HomeMy WebLinkAbout2908 MANAGUA PL; ; CB962367; PermitV
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CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
I
PERMIT ,APPLICATION
tity of Carlsbad Buildi~ Department
PLAN CHECK NO. f6, ?.. ~ c
207'5 Las Palms Dr •• carlsbad, CA 92009 (619) 438-1161 FST.VALc........ ........................................ _
1. PEitMt't' 1'YPE PLAN CK DEPOSIT .... ______ _
VALID.BY ........................................ _
DATE
From List 1 (see back) give code of Pennit-Type: _ ........................................ _
For Residential Projects Only: From List 2 (see back) give
Code of Structure-Type:----------------------
Net Loss/Gain of Dwelling Units-................................................................ _
2. PRClJECT INFORMATION FOR OFFICE USE ONLY
Address ,J_ 9 ~ ¥ ~ /J.z;;.; Building or SU1te No.
Nearest Cross Street ~
LEGAL DESCRIPTION ~ Subd1V1s1on Name/Number Unit No. Phase No.
CHECK BEWW IF sUBMI I I Eb:
D 2 Energy calcs O 2 Structural calcs O 2 Soils Report D 1 Addressed Envelope
DESCRIPTION OF WORK ,lt;k 14Z~ /d ..b ~~./ ~# 641. ;~ ~ ..,,_;g;; z.;z
SQ. IT. # OF STORIES # OF BEDROOMS d. LA-.. . OF BATIIROOMS
5. PROPER1Y bWN / /
NAME (last name first) rrqJ el-,,. .l. P/--r y ADDRESS
CITY ~P/'t JiJ STATE ZIPCODE DAYTELEPHONE
6. OON'i'RACIUR
NAME (last name first) ADDRESS
CITY d/,;v, ~ STATE
STATE UC.#
ZIP CODE
LICENSE CIASS
DAY TELEPHONE
CITY BUSINESS UC. #
ast name 1rst
CITY STATE ZIP CODE DAY TELEPHONE STATE UC.#
1. WoRXERS' 00MPENsA'i1oN
Workers' Compensation Oeclarauon: I hereby aff1nn that I have a cemlicate of consent to self-insure issued by the Director of lndustnal
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
Certlllcate ot Exemption: I certify that in the perlonnance of the work tor which this penn1t 1s issued, I shall not employ any person in any manner
so as to become subject to the Workers' Compensation Laws of califomia.
SIGNATUREWDATE /pJ!J>I' 8. OWNER-BO
Owner-Builder Declaration: I hereby athnn that I am exempt from the Contractor's License Lliw tor the following reason:
0 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 Llcense 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).
D 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 Llcense 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 pennit
subjects the applicant to a civil penalty of not more than five hundred dollars [$500]).
S1GNA1URE DATE
coMPLE'iE l'Als SECl'ION FOR NON-RESlbEN'i'IAL BUILDING PERMITS ONLY:
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration fonn or risk management and
prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act?
0 YES D NO
Is the applicant or future building occupant required to obtain a pennit from the air pollution control district or air quality management district?
0 YES D NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
0 YES D NO
IF ANY OF TI-IE ANSWERS ARE YFS, A FINAL CERTIFICATE OF ocx::upANCYMAYNOf BE~ AFTER.JULY 1, 1989 UNl£'iS 1HE APPLICANT
HAS MET OR IS MEETING 1HE REQUIREMENTS OF 1HE OFFICE OF EMERGENCY SERVICES AND 1HE AIR POI1.UTION CDNTROL DISIR.ICT.
9. OONS'1ROCl10N LENDING AGENCY
I hereby afhnn that there 1s a construction lending agency for the perlonnance of the work for which this penn1t 1s issued (Sec 3097(1) C1V1i Code).
LENDER'S NAME LENDER'S ADDRESS
to. APPUCAN I CERl1FICAl10N
I certify that I have read the apphcat1on and state that the above inlormauon 1s 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 HARMll'SS TI-IE CTIY OF CARISBAD AGAINST AIL UABllIIlFS, JUDGMENTS, CDSrs
AND EXPENSES WIIlCH MAY IN ANY WAY ACXllUE AGAINST SAID CTIY IN CDNSF.QUENCE OF TI-IE GRANTING OF TIDS 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 pennit 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 pennit is not commenced within 365 days from the date of such pennit or if the building or work authorized by
such pennit is suspended or abandoned at a..!)Y-" · e afte the work is commenced for a period of 180 days (Section 303(d) Unifonn Building Code).
