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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