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HomeMy WebLinkAbout2402 SACADA CIR; ; CB951637; Permit11/08/95 15:59 Page 1 of 1 B U I L D I N G Job Address: 2402 SACADA CR Permit Type : MISCELLANEOUS Parcel No: 216-190-40-01 Valuation: O P E R M I T Suite: Lot#: Permit No: CB951637 Project No : A950239o Development No: Construction Type: Occupancy Gr oup: Reference#: Status : VN ISSUED 11/08/95 11/08/95 MDP Description: REMODEL EXISTING BATHROOM Appl/Ownr : MULLEN, ED 2890 PIO PICO CARLSBAD, CA. 92008 Fees Required Fees: Adjustments: Total Fees: Fee description Miscellaneous Fee Miscellaneous Fee #2 Miscellaneous Fee #3 * MISCELLANEOUS TOTA~ *** Applied: Apr/Issue: 619 Entered By: 434-2233 4582 U 08 ,.-, · 1(\/' 1 Fees Collected & Credits r Total Credits : Total Payments: Balance Due : Units Fee/Unit 34.00 25.00 20 .00 .00 .00 79.00 Ext fee Data 34. 00 PLUMBINC 25.00 STRUCT. 2 0 . 0 0 ELECTRIC 79.00 ~PPROVA¼~ 1 ,~ DATE ~ L-~~6 CE CITY OF CARLSBAD 2075 Las Pal.mas Dr., Carlsbad, CA 92009 (619) 438-1161 • PERMIT APPLICATION PLAN CHECK NO. C/_, ~ - City of Carlsbad Building Department 2075 Las PalllllS Dr., carlsbad, CA 92009 (619) 438-1161 EST.VAL~---------- 1. PMMtl fiPE PUN CK DEPOSIT _______ _ VALID. BY ___________ _ DAT!! 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. PROJEcr INFORMATION FOR OFFICE USE ONLY Address 2'/()2 B :sk;,40,1 C/~.'.''~ CcJ5T'4 C:r/ C/2cJfl Nearest Cross ~eet C,4 c:/Alf/7l=: I Lf:tAt DESCRiP'IION Lot No. Su&hvis1on Name/Number Unit No. Phase No. CHEcl<fer{;~\; {%&i~~ -02-WT/</t,-0/ CtJ51F! 9rlm-l-I D 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ l Addressed Envelope ASSESSOR'S PARCEL DESCRIPTION OF WORK SQ. IT. # OF SWR!ES # OF BEDROOMS # OF BATHROOMS 3. WN IACI PEJtSON (II dlUerent from apphcant) NAME (last name first) ADDRESS CITY STATE ZIP CODE DAY TELEPHONE 4. APPllCANI UCONIRACIOR DAGEN I FORWNIRACIOk ADDRESS □ OWNER □ AGEN I FOR OWNER NAME (last name first) CITY STATE ZIP CODE DAY TELEPHONE 5. PKUPF.ltIY OWNFA NAME (last name first) /;15 j),lf'f"Jg(tJ/,1-@-1,j" ADDRESS ZIPCODE ~Ob? DAYTELEPHONE C];JAJs~ CITY~/B,t:Jo STATEC}f ZIPCODE 72'~ STATE !JC.# 'fZ/iWSLJcENSE CLASS DAY TELEPHONE Wit'-22 3::, CITY BUSINESS !JC. # G IV• ast name 1rst CITY STATE ZIP CODE DAY TELEPHONE STATE !JC.# 7. WukkERS' WMPENSA'I ION Workers' Compensauon Declaranon: I hereby afhrm that l 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 Cert1hcate of Exempuon: I certify that m the performance of the work for which ibis permit IS issued, I shall not employ any person many manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE a_ OWNmt-B0lll5m IM!CAM:lioN □ □ □ Owner-BuiJder Declaration: I hereby afhrm that I am exempt from the Concfacfo?s Llcense Law for the ioliowmg 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 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.). 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 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 COMPLETE IHIS SEGIIUN FOR NON-RESIDENJJAL BUIWlNG PERMIIS ONLY: ls 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? □YES □NO ls the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ YES □ NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF oa:uPANCY MAY NOT BE~ AFTl!RJIJLY I, 1989 IJNLESSTHEAPPUCANT HAS MITT OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE ADl POILIJTION ffiNTROL DISl1UCT. 9. WNSIR0CIRffl i.ENDLNG AGENCY I hereby afhrm that there 1s a construction lendmg agency for the performance of the work for which this permit IS issued (Sec 3097(1J Civil Code). LENDER'S NAME LENDER'S ADDRESS 10. APPUCAN I CER11PICAl10N I certify that I have read the apphcanon and state that the above mformat1on 1s correct. I agree to comply wtth all City ordinances and State Jaws 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 1U SAVE INDEMNIFY AND KEEP HARMLESS THE CflY OF CARISIIAD AGAINSf AIL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WIIICH MAY IN ANY WAY ACCRUE AGAINSf SAID CflY IN ffiNSEQUENCE OF THE GRANTING OF TIDS 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 permit issued b building or work authorized by such permit is suspended or a APPLICANT'S SIGNATURE · · Official un visions of this Code sha · by limitation and become null and void if the 5 daY5: the d permit or if the building or work authorized by m a -,,,-.,--days (Section 303(d) Unifonn B · · DATE : Applicant · Finance • . - CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB951637 FOR 12/28/95 DESCRIPTION: REMODEL EXISTING BATHROOM TYPE: MISC JOB ADDRESS: 2402 SACADA CR APPLICANT: MULLEN, ED CONTRACTOR: OWNER: PHONE: PHONE: PHONE: INSPECTOR AREA PY PLANCK# CB951637 OCC GRP CONSTR. TYPE VN STE: LOT: 619 434-2233 REMARKS: BJN/CHRIS/434-2233 SPECIAL INSTRUCT: r)t, INSPECTOR ____ '--<' ______ _ TOTAL TIME: CD LVL DESCRIPTION ACT COMMENTS 19 ST Final Structural 29 PL Final Plumbing 39 EL Final Electrical 49 ME Final Mechanical d--- --------------------------------------------------------- ***** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP COMMENTS 122695 Final Structural co PY SEE INSP NOTES 122095 Final Combo NR PY 121895 Final Combo NR PY 120495 Interior Lath/Drywall AP PY 120195 Interior Lath/Drywall NR DC 112995 Gas/Test/Repairs AP PY 112795 Rough Combo AP PY