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Home My WebLink About2505 SOMBROSA PL; ; CB911189; PermitPERMIT APPLICATION PLAN CHECK NO. q I City of cartsbad Building Departlllent 2075 Las Pal•s De •• C&clsbed, CA 92009 (619) 438-1161 I. PFJlMl I IYPE A -U Commercial U New Bu1ldmg D t'enant Improvement B -D Industrial □ New Building □ Tenant Improvement C -151 Residential □ Apartment D Condo □ Single Family Dwelling □Addition/Alteration U Duplex □ Demolition □ Relocation □ Mobile Home D Electrical D Plumbing □ Mechanical □ Pool □ Spa □ Retaining Wall □ Solar ljZI Other Pmo CtJJ' 2. PRQJECf INFORMATION FOR OFFICE USE ONLY Address !l'5o's Nearest Cross Street LEGAL DEstklJfi ION So'N\&oSA-PLA-c..€ BuUdmg or Suue No. Lot No. Subci1VJs1on Name/Number CHECK BEWW IF SOBMll 1£D: 0mt No. D 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope ASSESSOR'S PARCEL DESCRIPTION OF WORK Co\J«..V" # OF STORIES 1 eren rom app 1can NAME CITY -:S-e....e:.... t:l::=4-- STATE ADDRESS ZIP CODE DAY TELEPHONE -1. APPUCANI l)lWNIRACIOR OAGENI FORWNIRACIOR uuwNtK UAGENI FOR OWNER NAME REED M. H•EIUJe,L. ADDRESS -Z.$ol l'Vi""'O<.ro C.Ou.!IL~ DAY TELEPHONE (,,'3.1.-1>" / CITY C:..All..'-'!,.6""1Q STATE c_..,_ ZIP CODE ,l-oo 7 S. PkUPRkl Y OWNRR NAME E"-D l) "'tJI l:L..\j.J I C. 'c. ADDRESS '2. So.(" CITY <:.~8ATJ STATE C."' ZIP CODE q ,-e,o 1 6. WNIRACIUK NAME Re,e-o M. t1->~e-L. ADDRESS L.. 'oo I DAY TELEPHONE 7 $ '!,-2.1 (.. S"° ~~ro CGU.ll...t'"' Phase No. CITY C... ,Ao'LLS /l, A-:, STATE c_,&--ZIP CODE '9 l--•• 'I STATE !JC.# 38 ,l'~L<> IJCENSE Cl.ASS )"'"!:, DAY TELEPHONE G;. I~ -1.~L -13> 7 CITY BUSINESS !JC.# il'\802..(. DESIGNER NAME ..,, ..... ADDRESS CITY STATE ZIP CODE DAY TELEPHONE STATE !JC.# 7. WORkERS' WMPF.NSXIION Workers' Compensation Declaration: I hereby affirm that I have a cert1hcate 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). INSURANCE COMPANY POIJCY NO. EXPIRATION DATE Cert1llcate of Rx.emption: I certtfy that m the performance of the work for which this pemuf 1s issued, I shall not employ any person m any manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE fuJ. ""~ DATE 8-2.0• ', \ 8. oWNF.K-BOllDEk DPlDJL\IIUN Owner-Bu1lder beclarat1on: I hereby affirm that I am exempt from the Contracto?s License Law for the foiiowmg reason: D 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 che 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 noc apply co an owner of property who builds or improves thereon, and contracts for such projects with contraccor(s) licensed pursuant to the Contractor's license Law). □ I am exempt under Section ________ Business and Professions Code for chis reason: (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, aher, 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 (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 permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500]). SIGNATURE DATE CuMPLE'IE 'IRIS SEClloN FOR NON-Rf:SIDEN IIAC BOIWING PERMI l's 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? □ 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 nm ANSWERS ARR YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT Bl! IS.Wl!D AFl1!R JULY I, 1989 UNll!SS nm APPLICANT HAS MET OR IS MEETING nm RF.QIJJIIEMENTS OF nm OFFICE OF EMERGENCY SERVICES AND nm AIR POLLUTION CDNTROL DISTRICT. 9. WNSIR0CIION IENDING AGENCY I hereby afhrm that there 1s a construction lending agency for the performance of the work for which this permit 1s issued (Sec 3097(1) C1vll Code). LENDER'S NAME LENDER'S ADDRESS 10. APPUCANI CEkllFICAIIUN I certify that I have read the apphcatmn and state that the above mformat1on 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 c.arlsbad to enter upon the above mentioned property for inspection purposes. I AISO AGREE ID SAVE INDEMNIFY AND KEEP IIARMIJlSS nm CI1Y OF CARISilAD AGAINST ALL IJAlllU11ES, JUDGMENTS, CDSrS AND EXPENSES WIIlCH MAY IN ANY WAY A£DUJE AGAINST SAID CI1Y IN mNSEQIJENCE OF nm GRANTING OF 1llIS PERMIT. QfilIA: An OSHA pennit 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 permit is not commenced within 365 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 commenced for a pericx:I of 180 days (Section 303(d) Uniform Building Code). APPIJCANT'S SIGNATURE DATE: IS"-1..u-q I WHITE: File YEIJ..OW: Apphcant PINK: Finance CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB911189 FOR 08/29/91 DESCRIPTION: 231 SF PATIO COVER TYPE: RAD JOB ADDRESS: 2505 SOMBROSA PL APPLICANT: DANIELWICZ, ED CONTRACTOR: HOERNER, REED OWNER: REMARKS: MH/REED/632-1337 SPECIAL INSTRUCT: TOTAL TIME: PHONE: PHONE: PHONE: STR: 7532165 6321337 CD LVL DESCRIPTION ACT COMMENTS INSPECTOR AREA PY PLANCK# CB911189 OCC GRP M CONSTR. TYPE NEW FL: STE: _1_9 __ s_T _F_i_n_a_1_s_t_r_u_c_t_u_r_a_1 _______ fitf--------------- -------------------------------------- ***** INSPECTION HISTORY***** DATE DESCRIPTION 082191 Ftg/Foundation/Piers ACT INSP AP PY COMMENTS Hl''a.''~ f1coPoSE:"D I' PR-r'J o C?,VS:R '- DIANE & ED DAN!f.LEW!CZ 2505 SOMBROSA PLACE ., CARLS3AD, CA 92009 SoVV\~ILl>SA