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Home My WebLink About1380 PUFFIN PL; ; CB970435; Permit#: AL APPROVAL CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-ll6l PERMIT APPLICATION City of Carlsbad Building Department 2075 Las Palms Dr., carlsbad, CA 92009 (619) 438-1161 I. PRkMll li'PE From Lise 1 (see back) give code of Pennit-Type: ___________ _ For Residential Projects Only: From Llst 2 (see back) give Code of Structure-Type: ______________________ _ Net Loss/Gain of Dwelling Units 2. PROJECT INFORMATION FOR OFFICE USE ONLY Address"l:Cd'"l 'Elfu~ Nearest Cross Street 0mt No. Phase No. □ 2 Energy Cales 2 Structural Cales □ 2 Soils Report D 1 Addressed Envelope 2.. -z_.o DESCRIPTIONOFWORKI~. ~\es. ~\er- SQ. Ff. # OF SlDRIES - # OF BEDROOMS /f-c,A,,t,,..f.-5 # OF BATIJROOMS J. WN IACI PERSON (II dlIIerent from applicant) NAME (last name first) ADDRESS CllY STATE ZIP CODE DAY TELEPHONE 4. Al-'PLJ~.1 UWNIRACIOR DAGEN I FORCONIRACIUR DOWNER DAGEN I FUR OWNER NAME (last name first) ADDRESS c1TY PA,-.,<:> l.'.Ae':o sTATE CA-z1p coDE'1 z.c.:, ~ DAY TELEPHONE 'l\'\ Y s 2.. -11 t I NAME (last name first) E\0"f>""-S /S.c.t'c ~., .... ~DRESS q s-s.....:c\-e.. z..,o '-\S2.-\I~ \ tqQ1'1) c1TYM.\x>G~ STATE CIA, ZIP CODE.,' DAY TELEPHONE l\'I NAME (last name first) tJ /\I•,~' ~ ADDRESS C, 5" 'JO....-A: DAY TELEPHONE (:'ll'i) ZIP CODE<'f Z,(:,5"b s....:.;-c. "1...'C,'f'SS"'-7Jt,,,, '1S2.-1\'t \ CITY /'T\.\!P '-,/\~ STATEC.,,ir ~ STATE UC. # J\5" 2..\ '-\ UCENSE CIASS CITY BUSINESS UC. # \ 2.. 0 '-\ <\ 't° S- DESIGNER NAME (last name hrst) ADDRESS CITY STATE ZIP CODE DAY TELEPHONE STATE UC.# 7. WURkERS' WMPENSXIIDN workers' compensauon lJeclarauon. I hereby afhnn that I have a cert1hcate of consent to seif-msure issued by the btrector of lndusrnal Relations, or a cen.ificate 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). INSURANCECOMPANYs¼~ ~ POUCYNO. b'Z.I E,-IRATIONDATE '-(-t-?, rt1 1cate o xempt1on: cert1 t at mt e pe ormance o t e war or w so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE 8. OWNmt-B0nnmt DfilARAIION 0 0 0 Owner-BuJJder Deciarahon: I hereby afhnn that I am exempt from the Contractor's license Law for the iollowmg 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 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.). 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). 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, airer, 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 apP.: · civil alcy o not more than five hundred dollars [$500]). SIGNATURE ~~~f6lrf!!f!t~l!: DATE J-3-") I 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? □YES ONO Is the applicant or future building occupant required to obtain a pennit from the air pollution control district or air quality management district? □YES ONO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □YES ONO IF ANY OF THE ANSWERS ARE YES, AFINALCER'I1FICATE OF oa:IJPANCY MAY NOT BE ISSIJEDAFIERJULY I, 1989 UNLESS THE APPIJCANT HAS MET OR IS MEIITING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION ffiNTROL DJSI11ICT. I cernfy that I have read the apphcation and stale chat the above mformauon 1s correct. I agree to comply with 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 AISO AGREE 1D SAVE INDEMNIFY AND KEEP HARMIBSS THE CI1Y OF CARISIIAD AGAINSf AIL LlABIIITIES, .JUDGMENTS, CDSfS