HomeMy WebLinkAbout2825 AVENIDA VALERA; ; CB950849; PermitBUILDING PERMIT Permit No: CB950849
06/27/95 09:33 Project No: A9501221
Page 1 of 1 Development No:
Permit Type: PATIO/DECK
Parcel No: 216-461-31-00 Lot# :
Valuation: 675
Construction Type: NEW
Occupancy Group: Reference#: Status: ISSUED
Description: 100 SF PATIO COVER PER CITY SP Applied: 06/27/95
Apr/Issue: 06/27/95
I Job Address: 2825 AVENIDA VALERA Suite:
Entered By: RMA
Appl/Ownr : TAMBORELLI CONSTRUCTION 619-975-2043
27512 MOUNTAIN MEADOW RD
ESCONDIDO, CA 92
*** Fees Required
Fees :
Adjustments:
Total Fees:
......................
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Fee description -------------------
Building Permit
Plan Check
Strong Motion Fee * BUILDING TOTAL
.oo .oo 32.00
Ext fee Data .----------------
19.00
12.00
1.00
32.00
2491 06/27/95 OOOi 01 02
cm 32.00
I FINAL APPROVAL
NSP. PL DATE
!CLEARANCE
1
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
PERMlT APPLICATION
City of Carlsbed Building Depermt 2075 Las Palms Dr., Carlsbed, U 92009 (619) 438-1161
I
From List 1 (see back) give Code of Permit-Type:
For Residential Proiects Only: From List 2 (see back) give
.........................................................
Code of Structure-Type:
Net WGain of Dwelling Units
2 PRWEXINFORMATION FOR OFFICE USE ONLY
LEGAL DESCRIPTI(IN Lot No. Subdimion NamdNumber Unit No. Phase No.
0 2 Energy Calcs
DESCRIPTION OF WORK
0 2 Structural Cab 0 2 Soils Report 0 1 Addressed Envelope
USE
# OF sIT)RIES I # OF BEDROOMS # OF BATHROOMS
&MT ADDRESS X732- fVTN 1 MOW nP
STATE LIC. # 3a% LICENSE CLASS B-1
(last name tirstl ADDRESS CITY BUSINESS LIC. #
CITY STATE ZIP CODE DAY TELEPHONE STATE LIC. # -RIR Workers' Compensaaon Declaration: 1 hereby attirm that I have a certiticate ot consent to selt-insure issued by the Director of 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).
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.).
1, 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 [$500]).
Business and Professions Code for this reason:
SK;NATURJl DATE
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, AFINAL CERllFICA'IEOF OOCUPANCYMAY NOT BE HAS MET OR IS MJBllNG THE REQ- OF THE OFFICE OF EMERGENCY SERWCS AND THE AIR POLumoN CONTROL DISIRKX.
1 hereby attirm that there IS a constructlon lending agency tor the pertormance ot the work tor which VIIS permit is lssued [Sec 309 miv~l Code).
DYES 0 NO
OYES 0 NO
OYES 0 NO AFIERJULY 1.1989 uNLEssTHE"T
SlNUCllVN Lss(umcr AL.
LENDER'S NAME LENDER'S ADDRESS
1 certl that 1 have read the applicaaon and state mat the amve intormaaon IS correct. 1 agree to comply with all City ordinances and State laws relatin! to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. IAISO~~TOSAVEINDEMNIPYANDKEEPHARMLESSTHE~OFCARLSBADM;MNSTAU.~JUDG~a)6Is AND EXF'ENSPS WHICH MAY IN ANY WAY ACCRUE AGAIN= SAID CllY IN CONSEQU"CE OF THE GRANTING OF THIS PERMFI:
OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height.
d
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CITY OF CARLSBAD INSPECTION REQUEST
bo
PERMIT# CB950849 FOR 07/26/95 DESCRIPTION: 100 SF PATIO COVER PER CITY SP INSPECTOR AREA PLANCK# CB950849
TYPE: PATIO
APPLICANT: TAMBORELLI CONSTRUCTION CONTRACTOR:
JOB ADDRESS: 2825 AVENIDA VALERA
OWNER:
REMARKS: MW/DENISE/485-1600 SPECIAL INSTRUCT:
TOTAL TIME:
CD LVL DESCRIPTION
19 ST Final Structural
OCC GG CONSTR. TYPE NEW STE: LOT: PHONE: 619-975-2043 PHONE : PHONE :
INSPECTOR hL
ACT COMMENTS
A?
***** INSPECTION HISTORY *****
DATE DESCRIPTION ACT INSP COMMENTS
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to self-insure for
the performance of the work for which this permit is issued.
- A. workers' compensation as provided by section 3700 of the Labor Code, for
I have and will maintain workers' compensation, as required by section 3700
B. of the Labor Code, for the performance of the work for which this permit is
issued. My workers' compensation insurance carrier and policy number are:
INSURANCE COMPA Y POLICY NO. EXPIRATION DATE: r?L2L/.fl d
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED
DOLLARS ($100) OR LESS)
I certify that in the performance of the work for which this permit is issued,
hall not employ any person in any manner so as to become subject to the
Warning: Failure to secure workers' compensation coverage is unlawful, and shall be
subject an employer to criminal penalties and civil fines up to one hundred thousand
dollars ($100,000), in addition to the cost of compensation, damages as provided for
in Section 3706 of the Labor Code, Interest and attorney's fees.
March 3, 1995
@ 2075 Las Palmas Dr. Carlsbad, CA 92009-1 576 (61 9) 438-11 61 FAX (61 9) 438-0894