HomeMy WebLinkAbout2334 KIMBERLY CT; ; CB911276; Permit, ,.
B U I L D I N G P E R M I T Permit No: CB9.1276
ProJect No: A91 '1'i'lb
Development No:
09/.0/91 16:09
Page 1 of 1
Job Address: 2334 KIMBERLY CT Str: Fl: Ste:
4357 09/10/91 0001 01 02 Permit Type: RESIDENTAL ADD/ALT (UNDR $10K)
Pdrcel No: 167-531-31-00
Vuluation: 2,600
Construction Type: NEW
C-PRHT 90-00
Occupancy Group: Class Code:
Description: 120 SF LATTICE/280 SF COVR RF
Appl/Ownr : DEZZUTTO, LEO JOHN
2334 KIMBERLY CT
CARLSBAD, CA 92008
*** Fees Required
Fees:
Adjustments:
Total Fees:
Fee description
Building Permit
Plan Check
Strong Motion Fee
* BUILDING TOTAL
Appl~cu: U~/10/91
Apr/Issue: 09/10/9~
Validated By: SBB
(619)434-1989
.oo .oo
90.00
* * *
Ext fee >atd .._ __________ _
54.00
35.00
1.00
90.00
FINAL APPROVAL
INSP.~DATE. //-1/-1'/
CLEA~-_
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161
PERMIT APPLICATION
City of carlsbad Building Departaent
2075 Las Palaas Dr., Carlsbad, CA 92009 (619) 438-1161
i. P£ltMII i'YPE
A -Li Commercial
B -□ Industrial
C -~ Residential
0 New Building LI lenant Improvement
□ New Building D Tenant Improvement
□ Apartment □ Condo l!f"Single Family Dwelling □ Addition/ Alteration
□Duplex □ Demolition □ Relocation □ Mobile Home □ Electrical □ Plumbing
□ Mechanical □ Pool □ Spa □Retaining Wall □Solar .SOther (p/f/u
2. PROJECT INFORMATION FOR OFFICE USE ONLY
:¥'33-1/ /f'//'"I' BE ,e~y Cr-
Nearest Cross Street Ce L/NV~
BuHdmg or Suite No.
LEGAL DESCRIPI ION Loe No. Sutx1IV1s1on Name/Number .,,
&; I,, ./3/1 F -'f/ T ,1v,,/ &, / 4 ,',IT/
0mt No. Phase No.
CHECK BEWW IF S0BMll lffiJ:
□ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ l Addressed Envelope
ASSESSOR'S PARCEL EXISTING USE PROPOSED USE
3. WN IACI PEiSON (ll dlIIerenl from apphcani)
NAME ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE
4. APP1.Jt.AN1 □WNIRACIOR □AGENI FORWNIRACIOR lfOWNER UAGENI FOR OWNER
STATE ;? ZIP CODE d I JP DAY TELEPHONE ~/ ,
. NAME ~,!!'u..fi,1,A✓.i)d.:z.z.r, TTtJ ADDRESS 2331/A'/n~,r,e-Ly Cr lvd-'I( 2/3·5t,"f-6-~!J";;
STATE C.-9 ZIP CODE '72 <NJA DAY TELEPHONE ,', / 9' -..,.,, , /
NAME
CITY STATE
STATE LIC. #
ADDRESS
ZIP CODE
LICENSE CLASS
DAY TELEPHONE
CITY BUSINESS LIC. #
DESIGNER NAME () tv ,,,V&"",C-
CITY STATE
ADDRESS
ZIP CODE DAY TELEPHONE STATE LIC. #
7. WultkERS' WM.PENSAIION
Workers' COmpensat1on Declaratmn: I hereby affirm that I have a cert1hcate of consent to self.insure 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
CertUlcate of Exemption: I certify that m the performance of the work for which this penmf 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 ~ .. ¢kt2t,rtf 8. oWNFJt-B0llDFJt DFl!OOlXliuN
bwner-Bu1lder Declaratlon: I hereby affirm that I am exempt from the COntracto?s Lcense 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.).
D 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 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 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 exemprion. 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 9'-9--9?
COMPllIE t~f6i~WING 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
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 ARI! YES, A FINAi.CERTIFICATE OF OCCUPANCY MAYN<Jf BE ISSUEDAFl'ERJULY 1, 1989 UNLESS THE APPLICANT
HAS MET OR IS Ml!llTIIIG THE REQUIREMENTS OF nm OFFICE OF EMERGENCY SERVICES AND THE AIR POIJ.IJTION CDNTilOL DISfRICT.
9. WNSIKUCIIUN LENDING AGENCY
I hereby afhrm that there 1s a construction iendmg agency for the performance of the work for which this permit as issued (Sec 309/(1) CivU Code).
LENDER'S NAME LENDER'S ADDRESS
10. APPUCAfH CPJtliPICX'IION
I certify that I have read the application and state that the above mformauon 1s correct. I agree to comply with all City 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
purposes. I AISO AGREE TO SAVE INDEMNIFY AND KEEP HARMLilSS THE CTIY OF CARISBAD AGAINSf All. lJAIIIUI1ES, JUDGMENTS, CDSTS
AND EXPENSES WJilQI MAY IN ANY WAY MilUJI! AGAINST SAID CTIY IN CDNSEQUENCE OF nm 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.
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 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).
APPLICANTS SIGNATURE DATE: _____ _
WHITE: File YEU.OW: Applicant PINK: Fmance
• ~.
PERMIT# CB911276
DESCRIPTION: 120 SF
TYPE: RAD
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 11/04/91
LATTICE/280 SF COVR RF
JOB ADDRESS: 2334
APPLICANT: DEZZUTTO,
CONTRACTOR:
KIMBERLY CT
LEO JOHN PHONE:
PHONE:
INSPECTOR AREA PY
PLANCK# CB911276
OCC GRP
CONSTR. TYPE NEW
STR: FL: STE:
(619)434-1989
OWNER:
REMARKS: MH/JOHN/434-1989
SPECIAL INSTRUCT:
PHONE: ~ '1
INSPECTOR ___ ...... _,_I ______ _
(
TOTAL TIME:
CD LVL DESCRIPTION
19 ST Final Structural
29 PL Final Plumbing
39 EL Final Electrical
49 ME Final Mechanical
------------------
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***** INSPECTION HISTORY*****
DATE
093091
092091
DESCRIPTION
Frame/Steel/Bolting/Welding
Ftg/Foundation/Piers
ACT INSP
AP PY
AP PY
COMMENTS
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