HomeMy WebLinkAbout2751 SPOKANE WAY; ; CB910840; PermitB U I L D I N G P ~ B M I T Permit No: CB91084n
05/30/91 12:49
Page 1 of 1
Job Address: 2751 SPOKANE WY
Permit Type: RESIDENTAL ADD/ALT
Parcel No : 167-431-66-00
Valuation: 2,600
Construction Type: VN
Occupancy Group:
Description: 400 SF PATIO COVER
Appl/Ownr : THORMAN, ERIC
337 RIVERVIEW
ENCINITAS, CA
OWNER MUTO, GUY
CONTRACTOR THORMAN, ERIC
~*A Fees Required
Fees:
Adjustments :
Total Fees:
Fee description
Building Permit
Plan Check
Strong Motion Fee
* BUILDING TOTAL
Project No: A9101022
Development No:
Str: Fl: Ste:
(UNDR $10K) 0 0 0/91 1 01 2 ...
C1-+~k
Class Code: Status: ISSUED
Applied: 05/30/91
Apr/Issue: 05/30/91
Validated By: KZH
619-721-1175
OWNER
NO
Credits
• () 0
.00
90,00
Ext fee Data
54.00
35.00
1. 00
90 .00
AL\'APPROVAL
4-\ OAT£ .... __ ,
CllY 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 . . .
1.
A
B
C
2.
PERMIT TYPE
COMMERCIAL
D INDUSTRIAL ONEIi
0 RESIDENTIAL O APARTMENT
D DUPLEX D DEHOLI TI OIi
D MECHAM I CAL D POOL
Nearest Cross Streets
TENANT IMPROVEMENT
0 TENANT IMPROVEMENT
□CONDO □SINGLE FAMILY DWELLING
ORELOCATJOII OHOBILE HOME
OSPA ORETAJNING IIALL
VALID. BY,_-::::,r-....t:,.5,r=..J...L=.,------
. DATE --~...L-_,.=::.._J.,..L_ _____ _
0 ADDITION/ALTERATION
LEGAL DESCRIPTION Lot No. sutxl1v1 s, on Name/NUlt>er Unt t No. Phase No.
CHECK BELOW IF SUIIIIITTED:
0 2 Energy Cal cs 02 Structural Cales 0 2 Soi ls Repcrt 0 1 Addressed Envelcpe
EXISTING USE
3.
4 .
5.
6.
ASSESSOR'S PARCEL
bEsCRIPI loll OF wbRk
BLDG. SO. FTG.
CONTACT PERSON
NAME f:r,, /JlfJ"'hJ-t'?
CITY C> (et(., s,, ,, 'C".) L;lf. .
,P. ~~ SIGNATURE ~-'.'½-t;-".J ~
APPLICANT o(coNTRAC~
MAHE S.r,~~ qS' i,loc.l. -:3
CITY
PROPERTY OW ER
NAME {;-'1,l/ M11
CITY C.a r Ii b;c
CONTRACTOR
NAME $4'71-e qs l/4c. I<
CITY
3
# Of STORIES
STATE
ADDRESS
ZIP COOE
0 AGENT FOR COIIIRAClOR
ADDRESS
STATE
~
STATE~.
STATE
ZIP COOE
ADDRESS
ZIP COOE
ADDRESS
ZIP COOE
PROPOSED USE
DAY TELEPHOIIE
t/9-2-a 1 ) I 7,S:
OOIINER D AGENT FOR 01/NER
DAY TELEPHOIIE
?-7SI □LESSEE
.S/)Ok4~'<
OTENAN1
DAY lELEPHONE
DAY IELEPHOIIE
STATE LIC. # S~ '1377 LICENSE CLASS _ _,,tf:::::..,_ __ _ CITY BUSINESS LIC. #
SIGNATURE -Tl lLE Qi-,..,::s ,-DATE
DES I GNER NAME ADDRESS
7. WORKERS' COMPENSATION
Workers' Coq,ensat1on 0eclar1t1on: hereby aff1rm that I have a cert1f1cate of consent to self·1nsure ISSued by the Director of lndus trul Relations,
or a cert if f cate of Workers• Corrpensat ion I nsuranee by an ad'ni tted insurer, or an exact copy or duplicate thereof certified by the Di rector of the
insurer thereof filed with the Building Inspection Deportment (Section 3800, Lab. C).
