HomeMy WebLinkAbout1270 STRATFORD LN; ; CB960180; PermitB U I L D I N G
02/01/90 15:17
Page 1 of 1 1Job Address: 1270 STRATFORD
Permit Type : MISCELLANEOUS
Parcel No: 156-164-38-00
Valuation: 0
LN
P E R M I T
Suite:
Lot#:
Permit No: CB96018U
Project No : A9o00283
Development No :
" .. I> 9t . 1
Construction Type:
Occupancy Group: Reference#: Status:
Applied:
NEW
ISSUED
02/01/96
02/01/96
RMA
Description : MOVE TOILET,SINK & BATHTUB+
: MISC ELECTRICAL
Appl/Ownr : B.A. WORTHINGTON, INC
P.O.BOX 1041
CARL SBAD , CA
*** Fees Required
Fees:
Adjustments:
Total Fees :
Fee description
Miscellaneous Fee #1
Miscellaneous Fee #2
* MISCELLANEOUS TOTAL
***
61 .po
.00
61 .00
92018
Apr/Issue:
Entered By:
619-729-3965
Total Credits: .00
Total Payment,.s; .00
Balance nue: 61 .00
Units Fee/llnit Ext fee
41.0 U 41.00
20.00 20.00
61.00
FINAL APPROVAL
***
Data
PLUM
ELEC
INSP. p DATE 1 ·1/· I J
PERMT
PERMI
CLEARANCE _____ ,
CITY OF CARLSBAD
2075 Las Palrnas Dr., Carlsbad, CA 92009 (619) 438-1161
PEIIMIT APPLICATION PLAN CHECK NO.
City of carlsbad Building Department
2075 Las Palaas Dr .. , tarlsbad, CA 92009 (619) 438·1161
I. PFJtMI I NPE
From Llst l (see back) give code of Permit-Type: _ _;R:..c..A_D ________ _
For Residential Projects Only: From List 2 (see back) give
Code of Structure-Type: ___ _,:S:.,Fc;D:::.._ _____________ _
Net Loss/Gain of Dwelling Units 0
2. PROJECT INFORMATION FOR OFFICE USE ONLY
Address l 2 70 Stratford Ln Budding or Suite No.
Nearest Cross Street Carlsbad, CA
LEGAL DESCRiP I ION Lot No. Sutxl.1V1s1on Name/Number 0mt No. Phase No.
CHECK BEWW IF S0BMII IED:
□ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report D 1 Addressed Envelope
ASSESSOR'S PARCEi. EXJSJJNG USE PBOP9SFP USE
DESCRIPTIONOFWORK Move toilet, tub,
SQ. FT. # OF STORIES
sink in bathroom,
# OF BEDROOMS
miscellaneous electrical
# OF BAIBROOMS
3. WN IACI PERSON (tf dlIIerent from appJJcanf)
NAME (last_ name first) ADDRESS
CI1Y STATE ZIP CODE
4. APPlJLANf ,£JCUNJHACJUH. UAGENI FORWNIRACIOR
NAME (last name first) WORTHING, B. A. ADDRESS
DAY TELEPHONE
UUWNU{ DAGEN I FOR OWNER
BOX 1041
CI1Y CARLSBAD STATE CA ZIP CODE
P.O.
92018 DAY TELEPHONE 7 2 9-2 9 6 5
S. PROP£kli OWNEit
NAME (last name first)
CJ1Y Carlsbad
BRYTT/STUART
STATE CA
1270 STRATFORD JACKAlJ!lllESS
ZIPCODE 92008 DAY TELEPHONE ( 6 l 9 )
LN
434-7746
• NAME (last name first) WORTHING, INC. B. A. ADDRESS P • 0 • BOX 1 0 4 1
CI1Y CARLSBAD STATE CA ZIP CODE 92018 DAY TELEPHONE 729-3965
STATE UC. # 3 9 8 7 6 4 UCENSE CLASS B-1 CI1Y BUSINESS UC. # 5 4 9 2 0 0
DESIGNER NAME (last name hrst) WORTHING, B. A. AJJut<,»p. 0. BOX 104 1
Cl1Y CARLSBAD STATE CA ZIP CODE 9 2 0 1 8 DAY TELEPHONE 7 2 9 3 9 6 5 STATE UC.# 13-1 392894
7. WORKERS' WMPENSAJ ION
Workers1 Compensation Declarat1on: I hereby affirm that I have a ceruhcate of consent to self-msure issued by the 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).
