HomeMy WebLinkAbout2570 GREGORY DR; ; CB901205; Permit..
B U I L D I N G P E R M I T
07/19/90 14:28
Permit No: CB901205
Project No: A9001318
Development No: Page 1 of 1
Job Address: 2570 GREGORY DR Str: Fl: Ste:
Permit Type: RESIDENTAL ADDITION/ALTERATION
Parcel No: 156-230-28-00
Valuation: 1,512
Construction Type: NEW
Occupancy Group: Class Code :
Description: ENCLOSED PATIO 144 SF 3421P
6893 07/19/90 00~1. 01 '"'
1-fT t, .(
Status:
Applied
Apr/Issue
Validated By:
ISSUED
07/19/90
07/19/90
OWNER : SCHMIDT Lie. OWNER
*** Fees Required
Fees:
Adjustments:
Total Fees:
Fee description
***
62.00
.00
62 .00
*** Eees Collected & Credits *** --------------------------------------------
.00
.00
62.00
Ext fee Data
--------------------~----------------------------
Building Permit
Plan Check
Strong Motion Fee
* BUILDING TOTAL
I NSP. -i...--ii---
CLEARAN
CITY OF CARLSBAD
2075 Las PalJnas Dr., Carlsbad CA 92009 (619) 438-1161
37.00
24.00
1.00
62.00
PERMIT APPLICATION 4\ '1P
City of Carlsbad Building Department EST. VAL. ____ ..J.,/4oif..!a/,..l12!, ___ _ 2075 Las Pal mas Dr., Carlsbad, CA 92009 (619) 438-1161
1.
A
•
2.
PERMIT TYPE
COMMERCIAL
0 INDUSTRIAL
0 RESIDENT !AL O APARTMENT
0 DUPLEX O DEMOLITION •MECHANICAL •POOL
TENANT IMPROVEMENT •TENANT IMPROVEMENT •CONDO •SINGLE FAMILY D\.IELLING •ADDITION/Al TERATION •RELOCATION •MOBILE HOME •ELECTRICAL •SPA •RETAINING WALL •SOLAR
•PLUMBING
PROJECT INFORMATION PLAN CHECK No.
Address
Nearest Cross Streets
PLAN CK DEPOStT ___________ _
VALID. BY ____ ...<¾-<>,---,~----
DATE v{,/,/ # I
F
LEGAL DESCRIPTION Lot No. Subdi Vl S 1 on Name/Nunber un, t No. Phase No.
CHECK BELOW IF SUINITTED:
3.
4.
Q2 Energy Cales 02 Structural Cales
BLDG. SQ. FTG.
CONTACT PERSON
"" S -Gv o:;;..s
CITY i-A ri2'.:i)
SIGNATURE
APPLICANT
! l NAME
CITY
0 CONTRACTOR
l •
qz Soils Rep0rt Q 1 Addressed Envelope
EKISTING USE
# OF STORIES
STATE dfi-
ADDRESS
ZIP COOE
0 AGENT FOR CONTRACTOR
ADDRESS
STATE ZIP COOE
/(/4)
DAY TELEPHONE
•OWNER 0 AGENT FO!I OWNER
, .
DAY TELEPHONE
PROPOSED USE
5. PROPERTY OWNER
"" H . Ti+fY\ I Dt <c"'".tV •TENANT
~-
CITY STATEM ZIP COOE DAY TELEPHONE
6. C0NTRACT0.Rr.1._.,
NAME~~
STATE.~~
ADDRESS U:5&9
0i::;}t;)-o
CLASS J3 /
rn 1::,s10J0 '°°¼'<:. (L
DAY TELEPHONE ~3,-4,<-to8
7.
8.
"" '&Pn-J Or~
SIGNATURE zkb.
