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