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HomeMy WebLinkAbout2330 KEATS PL; ; CB971745; Permit-, ' 2: 1 .... g f Job Addr "'"': ~ P rmi t Typ : T • Parcel N : 2.:. V l • .... n· 2,'iq2 P E R M I T Sui L tit· 0 c~p n y Gr up: n ference#: ~esrriptio~: COVERE~ PAmT o 384 SF Periri.t N Pr j +-N A1 D v l >pment '>J 6316 06/'25/97 0001 01 02 C-PRMT 90 Con .. +-ruc~i n Ty tti,:,W ft,t TC-(""flt:"D App1 ir> 1 · 0f'. '",.. tQ7 Afr/T Q6'7S 7 t:"r.t 1 Py· ~M App1 /0wnr · AL llZ~A IA DS1PAE 1938 CACTUS ROAD SAN DIEGO, CA 92131 619 661 06557 u F poc-R qui re 'i * r A'iju tm nt : Total FP.es: Buil 1ing Perrrit Plan CheC'k Strong Mot:vr. F * B'JTI TN(; ,..OTAL CITY OF CARLSBAD d & Cr lP ~ (> ') 9 ('\ Ext f t;/\,()('t 5.00 1 00 90.00 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 r. PER)m' APPLICATION PLAN CHECK NO. C[7!1ttS City of carlsbad Buildi~ Depertaent 2075 Las Pal-Dr •• carlsbad, CA 92009 (619) 438-1161 EST.VAL.-::-:~'=:f:_....L_..~3".,-,--;:::-x-- 1. PERMt"f' fip£ PLANCKD VALID. BY__.-..a.-,,'-+..-..""+-"""=---- From List 1 (see back) give code of Permit-Type: -~"-'-'~----0 __ __,,("'"jj"""f?_£J-i.. __ 1_!._)..__ DATE For Residential Projects Only: From List 2 (see back) give Code of Structure-Type: _ __;::S=..;F::......aD=-------------- Net i:idof Dwelling Units 3c9+ ¢ 2. PROJECr INFORMATION FOR OFFICE USE ONLY Address Building or Suite No. FfZ.o:,-r" ~ -.J e. Nearest Cross Street ~~~T!::i p~e.. LEGAL DESCRIPTION Loe No. Sutxl1V1s1on Name/Number Onie No. GA,<G~ \!~~ TL ~ \ -~ J CHECK BElbW Ir SUSMII 1£6: q/A-□ 2 Energy calcs □ 2 Structural calcs I £DC9 □ 2 Soils Report ASSESSOR'S PARCEL □ 1 Addressed Envelope EXISTING USE $ \= D PROPOSED USE T !,,'lf.CC\'5 DESCRIPTION OF WORK # OF STORIES # OF BEDROOMS # OF BATifROOMS I NAME (lase name first) ADDRESS CITY STATE ZIP CODE DAY TELEPHONE 4. APPUCANI OCONIRACIOR )!(AGENI FORCONIRACIOR □OWNER OACENI FORQWNER NAME (last name first) Vrc:.~1,r.i-.p .. U'-111-t, Et1c. ADDRESS "2.00~ E::, Mbi,,.IM-":J"r. lt;\ CITY 5'(.. ,~o,-j STATE GA ZIPCODE ~'Zl:)'t.\ DAYTELEPHONE "i,0\-1?4°? 5. PROPERTI oWNER §-hs',~ f\oV'-\ ~s ( o("'Z. \ -,-iz.e;:clt--( ~ SI NAME (last name first) ADDRESS c1TY SA~ ,01 ~o STATE CA z1p CODE q z 13 1 DAY TELEPHONE 64- ~·NAME (last name first) ALOI 1 t\ \..ll+)P:-CA ADDRESS t<?3 $ C:A<:,TO.$ \...!5.,/ CITY '9A,:> {)cE-6it> STATE CU+ ZIP CODE 9 "2..173 DAY TELEPHONE ~G:, / -~~-, STATE UC.# G1~'1tx) LICENSE Cl.ASS CITY BUSINESS UC.# (2-0'G O l(l( DESIGNER NAM£ (lase name hrso fk~El-lf,:,.l..l~M , 5e,~~ ADDRESS f.OOc:> li, M~li-4. ~,-, If.~\ CITY E'l-C~ON STATE cA-ZIP CODE 4' Z0/4. \ DAY TELEPHONE40\-l54 ~ STATE UC.# 1. WORxERS' OOMP£NSAMON Workers' Compensa11on beclara11on: I hereby allmn chat I have a cert1ltca1e ol consen1 to sell-insure issued by the Director ol 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 Aoo ft.D ·,I-Pr. Z:fl#Jrt>·() POLICY No. z -z..