HomeMy WebLinkAbout2071 GAYLE WAY; ; CB950526; Permit(i?>i @Ji$
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CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
PERMIT APPLICATION PIAN CHECK NO.
Ci.t..y of Carlsbad Building Department
I
EST, VAL Z075 Las PalllllS Dr., Csrlsbad, CA 92009 (619) 438-1161
I. PEKMI I fl'P.i! PLAN CK DEPOSIT =· BY ___ -=.-=.-=.-=.-=.-=.-=.-=.-=.-=.-=.-=.-=.-=.-=.-=._-
From Llst l (see back) give code of Pennit-Type: -~R-~A~D~-------
For Residential Projects Only: From Llst 2 (see back) give
r-FD. Code of Structure-Type: ______ _,.;,=-'--="-''------------
Net Loss/Gain of Dwelling Units
2. PR<llECT INFORMATION FOR OFFICE USE ONLY
Address 201 I 60..y le Butldmg or Suite No.
C. fl (I. 1 $ ba J Nearest Cross Street
LEGAL DESCRIPIION Lot No. Subd1vis1on Name/Number Omt No. Phase No.
rnectiie'fu_;;F soadrffi::?-04 8'0
D 2 Energy Cales • 2 Structural Cales • 2 Soils Report D 1 Addressed Envelope
3. WN IACI PERSON (If duferenf from apphcanf)
NAME (last name first) .::t::0\/1cfZ.0 1 l=,v) ADDRESS
CI1Y STATE ZIP CODE DAY TELEPHONE
4. Af'l'l.J~J UCUNIRACIUR •Agf:NI FORWNIMCIOR LJUWNtK LJAlit;NJ tUKUVVNU{
NAME (last name first) t) ;sr,NC.111/b '<-1f",M'"J.ADDRESS 7 3D ~00'-\) fl J./(.. ,Z \) -tic I O'J
CI1Y ._So.~ f.,i~ru,.s. STATE (fr ZIP CODE qz.o(t,qDAYTELEPHONE Cg I']-'-IW---JJq G
s. ~~1~!t~:V.!'ell:}rst) Mvl..t.)N,S, l ic_o,.,.-1-.,-i,J ADDRESS Z.o 71 L7AYle'
cilY ( A.rt. l.s ~J sTATE Cll. zIP coDE '1zo ~ DAY TELEPHONE ,y 3-J 9 ~ "2.. ·
6' Z'i'.:f:=,r:,>:me first) t)im~-t;Yj, ,k1tt1-.eJ.2 &r-1--.. ADDRESS t3D N06t,\':>1V/L Rb ~IO a.,
.\,U _,, {IV I ,=: ,-JC.,, ' C, !,,
CI1YJ:.q,-J Ml\.rt..Oj, STATE C(t ZIPCODE qio&q DAYTELEPHONE IJ('f-<-lro-C1/7-,
STATE LIC. # $"Z'JJ0 / LICENSE CLASS (s CllY BUSINESS LIC. #
DESIGNER NAME (last name hrst) t)l~-r-,>-.tc-,-.1 11! k-JreJ..eN.5. ADDRESS
CI1Y STATE ZIP CODE DAY TELEPHONE STATE LIC. #
7. WOltkEAf; WMPENSAIIUN
Workers' Compensation DeclaratJon: I hereby arhrm that I have a cert1hcate 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 _5121,C (0>.J Tl
0 vc").S,.
SIGNATURE DATE
8. oWNF.R-BOnnmt OF.UARAllON
•
•
•
Owner-BuiJder Declaration: I hereby afhnn that I am exempt from the Confrador3s Llcense Law for the foilowmg 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 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 pennit to construct, alter, improve, demolish, or repair
any structure, prior to its issuance, also requires the applicant for such pennit to file a signed statement that he is licensed pursuant to the
provisions of the Contractor's Llcense 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 civil penalty of not more than five hundred dollars [$500]).
SIGNATURE DATE
COMPLEIE IHIS SECIION FUR NON-RESIDEN'l1At BUILDING PEkMIIS ONLY:
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 pennit 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?
