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HomeMy WebLinkAbout2345 LONGFELLOW RD; ; CB983906; Permit... B U I L [> I N G P E R M I T PE·rm1t :--in: '3Cf8J'-ll t, Prol('Ct N,: AcJJ3t,C,LJ44 Devel0pme1.t NJ: 1 !. / 1 J , ~ 8 (, 8 : s I F-,HJl"' 1 of 1 Job AadLess: 2345 LONGFELLOW RD Permit 1ype: PATIC/DECK Parcel No: 212-142-40-00 Valudtion: 4,17b Suite: Lot#: u=cupancy Group: Reference#: Construction Type: NEW Status: ISSt..:ED Applied: 11/13/qR Apr/1S$Ue: 11/13/9B Entered By: BT 944-8226 Jescript1on: 576 SF LATTICE PATIO COVER Appl/Ownr : CRS COMPANY PO BOX 230519 ENCINITAS CA 92023 *k* Fees Required *** Ft=>eS: Ad1ustments : Total Fees: FEe description Bu1ldinq Permit Plan Check Stronq Motion Fee * BUILDING TOTAL .00 .OU 117.00 Ext fee Data 7U.UO 4b.0U 1.00 117.00 FINAC-APPROVAL -, INSP. /L {J DATE /2-~/ /-<fr •CLEARANCE __ -___ ...__!::la;l,Yf), CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 PERMIT APPLICATION CITY OF.CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 EST. VAL. ____ __:~-'-1"'--c::r Plan Ck. Deposit -,,"7f'-:.....----1t-++ Validated By, __ ..l.,jl.!..-l--,-,,..._-,:J--- Date, ______ ....J.l-Ji-1......lJ,.::.µ. __ Add~sslmclude Bldg/Suite I) Buainus Name tat this addr ... ) ~•M::<l--l "2..o ~k:Ad ""t0-# ci 1-30 Legal Description Lot No. Subdivision Nam1/Number Unit No. P~se No. .-1 I .i_ -\42.-4o-·trti 4-Mrltoc 2. La:ttu&.. \'A-kc As\eHo:'s Parcel I Q Existing Use Proposed Use J:±,-l;hµ ~-o Cou"'-IL S'"7<,. Total I ot units (wY?-, Description of Work SQ. FT. lof StOMI I of Bedrooms II of Bathrooms 2 · ~nc:;1ittiam1 e;--~-;~~-;;---·----k~~:-··-z;q~~;· 1i~u..c~ Name Addreu City State/Zip Telephone I Fax I 3. APPLICANT 'DJ-contractor O Agent for Coniridor □ Owrief . □ Agent·;a, Owner ••e, ~'3, ~ eo P., ¥'. 2 '30-S I 9 fu-/n !Il\;I VI-9'"2-0-Z..'.:3 Name . Address City State/Zip Telephone I 4. ~7_h~,;:'ER<> ~ A...,_, ½£e 2.-?,4~ luy,n:,·i~ ~-$:xJl'l~ Name A us City State/Zip Telephone I S. CONTRACTOR· COMPANY NAME !Sec. 7031.5 Business and Professions Code: Any City or County which requirn ■ permit to construct, ■1t1r, improve, demolish or repair any structure, prior to Its issuance, also requires the applicant for such permit to file a signed stltement thlt hi is licensed pursuant to the provisions ot the Contractor's License Law (Chapter 9, commending with Section 7000 of Oivtsion 3 of the Busineu and Prof ... ions Code) or that he ls exempt therefrom, end the basis for the alleged exemp ion. Any violation of Section 70 ,5 by any applictnt tor• permit subjects applicant to a cMI penalty of nat more then five hundred dollars (t5001). ~' .<;, Ul ~ 2. ~ n ><-~ <,,o-'1 ~2...Gi;_. Name State License I 7 4:2,[e D 2.. License Class--'~'""------- City State/Zip Telephone, IJLA: Chy Busi.,..■ LicenH I \ 20(p0b,(... Designer Na Address Chy State/Zip Telephone State License # _________ _ 6. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, tor the performance of the work for which this permit is issued. 