DESIGNER NAME
CITY
STATE LIC. .ycfJ--i 23
STATE
ZIP COOE
LICENSE CITY BUSINESS LIC. #
TITLE ~f/1,r DATE
ADDRESS
ZIP CODE DAY TELEPHONE STATE LIC. #
WORKERS' COMPENSATION
Workers' Coq,ensat1on Declaration: hereby affirm that have a certificate of consent to self-insure issued by the Director of Industrial Relations,
or a certificate of 'workers' Coq,ensat ion I nsuranc:e by an a<tnit ted insurer, or an euct copy or duplicate thereof certified by the Director of the
insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C).
INSURANCE COMPANY FA-t. g,.{i):H-..s;Z:: POLICY NO. ~ ... q ?3 80 EXPIRATION DATE
certificate of EK~tion: I certify that in the performance of the work for which this permit is issued, I shall
so as to become subject to the Workers' Coq,ensat ion Laws of California.
SIGNATURE DATE
OWNER-BUILDER DECLARATION
not ~Loy any person
Owner-Builder Declaration: I hereby affirm that I am exempt from the Contractor's License Law for the following reason;
in any manner
D I as owner of the property or my ~loyees with wages as their sole compensation, will do the worl: 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.).
O I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code:
The Cootractor•s License Law does not apply to an owner of property who builds or i,rproves thereon, and contracts for such projects with contractor(s)
licensed pursuant to the Contractor's License Law).
D I am ex~t 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, i,rprove, demolish, or repair any structure,
prior to its issuance, al so requires the applicant for such permit to f i I e a signed statement that he is licensed pursuant to the provisions of the
Contractor's License Law (Chapter 9, conmencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is e11~t therefrom,
and the basis for the alleged exe,rption. 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 do l lars [S500] ) •
SIGNATURE DATE
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY:
Is the applicant or future building occupant requi red to submit a bus i MSS pl an, 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 0NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
OYES 0NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
•YES 0,0
IF ANT OF TIE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCl.PANCY NAY NOT BE ISSUED AFTER JULY 1, 1989 lAILESS THE N'PLICANT HAS NET OR IS MEETING THE REQUJREtENTS
Of THE OFFICE OF EMERGENCY SERVICES All> THE AIR POLLUTION CONTROL DISTRICT.
9. CONSTRUCTION LENDING AGENCY
hereby affirm that there ; s a construction lending agency for the performance of the worl: for which this permit is issued (Sec 3097( i ) Civil Code).
LENDER'S NAME LENDER'S ADDRESS
10. APPLICANT'S SIGNATURE
J certify that I have read the application and state that the above information is correct. I agree to co,rply with all City ordinances 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 TO SAVE INDEMNIFY ANO KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIABILITIES, JWGMENTS, COSTS ANO EXPENSES \.lfflCH MAY IN ANY WAY ACCRUE AGAINST SAID
CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERIUT.
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 conmenced within 180 days from the date of such permit or if the building or worl: authorized by such permit is suspended
or abandoned at any time after the work is COOfllenced ~~~iod of 180 days (Section 303(d) Uniform Building Code).
APPLICANT'S SIGNATURE y~ / OWNER •CONTRACTOR •BY PHONE
YELLOW: Applicant PINK: Finance
APPROVED BY;
DATE:
• CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT# CB901205 FOR 09/05/90
DESCRIPTION: ENCLOSED PATIO 144 SF 3421P
TYPE: RAD
JOB ADDRESS: 2570
APPLICANT: SOUTH BAY
CONTRACTOR: SOUTH BAY
GREGORY DR
BUILDERS
BUILDERS
PHONE:
PHONE:
619
619
INSPECTOR AREA PY
PLANCK# CB901205
OCC GRP
CONSTR. TYPE NEW
STR: FL: STE:
563-6408
563-6408
OWNER: SCHMIDT
REMARKS: T2/MH/HOLLIE/563-6408
SPECIAL INSTRUCT:
PHONE:
INSPECTOR --=t::-+-~1/~--------
TOTAL TIME:
CD
19
LVL DESCRIPTION
ST Final Structural
------------------
------------------------------------
ACT COMMENTS
~---
***** INSPECTION HISTORY*****
DATE DESCRIPTION
083090 Final Structural
ACT INSP
CO PY
COMMENTS
NEED WEATHER SEAL
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