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HomeMy WebLinkAbout2766 SOUTHAMPTON RD; ; CB900501; PermitB U I L D I N G P E R M I T 03/26/90 10:12 Page 1 of 1 Job Address: 2766 SOUTHAMPTON RD Str: Permit Type: RESIDENTAL ADDITION/ALTERATION Parcel No: 208-140-34-00 Valuation: 1,476 Construction Type: NEW Occupancy Group: Description: 14 X : REAR Class Code: 14 + 10 X 5 PATIO COVERS YARD OWNER TANQUE, ANN 2766 SOUTHAMPTON ROAD CARLSBAD, CA 92008 Lie. .. Cf:_:l!-3~ Permit No: CB900501 Project No: A9000601 Development No: Fl: Ste: 4~v 03/2 /9 'v1 01 02 C-~RHT 59-00 Status: PENDING Applied 03/26/90 Apr/Issue Validated By: DC 619 434-7347 *** Fees Required *** *** Fees Collected & Credits *** Fees: Adjustments: Total Fees: Fee description Building Permit Plan Check Strong Motion Fee * BUILDING TOTAL 59 .00 .00 59 .00 Total Credits: Total Payments: Balance Due: Units Fee/Unit IN .00 .00 59.00 Ext fee Data 35 .00 23.00 1.00 59.00 CLEARANCE _____ _, CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 PERMIT APPLICATION 11\ w City of Carlsbad Building Department EST. VAL. ____ _,y'-.L._7,__"',.._ ___ _ 2075 Las Palmas Dr., Carlsbad, CA 92009 1619! 438-1161 1. A • C 2. PERMIT TYPE 0 COMMERCIAL 0 INDUSTRIAL □NEW □RESIDENTIAL 0 APARTMENT □DUPLEX □DEMOLITION 0 MECKAN l CAL □POOL TENAIH IMPROVEMENT 0 TENANT IMPROVEMENT □CONDO ~LE FAMILY DWELLING 0 ADDITION/AL TE RAT ION □RELOCATION □MOBILE HOME □ELECTRICAL □PLUMBING OSPA □RETAINING WALL □SOLAR □OTHER PROJECT INFORMATION PLAN CHECK No. Addms 7..1r.<o ~o... I .. p w Cfr(L,\11~ PotJriAC. ,1-00& Building Nearest Cross Streets PLAN CK DEPOSIT ___________ _ VALID. BY ____ --'D"'--"c:::..=s--~--- DATE -----~---~o,;~I?"--- F LEGAL DESCRIPTION Lot No. Sutxlivision Name/N!.lllber Unit No. Phase No. 3. BLOG. SQ. FTG, CONTACT PERSON ""ANN TA/'JOUG CITY ~CAi?.V:.e.M SIGNATURE PROPOSED USE # OF STORIES ADDRESS STATE CA ZIP CODE 4. APPLICANT. OcoNTRACTDR 0 AGENT FOR CONTRACTOR R GENT FOR OWNER ""£001f. Llfltlt CITY CAfl.t.s.RMJ STATE CA ADDRESS!.\ it,~ 'bllu ~6\1.£. DI\.. m cooE q2,c.o 'd 1., rE'""'" {9 \'i 43L/-4 ~(. "2.. 5. PROPERTY OWNER ( NAME AN t-J 1AN OU CITY CAA-L>BA:P cA- LJ ~.LESSEE □TENANT ADDRESS z 71.,~ '::.Ol.l!"' 1,-...,..pfbi-1 ZIP CODE C/ 2-Q() 'e, DAY TELEPHONE(C,(1) -'-f-3'/---73f7 STATE CA 6. CONTRACTOR 7. 8. NAME CITY STATE STATE LIC. # ____ _ ADDRESS ZIP CODE LICENSE CLASS _____ _ DAY TELEPHONE CITY BUSINESS LIC. # SIGNATURE TITLE DATE DESIGNER NAME CITY WORKERS' COMPENSATION STATE ADDRESS ZIP COOE DAY TELEPHONE STATE LIC. # Workers I Compensation Declaration: hereby affirm that have a cert, f i cate ot consent to self-insure issued by the Di rector of Industrial Relations, or a certificate of workers' Compensation Insurance by an actnitted 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 OATE certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not ewploy any person in any manner so as to become subject to the l.lorkers• Compensation Laws of California. SIGNATURE OATE OWNER-BUILDER DECLARATION 1 07r-Builder Oeclaration: I hereby affirm that I am exempt from the Contractor's License Law for the following reason: IIJ-"f" 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 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.). 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 improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). 0 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, irrprove, 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, coomencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefroo,, 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 [$50 ]). SIGNATURE llJ,.,,u ~ DA TE 1n tJ-f" • .:J:l > J(/q 0 CC»-IPLETE 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 □NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? OYES OND Is the facility to be constructed within 1,000 feet of the outer boundary of a school site' IF MY OF THE MSWERS ARE YES, A FINAL CERTIFICATE OF OCQ.l>ANCY MAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS MET OIi: IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES ANO THE AIR 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 J certify that ! have read the application and state that the above information is 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. ALSO AGREE TO SAVE INDEMNIFY ANO KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JWGMENTS, COSTS AND EXPENSES IJHICH MAY IN ANY MAY ACCRUE AGAINST SAID CITY IN CONSE0l.lENCE OF THE GRANTING 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 is not cOlllllenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is coomenced;or a period of 180 days (Section 303(d) Uniform Building Code). APPLlru:;,T' S SI GN,UR'ft ii Ol,/NER O CONTRACTOR OBY PHONE APPROVED BY: DATE: _________ _ l, -(~ WHITE: File YELLOW: Applicant PINK: Finance PERMIT# CB900501 DESCRIPTION: 14 X REAR TYPE: RAD 14 + 10 X 5 YARD CITY OF CARLSBAD INSPECTION REQUEST FOR 03/27/90 PATIO COVERS SOUTHAMPTON RD ANN PHONE: INSPECTOR AREA PD PLANCK# CB900501 OCC GRP CONSTR. TYPE NEW STR: FL: STE: 619 434-7347 JOB ADDRESS: 2766 APPLICANT: TANQUE, CONTRACTOR: OWNER: TANQUE, ANN REMARKS: T2/MH/ SPECIAL INSTRUCT: PHONE: PHONE: 619 ?211), if. • INSPECTOR 11< TOTAL TIME: CD 11 19 LVL DESCRIPTION ST Ftg/Foundation/Piers ST Final Structural -------------------------------------- -------------------- ACT COMMENTS f--- ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS -• RlJ 28' -ro' Cf<.AN'A8y CouRr ANI\I TANOIJ£ Zl(o(, Seuru ~tifcN CttRLS6A-() CA 9'200~ fwo op(..N <.,A rTi'-C PA n:> c::. u<> IZ ~ i) ,q ~1t/ I q' ! 2) 1o'xS' 50 o(