0 I have and will maintain workers' compensation, es required by Section 3700 of the Labor Coda, for the partorm■nce of the work for which this permit is issued. My worker's compensation insurance carrier and policy number ■re: Insurance Company____________________ Policy No .. ___________ _ E,cpir■tion Date _______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1'1001 0R LESS) &-CERTIFICATE OF EXEMPTION: I certify that in the perform■nce of the work "for which this permh: is lasued, I 1hell not amptoy any parson in any m■nnar so as to become subject to the Workers' Compensation L1ws of C1litomia. WARNING: F■Uure to HCUt'8 workart' companqtion coverap la lnllwful, and ■hall ~ an amployar to c:rtrr..i panaltlu end dvl flnH up to OM hundred thouHnd doU.,■ Ct100,0001, addftion to thll cost of companutlon, darnagas u provldad tor In S.cdon 3708 of the~ coda, lnt..at and anomay'a tw. SIGNATURE;_..,,::::::::!!!i~;;i~i',i~~~===-------_:_-----,-,-----:--c DATE .Jlt 12-l 'J f( 7. OWNER-BUILDER DEC RATION . , . , -·•·;o ....... ,:-r.;.1..·;v1.,.--_ . ·•7t•i! ,· I hereby affirm that I am exempt from the Contractor's Licen■e Law for the following r■a,on: D I, as owner of the propeny or my employees with wages es their sole compensation, will do the work ■nd thll structure la not intended or ottered for s■la (Sec. 7044, Busin■u end Profusions Coda: Th■ Contractor's License Lew does not appty to an owner of property who bulkts or Improves thereon, and who does such work himself or through his own emPloyNs, provided that such Improvements,,. not Intended or ottered for ..... If, however, the building or Improvement la sold within on■ yea, of completion, the own■r-bulkt■r ~II have the burden of proving that hi did not build or Improve tor the purpose of ulel. D I, a, owner of the property, am exclusivaly contracting wtth licensed con1r■e10,s to construct the project tSec. 7044, Business and Profqslonl Code: Th■ Contractor's License Law does not apply to an owner of propeny who builds or improves theraon, and contrecta tor such pro,ect1 with contr■ctotlll licenud pursuant to the Contr■C1or's License Law). 0 I am exempt under Section ______ Businn■ end Profeulons Code for this ruson: 1 . I personally plan to provide the major labor and materials tor construction of the proposed propany Improvement. D YES ONO 2. I (have/ have not) signed an application for ■ building parmit for the proposad work. 3. I have contracted with the following person lfirm) to provide the propoud construction !Include name/ edclrus / phone number/ contractors licanae number): 4. I plan to provide ponions of the work, but I have hired the following parson to coordinate, sup■Mle and provide the ma)or work Cinctude name/ edct,.., / phone number/ contractors licen■e number):. _____________________________________________ _ 5. I will provide aome of the work, but I have contracted I hired) the following persons to provtda the work indicated Unc:tuda name / ■dclrns / phone number / type of work):. _______________________________________________________ _ PROPERTY OWNER SIGNATURE------,----------..,..--------DATE ________ _ ·COMPLETE THIS SECTiON FOR NON-RESIDEIITIAi iUtLDINQ PERMITS ONi. ,;:·,_:--.:-::-~~-• ·; .. --t_.,,., · ,,r-r:---1-;,T'-•'.:.w-•·:,:·t~7-•►•.-:~ t·: · . , .•. ~-·--.:• . Is the applicant or future building occupant ,.quired to submit a business plan, acutety h■nrdous materiel& ,_.halkw• form or riak management and preventtan program under Sections 25505, 25533 CM' 25634 of the Prn .. y•T■nnar H■z■rdou■ Substance Account: Act? D YES D NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or ■Ir qusllty management district? O YES O NO Is the facility to be constructed within 1,000 feat of the outer boundary of • school site? 0 YES O NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES ANO THE AIR POLLUTION CONTROL DISTRICT. ,a.. CONSTRUCTION LENDING AGENCY • '' •• ·••~·,·.--,.,.,.,_ ..... ., .