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Home My WebLink About2913 LANCASTER RD; ; CB921262; Permit.... AN ) /[) 4 1, 24 .. ,r Yf E' • NEW ;ro 1 : r.: 4 1P ICB ENt fA A r:,l wnr : ~ U HBAV 8 ILDE.H::, Jl 6 uR NE TREE& E-MUN ROVE, f-" R£•qu 1 red F'ee B A P renc-•#: ... 4 CITY OF CARLSBAD + : t#: [J 'V 0368 12/08/92 0001 01 02 C-PRMT 52-00 '/ 1 & t l t- E: xt ! 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 ------ PERMIT APPLICATION ~ ~ PLAN CHECK NO. City of carlsbad Building Departaent 2075 Las Palms Dr., carlsbad, CA 92009 (619) 438·1161 ESI".VAL~-=--------PIAN CK Dl!POSIT _______ _ VAIID. BY __________ _ I. PFJlMI I liPR A -U Commerctal B -□ Industrial C -illResidential Li New Bu1idmg □ New Building Li tenant Improvement □ Tenant Improvement □ Apartment □ Condo □ Single Family Dwelling 1' Addition/ Alteration □ Duplex D Demolition LI Mechanical □ Pool 0 Relocation □ Mobile Home □ Electrical O Plumbing □ Spa □ Retaining Wall □ Solar □ Other DATI! 2. PROJECT INFORMATION FOR OFFICE USE ONLY Address ~ ,1 /) [ u\"' ( ; ,,,le' y' ,, ) ~est Cross Street BuJJdmg or Suite No. LEGAL DESCRII'I loN Lot No. Suix11VJs1on Name/Number Omt No. Phase No. CHECK BEWW IF SUBMI I zfJ? □ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope ASSESSOR'S PARCEi. EXISTING USE PROPOSED USE DESCRIPTION OF WORK ~Ff. # OF STORIES ·NAME ADDRESS CI1Y STATE ZIP CODE DAY TELEPHONE 4. APPLICAN I NAME UWNiRACIOR DAGEN I FURCONIRACIUR DOWNER OAGENI FOR OWNER ADDRESS CITI STATE ZIP CODE DAY TELEPHONE S. PROPRkJV OW¥1'.R NAME \..)---L, i, o¼ Vi ADDRESS ~ C,,v ,bG,· STATE C~, ZIP CODE DAY TELEPHONE NAME s:· C, v1-\-~ 1')~ \1.i,<, l,..lt1,,i CITY le("'>,c, CN,:;ce STATE cc:._\ ZIP CODE '1 f1 '() - LICENSE CLASS ADDRESS DAY TELEPHONE ( l '6 v U,s ( CITI BUSINESS UC. # ~ STATE UC.# Lf'J'I DESIGNER NAME CITI STATE ZIP CODE DAY TELEPHONE STATE UC.# 7. WUkRERS' WUPENSAIION Workers' Compensation Declarat1on: I hereby af11rm that I have a ceruhcate of consent to self-msure 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 Certificate of Exemption: I certify 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. OWNER-BOllDRk DFi!OOtAJIUN Owner-Builder Declaration: I hereby affirm that I am exempt from the Contracto?s Llcense 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 Ccxle: 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 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]). SIGNATIJRE DATI! COMPLEIE IRIS SECIION FOR NON-RESIDEN IIAt BOILDING PERMIIS 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 ls the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □YES □NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □YES □NO IF ANY OF TIIB ANSWERS ARE YES, A FINAL CERTIFICATI! OF oa:IIPANCY MAY Nill BE ISSUED AFTER JULY I, 1989 UNLESS TIIB APPIJCANT HAS MlIT OR IS MI!IITING nm REQIIIREMENT5 Of nm Ofl'ICB Of EMERGENCY SERVICES AND TIIB AIR l'OlllITION CDNTilOL DISfRICT. 9. WNS I KOCI ION LENDING AGENCY I hereby afhrm that there 1s a construction lending agency for the performance of the work for which this permit 1s issued (Sec 3097(1) dvlJ Cocle). LENDER'S NAME LENDER'S ADDRESS IO. APPUCANI t!Eklll'ICAIIUN I certify that I have read the appUcauon and state that the above mformauon 1s correct. I agree to comply with ail 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 AI.50 AGREE TO SAVE INDEMNIFY AND KEEP IIARMllSS TIIB QTY Of CARISBAD AGAINST AU. L1ABIU11ES, JUDGMENTS, CDSTS AND EXPENSES WIIlCII MAY IN ANY WAY NDUJE AGAINST SAID QTY IN CDNSEQUENCB OF TIIB GRANTING OF TIIlS PERMIT. 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 pennit iss4ed by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or wor~atII)torized/.b~ such permit is not commenced within 365 days from the date of such permit or if the building or work authorized by such permi~uspe/d r 1 arndoned at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code). APP. CANri' SIGNA y DATE: ------- / /1 I// ---r---- WJ-11 Applicant PINK: Finance ,. CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB921262 FOR 12/15/92 DESCRIPTION: 3421P ICBO ENC PATIO 144 SF TYPE: PATIO JOB ADDRESS: 2913 LANCASTER RD APPLICANT: SOUTHBAY BUILDERS CONTRACTOR: OWNER: PHONE: PHONE: PHONE: INSPECTOR AREA PY PLANCK# CB921262 OCC GRP CONSTR. TYPE NEW STR: FL: STE: 619 668-0081 REMARKS: MH/PATTY/668-0081 SPECIAL INSTRUCT: .. --( INSPECTOR ? }__ /-tf~-F=----- TOTAL TIME: CD LVL DESCRIPTION 19 ST Final Structural 29 PL Final Plumbing 39 EL Final Electrical 49 ME Final Mechanical ---______________ __, ---______________ ........:... ------------------ ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS . SOUTH BAY BUILDERS ' ' .' Jt ·I>LOT PLAN . .. ··:./·.( ... ·.' :' ' ~' ' I . : t FOR:'· ?tf (M G,2t:&111::::l Frei::Jcb DATE !..I.. -2: ·~ . -' ~ 2- ADDRESS: d, cu 1> LtAn. w1<±ev r .. ( (< CITY OF; Grfs.WJd I.,O'r # ~1i MAP # Jo6o l ACCESSOR PARCEL # L ' 2-'1.,L -l ::I.. ••••••••••=••===••=======;===============;==:======s•c••••••=~•••••••••••••=== TOTAL SQ.FT. PURPOSED: / ½Y r/1 , .. , J._ (( - . SCALE -4--lj I tft -1±-+=l~+--l--l . l ! • r . I \I' r ~r-··: . ·< .. . -•--.. ----·. --·--:' .... ,.... ... .. ' . . . . j : i ' I I I r···-r-r·· r · •. i r ..... ( ..... -· ·:··-··l;ior· I r···,··· .. :· ~ ... 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