HomeMy WebLinkAbout2703 SOUTHAMPTON RD; ; CB960919; Permit~-
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B U I L D I N G
<Jc> 1 of 1
1 Job Ar::ldres<;,: 2703 ,::JLITHAMPTON RO
~rm1t,Type: PATIO/DECK
ra eel No: 208-154-1~-00
0dluatior,: 810
F' c. R r1 I T
Suite:
Lot#•
Per ,·t t411 CB 6 919
Project No: ~9~011
Developfllert N :
Occ~pancy Group: Ref~rencett:
Construction T~pp1 Nrw
Statl s= ISSliEO
Aoplied: 05/22/96
Apr/Issue= 0~/22196
E.ntereo.. E Y· R"I~
JE.. ,cription: lzO S~ PATIO COvER-FER CITY
: SPE.CS
~) f 'I=• l / 0 w n r : F I E J;: S ON , W I L L I AM
2703 sourHAMPTON RD
6 1 9 -5 7 8 8 6 0 ('660 05/22/96 0001 01 02
C~RLSSAO CA 92008
Fee~. Required
-Fee:,:
A p,~-.trnent:::.=
T,Jtal Fee-==
Fee descript1ori
Eiuildinq Ferr,,1t
Plan Check
Stron Mot1on Fee
11• BUILDING TOTAL
CITY OF CARLSBAD
INSP.
CLE
C-PRMT
Credits
.00
0
39.00
Ext fe 0:1te
23.00
15.00
1.00
39.00
ir II L APPROVAL
\) -DATE1 ., l-·? <P
L
2075 Las Palmas Dr., Carlsbad, CA 92()()1) (619) 438-1161
39-00
Pl!RMIT APPLICATION PLAN CHECK NO.
City of Carlsbad Building Department
2075 Las Pala,s Dr., Carlsbad, CA 92009 (619) 438-1161
I. PRkMI I IYPR
From Llsc I (see back) give code of Permit-Type: ___________ _
. -----------------------------. -------------------. ------
For Residential Projects Only: From Llst 2 (see back) give
Code of Structure-Type: ____________________ _
Net Loss/Gain of Dwelling Units
2. PROJECT INFORMATION FOR OFFICE USE ONLY
Address z.. '=t~ c, ~Gtt::.~ \ & 8u1ldmg or Suite No.
Nearest Cross Street~, 'f\.. \-~V'-C-
LEGAL D£SCRIP I ION Wt No. Subd1V1s1on Name/Number Unit No. Phase No.
CHECK BEWW IF SOBMI 11 ED:
□ 2 Energy Cales □ 2 Structural calcs □ 2 Soils Report D 1 Addressed Envelope
ASSESSOR'S PARCEi.
DESCRIPTION OF WORK :;:,c,..1c~o Co-ve,
EXISTING USE PROPOSED USE
# OF BEDROOMS # OF BA TIIROOMS SQ. IT. \ ""2,_0 # OF STORIES
3. WN IACI PERSON (II duferent from apphcanf)
NAME (last name first) ADDRESS
CilY STATE ZIP CODE DAY TELEPHONE
4. APPUCANI □Wf,JIRACIOR OAGENi FORCONIRAC!OR .1W~NER.e OA~I FORUl',Nf'.R Q
NAME (last name first)'71e~ 0--.),l..Lo....-............_ ADDRESS "Z 7-c, ,=:s -=x:-..>~ '---~ o..f'--. J-c.:,
CilY STATE ZIP CODE DAY TELEPHONE St~ -S"G,CO
s. PRUPER i'V oWNrut ~e NAME (last name first) ADDRESS
STATE ZIP CODE DAY TELEPHONE
NAME (last name first) ADDRESS
CilY STATE ZIP CODE DAY TELEPHONE
STATE UC.# LICENSE CLASS CilY BUSINESS UC. #
DESIGNER NAME (last name hrs(J ADDRESS
CilY STATE ZIP CODE DAY TELEPHONE STATE UC.#
7. WORKERS' WMPENSAllUN
Workers• Compensation beclarat1on: 1 hereby alfirm that I have a ceruhcate ol consent to self-insure issued by the Director ol lndustna)
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).
SI
)(.
□
□
EXPIRATION DA TE
1s penrnt 1s issue , s a not emp oy any person m any manner
Workers' Compensation Laws of California.
DATE "!:: 2Z q
Owner-Builder Deciarat1on: I hereby athrm Ula[ I am exempt from the l.Znfractors Llcense Law for the foilowmg 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 complecion, 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 co the Contractor's License Law).
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 pennit to construct, alter, improve, demolish, or repair
any structure, prior to its issuance, also requires the applicant for such permit co file a signed statement that he is licensed pursuant to the
provi~_Q!_ntractor's License Law (Chapter 9, commencing with Section 7000 of Division 3 of the Business and Professions Code)
,....---ot'(ftat he is_ue Cthet:efrom, and the basis for the alleged exemplion. Any violation of Section 7031.5 by any applicant for a pennit
: __ subj · a1" to a "vii penalty of not more than five hundred dollars ($500)).
SIGNA -' DATE ,s-Z 'cz
Is th applicant or future bu1 dfng 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 pennit from the air pollucion 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 ANYOFTI!EANSWERS ARE YES, A FINAL CERTIFICATE OF ocx:IJPANCY MAY NOT BE ll_iSllEI) AITERJULY I, 1989 UNLESS TilE APPLICANT
HAS MET OR IS MEIITING TilE REQUIREMENTS OF TilE OFFICE OF EMERGENCY SERVICES AND TilE AIR POILlfTION ffiN11\OL DISl1\ICT.
9. WNS'IRUCIION LENUlNG AGENCY
I hereby affirm that there 1s a construction lending agency for the perlormance of the work for which this penn1t 1s issued (Sec 3097(1) Civil C&ie).
LENDER'S NAME LENDER'S ADDRESS
10. APPllCAN I CHR IIFICAi ION
I certify that I have read the apphcauon and state that the aix>ve information 1s correct. I agree to comply with ail 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 inspeccion
purposes. I AISD AGRE!! TO SAVE INDEMNIFY AND KEEP IIARMLF.SS TI!E CfIY OF CARISBAD AGAINSf AIL UABIUTIES, JUDGMENTS, <XlSfS
AND EXPENSES WIDCH MAY IN ANY WAY ACDUJE AGAINSf SAID CfIY IN ffiNSEQUENCE OF TIIE GRANTING OF TIDS PERMIT.
OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height.
PERMIT# CB960919
DESCRIPTION: 120 SF
SPECS
TYPE: PATIO
JOB ADDRESS: 2703
APPLICANT: PIERSON,
CONTRACTOR:
OWNER:
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 07/12/96
PATIO COVER-PER CITY
SOUTHAMPTON RD
WILLIAM PHONE:
PHONE:
PHONE:
INSPECTOR AREA
PLANCK# CB960919
OCC GRP
CONSTR. TYPE NEW
STE: LOT:
619-578-8600
REMARKS: BJN/BILL/578-8600
SPECIAL INSTRUCT:
INSPECTO~------------
TOTAL TIME:
CD
15
LVL DESCRIPTION
ST Roof/Reroof
--------------------
----------------------------------------
ACT COMMENTS
;if ftN4l,
***** INSPECTION HISTORY*****
DATE DESCRIPTION ACT INSP COMMENTS
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