HomeMy WebLinkAbout1343 SAVANNAH LN; ; CB960567; PermitI
@)L,. ~, ?;Jft;r/.f" BU I L D I NG P E R M 1 T Permit No: CB960567
Project No: A9600782
Development No:
o 3 I 2 8 /-:~ 1 2 : 3 6
Page r of 1
1Job Address: 1343 SAVANNAH LN
Permit Type: PATIO/DECK
Parcel No: 215-710-12-00
Valuation: 2,363
Suite:
Lot#:
Occupancy Group: Reference#:
6752 03/28/96 0001 01 02
Construction Type: NEW
Statu's-f'Rij:TssUED 90-00
Description: 350 SF PATIO COVER-PER CITY SP Applied: 03/25/96
Apr/Issue: 03/28/96
Entered By: RMA
619-558-7337 Appl/Ownr : JENSEN CO
9540 MAPLE ST
SAN DIEGO CA
*** Fees Required
Fees:
Adjustments:
Total Fees:
Fee description
Building Permit
Plan Check
Strong Motion Fee
"'BUILDING TOTAL
***
92120
F
.00
.00
90.00
***
Ext fee Data
54 .00
35 .00
1.00
90.00
I NS"'· -,~~.£<.Ill rr-~_,__........._-,,..t-
CLE RANC
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92()()() (619) 438-1161
' PERMIT APPUCATION . 0 .
City of Carlsbad Building Department
2075 Las Pal-: Of; Carlsbad, CA 92009 (:19) 438-1161
I. P£ltMt I IVPE ~\'\et' V\ U h'I f Ci I,\ j
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From List 1 (see back) give code of Permit-Type: ____________ _
For Residential Proiects Only: n List 2 (see back) gi/
Code of Structure-Type: tJ.::)."5'l D L..-(/ V e.v-
Net Loss/Gain of Dwelling Units
2. PRO.JECf INFORMATION FOR OFFICE USE ONLY
Address 13 '-j 3 :5A1.A, \'I, l'\C::,, '-, "1!!51{n&_ or suue No
Nearest Cross Street
::: ::::: : No.
Phase No.
D 1 Addressed Envelope
EXISTING USE PROPOSED USE
# OF STORIES # OF BA TI!ROOMS
rom app 1ca
\.'\Se"'-.,,. , t
CITY DAY TELEPHONE
NAME (last name first) ADDRESS / 'J 4J
DAY TELEPHONE
~t.,,t::;"16'tc:= ..,,
CITY • ST
6. alNIRACiuk ::, ...
NAME (last name first) vYlJ'(.."-'\
ZIPmDE c:;;, 4]r£w.SS6~--
ADDRESS
)TATE ZIP mDE
ST A TE i£ r t:y{) 6 '.2..icENSE CLASS
DAY TELEPHONE
c-;;i..) CITY BUSINESS LiC. # / ;i. C)
ast name 1rst
CITY STATE ZIP CODE DAY TELEPHONE STATE UC.#
7. WORKERS' rnMPF.NSAliUN
workers' compensauon uecJaranon: I hereby affirm that I have a cert1hcate of consent to self-msure issued by the Director ol 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 the~led wit the Building Inspection Department (Section 3800, Lab. C).
INSURANCE COM .._,."-"' "' rouc/~'36/7~9 fuIRATION DATE s--,
□
□
□
ere ya a am exemp rom e n ac o s cense w or e o owmg 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).
1 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 pennir to construct, alter, improve, demolish, or repair
any structure, prior to its issuance, also requires the applicant for such pennit to file a signed statement that he is licensed pursuant to the
provisions of the Contractor's License 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 nor more than five hundred dollars [$500]).
SIGNATURE DATE
CUMPLf'.1£ iHlS SECildN FUR NON-RES!Di:'.N !!At Bdltb!NG PERMIIS ONLY:
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration fonn 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
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
□YES □NO
IF ANY OF TIIBANSWERS ARE YES, AFINAL CERTIFICATE OF OOCUPANCY MAY NOT BE ISSIJED AFIBRJIJLY 1, 1989 UNLESS TIIBAPPIJCANT
HAS MET OR IS MEETING TIIB REQUIREMENTS OF TIIB OFFICE OF EMERGENCY SERVICES AND TIIB AIR POLLUTION CONTilOL DISilUCT.
9. WNSI RUCIION LHNDING AGENCY
I hereby affirm that there 1s a construction lending agency for the perfonnance of the work for which this permit 1s issued (Sec 3097(1) Civil Code).
