HomeMy WebLinkAbout2326 LA COSTA AVE; A; CB960308; PermitI ,--•
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I • Job Address: 2.j.20 LA cosrA AV
Permit '•'ype: PA''IO 'DECK
Parcel No: 21b-JlU-14-1J
Valuation: olb
PERM11
.:>lll te: A
Lot#:
Pernnt No : Ch~tiOJUt)
Pr o Ji• c t No : A•) o o ,J 4 · 3
Devi:lopmc.•nt No:
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Clnstruct1~n ~ype: NEW
Occupancy Group: Reference#:
Description: 112 SF DECK W/ STAikS-BBTWEFN
: UNIT~ A&B-W/ 1 SET VF STAIRS
Appl:el: J///.b/'11,
Apr/Issue: •J.!/2.b/Jo
Entered By: RMA
o19-':J48-U181 Appl/Ownr : SCHOLES, ROBER7
1262 SAN DIEGUITO DR
ENCINI1AS, CA 92024
Feer Required
Fees:
Ad1ustments:
Total Fees:
Fee description
Building Permit
Plan Check
Stronq Motion Fee
A· BUI!..DING TUTAL
*" *
..:!2.0ll
.Ou
3Z . JV
Tc -cal Cre!( 1 ts :
'fotal Pay~ent..,:
B<llance Dt~e ~
Units F',ee/.Uni t
.JU
.JO
32.Ul
Ext fee Data ----~--~-------------------
CITY OF CARLSBAD
19.00
12. Jl
1.00
3 .2.. 0 0
;Bf~L APPROVA~ A ? (, !
INf r>~ DATE ~
CLEIRANCE-----1
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
PJmMIT ~UCATION PLAN CHECK NO.
City of carlsbod Building D-•-t
F.5T. VAL ( l..3 2075 Las Pal-Dr., carlsbad, CA 92009 (619) 438-1161
I. PRRMtl l'VPK
PIAN CK DEPOSIT ___ _,. ___ _ =· BY tZJ -6-Z, tit From List l (see back) give code of Pennit-Type: ___________ _
For Residential Projects Only: From Ust 2 (see back) give
Code of Structure-Type: ___________________ _
Net Loss/Gain of Dwelling Units
2. PROJECT INFORMATION FOR OFFICE USE ONLY
Bu1@mg or Suite No. (-I + /3
Nearest Cross Street
O!GAI. DESCkJJfl JON SUlSton Name/Number Omt No. Phase No.
CHECK BEWW IP SOBMII IEO:
□ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ I Addressed Envelope
ASSESSOR'S PARCEL fPCJSTING USB PROP9SED USE
DESCRIPTION OF WORI<
SQ.FT. # OF BEDROOMS # OF BATilROOMS
I
NAME (last. name first) ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE 4-=:: nam~fS~"j;~~~~ te1;:~ ioR WN,1~J1sR /!l~~W~:, /l~;:t' ~°; OWN£R
~<a~ STATE c~ ZIP CODE 92.o 2'/ DAY TELEPHONE {1.,1q) '1'-IJ.OIRI
$. !'HUI' y /JI I V I I I NAME (last name first) 1111 ["10[ ,-.i,,,q ADDRESS P.o Box 1181.. B°'"'";t..
C 11 J Or1f"V"O /1 n) '??Y• ~e./ b. ~~~df'L . STATE CO: ZIP CODE 11,vvz DAYTELEPHONE <...1ol-, ==z /I 7W-Q9QO
NAME (last name first) Sche\~5 l?ohuiJ· ADDRESS /,Ur)._ 5,-ln /J,f:J"• tc Oe
STATE fi'> ZIP CODE 9 ]..02.'-( DAY TELEPHONE (/pl'j) 9</fJ-OlfJi
STATE UC. #I05~ ,, 5' LICENSE Cl.ASS B CITY BUSINESS UC.# I ~C,'2.01.,{.,
DESIGNER NAM£ (last name hrs[) 5, 1,,,/,s i:o':lie f-ADDRESS n.i. 2. :5 ""'"' b:/S ,, rl-o • J>te
CITY n . STATE &,/q-ZIPCODE <ru,-i. DAYTELEPHON t.,1 ~1-ni:IBbATEUC.#
Workers' Compensation Declaration: I hereby aibrm that I have a ceruhcate of consent to seJf-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 POLICY NO. EXPIRATION DATE
□
□
□
Cert1hcate of f:xempuon: I certify that m the perfonnance of ihe work for which ifos penmt 1s issued, 1 shall not employ any person in any manner
so as to sub' to the Workers' Compensation Laws of C.alifomia.
ATE '"2-2.f..-9 {.
uwner-.nuuoer uec1aration: I hereby afhrm that I am exempt from fie Contractors U~nse Law for the folJowmg 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 Ucense Law does not apply to an owner or 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 or 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 Ucense Law).
I am exempt under Section _______ Business and Professions Code for this reason:
(Sec. 7031.S Business and Professions c.ode: 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 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.S by any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars [$5001).
SIGNATURE DATI!
COMPlliE IRIS StcilON FoR NON-R£SW£N11.ALBOlibtNG PERMIIS 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 district or air quality management district?
□YES □NO
Is the facility to be constructed within 11000 foet of the outer boundary of a school site?
□ YES □ NO
IF ANY OF TIIE ANSWERS ARI! YFS, A FINAL CERTIFlCATI! OF OOCIJPANCY MAY NOT BJ! J:iSUED A1'll!R JULY 1, 1989 \INU'.SS TIii! APPIJCANT
HAS MET OR IS MEETING 11IE REQUIREMEN1'S OF 11lE OFFICE OF l!Ml!RGENCY SERVICES AND nm AIR POllllTION CDNTilOL DISTRICT.
9. WNS'IRUCHON L£NIJING AGE.NCI
I hereby affmn that there is a construcuon iendmg agency for the performance of the work for which this permit 1s 1SSued (Sec 309'(1} C1vU Code).
LENDER'S NAME LENDER'S ADDRESS
lb. APPUCAN I C£kl'iFICAIR>N
l ceffiiy that I have read the apphcat1on and stale that the above miormauon is correct. I agree to comply with ail City ordmances and State laws
relating to building construction. I hereby authorize representatives of the City of Qu-lsbad to enter upon the above mentioned property for inspection
purposes. I AISO AGRE!! 1U SAVE INDEMNIFY AND KEEP HARMLFSS nm crtY OF CARlSBAD AGAINST ALL IJABIIJTU!S, JUDGMENTS, CXlSTS
AND EXPENSES WIUOI MAY IN ANY WAY A(DUJE AGAINST SAID crtY IN CDNSEQIIENCE OF nm GRANTING OF nns PERMIT.
OSHA: An OSHA permit is required for excavations over 510" deep and demolition or construction or 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 or such permit or ir the building or work authorized by
such permit is suspended or abandoned t any ~e after the work is commenced for a period of 180 days (Section 303(d) Uniform Bufiding C-o4e),
APPIJCAN'I"S SIGNATURE ~ DATE: :3---U. ·fJ,
WHITE: . · App ,cant PINK: Fmance
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Robert Scholes Construction
1262 San Dieguito Drive
Encinitas, CA 92024
619-943-0181
lie. #656775
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APP,, . .,___...-
By -4t.:l.,(!...-'---
FEB 2 6 1996
City of CARLSBAD
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ert Scholes Construction
1262 San Dieguito Drive
Encinitas, CA 92024
619-943-0181
Lie. #656775
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