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Home My WebLink About2354 KIMBERLY CT; ; CB951254; PermitB 'l I :, .i : N G P E F< M I T Perr-, it N } : ('fl<, 51 : r 4 09/12/95 12:4':> Page 1 of 1 Job Address: 2354 KIMBERLY CT Permit Type: RESIDENTAL ADD/ALT Parcel No: 167-531-29-00 Valuation: 2 ,816 Sui te: Lot#: Pru](· ~t N<1 : D f;' V (' l ( pm .: n + N ' : 3627 09/12/QS '00,J. H C 11,•rr Construction Type: c: Occupancy Group: Reference#: Status: VN ISSUED 09/12/95 09/12/95 MOP Description: 256 SF CARPORT Appl/Ownr : WORTHING, B . A. P.O. 1041 CARLSBAD, CA. 92018 *** Fees Required *** Fees : Adjustments: Total Fees: 110 .00 .00 110 .00 **k Applied: Apr/Issue: 619 Entered By: 729-3965 Fees Collected & Credits Total Credi ts: Total Payments: Balance Due : ,00 .00 110.00 *** Fee description Units Fee/Unit Ext fee Data Building Permit Plan Check Strong Motion Fee * BUILDING TOTAL Enter "Y" for Plumbing Issue Fee > Enter "Y" for Electric l 3sue Fee > Enter "Y" for Remodel > * ELECTRICAL TOTAL Enter 'Y' for Mechanical Issue Fee> CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 54.00 35 .00 1. 00 90.00 N 10.00 y 10.00 y 20.00 N PERMIT APPLICATION PLAN CHECK NO. • City of Carlsbad Building D-rtllent 2075 Las PalES Dr., Carlsbad, CA 92009 (619) 438·1161 EST. VJU.. __________ _ I. PERMI I IYPk PLAN CK DEPOSIT. _______ _ VAIID. BY, __________ _ From Ust l (see back) give code of Pennie-Type: __ IJZ_,_,..,A....__17,._ ______ _ DATE For Residential Projects Only: From Llst 2 (see back) give Code of Structure-Type: ____ :'2..c...Jf:'---c.:D~~---------- Net Loss/Gain of Dwelling Units w: FOR OFFICE USE ONLY ASSESSOR'S PABCEI, EXISTING USE PROPOSED USE DESCRIPTION OF WORK SQ. IT. '2 # OF BEDROOMS # OF BAlHROOMS I NAME (lase.name first) ADDRESS CI1Y ~ STATE ZIP CODE DAY TELEPHONE 4. XPPUCANI b!IWNIRACIUk OAGENI FORCONIRACIUR DOWNER UAGENI FOR OWNER NAME (las< name first) liJORTHING, B. A. ADDRESS P. 0. BOX 104 1 CI1Y CARLSBAD STATE CA ZIP CODE 9 2 Q O 8 DAY TELEPHONE 7 2 9 -3 9 6 5 S. PROPkkh OWNER ~ NAME (last name first) ~dQJ /. <f:31 I\+ ~o~rJADDRESS CITY STATE ~ ZIPCODE q,zo €iDAYTELEPHONE NAME(lastnamefirst) WORTHING, INC. B.A. ADDRESS P. 0. BOX 1 0 4 1 CI1Y CARLSBAD STATE CA ZIP CODE 9 2 0 1 8 DAY TELEPHONE 729-3965 STATE IJC. #3 9 8 76 4 IJCENSE CLASS B-1 CllY BUSINESS IJC. # 5 4 9 2 0 0 DESIGNER NAME (last name hrst) WORTHING, B.A. ADDRESS P.O. BOX 1041 CI1Yd&™ STATE CA ZIPCODE 92018 7. Wu DAY TELEPHONE 7 7 g 3 g 6 5 STATE IJC. # B Workers' Compensauon Oeclarat1on: I hereby afhrm that I have a cemhcate of consent to self.insure issued by the Director of lnduscnal 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 SIGNATURE DATE 8. OWNER-B0llDEil 0£c!LARA:ilUN Owner-BuUder Ueclarafion: I hereby afhrm that I am exempt from the Confradofs license Law for the foUowmg reason: D 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 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 its issuance, also requires the applicant for such permit to file a signed statement that he is licensed purnuant 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 [$500]). SIGNATURE DATE COMPiki'E 'IRIS SEClloN FOR NON-RESIDEN ilAL BUILDING PERMIJ'S 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 ls the facility to be constructed within 1,000 feet of the outer boundary of a school site? □YES □NO IF ANY OF nm ANSWERS ARE YES, AFINALCERTIFICA11!0F occ:upANCY MAY NOT BE~ AFl1!RJULY 1, 1989 UNLESS nm APPIJCANT HAS MET OR IS MElmNG nm REQUlREMl!NTS OF nm OFFICE OF EMERGENCY SERVICES AND nm AIR POJLlITlON mNTROL DISllUCT. 9. WNSIRUCIION LRNDING AGENCY' I hereby afhrm that there lS a construcbon iendmg agency for the performance of the work for which this penmt 1s issued (Sec 309/(lj Civil Code). LENDER'S NAME LENDER'S ADDRESS 10. XPPDCAN I CEltlfiJICAIION I cerofy that I have read the apphcauon and state that the above mformahon IS correct. I agree to comply with ail dty 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 AlSO AGREE 10 SAVE INDEMNIFY AND KEEP HARMLESS nm CTIY OF CARlSBAD AGAINST AIL IJABIUTIES, JUDGMENTS, CXJSTS AND EXPENSES WIIlCH MAY IN ANY WAY ACXJlUE AGAINST SAID CTIY IN illNSEQUENCE OF nm GRANTING OF nus 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· mmen r a period of 1 O days (Section 303(d) Unifonn BuildinitCocl!,!; APPIJCANl"S SIGNATURE DATE: -1{f2-t(/ WHITE: F e W: App 1cant Pl mance 0 PERMIT# CB951254 DESCRIPTION: 256 SF CARPORT TYPE: RAD CITY OF CARLSBAD INSPECTION REQUEST FOR 11/01/95 JOB ADDRESS: 2354 KIMBERLY CT APPLICANT: WORTHING, B. A. CONTRACTOR: PHONE: PHONE: OWNER: PHONE: INSPECTOR AREA PY PLANCK# CB951254 OCC GRP CONSTR. TYPE VN STE: LOT: 619 729-3965 REMARKS: MW/KATHY/729-3965 SPECIAL INSTRUCT: INSPECTOR -~t.~~v: _______ _ ff TOTAL TIME: LVL DESCRIPTION ACT COMMENTS CD 19 29 39 49 ST Final structural PL Final Plumbing EL Final Electrical ME Final Mechanical ~-- ------------------------------------------------------ ***** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP COMMENTS 101895 Exterior Lath/Drywall AP PY NAIL PLYWOOD @ GABLE 100695 Frame/Steel/Bolting/Welding AP PK 100695 Rough Electric AP PK 092895 Ftg/Foundation/Piers AP PY OK TO POUR