HomeMy WebLinkAbout2697 SAUSALITO AVE; ; CB911301; PermitB U I L D I N G P E R M I T Permit No: CBY11301
Project No: A9101627 09/13/91 14:51
Page 1 of 1 Development No:
Job Address: 2697 SAUSALITO AV Str: F~: Ste:
Permit Type : RESIDENTAL ADD/ALT (UNDR $10K)
Parcel No: 1b7-512-20-00
Valuation: 3,528
Construction Type: NEW
Occupancy Group: Class Code:
Description: 336 SF PATIO ENCL./ICBO#4383P
Appl/Ownr : KNIGHT LIVING TRUST
2697 SAUSALITO AV
CARLSBAD , CA 92008
*** Fees Required
Fees:
Adjustments :
Total Fees :
Fee description
Building Permit
Plan Check
Strong Motion Fee
* BUILDING TOTAL
4413 09/13/91 0001 01 02
C-PRHT 115-00
CR lo~~
'>tatus: ... 5SUED
Applied: 09/13/91
Apr/Issue: 09/13/91
Validated By: SBB
(619)434-8074
.00
.00
115 .00
Ext fee Data
63 .00
41.00
1.00
105 .00
5.00 Y
y
10.00
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161
PERMIT APPLICATION
City of Carlsbad Building Departaent
2075 Las Pal_,. Dr., tarlsbad, CA 92009 (619) 438-1161
I. PEkMl I liPR
A-UCOmmerc1al □New Building D tenant Improvement
B -D Industrial □ New Building D Tenant Improvement
~ '1::1
C -~Residential □ Apartment □ Condo U Single Family Dwelling )i( Addition/ A1teration
□ Duplex □ Demolition D Relocation D Mobile Home □ Electrical □ Plumbing
□ Mechanical □ Pool □ Spa □ Retaining Wall O Solar □ Other
2. PROJECr INFORMATION FOR OFFICE USE ONLY
Address ;;; e,q 7 SQ u SCi 7 1 fo ene, ?' Suite No.
Nearest Cross Street
LEGAL DEsCRWI ION Lot No.
CHECK Bf:WW IF S0BMl 11~ {p,
SufXhvis1on Name/Number Unit No. Phase No.
□ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope
ASSESSOR'S PARCEi. 7 {,~'£ J;j~ :PXISTIPd:# 5& PROPOSED USE f h::fi G DESCRIPTION OF WORK I.. f 3 IO Q..{ ow,-<-.
SQ. Ff. ~ 3 # OF STORIES ~o ,
CllY
NAME
ZIP CODE
ADDRESS ~ (., '7 7
).
STATE ZIP CODE /CJ4d-DAY TELEPHONE
STATE UC.# ,:':;l8/51.icENSE CLASS CITY BUSINESS UC.#
CITY STATE ZIP CODE DAY TELEPHONE STATE UC.#
7. WOkRERS' WMPF.NSAliON
rtl 1cate o xemptton: ceru t a m t e pe ormance o t e wor or w 1c t 1s penm IS ISSU , s a not emp oy any person m an manner
so as to become subject to the Workers' Compensation Laws of C.alifomia,
SIGNATURE DATE
8. OWNRk-B0unmt DFl!LARAJ ION
0Wner-Bu1lder Deciarabon: I hereby affirm that I am exempt from the COntracto?s Llcense Law for the following 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 Llcense 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 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 not more than five hundred dollars [$5001).
SIGNATURE DATI!
COMPLE IE IRIS SECI ION FOR NON-RESIDEN IIAL BUILDING PERMI l's 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 ANYOFTIIEI\NSWERS ARE YES, A FINALCERTIFICATI! OFOOCUPI\NCY MAYNar Bil ISSUED J\l'rnRJULY I, 1989 IINU!SS TIIEAPPIJCANT
HAS MET OR IS MEIITING 11IE REQUillEMENTS OF nm OFFICE OF EMERGENCY SERVICES AND 11IE AIR POLLUTION OONTllOL DISl1UGr.
9. WNS'IRUCliUN IP.NDMG AGP.NCY
I hereby ahmn that there 1s a constructmn lendmg agency for the performance of the work for which this permit 1s issued (Sec 3097(1) CiVII Cocle).
LENDER'S NAME LENDER'S ADDRESS
lo. XPP□CANI t!FJllll'ICAIION
I certify that I have read the apphcatlon and state that the a&ive mformauon 1s correct. I agree to comply with all City ordmances and State laws
relating to building construction. I hereby authorize representatives of the City of C.arlsbad to enter upon the above mentioned property for inspection
purposes. I AISO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS 11IE CflY OF CARISBAD AGAINSf All. UAB1U1'1ES, JUDGMENTS, CDSTS
AND EXPENSES WIIlCH MAY IN ANY WAY Aa:RUE AGAINSf SAID CflY IN CONSEQUENCE OF 11IE GRANTING OF 11DS PERMIT.
OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height.
PINK: Fmance
PERMIT# CB911301
DESCRIPTION: 336 SF PATIO
TYPE: RAD
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 10/21/91
ENCL./ICBO#4383P
AV
INSPECTOR AREA PD
PLANCK# CB911301
OCC GRP
CONSTR. TYPE NEW
STR: FL: STE: JOB ADDRESS: 2697 SAUSALITO
APPLICANT: KNIGHT LIVING TRUST
CONTRACTOR:
PHONE: (619)434-8074
OWNER:
REMARKS: MH/JENNIFER/469-9556/AM PLS
SPECIAL INSTRUCT:
TOTAL TIME:
CD
19
LVL DESCRIPTION
ST Final structural
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INSPECTO~--"--~µL......:vL-.'-=-------
ACT COMMENTS
~ ------------
***** INSPECTION HISTORY*****
DATE DESCRIPTION ACT INSP COMMENTS
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