HomeMy WebLinkAbout2160 JANIS WAY; ; CB962263; Permit.i ••
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PPROVAL
-~DATE l_l-7
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CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
PERMIT APPUCA'llON
City of carlslal Building D-rtant
PLAN CHECK NO. 1 G r LL£
2075 Las P•l-Dr., carlslal, CA 92009 (619) 438·1161
l!ST.VAL. __ =--------
I. P£kMJI liPE PIAN CIC DEPOSIT _______ _
VAUll. BY, __________ _
DATE From Llst 1 (see back) give code of Permit.°f}'pe: ___________ _
-. --. --------. ---------. -. ---. -----------------------. ---
For Residential Projects Only: From List 2 (see back) give
Code of Structure-Type: ___________________ _
Net Loss/Gain of Dwelling Units
2. PRUJF.Cr INFORMATION FOR OFFICE USE ONLY
Address , ;l./ (.,:,<:::) :::::'s" NJi S. ~udmg or Su1te No.
Nearest Cross Street ~J...J"A-
LEGAL bf'.stklPIION 7a: Su6d1V1S1on Name/Number Gnu No. Phase No.
CHECK BE'.WW IF S0BMIIIED:
□ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ I Addressed Envelope
ASSESSOR'S PARCEi /G7 -2.l@ --J 8 EXISTING IJSF PBOP9SEP USE
DESCRIPTION OF WORK
SQ. IT. Jr # OF SIURIES # OF BEDROOMS # OF BATHROOMS
NAME (last name first) ADDRESS
CilY~ p'Bc,,@ATE ZIP CODE DAY TELEPHONE
S. PkuPICK LL -, 1') _ I •
NAME (last name first) ::SC,r\LJ "--"(,:t ADDRESS o-J f.::C) ::S--1'\:o ( S ~
CilY ~~ STATEU) ZIP CODE 5'2913 DAY TELEPHONE 7E 897c/,
•· ~Llasr name first) ~ • !Zt5oevz T ADD!lESS c).. I cS /..... A-fc:E /1.. 8,.J ~✓
CllY[/1 ~ STATE Ch-ZIPCODE tl2.08Cf DAYTELEPHONE 72.-t-78=
STATE LIC. #3')...7z,z_,3 LICENSE CLASS CilY BUSINESS LIC. # ast name trst
CilY STATE ZIP CODE DAY TELEPHONE STATE LIC. # 7. Wukkf:RS' WM.PENSA I ION
a
a
□
Workers' Compensation Declaration: I hereby affirm that l have a cert1l1cate al 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 Inspec:;tion Depanment (Section 3800, Lab. C).
I hereby athnn that I am exempt from the Concradofs Ucense 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. ff, 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 irs 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 the applicant to a civil penalty of not more than five hundred dollars ($500]).
SIGNATURE DATE
WMPLE IE i HIS Sf'.t I ION FOR NON-kESIOEN I iAt BDiWING PERMI IS ONLY:
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
ls the applicant or future building occupant required to obtain a permit from the air pollution control disnict or air quality management district? □ YES □ NO
ls 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, A FINAL Cl!Rl1FICATE OF OCDIPANCY MAY NUf BE ISSUED AFimJULY I, 1989 UNLESS THE APPLICANT
HAS Mirr OR IS MEITTING THE RFQUIREMEN1'S OF THE OmCE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTII.OL DIS11UCT. 9. WNSI KOCI ION LENDING AGENCY
I hereby afhnn that there is.a construction lending agency for the performance of the work for which this permit is 1SSued (Sec 3097(1J CtvU C&le).
LENDER'S NAME U~,f-LENDER'S ADDRESS
10. APPUCANI CERIIFICAU
I cernfy ffiat I have read ffie appUcat10n and state that the above mionnat1on ts correct. I agree to comply w1ih all City ordinances and State laws
relating co building c0nstruction. I hereby authorize representatives of the City of c.arlsbad to enter upon the above mentioned property for inspection
purposes. I ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMlJ!SS THE CTY OF CARlSBAD AGAINST AIL IJABII.11lES, JUDGMENTS, CXlSl'S
AND EXPENSES WlDQI MAY IN ANY WAY ACDU/E AGAINST SAID CTY IN CONSEQUENCE OF THE GRANTING OF 11IlS 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
building or work authorized bys
such permit is suspended or aba1Jl\';l'f'O,.a1
APPLICANTS SIGNATURE
Offi ial unde -Ole provisions of this Code shall expire by limitation and become null and void if the
t c menc within 365 days from che date of such pennit or if the building or work authorized by
w rk is com enced for a period of 180 days (Section 303(d) Uniform Buildin~:-
DATE: 'S '7(.,
File YEll.OW: Applicant PINK: Finance
0
CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT# CB962263 FOR 11/27/96
DESCRIPTION: 26 SQUARES OF COMP. RE-ROOF
TYPE: MISC
STE:
INSPECTOR AREA
PLANCK# CB962263
OCC GRP
CONSTR. TYPE VN
LOT: JOB ADDRESS: 2160 JANIS WY
APPLICANT: RLW CONSTRUCTION
CONTRACTOR:
PHONE: 619 727-9800
PHONE:
OWNER:
REMARKS: MW/BOB/727-269
SPECIAL INSTRUCT: f f1
TOTAL TIME:
--RELATED PERMITS--
CD
15
15
LVL DESCRIPTION
ST Roof/Reroof
ST Roof/Reroof
PERMIT# TYPE
RW960071 ROW
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PHONE:
INSPECTOR 7Y--7~, ~--------
STATUS
ISSUED
ACT COMMENTS
***** INSPECTION HISTORY*****
DATE DESCRIPTION ACT INSP COMMENTS