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HomeMy WebLinkAbout2423 LA COSTA AVE; A; CB900092; Permit'I . 01;23;90 ..a:1 n':J Page 1 of 1 B U I L D I N G Job Address: 2423 LA COSTA AV P E R M I T Str: Permit Project Development Fl: Ste: No: CB900092 No: A9000126 Permit Type: RESIDENTAL ADDITION/ALTERATION Parcel No: 216-240-55-2A ''.:--i:-;·,'fi7 Valuation: 2,856 Construction Type: NEW Occupancy Group: M Class Code: CK r:t: 51 '1 i Status: ISSUED 01/23/90 01/23/90 CD Description: ADD FOURSEASONS SUN ROOM {/u,u-?Uu.\:J-<,,<_,C/_~ S ~ ~~~ -*** Fees Required *** *** Fees Applied Apr/Issue Validated By: Collected & Credits *** -------~~-----------------------------------Fees: Adjustments: Total Fees: Fee description 90.00 .oo 90, 00 ~otal CJ'edits: Tot al li'-ay,illen t s : Balance Pue: Units Fee/Unit .00 .00 90.00 Ext fee Data ----------------------------------------""------~---------------------------Building Permit Plan Check Strong Motion Fee * BUILDING TOTAL . •' .. ; " ....... ,. ' PPROVAL 54.00 35.00 1.00 90,00 INSP. DATE 5:lr/'!0 CLEARANCE ____ _ . ,, . CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 PERMIT APPLICATION ~ w Ci ty of Carlsbad Bui lding Depar t ment 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438 1161 VALID. BY,_~-~.-=~------- 1. PERMI T TYPE DATE ___ ___,:::,_ _________ _ A COMMERCIAL TENANT IMPROVEMENT B D I NDUSTRIAL ONEIi 0 TENANT IMPROVEMENT C 0 RESIDENTIAL D APARTMENT □CONDO □SINGLE FAMILY DIIELLING !Rl(!>DITION/ALTERATION □DUPLEX 0 DEMOLITION □RELOCATION □MOBILE HOME □ELECTRICAL □PLUMBING D MECHAM I CAL □POOL OSPA □RETAINING IIALL □SOLAR 2. PROJECT INFORMATION PLAN CHECK No . Address ,l 4 ). ) "A 11 Nearest Cross Streets LEGAL DESCRIPTION Lot No. Subdi vis I on Name/Nurber Phase No. CHECIC BELOW I F SUBMITTED: 2 Energ Cal cs 2 Structural Cales 1 Addressed Envel o 3. 4. 5. ASSESSOR'S PARCEL EXISTING USE BLDG. SC. FTG. 1, :f # OF STORIES 3 CONTACT PERSON NAME l,v fl I-'-Y f= d,'"~ p ADDRESS CITY ~/"/'--d, vC,-e _ _p SIGNATURE , 1J ~( STATEC /➔ ZIP CODE APPLICA T NAME Fett (BtoNTRACTOR O AGENT FOR CONTRACTOR s;;A Sc I\,) > P.:~'J"' " P,,,,, fd ~ll(iss Cl TY r ,_ "'"" STAH ('/'{ ZIP CODE PROPOSED USE //.-L.hJ ~ "' //,1 < DAY TELEPHONE / ;1. I :\) !:) ::) '-( -3 °2.. "2.. ' A O AGEN:t FOR QllNER n.-~11/5 o"' .nv DAY TELEPHONE ( :;I 1.J) NAME PROPERTY OWNER J..e 1,-e. 4 ~,istJAI OIINER "A If J nLEsS~E ,J □TENANT ADDRESS :Z.. &./ 2. ~ jf..lJ. V ,f'r;,. f' o,<.. CITY ( ... t /...~ 6 ... "' STATE ( ~ ZIP CODE DAY TELEPHONE 6. CONTRACTOR NAME J=e,Uf~ :)~HSOJS ])~1-t:/IJ • /;,-/.NJ f4;v ,4v, 7. 8. CI TY ZIP CODE 'i4S<1 / DAY TELEPHONE (2 I 3) m LIC. # Sht'17 CITY BUSINESS LIC. # SIGNATURE LICENSE CLASS --'-/3--'--- TI TLE ~,,.;-( DATE DESIGNER NAME CITY WORKERS' COMPENSATION STATE ADDRESS ZIP CODE DAY TELEPHONE STATE LIC. # \Jorkers• Compensation Declaration: hereby aff1rm that I have a certlf1cate of consent to self·1nsure 1ssucd by the Director of Industrial Relations, or a certificate of Uork.ers' Cc:wrpensation Insurance by an ad'nitted insurer, or an exact copy or duplicate thereof certified by the Director of the i nsurer thereof filed with the Building Insp<?ct1on Department (Section 3800, Lab. C). 1NsuRANCE cOMPANY , ;;._• ,_,.,,~ Iver{ 10.., L PoucY No. wcP ~·~ ~ Cert ificate of Exeq>t;on: I certify that in the performance of the work for wh1ch so as to ncome subJec-,to the llorkers' C°"""nsation Laws of California. J. / DATE / .1,.:?, tj{) SIGNATURE EXPIRATION DATE I '/ 1s issued. I shal I not etr!