HomeMy WebLinkAbout2398 LAFAYETTE CT; ; CB950040; Permit. -
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J0b Ad3ress: 239b LAFAYETTE CT
P~rmit Type: PATIO/DECK
P·=i:r:i:-el No: lb7-370-18-00
Valuation: 7,501
Construction Type: VN
N G p E R M r r
Suite:
:.ot#:
:->etm1t Ne: CB1'1004J
Project N,>: A95CJ0< 44
Dt~velopment Nv:
0190 01/05/95 0001 01
C-PRHT
02
164-00
Occupancy ~1uup: Reference#: Std tu::;: ISSIJEf
Appliccl: t,1/f '1/'-l'=i
Apt·/ I s .:; u e : , • 1 / , . -:. / •,i c:,
Enterer') By: MDP
Description: 375 SF PATIO ENCLOSURE
Appl/1Jwnr : KOLCZYNSKI, E. B.
2398 LAFAYETTE COURT
CARLSBAD, CA. 92DUB
*** Fees Required
Fees:
Arl JU.3tmen ts:
Total Fees:
fee description
Buildinq Permit
Plan Check
Stronq Motion Fee * BUILDING TOTAL
* Jr.
619 729-4.016
f'P.eS c Ilected & Credits
,....,
I
I
.CJO
.00
1h4.0U
Ext fee Data
99,UU
64.CJO
1.00
lb4 .UO
FINAL· ·APPROVAL
INSP. /~ DATE ;;/:i:/qr'
CLEARANCE-----•
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
PERMIT APPUCATION PLAN CHECK NO. q~ ~ O 6" <--{,Q
CJty of Carlsbad Building D-rtllent 1~·~ ] ~ I
2075 Las PalES Dr., Carlsbad, CA 92009 (619) 438·1161
I. PtmMII l"YP.£ PLAN CK DEPOSIT
VAIID.BY
From Llst I (see back) give code of Permit-Type: -~R,_-...,_L,4-_..__p=------DATE
For Residential Projects Only: From list 2 (see back) give
Code of Structure-Type: ____ ,._S~-_f.__--_ _,D""-------------
Nec Loss/Gain of Dwelling Units
FOR OFFICE USE ONLY
Nearest Cross Street
i.£GAL DESCRllfl ION 0mt No. Phase No.
□ 1 Addressed Envelope
EXISTING USE PROPPSED USE
# OF STORIES # OF BEDROOMS # OF BATHROOMS
1 1 eren rom app 1can
NAME (last name first) ADDRESS
ZIP CODE CITY STATE DAY TELEPHONE
4. APPIJCXN I U WN I RAC I OR OAGENI FOkWNIRACIOR
ADDRESS
DOWNER DAGEN! FOR OWNER
NAME (last name first)
CITY STATE ZIP CODE DAY TELEPHONE
S. PROPEkiY oWNER
NAME (last name first) R l!J le -z,,y tv.r ):!: ADDRESS .23 'J f' ,L fJ--r-11 y e_ tf ~ C-T.
CITY c_!,t '7 .2 o O ,f" DAY TELEPHONE 2--o/
NAME (last name first) ; tl / C '>c--'/ /V .S ADDREss .239t' /-A-F A-'f et+e..-<!_.T.
'J2,_t,c;,;/ DAY TELEPHONE 0 /7-? ~-y I/ /_,L c1TY {! AJ(., Is b"-d. sTA TE (J,,.. ZIP CODE
STATE UC-#
DESIGNER NA.ME (last name hrst)
IJCENSE CLASS CITY BUSINESS !JC_ #
ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE STATE UC.#
7. WOkkERS-= WMPf!NSAIION
Workers• Compensation Declarat1on: 1 hereby att1rm that I have a cert1hcate of consent to self-msure ISSUect by the u1rector ot Jndustnal
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 POIJCY NO. EXPIRATION DATE
Certificate of Exemption: I certify that m the performance of the work for which tfos permit JS issued, I shall not employ any person many manner
so as to become subject to the Workers' Compensation Laws of California.
SIGNATURE DATE
8. OWNRit-BUllDER DFLLARAIION
□
□
Owner-Builder Declaration: I hereby afnrm that I am exempt from the Confradofs License Law for the lollowmg 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 Llcense 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.).
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 Llcense 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 to the
provisions of the Contractor's Llcense 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 pennit
subjects the applicant to a civil penalty of not more than five hundred dollars [$500]).
'f.___ 51
~~~£ ~OR~N-~~~11s ONLY: DATE /-{'~ 1-5-
ls the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration fonn 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 pennit 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 1llE ANSWERS ARI! YES, A FINAL CERTIFICATE OF OOCUPANCY MAY Nar Bl! ISSUED AFTER JULY 1, 1989 UNIJlSS 1llE APPLICANT
HAS MET OR IS MEETING 1llE REQUIREMENTS OF 1llE OFFICI! OF EMERGENCY SERVICES AND 1llE AIR POILIJTION CDNTROL DISllUCT.
9. WNSIRUCIION LEfdJING XGRNCY
I hereby afhnn that there 1s a construction lendmg agency for the peffonnance of the work for which chis permit IS issued (Sec 3097(1) Civil Code).
LENDER'S NAME LENDER'S ADDRESS
10. APPilCAN I CElllFICAliON
I certify that I have read the apphcauon and state that the above mformat1on 1s correct. I agree to comply with ail City ordmances and Stace 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 ro SAVE INDEMNIFY AND KEEP HARMLESS nm CITY OF CARISIIAll AGAINSf ALL IJABIU1lES, JUDGMENTS, CXlSl'S
AND EXPENSES WIIlCH MAY IN ANY WAY Aa:RUE AGAINSf SAIIl CITY IN CDNSEQIIENCI! OF 1llE GRANTING OF TIIIS PERMIT.
OSHA: An OSHA pennit is required for excavations over S'0" deep and demolition or construction of structures over 3 stories in height.
Expiration. Every pennit 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 pennit or if the building or work authorized by
such pennit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building ~)i _-
,N1!.LlCANTS SIG'1TU1! , DATE: /--0 ':h ~ g,-l_, ~~· TE: File YELLOW: Applicant PINK: Finance
0
PERMIT# CB950040
DESCRIPTION: 375 SF PATIO
TYPE: PATIO
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 02/07/95
ENCLOSURE
INSPECTOR AREA
PLANCK# CB950040
OCC GRP
CONST. TYPE VN
JOB ADDRESS: 2398 LAFAYETTE CT
APPLICANT: KOLCZYNSKI, E. B.
CONTRACTOR:
STE: LOT:
OWNER:
REMARKS: MW/MRS. K./729/4016
PHONE: 619 729-4ZJ016 1
PHONE:
PHONE:
SPECIAL INSTRUCT: DID NOT SAY WHAT TYPE OF
INSPECTOR
INSPECTION
TOTAL TIME:
CD LVL DESCRIPTION ACT COMMENTS
11 ST Ftg/Foundation/Piers we.-______________ _
_fl_ ----------------AP /CL{,:> rt-'« ,g,:n-/O
------------------------------------
***** INSPECTION HISTORY*****
DATE DESCRIPTION ACT INSP COMMENTS