~ ~EXPIRATION DATE □ □ □ DATE Owner-Builder Declarauon: I hereby alhrm that I am exempt from the Contractor's License Law for the following reason: I, as owner of the propeny 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 co an owner of propeny 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 propeny, am exclusively contracting with licensed contractors co construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of propeny 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.S 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 co file a signed statement that he is licensed pursuant co 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 co a civil penalty of not more than five hundred dollars ($500]). SIGNATURE DATE coMPLEi'E THIS SEc'IION FOR NON-RESIDENTIAL BDIWING PERMITS 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 Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ YES ONO Is the facility co be constructed within 1,000 feet of the outer boundary of a school site? □ YES □ NO IF ANY OF nm ANSWERS ARE YF.S, A FINAL CERTIFICATE OF <XX:UPANCY MAY N<Yr BE~ AFrER JULY 1, 1989 UNLF.SS nm APPUCANT HAS Mirr OR IS MEETING nm REQUIREMENTS OF nm OFFICE OF EMERGENCY SERVICES AND nm AIR POu.uTION CDNTROL DlSI'RICT. 9. WNSl1t0Ci1ON LENDING AGENcY I hereby ali1rm chat there is a construcuon lending agency for the pertormance ol the work for which this permit 1s tssued (Sec J097(1J C1V1I Code). LENDER'S NAME LENDER'S ADDRESS IO. APPUCAN I CERl1FICX110N I certify chat I have read the apphcauon and state chat the alxive inlormauon 1s correct. I agree to comply with all Cuy ordinances and Staie laws relating co building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above men1ioned propeny for inspection purposes. I AISO AGREE TO SAVE INDEMNIFY AND KEEP HARMIBSS TI-IE Cl1Y OF CARlS8AD AGAINST AU. IJABD.II1ES, JUDGMENTS, CDSTS AND EXPENSES WlilCH MAY IN ANY WAY Acx:RUE AGAINST SAID crIY IN CDNSEQUENCE OF nm GRANTING OF nos PERMIT. OSHA: An OSHA permit is required for excavations over 5'0" deep a_nd demolition or construction of structures over 3 stories in height. Expiration. 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 commenced within 365 days from the dace of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code). APPUCANT"S SlGNATIJRE DATE: ___ _ WI-IlTE: File YEllOW: Applicant PINK: Finance PERMIT# CB971745 DESCRIPTION: COVERED PATIO 384 TYPE: PATIO JOB ADDRESS: 2330 KEATS PL APPLICANT: ALUIZIA LANDSCPAE CONTRACTOR: OWNER: REMARKS: C/DAVE/ EVANS PT. SPECIAL INSTRUCT: TOTAL TIME: CITY OF CARLSBAD INSPECTION REQUEST FOR 08/01/97 SF PHONE: PHONE: PHONE: INSPECTOR AREA PLANCK# CB971745 OCC GRP CONSTR. TYPE NEW STE: LOT: 619 661-06557 CD LVL DESCRIPTION COMME~ _1_5 __ s_T _R_o_o_f_f_R_e_r_o_o_f ________ ___:_!Jf ---'j~"'----'----------- ACT ------------------ ------------------ ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS -····------· -~,\!!:'~lB-97 ll:S3 A ALVIZIA LANDSCAPE co. • 619 661-0030 •• WINDSONG Phase 3 cA.\2L.!)eAo -ret...c..T ~ 91-3 2333 Longfellow Rd. Carlsbad, CA 92008 (619) 930-0016 PHASE 38 ···-··-·· PHASE JA THOM.t>-5 ~UIDE. l107 E?l MAP N'JTTO SCALE 172 PHASE 1 IN KEEPING WTTH OUR roucv OF CONTlr,llOUS IMPROVEMENTS, TH& BUILDER RESERVl:S THE RIQHT TO MAKE CHANGES AND MODIFICATIONS TO PLANS, M,I.PS, EXTERIOR eLEVAllOHS MAT£RJAL8 AND Sl'ECIFICATIONSTO SITE MAP WITHOUT PRIOR NOTICE. AV(NU[ P.Ol 12/17196 , , , , , I ' ' '.) '.. 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