INSURANCE COMPANY POLICY NO. EXP I RAT ION DATE
Certificate of Exeff1'.)tion: I certify that in the ~rformance of the work for which this permit is issued, I shall not ~Loy any person in any mar"lf"M?r
so as to becane s<bject to the Workers' C011'1"'nsation Laws of cat ifornia.
e' . ,,,,,,-
SIGNATURE 0/l«, c,1~ DATE s--JO -9 /
8. OWNER-BUILDER DECLARATION
Owner~Bullder 0eclerat1on: I hereby affirm that I am exerrpt from the Contractor's License Law for the following reason:
D J as owner of the property or my ~loyees with wages as their sole coq:,ensation, will do the work and the structure is not intended or offered for sale
(Sec. 7044, Business and Professions Code: The Contractor Is License Law does not apply to an owner of property who builds or ,~roves thereon,. and who
does such work himself or through his own ~loyees, provided that such i"l)rovements are not intended or offered for sale. If, however, the building
or iffl)rovement is sold within one year of COf11)letion, the owner-builder wi ll have the burden of proving that he did not build or irll)rove for the purpose
of sale.).
D J, as owner of the property, am exclus1vely 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 Is license Law).
D I am exl!ffl)t under Section ___________ Business and Professions Code for this reason:
(Sec. 7031.S Business and Professions Code: Any City or County which requires a permit to construct, alter, in,,rove, demoli sh, or repair any structure,
prfor 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
contractor1s License Law (Chapter 9, conmencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is exeq,t therefrom,
and the basis for the alleged exl!ffl)tion. 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 [S500J ).
SIGNATURE DATE
COMPLETE THIS SECTIOII FOR NON-RESIDENTIAL BUILDING PERMITS OIILY:
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention
program lrder Sections 25505, 25533 or 25534 of the Presley-Tanner Hatardous Substance Accou,t Act?
□YES O NO
Is the applicant or future building occ'-4)8nt required to obtain a permit from the air pollution control district or air quality management district?
□YES □No
1 s the foe il i ty to be constructed with in 1, D00 feet of the outer boundary of a school site?
Ores
IF AMY OF TNE AMSIIERS ARE TES, A FINAL CERTIFICATE OF CXIU'ANCT MT NOT BE ISSUED AFTER .JUI.Y 1, 1989 UIILESS THE APPLICANT HAS NET OR IS NEETIIIG THE REQUIRENEIHS
OF THE OFFICE OF ENERGENCT SERVICES ANO THE AIR POl.LUTIOII CONTROL DISTRICT.
9. CONSTRUCTION LENDING AGENCY
hereby affir01 that there I s a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(i) Civil Code).
LENDER'S MAHE N/A LENDER'S ADDRESS
10 . APPLICANT'S SIGNATURE
J certify that I have read the applicat1on and state that the above 1nformation 1s correct. I agree to ce>ffl)ly 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. l "LSO
ACREE TO SAVE INDENNJ FY ANO KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS ANO EXPENSES WHICH MY IN ANY WAY ACCRUE AGAINST SAID
CITY IN CONSEQUENCE Of THE CRAIITING 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 1s not conmenced within 180 days from the date of such permit or i f the building or work authorized by such permit is suspended
or abandoned at any time after the work is conmenced f or a period of 180 days (Section 303(d) Uniform Building Code).
APPLICANT'S SJG~E 1 ~ 0 OIINER (E-coNTRACTOR
4'-<q ~
OBY PHONE APPROVED BY: _______ _
DATE: _________ _
WHl~LOW: Applicant PINK: Finance
PERMIT# CB910840
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 06/17/91-INSPECTOR AREA MP
PLANCK# CB910840
OCC GRP
DESCRIPTION: 400 SF PATIO COVER
TYPE: RAD
JOB ADDRESS: 2751
APPLICANT: THORMAN,
CONTRACTOR: THORMAN,
OWNER: MUTO, GUY
SPOKANE WY
ERIC
ERIC
REMARKS: MH/ERIC/721-1175
SPECIAL INSTRUCT:
TOTAL TIME:
CD
19
LVL DESCRIPTION
ST Final structural
---------------
CONSTR. TYPE VN
STR: FL: STE:
PHONE: 619-721-1175
PHONE: ~ \ / PHONE: J(f _,...,..--
INSPECTOR ~l~A-·➔-·--~-------
ACT COMMENTS
W------
------------------
DATE
060691
060391
053191
***** INSPECTION HISTORY*****
DESCRIPTION
Final Structural
Ftg/Foundation/Piers
Ftg/Foundation/Piers
ACT INSP
CO MP
AP MP
AP MP
COMMENTS