0 YES • NO
IF ANY OF THE ANSWERS ARE YES, A FINALCER11FICATEOF oa:IJPANCY MAY NOT RE ISSUED AFrnRJULY I, 1989 UNLESS THEAPPUCANT
HAS MET OR JS MEfil'ING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POIJ.1Jl10N OONTROL DlS1111CT.
9. WNSIROCJIUN LF.NDING AGRNCY
I hereby afhnn that there ts a construction lendmg agency for the perfonnance of the work for which this penn1t ts issued (Sec 3097 (I) Civil Code}.
LENDER'S NAME LENDER'S ADDRESS
10. XPPUCAN I CEkllFICAIION
I cernfy that I have read the apphcat1.on and state that the above mfonnatton ts correct. I agree to comply with all Ctty 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
purp<llles. I ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLl!SS THE CTIY OF CARISBAD AGAINST AU. IJABIUTil!S, JUDGMENTS, <X>STS
AND EXPENSES WlllCH MAY IN ANY WAY MDUJE AGAINST SAID <J1Y IN OONSI!QUENCE OF THE GRANTING OF 11IIS PERMIT.
OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height.
Expiration. Every pennit 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 pennit is not commenced within 365 days from the date of such pennit or if the building or work authorized by
such permit is suspended or ab ndoned at any time after the work is commenced for a period of 180 days (Section 303(d) Unifonn Building Code). a
APPLICANT'S SIGNATURE ..,_ DATE: ',f-µ) -1S
TE: File YEIJ.OW: · Fmance
0
CITY OF CARLSBAD
J INSPECTION REQUEST
PERMIT# CB950526 FOR 07/25/95
DESCRIPTION: INSTALL NEW FIXTURES AND
ENLARGE EXISTING SHOWER
TYPE: PLUM
JOB ADDRESS: 2071 GAYLE WY
APPLICANT: DISTINCTIVE KITCHEN AND BATH
CONTRACTOR:
OWNER:
PHONE:
PHONE:
PHONE:
INSPECTOR AREA PY
PLANCK# CB950526
OCC GRP
CONSTR. TYPE VN
STE: LOT:
619 480-9199
REMARKS: MW/GUY/480-9199 INSPECTOR /Z_/ SPECIAL INSTRUCT: AM PLEASE MOBILE 548-7788 --~/-,,_ ______ _
TOTAL TIME:
--RELATED PERMITS--
CD LVL DESCRIPTION
PERMIT# TYPE
CB950974 ELEC
STATUS
ISSUED
ACT COMMENTS
29 PL Final Plumbing ()( ____ _
-----------------------------------------------------
***** INSPECTION HISTORY*****
DATE
042895
042895
042795
DESCRIPTION
Final Plumbing
Interior Lath/Drywall
Rough/Topout
ACT INSP
AP PY
AP PY
CO PY
COMMENTS
ND TO OPEN FLOOR
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Distinctive Kitchen & Bath Design, Inc.
730 Nordahl Rd. #109
San Marcos, CA. 92069
All dimensions & llze daalgnatlons
given are subject to verification on
job site and adjustment to flt Job
conditions.
Thia is an original design and must
not be released or copied unlns CATHERINE MULLINS
applicable foe has been paid or Job MASTER BA TH
order placed.
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Designer
CHRISTY LYEU.
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Doalgn : 01/25/85 Dwg no.
Date : 04
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All dlrnen11on, & llze dHlgnaUon,
given are 1ubject lO verlflcaUon on
job site and adjustment lo ffl Job
condition,.
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Thi• Is 11n orlglnlll deelgn aod mull
not be ralaued or copied unltH
epplk:able fn hu been paid or Job
order placed.
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CATHERINE MUWNS
MASTER BATH
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Scale: 1/2 • • 1'
Oe1lgn1r
CHAISTYLYEll.
De1lgn : 011'2!!19!5 O#g no.
Date :04(0:4/95