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HomeMy WebLinkAbout2215 SARA WAY; ; CB891699; PermitB U I L D I N G P E R M I T 10/30/89 11:53 Permit No: CB891699 Project No: 0A8902883- Development No: Page 1 of 1 Job Address: 2215 SARA WY Str: Fl: Ste: 1022 10/30/89 0001 01 02 Permit Type: RETAINING WkLL Parcel No: Valuation: 6,000 Construction Type: NEW C-PRMT 135-00 Occupancy Group: Class Code: Status: ISSUED Description: 500 SF PER CITY SPECS CONTRACTOR : HIRATA, RON 1807 IVY ROAD OCEANSIDE CA 92054 *** Fees Required Fees: Adjustments: Total Fees: Fee description Building Permit Plan Check Strong Motion Fee * BUILDING TOTAL *** 135.00 .00 135.00 *** Applied 10/30/89 Apr/Issue Validated By: DC Lie. C 287081 Fees Collected & Credits Total Credits: Total Payments: Balance Due: Units Fee/Unit ,00 .00 135.00 Ext fee Data 81.00 53.00 1.00 135,00 VAL 111---..-.... ~•E ~/~~fo CLEARMG ..... •._ ___ 1 CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 PERMIT APPLICATION City of Carlsbad Building Department 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 VALID. BY. _____ .,;:,,,,,,c-------- 1. PERMIT TYPE DATE ----------""'-..::------ A COMMERCIAL TENANT IMPROVEMENT B O INDUSTRIAL QNEW QTENANT IMPROVEMENT C • QRESIOENTIAL □APARTMENT QCONOO QSINGLE FAMILY DWELLING QAOOITION/ALTERATION □DUPLEX □DEMOLITION □RELOCATION QMOBILE HOME □ELECTRICAL QPLUMBING QMECHANICAL QPOOL QSPA RETAINING WALL QSOLAR 2. ATION PLAN CHECK No . Bu1 Nearest Cross Streets %ab LEGAL DESCRIPTIOII Lot No. Subd1 VIS ion Name/N'"'1ber Unit No. Phase No. CHECIC BELOol IF SUIIIIITTED: 02 Energy Cales 02 Structural Cales 0 2 Soi ls Report D 1 Addressed Envelope ASSESSOI!' S PARCEL EXISTING USE PROPOSED USE f2ET AJ tJ I t-J b BLDG. SQ. FTG. 3. CONTACT PERSON NAME ADDRESS ZIP CODE 4. CITY SIGNATURE APPLICANT NAME CITY ► "81 CONTRACTOR STATE 0 AGENT FOR CONTRACTOR ADDRESS STATE ZIP CODE DAY TELEPHONE QOWNER D AGENT FOR OIIWER DAY TELEPHONE 5. PROeERTY OWNER NAME K..1 rn o Cum rn , l'J c,, OWNER STATE L-A QLESSEE QTENANT ADDRESS "2-2 \S ~(l,A. l,t/ A.VJ CITY 001.bBl').D ZIP CODE 6. COJiTRACTQR NAME '.K0\-..1 \..\. I C2.ATA DAY TELEPHONE '":134 :::::02 Cc1 ADDRESS , 007 ,v r 1'2-D • 7. 8. CITY CC.GAN 61 O& STATE CA-. ZIP CODE C, 2.0S-4 DAY TELEPHONE 433 ...... 4-3 b ~ SIGNATURE DESIGNER CITY STATE LIC. # 2-eDOol :RCNLuLL v. tu. r:fv, NA/1E STATE WORKERS' COMPENSATION LICENSE CLASS C.cZ-1 TITLE AODRESS ZIP CODE CITY BUSINESS LIC. # DATE DAY TELEPHONE STATE LIC. # Workers' Con.,ensat1on 0eclarat 1on: hereby affirm that I have a certH1cate of consent to self4 insure issued by the Director of Industrial Relat1ons, or a cer tificate of Workers I C0fl1)ensat ion Insurance by an actni tted insurer, or an exact copy or duplicate thereof certified by the Di rector of the insurer thereof filed with the Building Inspection Depart"""'t (Section 3800, Lab. C). INSURANCE COMPANY POLICY NO. EXPIRATION DATE Certificate of Ex..,.ition: I certify that in the performanc• of the work for which this per11it is issued, I shall not ..,.iloy any person in any manner so as to become subject to the Workers' C°"""nsat ion Laws of Cali fornia. SIGNATURE DATE OWNER-BUILDER DECLARATION 0wner·Bu1lder Declaration: I hereby affirm that I am ex~t from the Contractor•s llcense Law