The URL can be used to link to this page

Home My WebLink About1688 ROBIN PL; ; CB972217; PermitB U I L D I N G P E R M I T Permit No: CB972217 Project No: A9702794 Development No: 08/06/97 17:07 Page 1 of 1 Job Address: 1688 ROBIN PL Suite: Permit Type: PATIO/DECK ----""'-~ '",, ,r,,-, 1\1\l\'I A1 02 Parcel No: 215-740-08-04 Lot#: Valuation: 1,775 Occupancy Group: Reference#: Construction Type: NEW Status: ISSUED Applied: 08/06/97 Apr/Issue: 08/06/97 Entered By: JM Description: COVERED PATIO 263 SF Appl/Ownr: FIMBRES CHUCK 1688 ROBIN PLACE CARLSBAD, CA 92009 *** Fees Required *** *** Fees : Ad'ustments: Total Fees: 69.00 . 06 69 .0 0 760 929-0011 Fees Collected & Credits Total Credits : Total Payments: Balance Due: .00 ,00 69 .00 *** Fee description Building Permit Plan Check Units Fee/Unit Ext fee Data Strong Motion Fee * BUILDING TOTAL h AL AP r., ·1-1 41,00 27.00 1.00 69.00 ,,~~ ... ,,'DA Et.1.~.M -9 CITY OF CARLSBAD 2075 Las Palrnas Dr., Carlsbad, CA 92009 (619) 438-1161 FOR OFFICE USE ONLY PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1 161 PLAN CHECK NO. f7Zll7 EST. VAL. ---'-/_7_?--'-'5-'~--- Plan Ck. Deposit & Z, 6.J ~:::•ted By ,~7 1. PROJECT INFORMATION Business Name (at this address) Total # of units Existing Use Proposed Use 11£· #of Stories # of Bedrooms # of Bathrooms Name City State/Zip Telephone # Fax# (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, commending 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 ($5001). Name Address City State/Zip Telephone # State License # _________ _ License Class _________ _ City Business License # _______ _ Designer Name State License # 6. ~=-:::..-:;.~~-=~-~------- Address City Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: State/Zip Telephone 0 I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. D I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My worker's 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) 0 CERTIFICATE OF EXEMPTION: 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 Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall 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. DATE i. ---:::::======:-::-: I hereby affirm that I am exempt from the Contractor's License Law for 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). 0 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). 0 I am exempt under Section ______ Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement.~ YES ONO 2. I (have / have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone number/ contractors license number): ________________________________________________ _ 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type of work): __________ _,,..,,..-,----:--R--T-11----=--------------------,,"""--r-....,..--,------------ PROPERTY OWNER SIGNATURE .• CI u.ek \5~ DATE 6-.£:97 ,COMPLETE THIS SECTIOl'U',QF.I NON-RfSIDE/tTIAL BUILDING PERMIT,J)f'L Y 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? D YES O NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES D NO I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S ADDRESS ________________________ _ I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the Citt of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 6'0" 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 after ~~rk ~s ~f~e1 for period of 180 days (Section 106.4.4 Uniform Building Code). "':-6 ~ APPLICANT'S SIGNATURE _...:;L)=-=.:)/ ___ J._A.e-!.../\<-..-=.....L.--..:::...:....a...::..._____________ DATE __ ::Q...,.."--=-__i__J._:c._-4-____ _ WHITE: File YELLOW: Applicant PINK: Finance PERMIT# CB972217 DESCRIPTION: COVERED PATIO 263 TYPE: PATIO JOB ADDRESS: 1688 ROBIN PL APPLICANT: FIMBRES CHUCK CONTRACTOR: OWNER: REMARKS: C/CHUCK/929-0011 SPECIAL INSTRUCT: TOTAL TIME: CD 19 LVL DESCRIPTION ST Final Structural CITY OF CARLSBAD INSPECTION REQUEST FOR 10/28/97 INSPECTOR AREA NF PLANCK# CB972217 OCC GRP SF CONSTR. TYPE NEW STE: LOT: PHONE: 760 929-0011 PHONE: PHONE: INSPECTOR JJF ACT COMMENTS ;1-P ____ _ -------------------- -------------------- -------------------- ***** DATE DESCRIPTION 101697 . Ftg/Foundation/Piers 101597 Ftg/Foundation/Piers INSPECTION HISTORY***** ACT INSP COMMENTS AP NF AP ON 10/15/97 AP NF l3