>l y any p<?rson in any manner I hereby affirm t at I am exempt from the Contractor1s License Law for the following reason: D I as owner of the property or my efl1)loyees w1 th wages as the1 r sole compcnsat 10n, w1 l l do the work and the structure 1s not 1ntended or offered for sale (Sec. 7044, Bus1ness and Profess;ons Code: The Contractor•s License Law does not apply to an owner of property who builds or lfll)roves thereon,, and who does such work h1mself or through his own employees, provided that such 1~rovcments are not inteMed or offered for sale. If, however, the building or ur.,rovement is sold w1th;n one year of completion, the owner·bu1 ldcr w, l l have the burden of proving that he did not bu1 ld or 11T1)rove for the purpose of sale. l. D I, as owner of the property, am exclus1vely contract1n9 w1th licensed contractors to construct the project (Sec. 7044, 8us1ness and Professlons Code: The Contractor's License Law does not apply to an owner of property who builds or 11T'4'roves thereon, and contracts for such proJects with contractor{s) licensed pursuant to the Contractor's License law). D l am exerrpt under Sect1on ___________ Business and Professions Code for th1s reason: (Sec. 7031.S Business and Professions Code: Any Clty or County wh1ch requires a perm1t to construct, alter, Hrl)rove, demolish, or repa1r any structure, prior to its 1ssuance, also rcqu1res the oppl1cant for such permit to f1le a signed statement that he is l1ctmsed pursuant to the provis ions of the Contractor's Licen~e Law (Chapter 9, cormiencing with Section 7000 of D1v1s1on 3 of the Bus1r,ess and Professions Code) or that he is exeq>t therefrom, and the basis for the alleged e•~tion. Any v1olat1on of Section 7031.5 by any applicant for a p<?rm1t subiects the applicant t o a civil p<?nalty of not more than five hundred dollars [S500J ). SIGNATURE DATE COMPLETE THIS SECTION FOR NON·RESIDENTIAL BUILDING 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 Sect Ions 25505, 25533 or 25534 of the Presley· Tanner Hazardous Substance Account Act? DYES □No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quat 1ty management d1str1ct? OYES ONO Is the facility to be constructed within 1,000 feet of the outer boundary of a school s1te' □Yes O NO I F ANT OF THE ANSWERS ARE TES, A FINAL CERTIFICATE Of OCCUPANCT MT NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE Of EMERGENCY SERVICCS ANO THE AIR POLLUTION CONTROL DISTRICT. 9 . CONSTRUCTION LENQING AGENCY hereby affirm that there is a construct;on lending agency for the performance of the work for wh1ch this permit 1s issued (Sec 3097(1) C1v1l Code). LENDER'S NAME LENDER'S ADDRESS 10. APPLICANT'S SIGNATURE t cert1fy that I have read the appl;cat1on end s tote that the above 1nformat1on \s correct. I agree to corrply w1th all Clty ordinances and State laws relating to bu1 ld1n9 construct1on. I hereby authorize rcprescntative5 of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE INDEMNI FY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JlllCMCNTS, COSTS ANO OPCNSES IIIIICH M Y IN ANT IIAT ACCRUE AGAINST SAID CI TY IN CONSEQUENCE Of THE GRANTING or TH Is PERM IT. Exp1rat1on. Every permit 1ssued by the Building 0ffic1al under the provisions of this Code shall expire by limitat1on and become null and void 1f the building or work author1zcd by such permit 1s not comnenct'd within 180 days from the date of '-iUCh permit or ,t the bu1ld1n9 or work authorized by such permit 1s suspended or abandoned"\ any t1me2fte the work is co11111enccd for o p<!r>od of 180 days (Section 303Cd) Uniform Building Code). APPLICANT'S SIGNAi E O OIINER ~NTRACTOR 0BY PHONE APPROVED SY: _______ _ {/ -tJ'"LP1 DATE: ______ _ WHITE: File YELLOW: Applicant PINK: Finance \, CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB~000~2 FOR 05/08/90 DESCRIPTION: ADD FOURSEASONS SUN ROOM TYPE: RAD JOB ADDRESS: 2423 LA COSTA AV APPLICANT: FOUR SEASONS DESIGN CONTRACTOR: OWNER: PHONE: PHONE: PHONE: INSPECTOR AREA TP PLANCK# CB900092 OCC GRP M CONSTR. TYPE NEW STR: FL: STE: 213 534 3226 REMARKS: Tl/MH/MIKE/619-436-2589 INSPECTOR---'--~ SPECIAL INSTRUCT: AM IF POSSIBLE. OFFICE #213-425-5013. TOTAL TIME: CD LVL DESCRIPTION ACT COMMENTS 19 ST Final structural 29 PL Final Plumbing 39 EL Final Electrical 49 ME Final Mechanical £ _________ _ a E --------------- ------------------ ***** INSPECTION HISTORY***** DATE DESCRIPTION 021590 Ftg/Foundation/Piers ACT INSP AP TP COMMENTS 2:12Xl5X7 1/2 FTNS/NO FTNS RE