for the follow1ng reason: O I as owner of the property or my ..,.iloyees with wages as their sole c°"""nsation, 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 inproves thereon,. and who does such work himself or through his own employees, provided that such i~rovements are not intended or offered for sale. If, however, the building or i~rovement is sold within one year of c~letion, the owner·bullder wi ll have the burden of proving that he did not build or i~rove 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 irrproves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). I am exefll)t 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, i~rove, 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, comnencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is ex..,.it 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 red dollars [S500J ). SIGNATURE DATE COMPLETE THIS SECTION FOR NON·RESIDENTIAL BUILDING PERMITS ONLY: I s 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? Ores O NO Is the appl icant or future building occupant required to obtain a permit from the air pollution control district or air quality .,.nagement district? Ores □No Is the facility to be constructed within 1,000 feet of the outer bo\mary of a school s i te7 Ores IF ANY OF THE ANS\ERS ARE YES, A FINAL CERTI Fl CATE OF OCCU'ANCY NAY NOT BE ISSUED AFTER JULY T, 1989 UNLESS THE APPLICANT HAS MET OR IS IEETING THE REIIUIREIIENTS OF THE OFFICE OF EMERGENCY SERVICES ANO THE AIR POLLUTIOII COIITROl DISTRICT. 9. CONSTRUCTION LENDING AGENCY hereby affirm that th•re is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(i) Civil Code). LENDER'S NAME LENDER'S ADDRESS APPLICANT'S SIGNATURE 10. I certify that I have read the application end state that the above 1nformation is correct. I agree to con,,lv with all Ci ty ordinances and State laws relat1ng to t,u;lding construct;on. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE INOEJINIFY ANO KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, Jl.OQENTS, COSTS ANO EXPENSES WHICH NAY IN ANY WAY ACCRUE AGAINST SAID CITY IN COIISEIIUENCE OF THE GRANTING OF THIS PERMIT . 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 conmenced within 180 days from the date of such permit or if the building or work author,zed by such permit 1s suspended or abandoned at any t ime after the work is camienced for~r1_od of 180 days (Section 303(d) Uniform Building Code). APPLI C='!:':NA TURE O OWNER 1!'J CONTRACTOR OBY PHONE APPROVED BY: ~ ul.ck I,), ~J<CtP\, DATE: _____ _ WHITE: File YELLOW: Applicant PINK: Finance PERMIT# CB891699 DESCRIPTION: 500 SF PER CITY TYPE: RETAIN JOB ADDRESS: 2215 APPLICANT: HIRATA, CONTRACTOR: HIRATA, OWNER: REMARKS: TEL/MH SARA RON RON WY CITY OF CARLSBAD INSPECTION REQUEST FOR 05/16/90 SPECS PHONE: PHONE: INSPECTOR AREA PD PLANCK# CB891699 OCC GRP CONSTR. TYPE NEW STR: FL: STE: 619 433-4368 PHONE: ~1 SPECIAL INSTRUCT: RETAINING WALL WAS INSPECTOR =:.._,c__.:,,__LJ"""'""--==::__--- FINALED MONTHS AGO TOTAL TIME: --RELATED PERMITS-- CD 69 LVL DESCRIPTION MA Final Masonry PERMIT# TYPE CB891317 RAD ACT STATUS ISSUED COMMENTS r. /!L _-'-r,_,_1_,-J-_ti--_L-______ _ ------------------ DATE DESCRIPTION 103189 Footing ***** INSPECTION HISTORY***** ACT INSP AP PD COMMENTS