HomeMy WebLinkAbout1374 SPARROW RD; ; CB960560; Permitlj;_f 1_11tf-B U I L D I N G P E R M I T Permit No: CB9605bll
Project No: A95000b8
Development No:
03/25/9b 09:06
Page 1 'of 1
Suite:
6658 03/25/96 0001 01 02
Lot# : 5 7 C-f'RMT Construction Type: VN
Reference#: CT90-15 Status: ISSUED
47-00
1Job Address: 1374 SPARROW RD
Permit Type: ELECTRICAL
Parcel No: 215-641-04-00
Valuation: o
Occupancy Group: R3/Ml
Description: RUN ELECT & GAS FOR SPA-1/2 Applied: 03/25/96
: ABOVE & 1/2 BELOW GROUND-FACTORY MADE Apr/Issue: 03/25/96
Appl/Ownr : MERKT, MICHAEL
918 BEGONIA CT
CAARLSBAD CA
Plan Check Number
Fees Required **'I-
Fees:
Adjustments:
Total Fees:
Fee description
TOTAL
92009
Entered By: RMA
619-944-1120
CITY OF CARLSBAD
.00
.00
47.00
* j. *
Ext fee Data
10.00 Y
10.00 Y
27.00 GAS PERMIT
47.00
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
PERMIT APPLICATION PLAN CHECK NO. Sio
City of tar I st.I Buildi-. Departant
2075 Las Pal-Dr., tarlsl>MI, CA 92009 (619) 4311-1161 EST.VAL. __________ _
J. PtkMti ii PE PIAN CK DEPOSIT. ___ -1'!--t----
VAIID. ~BY;---t'.=\"°7'=T,-:;:"r-P.-4C'----DATE
From List 1 (see back) give code of Pennit-Type: ___________ _
--------. -----------.. -. -------. ------------------. -----.
For Residential Projects Only: From Ust 2 (see back) give
Code of Structure-Type: ___________________ _
Net Loss/Gain of Dwelling Units
2. PRO.IF.CT INFORMATION FOR OFFICE USE ONLY
Address /3 ~S Bu1ldmg or Suite No.
Nearest Cross ltrttt
mt o. ase o.
□ I Addressed Envelope
L1 tt e~
II OF BEDROOMS II OF BA111ROOMS
ADDRESS
CllY STATE ZIP CODE DAY TELEPHONE
4. :Ji~C::naJt:~,~~';~f~c1~~o:t'Nk":'iJs':., ,%o~~o:;i_,"J!Nt •g:5r-N£k
CITYC.A-e~B STATECAllz1PCODE ;).001 DAYTELEPHONE 44-11.;i.O
· NAME (last name first) W 1",LS J '1"" Aw-, Q.S ADDRESS 13 4-7 -5 f>,,,.,.Y'O<.v Rd, ·
c1TY c. A..-lsb~d sTATE CA. z1p coDE <taoo"J DAY TELEPHONE -Cf o I
. NAME (last name first) f(\,c..~iq,e,L ft. i'Y'Q.V' (. ADDRESS Cf/ CC, \~ej UWll't (.,,T
CITY(:. AV-~b,q,~ STATE c,4 ZIP CODE 9,}..00'f DAY TELEPHONE 9 'f-4--/J .;I.Q
STATE UC. 11'\:f"J f&::i_ LICENSE a.ASS l3 CITY BUSINESS UC. II
ast name 1rst
CllY STATE ZIP CODE DAY TELEPHONE
Workers' Compensation Oeclarat1on: I hereby affmn that l have a certificate of consent to seif-msure issued by ffie Director of 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 thereof filed with the Building Inspection Department (Section 3800, Lab. C).
INSURANCE COMPANY POLICY NO. EXPIRATION DATE
Cer11hcate of Exempuon: I certify that m the perfonnance of the work for which this pennll IS issued, I shall not employ any penon many manner
so as to become subject to the Workers' Compensation Lawa California.
