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Home My WebLink About2130 PINE CREST WAY; ; CB960110; PermitB U I L D I N G 02/02/9b 11 :0b Paqe 1 of 1 I -Job Addres~: 2130 PINE CREST WY Permit Type : RESlDENTAL ADD/ALT Parcel No: 156-332-06-00 Valuation : 1,410 P E R M I T Suite : Lot#: Permit No: CB9bU110 Project Nu: A9600180 Development No: Construction Type : Occupancy Group: Reference#: Status : VN ISSUED 01/19/96 02/02/96 MDP Description : 15 SF ADDITION Appl/Ownr : BLACKFORD, ROY 2942 HARDING STREET CARLSBAD , CA . 92008 *** Fees Required Fees: Adjustments: Total Fees : Fee description Building Permit Plan Cherk Strong Motion Fee * BUILDING TOTAL Enter "Y" for Plumbinq Ga~ Piping System * PLUMBING TOTAL Enter "Y" for Electric Enter "Y" f or Remodel * ELECTRICAL TOTAL *** Enter 'Y' for Mechanical Applied: Apr/Issue : 619 Entered By : 729-05':>3 Total Cre dits: .00 Total Payment:;;: 23 .00 Balc1nce Due: 83 .00 Units Fee/Unit Ext fee 35,00 23.00 1. 00 59 .00 20.00 7 .00 27.00 10,00 10 .0U 20.00 *** Data y y y N FINAL APPROVAL 9,?/; .'NSP. 'S7 DATE tJ':...-' 1--, 1 vL EARANCE -----1 ---------- CITY OF CARLSBAD 2075 Las Palrnas Dr., Carlsbad, CA 92009 (619) 438-1161 ( lO PERMIT APPLICATION PLAN CHECK NO. City of Carlsbad Building Department 2075 Las PalES Dr., carlsbad, CA 92009 (619) 438-1161 I. PFJtMI i NP£ From List I (see back) give code of Permit-Type: ____________ _ For Residential Projects Only: From Llst 2 (see back) give Code of Structure-Type: ______________________ _ ,:.,· , •.. ,-.. , ) Net Loss/Gain of Dwelling Units 2. PROJECr INFORMATION FOR OFFICE USE ONLY Address ~J 30 Pit-ii: Cftl!lf,T WA'-( Building or Suite No. Nearest Cross Street M~J5: LEGAL DESCRIF'IION c o. Su6d1V1s1on Name/Number Omt No. Phase No. TIV,c,T ~ :1'1'2 • . 1..0'1' 1 i;; • 1J3AcJ lc;:x:,5"3 cfi£cR S£J..tiw'ffSO!ri.tu1£b: J 1 □ 2 Energy c.a.Jcs □ 2 Structural Cales □ 2 Soils Report D 1 Addressed Envelope ASSESSOR'S PARCEL EXISTING USE PROPOSED USE DESCRIPTION OF WORK # OF BEDROOMS # OF BATHROOMS El( Bo P11JE~'1 ~ CITY~ STATE CJ,-ZIP CODE q12a1::, DAY TELEPHONE G,.J'j '1'20 -'j'Sl'J 5. PROPF.itiY OWNER NAME (last name first) ADDRESS '2..180 f'INt: CJ2J=&'T t,.L4t.\ DAY TELEPHONE CITY STATE ZIP CODE NAME (last name first) ::5ll)Nf:i\eEc Gz.11C>T12-<JCTIO N CITY ~IC STATE CA, ZIP CODE ADDRESS DAY TELEPHONE STATE UC. # UCENSE CIASS CITY BUSINESS UC. # I '"2_ ~ ~ DESIGNER NAM£ (lase name Urse) -e,t..AC:.)GR::)IUO f?.c:¾ f<_, CITY ~t1le,Q STATE ZIP CODE >2Q:J. ADDRESS 11511 -1..44'2 i,W.ioi~ mo 3 STATE UC.# C. -DAY TELEPHON workers' compensanon vec1arat1on: I hereby affirm that I have a certificate of consent to self-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 POUCY NO. EXPIRATION DATE certtllcate ot t:xemptlon: 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. SIGNATURE DATE 8. OWNf:k-BUllDEit bfi!CARAIIDN □ □ □ Owner-Builder Declaration: I hereby afhnn that I am exempt from the Contractor's Llcense 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 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.). 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). 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 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 permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]). SIGNATURE DATE COMPLEIE IRIS SEGIION FOR NON-RESIDENIIAL BdlLblNG PERMIIS ONLY: ls 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 THE ANSWERS ARE YES, AFINAL CERTIFICATE OF oa:uPANCY MAY NOT BE Jl:iSUED AFl'ERJULY I, 1989 UNLESS THE APPUCANT HAS MET OR JS MEIITING TIIB REQUIREMENTS OP THE OFFICE OF EMERGENCY SERVICES AND THE AIR POILUTION OONTROL DISTRICT. 