HomeMy WebLinkAbout1208 STRATFORD LN; ; CB910599; Permitr. B U I L D I N G P E R M I T Permit No : CB9 10599
Project No : A9100712
Development No: 04/09/91 15:51
Pag~ 1 of 1
Job Address: 1208 STRATFORD LN Str: Fl : Ste:
Permit Type : RESIDENTAL ADD/ALT (UNDR $10K)
Parcel No: 156-164-45-00
Valuation: 1,800
Construction mype: NEW
Occupancy Group: Class Code:
Description: 100 SF SUNROOM ADDITION
Appl/Ownr : GILLINGHAM, ROBERT
1208 STRATFORD LN
CARLSBAD, CA 92008
*** Fees Required
Fees:
Adjustments:
Total Fees :
Fee description
Building Permit
Plan Check
Strong Motion Fee
* BUILDING TOTAL
CITY OF CARLSBAD
u 04/ 7 2
Status: ISSUED
Applied: 04/09/91
Apr/Issue: 04/09/91
Validated By: RS
619-434-1962
.00
.00
'"'9. 00
***
Ext fee Data
41.00
27.00
1.00
69.00
l,t__JDL,,-nP1PROVA~
INSP. ~--DATES·?· 7t
C~EARANCE _____ ,
2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161
PERMIT APPLICATION
•
City of Carlsbad Building Department EST. VAL _____________ _ 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
1.
A
B
C
PERMIT TYPE
COMMERCIAL
0 INDUSTRIAL
0 RESIDENTIAL O APARTMENT
□DUPLEX QoEMOLITION
□MECHANICAL □POOL
TENANT IMPROVEMENT
QTENANT IMPROVEMENT
QCONDO □SINGLE FAMILY DWELLING
.
'
0 ADDITION/ALTERATION
□RELOCATION QMOBILE HOME □ELECTRICAL □PLUMBING
□SPA □RETAINING \.IALL QSOLAR QOTHER
PLAN CK DEPOSIT ___________ _
VALID. BY ______________ _
DATE _______________ _
2. PROJECT INFORMATION PLAN CHECK No. /I i~'ol S7KATFoleO Nearest Cross Streets
LEGAL DESCIIPTION Lot No. sutxlivision Name/Nurber Un, t No. Phase No.
CHECK BELOW IF Sl.llMITTED:
3.
4.
5.
6.
7.
8.
Q2 Energy Cales 02 Structural Cales D 2 Soi ls Repart D 1 Addressed Envelope
ROOM SCI FT.
BLDG. SQ, FTG. # OF STORIES
CONTACT PERSON
,.,. Role~r G-,i t./N6rHAM
CITY ~//~{. S /3/9/)
NAME
CITY
PROPERTY OWNER
NAME
CITY
CONTRACTOR
NAME $C)(,I Ttf
STATE
OWNER
STATE
EXISTING USE
ADDRESS / 2 0 j'
ZIP CODE 'j' 2..00 q'
CONTRACTOR
ADDRESS
ZIP CODE
ADDRESS
ZIP COOE
□OWNER
CITY /...EMO /\I
13,4.y [,Utt.I)€~ 5
(}-,ft,f/5' STATE CJ'/.,
ADDRESS 3 7 J /,
ZIP CODE Cf/ 'f:'/S
SIGNATURE
DESIGNER NAME
CITY
STATE LJC. # ~ 'l </7 7 3
STATE
LICENSE CLASS _____ _
T JTLE
ADDRESS
ZIP COOE
PROPOSED USE
srlf/f-TFt>tfo -411.
DAY TELEPHONE '{ 3 '{ /,; (,, z.
0 AGENT FOR OWNER
DAY TELEPHONE
0 LESSEE □TENANT
DAY TELEPHONE
DAY TELEPHONE
CITY BUSINESS LIC. #
DATE
DAY TELEPHONE STATE LIC. #
WORKERS' COMPENSATION Workers' Coq:,ensat1on Declaration: hereby affirm that have a cert1f11:ate of consent to self-insure issued by the Director of Industrial Relations,
or a certificate of Workers• C~nsation Insurance by an aa!litted 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
Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not eirploy any person in any 1118noer
so as to become subject to the Workers' C~nsation laws of California,
SIGNATURE DATE
OWNER-BUILDER DECLARATION
Owner·Bu1lder Declaration: I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
O 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 illl)roves thereon,, and who
does such work himself or through his own employees, provided that such illl)rovements are not intended or offered for sale. If, however, the building
or illl)rovement is sold within one year of c~letion, the owner-builder will have the burden of proving that he did not build or illl)rove for the purpose
of sale.).
D 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 illl)roves thereon, and contracts for such projects with contractorCs)
licensed pursuant to the Contractor's License Law).
D 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, illl)rove, demolish, or repair any structure,
pr; or to its issuance, al so requires the appl i cant for such permit to f i le a signed statement that he is I i censed pursuant to the provisions of the
contractor's License Law (Chapter 9, coomencing 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 [$500]).
SIGNATURE 0ATE
COMPLETE THIS SECTION FOR NON·RESIDENTIAL BUILDING PERMITS ONLY:
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention
program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act?
□YES 0NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
□YES ONO
Is the facility to be cCN1structed within 1,0DO feet of the outer boundary of a school site?
□YES
If ANT OF Tllf ANSll:RS Mf TES, A FINAL CERTIFICATE Of OCDJPANCY NAY NOT BE ISSUEO A.HER .IULY 1, 1989 UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMEltTS
OF THE OfFICE OF EMERGEltCT SERVICES ANO THE A.IR POLLUTION CONTROL DISTRICT.
9. CONSTRUCTION LENDING AGENCY
hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(i) Civil Code).
LENDER'S NAME LENDER'S ADDRESS
10. APPLICANT'S SIGNATURE I certify that I have read the application and state that the above information is correct. I agree to coo-p\y with all City ordinances and State laws relating
to building construction. ! hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO
AGREE TO SAVE JNOENIIFY AN) KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIABILITIES, JtDCHNTS, COSTS ANO EXPENSES WHICH NAY IN ANY WAY ACCRUE AGAINST SAID
CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
Expiration. Every permit issued by the Building Official urder the provisions of this Code shall expire by limitation and become null and void if the building
or work authorized by such permit is not coomenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended
or abardoned at any time after the work is coomenced for a period of 180 days (Section 303(d) Uniform Building Code).
APPL! CANT I S SIGNATURE □ OWNER □ CONTRACTOR □ BY PHONE
WHITE: File YELLOW: Applicant PINK: Finance
APPROVED BY t
DATE:
•
PERMlT# CB910599
DESCRIPTION: 100 SF SUNROOM
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 05/02/91
ADDITION
INSPECTOR AREA PD
PLANCK# CB910599
OCC GRP
TYPE~ RAD
JOB ADDRESS: 1208 STRATFORD
APPLICANT: GILLINGHAM, ROBERT
CONTRACTOR:
OWNER:
REMARKS: MH/BRIAN/668-0081
LN
SPECIAL INSTRUCT: 2ND STORY-LADDER
434-1962
TOTAL TIME:
CD LVL DESCRIPTION
19 ST Final Structural
29 PL Final Plumbing
39 EL Final Electrical
49 ME Final Mechanical
CONSTR. TYPE NEW
STR: FL: STE:
PHONE: 619-434-1962
PHONE: ////--.\ PHONE: 0ll
INSPECTOR(!);;C:j-J, -
WILL BE SET UP 1-3
***** INSPECTION HISTORY*****
DATE DESCRIPTION ACT INSP COMMENTS