LENDER'S NAME LENDER'S ADDRESS
10. APPUCANI CERIIFUIION
I cerury tnat l nave reaa tne apphcauon and state char the aoove information 1s correct. I agree to comply with 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 AISO AGREE 1U SAVE INDEMNIFY AND KEEP HAIIMLF-'iS TIIB CfIY OF CARISBAD AGAINST AIL LlABILITIES, JUDGMENTS, CX>STS
AND EXPENSES WHICH MAY IN ANY WAY A<DUIE AGAINST SAID CfIY IN CONSF.QUENCE OF TIIB GRANTING OF TIIlS 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 ·
building or work authorized
such permit is suspended or
APPLlCANT'S SIGN
ing Official under the provisions of this Code shall expire by limitation and become null and void if the
not commenced within 365 days from the date of such pennit or if the building or work authorized by
·me aft e work is commenced for a period of 180 days (Section 303(d) Uniform Bull ·n 6 DATE:
YELl.OW: Applicant PINK: Fmance
CITY OF CARLSBAD
INSPECTION REQUEST
PERMfT# CB960567 FOR 04/12/96
DESCRIPTION: 350 SF PATIO COVER-PER CITY SP
TYPE: PATIO
JOB ADDRESS: 1343 SAVANNAH LN
APPLICANT: JENSEN CO
CONTRACTOR: QAJ,-.,?C,...
OWNER:
REMARKS: BJN/DAN/412-0702 PAGER
SPECIAL INSTRUCT:
TOTAL TIME:
LVL DESCRIPTION
PHONE:
PHONE:
PHONE:
ACT COMMENTS
INSPECTOR AREA PD
PLANCK# CB960567
CCC GRP
CONSTR. TYPE NEW
LOT:
CD
19 ST Final structural £ _______ _
------------------------------------------------------
***** INSPECTION HISTORY*****
DATE DESCRIPTION
032996 Ftg/Foundation/Piers
ACT INSP
AP PY
COMMENTS
OK TO POUR
STATE Of CALIFORNIA-THE RESOURCES AGENCY PETE WILSO~, Governor
CALlFORNIA COASTAL COMMISSION
SAN DIEGO COAST AREA
3111 CAMINO DEL RIO NORTH, SUITE 200
SAN DIEGO, CA 92108-1725
(619) s21-eo36 EXEMPTION LETTER
DATE:
NAME:
March 27. 1996
Eric Jensen Company
9540 Haples st .• Suite F-2
San Diego. ca 92121
LOCATION: 1343 savannah Lane. Carlsbad
PROJECT: 12' x 22' patio cover for existing single-family residence.
This is to certify that this location and/or proposed project has been
reviewed by the staff of the Coastal Commission. A coastal development permit
is not necessary for the reasons checked below.
__ The site is not located within the coastal zone as established by the
California Coastal Act of 1976, as amended.
The proposed development is included in Categorical Exclusion
No. ____ adopted by the California Coastal Commission.
The proposed development is judged to be repair or maintenance activity
not resulting in an addition to or enlargement or expansion of the object
of such activities (Section 30610(d) of Coastal Act).
__ The proposed development is an improvement to an existing single family
residence (Section 30610(a) of the Coastal Act) and not located in the
area between the sea and the first public road or within 300 feet of the
inland extent of any beach (whichever is greater) (Section 13250(b)(4) of
14 Cal. Admin. Code.
_X_ The proposed development is an improvement to an existing single family
residence and is located in the area between the sea and the first public
road or within 300 feet of the inland extent of any beach (whichever is
greater) but is not a) an increase of 10% or more of internal floor area.
b) an increase in height over 10%, or c) a significant non-attached
structure (Sections 30610(a) of Coastal Act and Section 13250(b)(4) of
Administrative Regulations).
(OVER)
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Page 2
__ The proposed development is an interior modification to an existing use
with no change in the density or intensity of use (Section 30106 of
Coastal Act).
__ The proposed development involves the installation, testing and placement
in service of a necessary utility connection between an existing service
facility and development approved in accordance with coastal development
permit requirements, pursuant to Coastal Act Section 30610(f),
__ The proposed development Is an Improvement to a structure other than a
single family residence or public works facility and is not subject to a
permit requirement (Section 13253 of Administrative Regulations).
__ The proposed development is the rebuilding of a structure, other than a
public works facility, destroyed by natural disaster. The replacement
conforms to all of the requirements of Coastal Act Section 30610Cg).
Other:
Please be advised that only the project described above is exempt from the
permit requirements of the Coastal Act. Any change in the project may cause
1t to 1 ose its exempt status. This cert if I cation Is based on I nformatlon
proviced by the recipient of this letter. If. at a later date, this
Information is found to be incorrect or incomplete, this letter will become
invalid, and any development occurrir.g at that time must cease until a coastal
development permit is obtained.
Truly yours,
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