9. WNSIROCIIUN O:NDING AGRNCY I hereby afhrm that there 1s a construction lendmg agency for the perfonnance of the work for which this permit ts issued (Sec 3097(1) CtvU Code). LENDER'S NAME LENDER'S ADDRESS 10. APPIJCANI CERIU'ICAIJUN I certify that I have read the apphcat1on and state that the above mformat1on 1s correct. I agree to comply w1ih all Cuy 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 AISO AGREE ID SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OP CARlSBAD AGAINST AIL LlABilJTIES, JUDGMENTS, CDSTS AND EXPENSES WIDCH MAY IN ANY WAY AUAlUE AGAINST SAID CITY IN OONSEQUENCE OP THE GRANTING OF TIIlS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. PERMIT# CB960110 DESCRIPTION: 15 SF ADDITION TYPE: RAD JOB ADDRESS: 2130 PINE APPLICANT: BLACKFORD, ROY CONTRACTOR: OWNER: CITY OF CARLSBAD INSPECTION REQUEST FOR 04/19/96 CREST WY PHONE: PHONE: PHONE: INSPECTOR AREA DC PLANCK# CB960110 ace GRP CONSTR. TYPE VN STE: LOT: 619 729-0553 REMARKS: MW/ANDY/982-1970 PG SPECIAL INSTRUCT: INSPECTOR...,..."----------- TOTAL TIME: CD 19 29 39 49 LVL DESCRIPTION ST Final Structural PL Final PlUlllbing EL Final Electrical ME Final Mechanical ------------------------------------------------------ ***** INSPECTION HISTORY***** DATE DESCRIPTION 031896 Insulation 031896 Interior Lath/Drywall 031896 Interior Lath/Drywall 031496 Insulation 031496 Interior Lath/Drywall 031496 Insulation 031496 Insulation 031296 Rough Combo 031296 Insulation 020796 Ftg/Foundation/Piers 020796 Underground/Under Floor ACT AP AP AP co co co co AP AP AP AP INSP DC DC 18 DC DC DC DC DC DC DC DC COMMENTS NO ACCESS 12:15 NO ACCESS 2:00 NO ACCESS 12:15 NO ACCESS 2:00 ~ j ~ • -m ~ m ;; ;; Cl Cl Cl ..__j ~ >, >, >, .c .c .c "' M ,. ,. ,. "' "' "' u u al m m .c .c .c () () () ~ ~ a: □ PLANNING DEPARTMENT BUILDING PLAN CHECK REVIEW CHECKLIST Plan Check No. CB f"6-If O Address __,Z=...,_1~3"'-o~+B_,_/c.,/\)'-'(,=----=cw=-=L----=~'4(;'--- Planner Van Lynch Phone (619) 438-1161 ext. ks (Name) APN: / Jp-3)2--0 6 Type of Project and Use: _U(,,,G!/:'=~~,4--'-b.....,p"'-'-r.,_T?V~;,) _____________ _ Zone: /) C-Facilities Management Zone: __ '-/ ___ _ CFO ~/,duO # _________ _ cirere' (If property in, complete SPECIAL TAX CALCULATION WORKSHEET provided by Building Department) Legend ~ Item Complete (Q) Item Incomplete -Needs your action Environmental Review Required: YES NO K TYPE---- DATE OF COMPLETION: ________ _ Compliance with conditions of approval? If not, state conditions which require action. Conditions of Approval _____________________ _ Discretionary Action Required: YES .){_ NO __ TYPE W/J /I,~ r:,w » APPROVAL/RESO. NO. ______ DATE {201 ll,1/r??'J PROJECT NO. ftt /) B c..- OTHER RELATED CASES: ___________________ _ Compliance with conditions or approval? If not, state conditions which require action. Conditions of Approval _____________________ _ California Coastal Commission Permit Required: YES __ NO .1{_ DATE OF APPROVAL: ______ _ San Diego Coast District, 3111 Camino Del Rio North, Suite 200, San Diego, CA 92108 (619) 521-8036 Compliance with conditions of approval? If not, state conditions which require action. Conditions of Approval _____________________ _ lncluslonary Housing Fee required: YES __ NO X. (Effective date of lnclusionary Housing Ordinance -May 21, 1993). Site Plan: ~□ □ 1. Provide a fully dimensioned site plan drawn to scale. Show: North arrow, property lines, easements, existing and proposed structures, streets, existing street improvements, right-of-way width, dimensioned setbacks and existing topographical lines. 2. Provide legal description of property, and assessor's parcel number. Zoning: ✓ D D 1. Setbacks: (?,-rJlfi;J ~~rv ( ~ ~ Front: Int. Side: Street Side: Rear: Lot Coverage: Height: Parking: 78&-~ f u !J &Cr;) Required _____ Shown _____ _ Required I r-Shown _____ _ Required ro· Shown __,_l"i....,D,::__' __ _ Required _____ Shown _____ _ Required _____ Shown _____ _ Required _____ Shown _____ _ Spaces Required ____ Shown _____ _ □ 0.C4.. DJ.{U3. CJo(v4. Guest Spaces Required Shown _____ _ □ □ □ Additional Comments, ______________________ _ OK TO ISSUE AND ENTERED APPROVAL INTO COMPUTER 1/, &tv vl DATE /, JrJr~,f _.__,_/,,_ ....... ........,=----- K:\ADMIN\COUNTER\PLANCK.FRM 1-17-96 PLANNING/ENGINEERING APPROVALS PERM1'T NUMBER ca:lb o//0 DATE ;}-/-CJ&> ADDRESS d-/ c')D 12-tat-e.. 6-wJ: W ~ RESIDENTIAL RESIDENTIAL ADDITION MINOR I< $10,000.00) TENANT IMPROVEMENT PLAZA CAMINO REAL VILLAGE FAIRE COMPLETE OFFICE BUILDING OTHER, _______________________ _ PLANNER _____________ DATE _______ _ ENGINEEm · '7T2 ~ DATE e?--/-?t; ' C:\WP!l 1\FIUS\BUJG.FRM Rav 11 /1 5/90