APPLICANT'S SIGNATU r ~ DATE: ____ ....
PINK: Finance
PE~IT# CB962367
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 02/07/97
PLUM. ,ELEC DESCRIPTION: REPAIR FIRE DAMAGE,
AND MINOR STRUCT.
INSPECTOR AREA PY
PLANCK# CB962367
OCC GRP
TYPE: MISC
JOB ADDRESS: 2908 MANAGUA PL
APPLICANT: WITHERALL, MARK
CONTRACTOR:
OWNER:
REMARKS: MW/MARK/931-1317
SPECIAL INSTRUCT: AM IF POSS
TOTAL TIME:
CD LVL DESCRIPTION
19 ST Final structural
29 PL Final Plumbing
39 EL Final Electrical
49 ME Final Mechanical
STE:
CONSTR. TYPE VN
LOT:
PHONE: 619 931-1317
PHONE:
PHONE:
INSPECTOR~~<'.':~---··~~~~~~~-
ACT COMMENTS
/Jt:_ _____ _
***** INSPECTION HISTORY *****
DATE DESCRIPTION ACT INSP COMMENTS
010297 Interior Lath/Drywall AP PY
123196 Interior Lath/Drywall NR TP D.W. TAPED PRIOR TO INSP
122796 Interior Lath/Drywall NR PY
122496 Interior Lath/Drywall NR PY
122396 Interior Lath/Drywall CA PY
121796 Frame/Steel/Bolting/Welding AP PY
121796 Insulation AP PY
121796 Gas/Test/Repairs AP PY
City of Carlsbad
M =i• ii Nii,f·I •l4·EI ;; ,,\40 I
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
G: have and will maintain a certificate of consent to self-insure for
workers' compensation as provided by section 3700 of the Labor Code, for
he performance of the work for which this permit is issued.
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 COMPANY POLICY NO. EXPIRATION DATE:
(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,
I shall not employ any person in any manner so as to become subject to the
• C. workers compensation laws of California.
Signature ~4 Date __ /~~>'--'--_,_Y/f-=-r._'4
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 92009-1576 • (619) 438-1161 • FAX (619) 438-0894
,,,u ,1 U.11;;.uU <.;U. <.;ALII--UHNIA ··--·--••••1•---·-'"' •••" ,L.__ • ~· '"'' ''-'-l J I 1\I \..,i....L
I \
LV. UNIT# MODEL ADDRESS 2.'j_o 8 11'\d)'JAbv ~ P,.t. • o2.IS--'/'J~-/o ;
DES.CRIPTION OF BUILDING
CLASS & SHAPE CONSTRUCTION STRUCTURAL EXTERIOR ROOF HEATING RATING (E,GA,F.P,l FLOORS FLOOR FINISH ?.INTERIOR FINISH
>( -/4 X i,.. Wirinn . ROOMS B 1 2 ', } Cail Lia ht Frame ;.r. Stucco Flat Forced Material Grade Walls
l)~.5 Sub·Standard Box ·, X Gable~/4 Wall Ir.. Elect. Fix. All X" l( a,p,-!>~-t Pl S1<•
'J. Standard Cone. Blk. 1-J. Siding I " x /." Hip /4 Floor I~ Plumbing k,Ft I
Above-Standard 6" I I a"• Ply. & Batts IX Shed I /4 Elect. Rad. KITCH. DETAILS Ent.Hall I -r, ,!.. 1 ..... 1
2. Stories Special Adobe .. Routed Ply. Encl. Eaves )I Tl\ermo. )( Nat.Fin.Cabs Living I CA"<
TYPE Brick Shina le Dormers Painted Cabs Dlnina
USE I DESIGN FOUNDATION Slumo Blk. Shake Raft. "x "· .. 'I:. Oven&Plate Famllv I
X Single I :lit 'f Concrete 'I-Floor Joist: J .. l> B&B )( IT&G Gutters '!. Flreolace •~k )( Dishwasher Bed i 2 <".II
