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(