Loading...
HomeMy WebLinkAbout2781 BERKELEY AVE; ; CB920432; PermitBUIL 05/04/92 11: 58 Job Address: 2'781 BERKELEY AV Permit Type: PATIO/DECK Parcel No: Valuation: 1,658 Construction Type: NEW Occupancy Group: Description: 17 X 15 PATIO PER , Page 1 of 1 Appl/Ownr : CAMPBELL, BARRY DING PERMIT Permit No: CB920432 Project No: A9201165 Development No : F1* Ste: -7490 05/M/?2 OO0101 02 Str: C-MT 65 .oo Reference#: Status: ISSUED Applied: US/Oli/YZ Apr/Issue: 05/C4/92 SPECS Validated By: DC 619 720-7850 2781 CARLS *** Fees Requir -___--___--___--__ Fees : Acl j u s tmcn t s : Total Fees: Fee description -__---___--I__--__ building Permit Plan Check Strong Motion Fee A BLJILDING TOTAL BERKELEY A Credits *** , .00 .00 65.00 Ext fee Dsta 39. eo 25.00 1.C9 65.00 CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION City of Carlsbad Building Depertnent 2075 Las Palmas Dr., Cartsbad, CA 92009 (619) 438-1161 A - U Commercial U New Building U Tenant Improvement B - 0 Industrial 0 New Building 0 Tenant Improvement C - 0 Residential 0 Apartment 0 Condo 0 Single Family Dwelling 0 AdditioWAlteratior 0 Duplex 0 Demolition 0 Relocation 0 Mobile Home 0 Electrical 0 Plumbing 0 Mechanical 0 Pool 0 Spa 0 Retaining Wall 0 Solar 0 Other 2. PRCLJl3XINFOINFoRMAnON PLAN CHECK NO. 72-+3a PIAN CK DEPOSIT FOR OFFICE USE ONLY I LEGAL ~Es(sRmTlb~ Lot No. Subdimion NamdNumber Unit No. Phase No. 0 2 Energy Calcs 0 2 Structural Calcs 0 2 Soils Report 0 1 Addressed Envelope 1(61 c s'63 36 PIiQEQsED USE IPTION OF WORK # OF STORIES (ir aitrerent rrom applicant) V NAME ADDRESS CITY STATE ZIP CODE DAY TELEPHONE NAME ADDRESS U- UAV UO- 0- CITY STATE ZIP CODE DAY TELEPHONE ZIP CODE 92d)g DAY TELEPHONE 7 a >g&-c> NAME ADDRESS CITY STATE ZIP CODE DAY TELEPHONE STATE LIC. # LICENSE CLASS CITY BUSINESS LIC. # NAME CITY STATE ZIP CODE DAY TELEPHONE STATE LIC. # Workers' Compensation Declaration: I hereby attirm that I have a certiticate 01 consent to selt-insure issued by the Director ot Industrial 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 POLICY NO. EXPIRATION DATE Certihcate ot Exemption: 1 certily that in the pertormance ot the work tor which this permit IS issued, 1 shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE Owner-Builder Declaration: 1 hereby attirm that 1 am exempt from the Contractor's License Law tor the following reason: 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.). 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 (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, 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 [SOO]). 0 0 0 Business and Professions Code for this reason: SIGNATURE DATE COP NON--TIM B- 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? Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? IF ANYOF THE ANSWERS ARE YES, A FINALCERTIFlCATE OFOCCUPANCYMAY NOT BE lssuED AFTERJULY 1,1989 UNLESS THE APPLICANT HAS MlT OR IS MEIXlNG THE REQ- OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POllllTION CONTROL DISlRICX. 1 hereby attirm that there is a construction lending agency tor the pertormance 01 the work tor which this permit is issued [Sec 3m I) Ciwl Code). 0 YES 0 NO 0 YES 0 NO 0 YES 0 NO LENDER'S NAME LENDER'S ADDRESS I certily that 1 have read the application and state that the above intormation 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. I ALSO AGREE To SAVE INDEMNIFY AND KEEP HARMLESSTHE CITYOF CARISRADAGAINSALLIJABILJTES, JUDGMENTS, m5Fs AND EXPENSES WIUCH MAY IN ANY WAY ACCRUE AGAINm SAlD CITY IN aNSEQUENCE OF THE GRANTING OF THIS PJIRMlT. OSHA: An OSHA permit 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). DATE: e YELLOW: Applicant PINK: Finance -* z PERMIT# CB920432 CITY OF CARLSBAD INSPECTION REQUEST FOR 06/05/92 DESCRIPTION: 17 X 15 PATIO PER SPECS TYPE: PATIO JOB ADDRESS: 2781 BERKELEY AV APPLICANT: CAMPBELL, BARRY CONTRACTOR: OWNER: REMARKS: MH/JERRY/558-7158 SPECIAL INSTRUCT: TOTAL TIME: CD 14 DATE LVL DESCRIPTION ACT ST Frame/Steel/Bolting/Welding - INSPECTOR AREA PD PLANCK# CB920432 OCC GRP CONSTR. TYPE NEW STR: FL: STE: PHONE: 619 720-7850 &?&- PHONE : PHONE : INSPECTOR COMMENTS / ***** INSPECTION HISTORY ***** DESCRIPTION ACT INSP COMMENTS