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Home My WebLink About2420 STROMBERG CIR; ; CB941496; Permit11/16/94 14:02 Page 1 of 1 B U I L D I N G 1 Job Address: 2420 STROMBERG CR Permit Type: PATIO/DECK P E R M I T Suite : Lot#: Permit No: C8941496 Project No : A9402192 Development No : 9'597 11/16/94 0001 01 C-PRMT 02 90-00 Parcel No: 167-230-15-00 Valuation: 2,400 Construction Type: VN Occupancy Gro up: Reference#: St atus: ISSUED 1 1/16/94 11/16/94 MDP Description: 360 SF PATIO Appl/Ownr : KARPINSKI, ED 2420 STROMBERG CIRCLE CARLSBAD, CA. 92008 *** Fees Required Fees: Adjustments: Total Fees: Fee description Building Permit Plan Check Strong Motion Fee * BUILDING TOTAL *** Appliet.l: Apr/Issue: Entered By: 619 729-6167 Fees Col lected & Credits Total Cr;;edits : Total Paymen ts. Balance Que : .00 .no 90.00 *** Vnits Fee/Unit Ext fee Data 54 .00 35.00 1. 00 90 .00 L APPROVAL & N" \.!_•__:;~-DATE ft-· 1·-, .. LEARANC E _____ , CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION PLAN CHECK NO. t ' ~ "' \ ~ I" --------~ City of Carlsbad Building DepartEnt 2075 Las Pal..s Dr., Carlsbad, CA 92009 (619) 438·1161 o?¼O 1. PERMIT 'IYPE From List 1 (see back) give code of Permit-Type: ____________ _ For Residential Projects Only: From List 2 (see back) give Code of Structure-Type: _____________________ _ Net Loss/Gain of Dwelling Units 2. PROJECT INFORMA110N FOR OFFICE USE ONLY Address 'Jf/)j 2J=Pir'(!J.H pc?/1! f ?tf< Building or Suite No. : .:fe t o. nit o. 'i:'1 p'i µ9HU.t0 &$!It CHECK BEWW IF s08Mi I F: f □ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope ASSESSOR'S PARCEL EXISTING USE PROPOSED USE DESCRIPTIONOFWORK f',4'/J 0 C4~~~ SQ. FT. -3,. b O # OF STORIES # OF BEDROOMS # OF BATI-IROOMS 3. CDN IACI PERSON (1f dmerent from applicant) NAME (last name first) ADDRESS Cl'JY STATE ZIP CODE DAY TELEPHONE 4. APPUCAN I OCON I RACIOR LI AGEN I FOR cON 1 RACIOR ADDRESS OoWNER OAGENI FOR OWNER NAME (last name first) CITY STATE ZIP CODE DAY TELEPHONE s. PROPER'lY oWNmt NAME (last name first) C)w;N /-~ /(!4fff /Nfk'i ADDRESS 'J'f'JO f-/lfbtib?:-('f (1~- STATE ZIP CODE Cf 'r/. O--¢J r DAY TELEPHONE NAME (last name first) CITY STATE STATE UC.# ZIP CODE LICENSE ClASS ADDRESS DAY TELEPHONE CITY BUSINESS UC. # DESIGNER NAME (last name hrst) ADDRESS CITY STATE ZIP CODE DAY TELEPHONE STATE UC. # 1. WOitl<EHs' OOMPENsAl10N Workers' COmpensauon Oeclarauon: I hereby affirm Lhat I have a cert1hcate of consent to self-insure issued by the Director ol industnai 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 CeruhcaLe of Exempuon: I certify that in the performance of the work tor which this permit 1s issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE A. OWNEit-B0llDmt DECLAltAl1dN Owner-Builder Declaration: I hereby alhrm that I am exempt from the Contractor's License Law for the ioiiowing 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 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 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). 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, improve, 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 (C apter 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 aiieg exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applic t to a civil ,,.,..u ... " ,.,f n m re than fi e undred dollars [$500)). SIGNATIJRE ~ DATE Is Lhe applicant or future building occupant require 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 ONO Is the applicant or future building occupant required to obtain a permit from 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 of a school site? □ YES □ NO IF ANY OF 1lIB ANSWERS ARE YFS, A FINAL CERlmCATE OF oa:uPANCY MAY NOT BE ISSUED AFfER JULY 1, 1989 UNLESS TI1E APPUCANT HAS MET OR IS MEETING TIIE REQUlR.EMENTS OF 1llE OFFICE OF EMERGENCY SERVICF.S AND nm AIR POU.U110N OONTilOL DISTIUCT. 9. OONS'IR0Cl10N LENDING AGENCY I hereby alhrm that there 1s a construction lending agency tor the performance of the work tor which this permit 1s issued (Sec 3097(1) CIVIi code). LENDER'S NAME LENDER'S ADDRESS lo. APPUCAN I CERnFICAnON I cerufy that I have read the application and state that the above inlormauon 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 ALSO AGREE 10 SAVE INDEMNIFY AND KEEP HARMI.FS5 THE CTIY OF CARlSBAD AGAINSf AU. IJABILITIF..5, JUDGMENTS, CDSTS AND EXPENSES WHIOI MAY IN ANY WAY ACDlUE AGAINSf SAID ClTY IN OONSEQUENCE OF THE GRANTING OF nos PERMIT. OSHA: An OSHA permit is required for excavations over 5'0" 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 permit is not commenc within 365 days from he date of such permit or if the building or work authorized by such permit is suspended or abandoned at y time after wo I commenced i a period of 180 days (Section 303(d) Uniform Building Code~¥' - APPLICANTS SIGNATURE . DATE: ll~ft,-'I __ • : Applicant PINK: Finance 0 PERMIT# CB941496 DESCRIPTION: 360 SF PATIO TYPE: PATIO CITY OF CARLSBAD INSPECTION REQUEST FOR 12/06/94 INSPECTOR AREA PD PLANCK# CB941496 OCC GRP CONSTR. TYPE VN STE: LOT: JOB ADDRESS: 2420 STROMBERG CR APPLICANT: KARPINSKI, ED CONTRACTOR: OWNER: REMARKS: MW/EDWIN SPECIAL INSTRUCT: PHONE: ~ PHONE: 619 729-6167YL PHONE: /-;:)E) INSPECT~ ' TOTAL TIME: CD LVL DESCRIPTION ACT COMMENTS _1_9 __ s_T _F_i_n_a_1_s_t_r_u_c_t_u_r_a_1 _______ ~ ______________ _ ------------------------------------ ***** INSPECTION HISTORY***** DATE 120194 111794 DESCRIPTION Frame/Steel/Bolting/Welding Ftg/Foundation/Piers ACT INSP AP PD AP PD COMMENTS ~ .... "' 0 APPROVED Sy NOV 1 6 1994 City of CARLSBAD BUILDING DEPT.