AND EXPENSES WHICH MAY IN ANY WAY ACilUJE AGAINSf SAID CI1Y IN ffiNSEQUENCE OF THE GRANTING OF TIDS PERMIT. OSHA: An OSHA pennit 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 pennit is menced within 365 days from the date of such pennit or if the building or work authorized by such pennit is suspended or abandoned at fter ~ wor is commenced for a period of 180 days (Section 303(d) Unifonn Buil~n~Code)) APPUCANTS SIGNATURE /Z. DATE: -_., Wl-IlTE: File YELLOW: Applicant PINK: Finance Inspection. List Permit#: CB970435 Type: MOHO TEMPORARY SALES TRAILER-SEA COUNTRY HOMES-CT9403 Date Inspection Item lnspe_c_to_r __ A_c_t ___ C_o_m_m_e_n_ts_ 5/5/97 31 Underground/Conduit-Wirin TP AP FEED CONDUIT TO MODEL TR 4/15/97 34 Rough Electric PY AP TRAILER Thursday, March 04, 1999 Page 1 of 1 000 IZl 0 0 uJ00 PLANNING DEPARTMENT BUILDING PLAN CHECK REVIEW CHECKLIST Plan Check No. CB j 2 -t> 4 3 ~- Planner 6 J... /I Ck '(JI/ r'lK Address _'2 ... D~z~'t-=£~1=4-U..,.~C-1 j_. _, __ _ Phone (619) 438-1161, extension t-/47/ APN: i:5/S·l-J,?-(30 Type of Project and Use: 170"l-f' 'ft 74 /y ;, Tt--:t-<-/ .e,,r: Zone: ______ Facilities Managem\i;nt Zone: _ _,,-+------------ CFO (in/out) # Circle One (If property in, complete SPECIAL TAX CALCULATION WORKSHEET provided by Building Department.) Legend ~ Item Complete D Item Incomplete -Needs your action Environmental Review Required: YES NO ✓TYPE __ _ DATE OF COMPLETION: ______ _ Compliance with conditions of approval? If not, state conditions which require action. Conditions of Approval YES NOV TYPE Discretionary Action Required: ----- APPROVAL/RESO. NO. _____ DATE ___ _ PROJECT NO. _______ _ OTHER RELATED CASES: ___________________ _ Compliance with conditions or approval? If not, state conditions which require action. Conditions of Approval Coastal Zone Assessment/Compliance Project site located in Coastal Zone? YES / NO If NO, proceed with checklist; if YES, proceed below. Determine status (Exempt or Coastal Permit Required): If Exempt, proceed with checklist; if Coastal Permit required, hold building per Permit issued. Coastal Permit Determination Form already completed? YES If NO, complete Coastal Permit Determination Form now. Coastal Permit Determination Log #: 17--21 Follow-Up Actions: NO 1) Stamp Building Plans as "Exempt" or "Coastal Permit Required" (at minimum Floor Plans). 2) Complete Coastal Permit Determination Log as needed. Ci2l D D [i2I D D 12J.□□ 12J □D llii □ □ lM □ D ttJ_DO g:JOO lnclusionary Housing Fee required: YES __ NO ~ (Effective date of lnclusionary Housing Ordinance· May 21, 1993.) Site Plan: 1. Provide a fully dimensional site plan drawn to scale. Show: North arrow, property lines, easements, existing and proposed structures, streets, existing street improvements, right-of-way width, dimensional setbacks and existing topographical lines. 2. Provide legal description of property and assessor's parcel number. Zoning: 1. Setbacks: Front: Required Shown _____ _ Int. Side: Required Shown _____ _ Street Side: Required Shown -------Rear: Required Shown ------ 2. Lot Coverage: Required Shown _____ _ 3. Height: Required Shown ______ _ 4. Parking: Spaces Required _____ _ Shown _____ _ Guest Spaces Required _____ _ Shown ------ Additional Comments ________________________ _ OK TO ISSUE AND ENTERED APPROVAL INTO COMPUTERj. ~ATE 3-/7-1'7