•. ' ....... ' I hereby affirm that there is a construction lending agency for the performance of the work for which this permit Is issued (Sec. 30970) Civil Code). LENDER'S NAME ______________ _ ;9, APPLICANT CERTIFICATION LENDER"S ADDRESS _______________________ _ .. , -·.~--·: , ... --'·,-_,,,.,- I cenify that I have read the application and state that the above information Is correC1 and thlt the Information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize rapresentstives of the Cltt of Carlsbad to enter upon the above mentioned propeny for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE crrv DF CARLSBAD AGAINST AU LIABILITIES, JUDGMENTS, COSTS ANO EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CrTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over s·o· dnp and demolition o, construction of structures over 3 stories In height. EXPIRATION: Every permit issued by the Building Official under the provisions of this Code ■hall expire by limitation end become null and void if the buildtng or work authorized by such permit is not commenced within 365 days from the date of such permit or if the building or work euthorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days !Section 106.4.4 Uniform Building Code). 1 APPucANT·s s1GNATURE c:;;::;:c±.::..;--@ => DATE I l 12./q,r WHITE: File YELLOW: Applicant P1NK: Finance CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB983906 FOR 12/09/98 DESCRIPTION: 576 SF LATTICE PATIO COVER TYPE: PATIO JOB ADDRESS: 2345 LONGFELLOW RD APPLICANT: CRS COMPANY CONTRACTOR: PHONE: PHONE: PHONE: STE: 944-8226 INSPECTOR AREA RB PLANCK# CB983906 OCC GRP CONSTR. TYPE NEW LOT: OWNER: REMARKS: C/944-8226 SPECIAL INSTRUCT: INSPECTOR -----~K-6-~---- TOTAL TIME: --RELATED PERMITS-- LVL DESCRIPTION PERMIT# TYPE CB983867 PLUM STATUS ISSUED ACT COMMENTS CD 19 ST Final Structural ilP _____ _ ------------------------------------------------------ ***** INSPECTION HISTORY***** DATE DESCRIPTION 111798 Ftg/Foundation/Piers ACT INSP AP RB COMMENTS 3 PIER FTGS COASTAL PERMIT DETERMINATION FORM (To Be Completed By Planning Staff) This form is used to identify and record those projects which either require a Coastal Development Permit or which are exempt from the requirement for a Coastal Development Permit. Note: This is not a building permit or a determination under the California Environmental Quality Act. COASTAL PERMIT DETERMINATION NUMBER: _q.._8'=------'-/_--J_O _____ _ ASSESSOR'S PARCEL NUMBER: ;l / lf -/ C/ ').. -C.f 0 NAME: _ _._l_.a=-'-'-nJ-+----'-/Z-'--.e=-s '-i' ~---'----"c'-t: ___________ _ ADDRESS: _.«:;;2:.....;3=---..,cY_cS-:.....-_l'""',,-0C>,<..!...11,__.,~fc-t'-'-'-/-=-(Jt,J:.::...._ _________ _ LOCATION OF PROJECT (IF DIFFERENT FROM ABOVE): ________ _ PROJECT DESCRIPTION: __ tJ.'-"':etZ='-'·o'---~=::..u..::c-e,.c...:,e__=------------I COASTAL PERMIT DETERMINATION: ()(" 1 . This development is exempt from the requirement for a coastal permit. D 2. This development requires a coastal development permit from the City of Carlsbad. D 3. This development is in the State of California Coastal Commission area of jurisdiction. p~e ~k 49 Date This determination relates only to the project described above and shown on the attached plans. Any change to the project may change the determination status. If the information contained in this submittal (including plans/ is changed, found to be incorrect, or incomplete this determination shall be invalid. c: Applicant, Project File, Building Permit File (when applicable) H·\AOMIN\COlJNTl=R\DFTFRMlNATION FORM 1r.OPl