HomeMy WebLinkAbout2743 LLAMA CT; ; CB911060; Permit07/22/91 11:04
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B U I L D I N G PERMIT Permit No: CB9110bfl
Project No: ACJ1013l'b
Development No:
5tr: Fl: Ste:
3572 07 /22/91 0001 01 02
C-PRMT 90-00
rob Address: 2743 LLAMA er
Permit ~ype: RETAINING WALL
Parcel No: 215-420-12-00
Valuation: 2,14?
Construction Type: VN
uccupancy Group: Class Code: SUE~>
Applied: 07122/)1
Apr/Issue: 07/22/4
Validated By: DC
Description: 165 SF FRONT YARD
Appl/Ownr : EXPANDING HORIZONS
993C S. SANTA FE AVENUE
VISTA, CA 92083
*** Fees Required
Fees:
Adjustments:
Total Fees:
Fee dr->scription
Building Permit
Plan Check
Strong Motion Fee
* BUILDING TOTAL
*** ***
CITY OF CARLSBAD
619 Y41-5450
2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161
t
. )0
.00
90.~0
k. * *
Ext fee Data
54.00
35.00
1. 00
90.00
PERMIT APPLICATION PLAN CHECK NO. q/-/l}~(J
City of carlsbad Building Departaent
2075 Las Palms De., caclsbad, CA 92009 (619) 438-1161
VALID.BY ___________ _
I. P£kMI I liPE DATE
A -U Commercial U New Building U i'enant Improvement
B -□ Industrial □ New Building D Tenant Improvement
C -□ Residential O Apartment □ Condo □ Single Family Dwelling □Addition/Alteration
□ Duplex □ Demolition U Relocation □ Mobile Home □ Electrical □ Plumbing
□ Mechanical □ Pool □ Spa D Retaining Wall □ Solar □ Other
2. PRClJl!Cf INFORMATION FOR OFFICE USE ONLY
Addr~ Ne:e..~~ ;,,eet
BuUdmg or Suite No.
CR-I LLA HA.
LEGAL DESCRIPI ION Lot No. Sufx11V1s10n Name/Number 0mt No. Phase No.
CHECK BEWW IF S0BMI I I ED:
□ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope
ASSESSOR'S PABCEI. EXISTING USE PROPOSED USE
DESCRIPTION OF WORK ~&i'Al~\lv(; WA.LL
SQ. Ff. I 6 S t:i:: # OF SIDRIES
3. WN IACI PFltSON (IFcfiitereni from appJlcantJ
NAME ADDRESS
CllY STATE ZIP CODE DAY TELEPHONE
-4. M't'UU\Nt WWN iRACIOR UAGEN I FOR CON IRACIOR uuwNtK UAGENI FOR OWNER
NAMEl:,.><PAoJQu.:>cS I,\.~ 1.:201-.).:!, ADDRESS "!0. 6C. $ S: A.1'.11'"-A ,.:'€ A.'-'-C
CITY v 1-;;, ,c, STATE C 14. ZIP CODE 9--iee,g DAY TELEPHONE q 4 \ S 4SO
S. PROPRRIY OWNER
NAME ""I I~\ 0(...e K. ADDRESS
C /::--ZIP CODE
CRT
CITY CA~t.,$~.t,. -C) STATE DAY TELEPHONE 4~8 q4 38
6. WNIRACIOK 't\. CfR\~.S: ADDRESS C\ ~ ~ C
STATE C! IC:.. ZIP CODE'°'I 7~ S.
NAME G'I. p.C.l'JDl\06 ""::>. 'S,A~A. ~ A~
DAYTELEPHONE C,4 \ S45,C:)
CITY BUSINESS UC. #
CITY V 1'5\~
STATE UC. # SIB SB I UCENSE CLASS ~
CITY STATE ZIP CODE DAY TELEPHONE STATE UC.#
7. WORRERS' WMPENSAIION
Workers' Compensation Declarat1on: I hereby afhrm that I have a cert1hcate of consent to self-msure issued by the D1rector of lndustnai
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 ~1 /:::,"'Ve; f"O"OP POUCY NO. EXPIRATION DATE
Cert1hcate of Exemptmn: I certHY that m the performance of the work for which this permit 1s issued, I shall not employ any person m any manner
so as to become subject to the Workers' Compensation Laws of California.
