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Home My WebLink About2663 SAUSALITO AVE; ; CB960008; PermitB V I L D I N G 01 l., 96 12:07 P E R M I T Permit No: CB960ll0tl Project No: A9600017 Development No: Paae 1 of 1 Job Address : 2663 SAUSALITO AV Permit Tvpe : PATIO/DECK Parcel No: 167-512-14-00 Valuation: 3 31::l Suite: '>354 011~3. 96 OOC1 ~ Lt#: C-.: ,Mi Occupancy Group: Reference#: Construction Type: NEW Status : ISSUED Applied : 01/03/9h Apr/Issue: 01/03/96 Entered By : RMA 619-481-6113 Description : 50 SF PATIO.COVERED-PER CITY : SPECS Appl/Ownr : SHELLENBERGER, DEAN 2663 SAUSALITO AV CARLSBAD CA 9200~ Fees Required Fees: Adjustments: Total Fees: Fee description Buildinq Permit Plan Check Strong Motion Fee 1 BUILDING TOTAL -,. L t CITY OF CARLSBAD .00 .00 20 .00 t Ext fee Data 15 .00 10.00 1. 00 26.00 FINAL APPROVAL J>V DATE I ·/1·cff4 ANCE _____ , 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 P'l!RMIT APPLICATION PLAN CHECK NO. -G OC)O City of Carlsbad Building D_,tant 2075 Las Pal-Dr., Carlsbad, CA 92009 (619) 438-1161 i. WWWI hPE From Ust I (see back) give code of Permit-Type: ___________ _ For Residential Projects Only: From list 2 (see back) give Code of Structure-Type: ____________________ _ Net Loss/Gain of Dwelling Units 2. PRQJECT INFORMATION Address Bu1ldmg or Suite No. FOR OFFICE USE ONLY 2(;(;,~ S/\US~Llf"O Nearest Crou Street AV~ U\tU.S 6AO cA I 11:GAt DESC:Rufl ION Lot No. Subd,...,s1on Name/Number Omt No. Phase No. CHECK BEWW If SOBMI I I ED: □ 2 Energy Cales □ 2 Structural Cales □ 2 SOils Repon □ I Addressed Envelope ASSESSOR'S PARCEL EXISTING USE PBOPQSEP USE DESCRIPTION OF WORK p~-r,o c.ovE.(Z.. SQ. FT. SO Satvl\Ml-F(I.(,"( # OF SIURIES # OF BEDROOMS # OF BAIBROOMS 3. WN IA...:I PERSON (11 dnlerent from apphcanO NAME (last name fim) $,\M (. . i'\-S # 4-ADDRESS CI1Y STATE ZIP CODE \ U DAY TELEPHONE 4. APPllCANI UWNIRACIOR OAGENI FORCONIRACIOR jij[WNER UAGENI FOR OWNER NAME (last name first) 5'~iU-,C..iSfv61iiZC.l'IZ-I ~ ADDRESS 2-C.G,?, SAVSI\Ll-r"O ,o,v-1{__ #- CI1Y C../\rH •. S~O STATE CA, ZIPCODE '1~008 DAYTELEPHONE 4tl-'-itS 12.3-Z. NAME (last name first) $11-M It-A,; ,I:/ 4-ADDRESS CI1Y STATE ZIP CODE DAY TELEPHONE NAME (last name first) ADDRESS CITY STATE ZIP CODE DAY TELEPHONE STATE UC.# LICENSE CLASS CI1Y BUSINESS UC. # DESIGNER NAME (last name hrst) ADDRESS CI1Y STATE ZIPOODE DAY TELEPHONE STATE UC.# 7. WOkki!itS' WMPENSAIIUN Workers' COmpensauon Deciarat1on: i hereby affirm ffiat I have a ceruhcate of consent to self-msure tsSued by ffie Director of lndustnal Relations, or a cenificate 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 teruhcate of Exemption: I cerufy that m the periormance 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. OWNffi-B0tmm IM!LXRAIION □ □ Owner-Budder Declaration: I hereby afhrm ilia[ I am exempt from the Confracfofs Llcense Law for fne 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 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 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 ncractor's license Law (Chapter 9, commencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is e m t therefro th sis for the alleged exemption. Any violation of Section 7031.S by any applicant for a permit subjects the a Ii nt lo a civil I ot ore than five hundred dollars [$500]). l SIGNATIIRE /-,,/-C-"'1/l DATE I 3 l q6 Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevencion 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 Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ YES □ NO IF ANY OF nm ANSWERS ARE YES, AFINALCl!RTIFICATEOFOCx:IIPANCY MAYNOf Bl!~ AF11!RJIJLY I, 1989 IJNUlSS nmAPPUCANT HAS MET OR IS MEETING 11IB REQIIIREMENTS OF 11IB OFFICE OF EMERGENCY SERVICES AND 11IB AIR POLLIJTION CDN11IOL IllSl1UCI". 9. WNSIR0CJJON iENDlNG AGENt'Y I hereby afhrm that there IS a construction lending agency for the periormance of the work for which this penmt IS 1SSued (Sec 3097(ij CivU Code). LENDER'S NAME LENDER'S ADDRESS JO. APPIJCAN I CERIIFICXIJON I certJfy that I have read the appUcat.1on and state that the above mformat1on ts correct. I agree to comply wain all 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 ALSO AGREE ro SAVE INDEMNIFY AND KEEP HARMlJ!SS nm QTY OF CARISBAD AGAINST AU. UABIUI1ES, JUDGMENTS, CXJSfS AND EXPENSES WIIlOI MAY IN ANY WAY Aa:RUE AGAINST SAID crIY IN CDNSEQUENCE OF nm GRANTING OF nus PERMIT. OSHA: An OSHA pennit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Expiration. Every building or work such pennit is s APPLICANT' SI · under the provisions of this Code shall expire by limitation and become null and void if the enced within 365 days from the date of such pennit or if the building or work au~Mf r the work is commenced for a period of 180 days (Section 303(d) Uniform Buildin /' DATE: I:> e YEIJ.OW: App 1cant PINK: Finance 0 PERMIT# CB960008 DESCRIPTION: 50 SF SPECS TYPE: PATIO CITY OF CARLSBAD INSPECTION REQUEST FOR 01/16/96 ~ATIO,COVERED-PER CITY JOB ADDRESS: 2663 SAUSALITO AV APPLICANT: SHELLENBERGER, DEAN CONTRACTOR: PHONE: PHONE: OWNER: PHONE: INSPECTOR AREA DC PLANCK# CB960008 OCC GRP CONSTR. TYPE NEW STE: LOT: 619-481-6113 REMARKS: MW/DEAN/434-7827 SPECIAL INSTRUCT: INSPECTOR _D_v ________ _ TOTAL TIME: CD LVL DESCRIPTION ACT COMMENTS 19 ST Final Structural tJ.t:. f',,/4(./ --------------------------------------------------- ***** INSPECTION HISTORY***** DATE 011096 010996 DESCRIPTION Ftg/Foundation/Piers Ftg/Foundation/Piers ACT INSP AP DC CO PD COMMENTS ND APPROVED PLANS ON JOB