HomeMy WebLinkAbout2705 MEDFORD CT; ; CB901192; Permit,,.
B U I L D I N G P E R M I T
07/17/90 10:59
Page 1 of 1
Permit No: CB901192
Project No: A9001305
Development No:
Job Address: 2705 MEDFORD CT Str:
Permit Type: RESIDENTAL ADDITION/ALTERATION
Parcel No: 167-433-28-00
Valuation: 1,690
Construction Type : NEW
Fl: Ste:
68L8 07/11/90 0~01 2 ,,
Occupancy Group : Class Code :
Description: 13 X 20 PATIO COVER
ISSUED
07/17/90 Applied
Apr/Issue
Validated By: DC
OWNER : LASHO, BONNY
*** Fees Required ***
Fees:
Adjustments:
Total Fees:
Fee description
Building Permit
Plan Check
Strong Motion Fee
* BUILDING TOTAL
65 .00
.00
65 .00
Lie, OWNER
Fees Collected & Credits
.00
.00
65.00
***
Ext fee Data
39.00
25.00
1.00
65.00
FINAL APPROVAL
INSP. ~ DATE ,2-}'l /tt0
CLEARANCE'_
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161
PERMIT APPLICATION
•
City of Carlsbad Building Department
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 EST. VAL
1.
A
•
PERMIT TYPE
COMMERCIAL TENANT IMPROVEMENT
0 INDUSTRIAL □TENANT IMPROVEMENT
ORESI0ENTIAL □APARTMENT □CONDO □sINGLE FAMILY DWELLING OADDITION/ALTERAll0N
□DUPLEX □DEMOLITION OREL0CATICMII QH0BILE HOME □ELECTRICAL □PLUMBING
OMECIIANICAL □POOL □SPA □RETAINING WALL □SOLAR 00TIIER
tructural Cales
PLAN Cl( DEP0SIT ___________ _
VALID. BY ______ ~G,)_,.,._C... __ ~---
OATE _______ ,.:i,,,_4~'/~'~0~'~~()~-
unit No. Phase No.
PROPOSED USE
/4.so. FTG. h /?~, o,
3. CONTACT PERSON
NAME
STORIES
CITY
SIGNATURE
STATE
ADDRESS
ZIP CODE DAY TELEPHONE
NAME ,,,---
4. AP~CANT □ CONTRACTOR □ AGENT FOR
CITY ~,£:_ ~ .,Ji STATE
CONTRACTOR
ADDRESS
ZIP CODE
QOWNER 0 AGENT FOR OWNER
DAY TELEPHONE
SIGNATURE
DESIGNER NAME
CITY
STATE
STATE LIC. # ____ _
STATE
ADDRESS
Z!P CODE
LICENSE CLASS _____ _
Tl TLE
ADDRESS
ZIP COOE
QTENANT
DAY TELEPHONE
DAY TELEPHONE
CITY BUSINESS LIC. #
OATE
DAY TELEPHONE STATE LIC, #
-~ ,7_.~__,w~o"-1,~~.K;,,~~~~~.s~. ~~~_.~c~o~,~~~i;~,E;on~N~~~.~~1~.~~~R;,N~..,~, ~7h~,~,.~.TYT•~f7fT,cTm~thT•Tt~hT,-vT,-.-"T'T'T'7/ ;T,-.T .. ~.7,-,-.-,,T.-nTI T,-,T·T·7·7•·T•T"-"T'T'-,T-,T,-ued~Tby~tTh,~oT; 'T"~,.-,-.-,~lndu~-,-"T;-,T, ~.-.T, .T,T,-on-,-.----
or a certificate of Workers' Coq>ensat ion Insurance by an achi t ted insurer, or an e11act copy or duplicate thereof certified by the Di rector of the
8.
insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C).
INSURANCE Ca-1PANY POLICY NO, EXPIRATION DATE
Certificate of Exeqition: I certify that in the performance of the work for which this permit is issued, I shall not effl)loy any person in any mamer
so as to become si.bj ect to the Workers' Cowpens at ion Laws of California.
SIGNATURE DATE
OWNER-BUILDER DECLARATION
Owner-Builder Declaration: I hereby affirm that I am exempt from the Contractor's license law for the following reason:
0 ! 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 La.i 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 corrpletion, the owner·builder will have the burden of proving that he did not build or improve for the purpose
of sale.).
0 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).
0 ! am exefll)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, 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 pursuant to the provisions of the
Contractor's License law (Chapter 9, comnenc i ng with Section 7000 of Division 3 of the Business and Profess ions Code) or that he is exempt therefrom,
and the basis for the alleged exemption. 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 dollars ($5001),
SIGNATURE DATE
COMPLETE nus SECTION FOR NON·RESIDENTIAL BUILDING PERMITS OMLY:
Is the applicant or future building occupant required to submit a business plan, acutely hatardous materials registration form or risk management and prevention
program under Sections 25505, 25533 or 25534 of the Presley·Tanner Hazardous Substance Account Act?
0YES 0NO
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
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
□YES o,o
IF ANY Of THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCQ.l>AIICY MAY NOT BE ISSUED AFTER JULY 1, 1969 UNLESS THE APPLICANT KAS NET OR IS MEETING THE REQUIREMENTS
OF THE OFFICE Of EMERGENCY SERVICES ANO THE AIR POLLUTION CONTROL DISTRICT.
9. CONSTRUCTION LENDING AGENCY
hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097( i l Civil Code).
LENDER'S NAME LENDER'S ADDRESS
10. APPLICANT'S SIGNATURE
I certify that I have read the application and state that the above information is correct. I agree to comply 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. ALSO
AGREE TO SAVE INDEMNIFY ANO KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIABILITIES, Jll)QIIENTS, COSTS AND EXPENSES wtllCH NAY IN ANY WAY ACCRUE AGAINST SAID
CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT -
Expiration. Every permit issue·d by the Building Official under the provisions of this Code shalt expire by limitation and become null and void if
or work authorized by such permit is not comnenced within 180 days from the date of such permit or If the building or work authorized by such permit
or abandoned at any time after the work is c011111Cnced for a period of 180 days (Section 303(d) Uniform Building Code).
the bui \ding
is suspended
~O',/NER □ CONTRACTOR OBY PHONE AP.PROVED BY; ______ _
DA.TE:
YELLOW: Applicant PINK: Finance
l
CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT# CB901192 FOR 12/04/90
DESCRIPTION: 13 X 20 PATIO COVER
TYPE: RAD
JOB ADDRESS: 2705 MEDFORD CT
APPLICANT: LASHO, BONNY
CONTRACTOR:
OWNER: LASHO, BONNY
REMARKS: MH/BOB
SPECIAL INSTRUCT:
TOTAL TIME:
PHONE:
PHONE:
PHONE:
INSPECTOR AREA PY
PLANCK# CB901192
OCC GRP
CONSTR. TYPE NEW
STR: FL: STE:
619 729-3174
CD
19
LVL DESCRIPTION ACT COMMENTS
ST Final Structural $+-----------------------------------------------------------
***** INSPECTION HISTORY*****
DATE DESCRIPTION ACT INSP COMMENTS