INSURANCECOMPANY STATE FUND POUCYNO. 229-6537 EXPIRATION DATE 1/96
Cert1hcate of Exempt10n: I certify that m the performance of the work for which this permit 1s issued, I shall not employ any person many manner
so as to become subject to the Workers' Compensation laws of California.
SIGNATURE DATE
8. OWNPJt-BUIWIM DFLOOlAIWN
D
D
D
Owner-Builder Declaration: I hereby afhrm that I am exempt from the Contractors license Law for the foiiowmg 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 pennit 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 pennit
subjects the applicant to a civil penalty of not more than five hundred dollars [$500]).
SIGNATIJRE DATI!
COMPQ:IE IHIS SECIION FOR NON-RESIDEN IIAL BUILDING PERMI IS 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 ONO
Is the applicant or future building occupant required to obtain a pennic from the air pollution control district or air quality management district?
□YES ONO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
□YES ONO
IF ANY OF 1111! ANSWERS ARE YES, A FINAL CERTIFICATI! OF DCX:UPANCY MAY NOT BE lliSlffiD AFrER JULY 1, 1989 UNLESS 1111! APPIJCANT
HAS MET OR IS MEETING 1111! REQUIREMENTS OF 1111! OFFICE OF EMERGENCY SERVICES AND 1111! AIR POLLlfl10N ffiNTROL DISTIUCT.
9. OONS'IROCIIUN LENDING AGENCY
I hereby aihrm that ihere JS a construction lendmg agency for the performance of the work for which ihJS penntt 1s 1SSued (Sec 3097(1) CIVIi Code).
LENDER'S NAME LENDER'S ADDRESS
JO. XPPilCANi CElliFJCAIION
I certUY that I have read the apphcat1on and state that the above mlormauon 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 TD SAVE INDEMNIFY AND KEEP HARMLESS 1111! Cl1Y OF CARISBAD AGAINST AIL IJABIIITIES, JUDGMENTS, CDSTS
AND EXPENSES WIIlCH MAY IN ANY WAY ACXJUJE AGAINST SAID Cl1Y IN OONSEQUENCE OF 1111! GRANTING OF TIIIS PERMIT.
OSHA: An OSHA permit is required for excavations over S'O" deep and demolition or construction of structures over 3 stories in height.
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 pennit is not commenced within 365 days from the date of such permit or if the building or work authorized by
such pennit is suspended or abandoned t any ti after the work is commenced for a period of 180 days (Section 303(d) Unifonn Buildin e .
APPLlCANl"S SIGNATURE DATE:
YEllOW: Applicant PINK: Finance
0
PERMIT# CB960180
DESCRIPTION: MOVE
MISC
TYPE: MISC
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 03/11/96
TOILET,SINK & BATHTUB+
ELECTRICAL
JOB ADDRESS: 1270 STRATFORD LN
APPLICANT: B.A. WORTHINGTON, INC
CONTRACTOR:
PHONE:
PHONE:
OWNER: PHONE:
INSPECTOR AREA DC
PLANCK# CB960180
OCC GRP
CONSTR. TYPE NEW
STE: LOT:
619-729-3965
REMARKS: RS/KATHY/729-3965
SPECIAL INSTRUCT: INSPECTO~-----------
TOTAL TIME:
CD
19
29
39
49
LVL DESCRIPTION
ST Final structural
PL Final Plumbing
EL Final Electrical
ME Final Mechanical
------------------------------------------------------
COMMENTS
***** INSPECTION HISTORY*****
DATE
021496
020896
020596
DESCRIPTION
Interior Lath/Drywall
Rough Electric
Rough/Topout
ACT INSP
AP DC
AP DC
AP DC
COMMENTS