SIGNATURE DATE
8. OWNRR-D0llDRR DEt'.!DJtXIION
0Wner-Bu1lder Dedarat1on: I hereby affirm that I am exempt from the Contracto?s Lcense Law for the followmg reason:
D 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 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.).
D 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).
□ I am exempt under Section ________ Business and Professions Code for this reason:
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a pennit to construct, alter, improve, demolish, or repair
any structure, prior to its issuance, also requires the applicant for such pennit to file a signed statement that he is licensed pursuant to the
provisions of the Contractor's License 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 7031.5 by any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars [$500]).
SIGNA11JJIE DATE
COMPIB'l'E IRIS SECIION FOR NON-RESIDENIIAL BUILDING PERMll's 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 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 permit from the air pollution control district or air quality management district?
□YES ONO
ls the facility to be constructed within 1,000 feet of the outer boundary of a school site?
□YES ONO
IF ANY OF TIIl! ANSWERS AR.I! YES, A FINAL CERTIFICATE OF oa:IJPANCY MAY NOT Bl! ISSUED AFl1!R JULY 1, 1989 UNIBSS TIIl! APPLICANT
HAS MIIT OR IS MEl!TING TIIE REQIIIREMENTS OF TIIE OFFICE OF EMERGENCY SERVICES AND TIIl! AIR POLUfTION <DNTII.OL DISI1UCT.
9. WNSIRUCIION !ENDING XGRNCY
I hereby afhrm that there ts a construction lendmg agency for the performance of the work for which this permit 1s issued (Sec 3097(1) CivU Code).
LENDER'S NAME LENDER'S ADDRESS
10. APPllcANI cmtl'IFICA:tiON
I certify that I have read the apphcauon and state that lhe above mformat1on 1s correct. I agree to comply wnh all City ordmances 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 AI.50 AGREE 1U SAVE INDEMNIFY AND KEEP IIARMIJ'.SS TIIl! Cl'IY OF CARISBAD AGAINST AIL IJABILITIES, JUDGMEN"IB, <DsrS
AND EXPENSES WlllCII MAY IN ANY WAY NDUJE AGAINST SAID Cl'IY IN <DNSEQIJENCI! OF TIIE GRANTING OF TIIlS PERMIT.
OSHA; An OSHA pennit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height.
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 commenced within 365 days from the date of such permit or if the building or work authorized by
such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days {Section 303(d) Uniform Building Code).
APPUCANT'S SIGNATURE ~'I/UC-" 17111.,,1-4-> DATE: 7 IZ -z. /1 /
PINK: Fmance
CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT# CB911060
DESCRIPTION: 165 SF FRONT YARD
TYPE: RETAIN
JOB ADDRESS: 2743 LLAMA CT
APPLICANT: EXPANDING HORIZONS
CONTRACTOR:
OWNER:
REMARKS: MH/BRIAN/941-5450
SPECIAL INSTRUCT:
TOTAL TIME:
--RELATED PERMITS--
CD
61
LVL DESCRIPTION
MA Footing
PERMIT#
CB910843
RW910095
FOR 07/24/91 INSPECTOR AREA TP
PLANCK# CB911060
OCC GRP
TYPE
POOL
ROW
CONSTR. TYPE VN
STR: FL: STE:
PHONE: 619 941-5450
PHONE: !L2 PHONE:
INSPECTOR ~
STATUS
ISSUED
ISSUED
ACT COMMENTS
***** INSPECTION HISTORY*****
DATE DESCRIPTION ACT INSP COMMENTS
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