SIGNATURE DATE
□
□
□
Owner-Builder DeciaraUon: I hereby afnnn that I am exempt from the Confradofs ilcense Law for the ioiiowmg 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 improvemencs 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 propeny~ am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions
Code: The Contractor's License Law does nor 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 ics 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 Llcense Law (Chapter 9, commencing with Section 7000 of Division 3 of the Business and Professions c.ode)
or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a pennit
subjects the applicant to a civil penalty of not more than five hundred dollars [$5001).
SIGNA111RE DATE
WMPll:IE IHIS SECIIUN FOR NON-R£SIDEN IIAL BotWING PERMll'S ONLY:
ls 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 or the Presley-Tanner Hazardous Substance Account Act?
□ YES □ NO Is the applicant or future building occupant required to obtain a permit rrom 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 or a school site?
□ YES □ NO
IF ANY OF nm ANSWERS ARE YE,, A FINAL CERTIFICATE OF OOCUPANCY MAY NOT BE 1$1/ED AFTER JULY I, 1989 UNLESS nm APPUCANT
HAS Mirr OR IS MElmNG nm REQUIREMENTS 01' nm OFFICE 01' EMERGENCY SERVICES AND nm AIR POIJ.UTION WNTROL msnucr.
9. WNSIR0CIION l.£NDLNG XCENct
I hereby aihrm ffiat ffiere 11 a construction lendmg agency for ffie perfonnance of the work for which this permit IS wued (Sec 3097(1) C.vU Cooe).
LENDER·s NAME No J;::!. G" LENDER'S ADDRESS
10. XPPUCAN I CEl I IFICA liu
I certify ffiat I have read the apphcat1on and state that the above mlormat1on ts 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 ALSO AGREE 1U SAVE INDEMNIFY AND KEEP HARMIBSS nm CTlY OF CARlSIIAD AGAINST ALL IJABllJTIES, JUDGMENTS, <DSTS
AND EXPENSES WJUOI MAY IN ANY WAY NXRUE AGAINST SAID CTlY IN WNSEQI/ENCE OP nm GRAN11NG 01' 11llS PERMIT.
OSHA: An OSHA pennit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height.
Expiration. Every pennit issued by the Building Official under the provisions of this Ccxle shall expire by limitation and become null and void if the
building or work authorized by such pennit is not commenced within 365 days from the date or such permit or if the building or work authorized by
such permit is suspended or abandoned at any i after the work is co menc for a riod of 180 days (Section 303(d) Uniform Building c.ode}.
APPLICANTS SIGNATURE ?::12_ _ DATE:~.2S'-.?G
PINK: Finance ···-·-------
CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT# CB960560 FOR 10/29/96
DESCRIPTION: RUN ELECT & GAS FOR SPA-1/2
ABOVE & 1/2 BELOW GROUND-FACTORY MADE
TYPE: ELEC
JOB ADDRESS: 1374 SPARROW RD
APPLICANT: MERKT, MICHAEL
CONTRACTOR:
OWNER:
PHONE:
PHONE:
PHONE:
INSPECTOR AREA PY
PLANCK# CB941011
OCC GRP R3/Ml
CONSTR. TYPE VN
STE: LOT: 57
619-944-1120
REMARKS: BJN/JAMES/930-3348
SPECIAL INSTRUCT:
INSPECTOR __.f' ... ~_..J,v .... _-_____ _
I/
TOTAL TIME:
--RELATED PERMITS--PERMIT# TYPE
CB960661 PLUM
STATUS
ISSUED
ACT COMMENTS , /) , ~ /e,J} 5:-f ~21 y:L:
CD LVL DESCRIPTION
59 SW Final Pool
----------------------------------------------------------
***** INSPECTION HISTORY*****
DATE
032996
032996
DESCRIPTION
Gas/Test/Repairs
Underground/Conduit-Wiring
ACT INSP
AP PY
AP PY
COMMENTS