Double Cone. Blk. .. SlnRkf ILa.Rk Break. Bar Bed l'l\ll.l I """' Duplex Brick .. Brick !Stone Shingle COOLING Pantrv u~o.L,'1'1 I I Tl c~
Apartment Wood Shake Refria. To~ Lumin.Ceil. 1,. • • I I
Flat-Court Piers 'I. Concrete Floor WINDOWS Tile (TL Trim Wall Unit Bit-in BBQ -· ' ,. ' Motel D.Hl lcasem't .. ·~ .,..,,.. Kitchen I
-t. Insulated Cell'as 1( M.S.f f Lvr. Compo.; Heat Pump w . Drain Bd Material: ..,-, Lgth: A. Ft. Splash:
/ Units ught I JHeavv ,. lnsulatedWalls X Slid.GI.Door I 'I.. Compo.Shingle BATH DETAIL
CONSTRUCTION RECORD EFFEC. APPR. NORMAL% GOOD RATING IE GAF Pl Fl. No FINISH FIXTURES SHOV
Builder YEAR YEAR Rem !Arch Fune. Con-Stora, eSn. Work-Ent. Floor Walls Wr, ui TIA Type Grade ISt J1 G
Per. No. For Amount Date Age Life Tbl " Cond Attr. Plan form Cup'd Clos't mnshl Dwal .l I S~l"f I z. I f'I\ (:, \
82-, <"8 <,r::o l1'l G10 S?-J'l·R~ 1,a3 \"l!.3 0 /..,.., t/J;, Joo% lflt-.J F-" ~ ~ ~ f'. vcs 2 1+ SIZ.'"PT I Z I M (. I
~1-'S'~ I P..oi.--/ 1..crtn., I,. t{'•i", I ~1 ... ~ i/l -t/lT I I "" ~ I
PULLMANS NO. LGTH. G.10 FIN. ,I
SPECIAL FEATURl:S I
Dressing Area Cantrel Vac. Jr I lo.Jo ,.,,.,,.,,,,,,~
V Wet Bar 2,... )( Excess Glass ~ Ir.:: .. " .......
X Walk-in Closets~• lt _, /< V /..1 t, JI T$ l( Tb..i:;d,>-,1
I" COMPUTATION
Appraiser & Date 7i; ~.I--/-1r-~ 3. J ./0,,11, ~ lz . ,s, g7 .
Unit Area Unit Cost Unit Cost Unit Cost Unit Cost Unit Cost Unit Cost Unit Cost Unit Co Cost "-"st ""·· Cost Cost Cost Cost Cost .
"D 1•.,... FL 2.1"\ S5,8o l17Z3S'
""b 2.ol1> 'f L . J'l~o .So. 2.0 7 2. l<lo
Lo FT /()~ 30,00 :~15'r,
Exe... r-,,..,z h,lfd '1500
is roo L ,q_vs /r,,cn:ro
9', /1,,~ n,r.4-1.
TOTAL /97~7~ u~€ It u-11"0 '
NORMAL% GOOD /oo'7..
R.C.N.L.D. ,nl .. /9 7e;7_e; ,
RE50A-11 (2/ROl <;~JI
ti ·-v ,---. ... T--~-.. ,.
·fRANS.A:CTION RECORD SOURCE Trust DeedsL Sales Conditions, Other Sales Da~
DATE
Ii
D.T.T. I INDIC. PRICE SALE fRICE DOC.NO. GRANTEE DEEDI BKR I SLR I BUY IOTH .
• ! ..
.-
.
,7 1 ~ 'p.: -
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7~ -~-~-,.., y_',~ .. ~ 'q1~·-:-v,~1t1: ·,RlJ ':JH/lb ·Jl~I./ STRUCTURES · SIZE ~g~~
MISCELLANEOUS STRUCTURES
2 :,,-r-z. I ..._ I . f--f--r--' • ~· . -/ .. 1. -. 2.S-1' l : · ?f;' "12,v q :' 21st , ~'-JI{ L r 201./ FL,41* ~Q ""<:.. C.Ol.o"c.1¥,cME~ /000117 ,,.,,..
·• -1--f'_, .. J .... 'l,, .... -··>-· -. -·-ltl/2.~ JI, t/0Y.0li"'"¥fo · \1x,a-·/()2.~~~.c.~Gt2.l(T~,,..,,,,..,1s Z,.oLF //JC
z · '11 , .. ~:_.. • .. · ,,;-" 1. :· .\~ · 'J1.111 • {I/, ?ill( l: /oZ:. ~ -p_,,,_ ~ L/oo
• a..1 _; • • 1tJ"' . ' ~ • ',I .. . . ~ t. ,.... 17" .J: ..-, . /1io1 c.s . 11 ' _'h,'11 IZ• 732. ··
\ I • . ' . ,. . · ,~ y, '3:·· ,, S7 .. ,ua. ..-2.o , .,,is :a:-,, wu ""beet<.. IHC. ... "' AU
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'1'11ti: 8i \ Lo FT' 11'1$"~ IO~,J,
COST
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