
WHITE: File YELLOW: Applicant PINK: Finance
PERMIT# CB901941
DESCRIPTION: 336 SF LATTICE
TYPE: RAD
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 03/20/91
COVER PER SPECS
JOB ADDRESS: 2065
APPLICANT: DUNSMORE,
CONTRACTOR:
LINDA LN
REMBRANDT PHONE: 619
PHONE:
INSPECTOR AREA PY
PLANCK# CB901941
OCC GRP
CONSTR. TYPE NEW
STR: FL: STE:
729-3857
OWNER:
REMARKS: MH/JENNIFER/729-3857
SPECIAL INSTRUCT:
PHONE: p~r/~
INSPECTOR 4fv\.L..,l._1,__ ________ _
TOTAL TIME:
--RELATED PERMITS--
LVL DESCRIPTION
PERMIT# TYPE
RW900055 ROW
CD
19 ST Final Structural
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STATUS
ISSUED
ACT COMMENTS ~~--·-___ _
***** INSPECTION HISTORY*****
DATE DESCRIPTION ACT INSP COMMENTS
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