HomeMy WebLinkAbout2912 LANCASTER RD; ; CB911220; PermitB U I L D I N G P E R M I T
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Job Address: 2912 LANCASTER RD Str:
Permit Type: RESIDENTAL ADD/ALT (UNDR $10K)
Pnrc~l No: 167-461-36-00
Valuation: 4,725
Construction Type: NEW
Occupancy Group: Class Code:
Description: 450 SF ENCLOSED PATIO
: ICBO 3421P
Appl/Ownr : HOLBERT, JUDY A
2912 LANCASTER RD.
CARLSBAD, CA 92009
*** Fees Required
Fees:
Adjustments:
Total Fees:
Fee description
Building Permit
Plan Check
Strong Motion Fee
* BUILDING TOTAL
Enter "Y" for Elect
Enter "Y" tor Remod
* ELECTRICAL TOTAL (
*** *
,-
(619)
Permit No: CB911L2r
Project No: A9101SJ8
Development No:
F 1: Ste:
4494 09/'20/91 0001 01 02
C-PRMT 88-00
(!!)c0~3"-.
Sta
Applied: 08/2~/91
Apr/I~sue: 09/20/ql
Validated By: SBB
729-3750
.00
47.00
88.00
***
Ext fee !:>ata
72.00
47.00
1.00
120,00
5.00 V
10.00 Y
15.00
FINAL APPROVAL
INSP. -f? ;J_ -.. DATE If --1-9 (
CLEA~ ---------
CITY OF CARLSBAD
2075 Las Pal.mas Dr., Carlsbad CA 92009 (619) 438-1161
C r3 9 i I~ ~<J
PERMIT APPLICATION
City of carlsbad Building Departaent
2075 Las Pal•• Dr., carlsbad, CA 92009 (619) 438-1161
enant mprovement
B -□ Industrial □ Tenant Improvement
C -□ Residential □ Apartment □ Condo □ Single Family Dwelling .JJ Addition/ Alteration
□ Duplex □ Demolition □ Relocation □ Mobile Home U'Electrical □ Plumbing
□ Mechanical □ Pool □ Spa □ Retaining Wall □ Solar □ Other
2. PROJECf INFORMATION FOR OFFICE USE ONLY
Address "-'}}:) ZJi.~ J&(__ Budding or Suite No.
Nearest Cross Street
LEtAL DESCillP I ION Lot No. Su6d1V1s1on Name/Number Unit No. Phase No.
CHECK BEWW IF S0BMll 1£O:
□ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ l Addressed Envelope
Ass,sson·s PABC•J. 7~Zz~ ;;ft.STING~
DESCRIPTIONOFWORK ~ --,,• 8 "Sv/LJ
SQ. Ff. ?~ l) # OF STORIES
PROPOSED USE
l. ~~~,g~enmta~t) ADDRESS 3_7,5t;, ~<._ . .s:?'
CITY
NAME 11
STATE~ ZIP CODE
f}L&/4,r ADDRESS
ZIP CODE DAY TELEPHONE
ADDRESS eJ-7 ~ (beev<--
ZIP CODE 9 u <Ir' DAY TELEPHONE (.,{, ,-= & /
CITY& //clth STATE UC.#
SIGNATURE DATE
8. OWNEk-BUllDRk bF.CLAkXl1UN
Owner-Builder Oeciaratlon: I hereby afftnn that I am exempt from the Contracto?s Llcense Law for the following 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 Llcense 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 Llcense Law).
a 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 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 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 permit
subjects the applicant to a civil penalty of not more than five hundred dollars [$500]).
SIGNATURE DATE
COMPLEIE IRIS SECIION FOR NON-RESIDENIIAL B0ILblNG PERMIIS ONLY:
47.00
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?
CYES □NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
□YES □NO IF ANY OF TIIEANSWERS ARE YES, A FINAL CERTIFICATE OFoa:IJPANCY MAY NOT Bl! ISSUED AFIBRJULY 10 19891JNLESS TIIEAPPIJCANT
HAS MIIT OR IS MEfillNG TIIE REQUIREMENTS OF nm OFFICE OF EMERGENCY SERVICES AND TIIE AIR POlLIJTION WNTIIOL DISl'RICT.
9. wNSIRUCIIUN LENDING AGENCY
I hereby aihrm that there 1s a construcnon lending agency for the performance of the work for which this permit 1s issued (Sec 3097(1} Cavil Code).
LENDER'S NAME LENDER'S ADDRESS
lb. APPllCAN I CEklffiCAIION
I certify that I have read the apphcatmn and state that the above mformat1on 1s correct. I agree to comply wuh 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 AlSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS TIIE CTIY OF CARISBAD AGAINST ALL UABIIITIES, JUDGMENTS, CXlSTS
AND EXPENSES WIIlOI MAY IN ANY WAY ACCRUE AGAINST SAID QTY IN WNSEQUENCE OF TIIB GRANTING OF TIIlS PERMIT.
OSHA: An OSHA permit is required for excavations over S'O" 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 aft e k is commenced for a period of 180 days (Section 303(d) Uniform Building Code).
APPLICANT'S SIGNATURE --7YJ·1..,•tfu>--f~ ,t~ DATE: P-JZ 1-f/
WHITE: File YELL W: Applicant PINK: Finance
..
PERMIT# CB911220
DESCRIPTION: 450 SF ENCLOSED
ICBO 3421P
TYPE: RAD
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 11/01/91
PATIO
JOB ADDRESS: 2912 LANCASTER RD
APPLICANT: HOLBERT, JUDY A
CONTRACTOR:
PHONE:
PHONE:
OWNER:
REMARKS: MH/PATTY/668-0081
SPECIAL INSTRUCT:
TOTAL TIME:
PHONE:
INSPECTOR AREA PY
PLANCK# CB911220
OCC GRP
CONSTR. TYPE NEW
STR: FL: STE:
(619) 729-3750
CD LVL DESCRIPTION CT COMMENTS
19 ST Final structural
29 PL Final Plumbing
39 EL Final Electrical
49 ME Final Mechanical
------------------
------------------------------------
***** INSPECTION HISTORY*****
DATE DESCRIPTION 1 : INSP COMMENTS
PLANNING/ENGINEERING APPROVALS
PERMIT NUMBER CB 91--/cl tZtJ DATE ____..f:-:............:-~:.......c.._.._f_-....r..z-4-1/ __ _
ADDREss....;:;c:?"---,<-.i--'---1/....;;...'2-_-'/4...:..4.<Aft/t...,__,.___c.L.L'll--£_____,_~'---L.>,,e----...L&.~~c..L.J.,,.,,<l)'----
RESIDENTIAL TENANT IMPROVEMENT
RESIDENTIAL ADDITION MINOR PLAZA CAMINO REAL
( < $10,000.001
i VILLAGE FAIRE
COMPLETE OFFICE BUILDING
OTHER ____________________ _
/j7-¥6. I-36 p}-C · (2.i.,M -
ENGINEER ___________ DATE ______ _
C:\WP51\FILES\BLDG.FRM R!CORDCOPY
Rev 11 /15/90
PLOT PLAN FOR MR.~nd MRS. ki>Y l{N/J /lol!J;e/2 r DATE
• ' (ADDRESS) cP ?/,? t::/1••-{;/15~£/c
(PARCEL II) lrf7%1 J? (MAP II)-----------
(PROPOSED ADDITION),~8'9=-'-..;:;l;.:::.f;,_/c,_o;._/uJ--::.v.::;:£/1:...:__,0.::..::!.l/,_:,<J,_;_~..:...::O:.../lA __________ _
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