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HomeMy WebLinkAbout2725 SOUTHAMPTON RD; ; CB901011; Permit------------------.----------™---- B U I L D I N G P E R M I T Permit No: CB901011 Project No: A9001112 Development No: 06/19/90 11:14 Page 1 of 1 Job Address: 2725 SOUTHAMPTON RD Str: Fl: Ste: Permit Type: RESIDENTAL ADDITION/ALTERATION Parcel No: 208-154-04-00 i07 06,~,; 01 01 02 C-P 46-0 Valuation: 1,008 Construction Type: NEW Occupancy Group: Class Code: Status: ISSUED Description: 168 SF PATIO COVER PER SPECS Applied 06/19/90 CONTRACTOR MULLIGAN, THOMAS 2777 WILSON ST CARLSBAD, CA 920 8 OWNER CARO, LEN *** Fees Required *** Fees: Adjustments: Total Fees: Fee description Building Permit Plan Check Strong Motion Fee * BUILDING TOTAL 46.00 .00 46.00 Apr/Issue Validated By: DC Lie. C 358376 619-729-1054 Lie. OWNER Fees Collected & Credits *** Total Credits: Total Payments : Balance Due: Units Fee/Uni CITY OF CARLSBAD .00 .00 46.00 Ext fee Data 27.00 18.00 1.00 46.00 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 PERMIT APPLICATION City of Carlsbad Building Department esr. vAL ____ __,7,,.A....,o_"-"-o"-'-k: ........ __ _ 2075 las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PLAJi IX OEPOS!T _______ ---c_ac-__ _ VALID. BY _____ =--""_.::;.?-::::;c_ ___ <_· __ _ 1. PERMIT TYPE A O COMMERCIAL TENANT IMPROVEMENT DATE ___ __.,:;?:""----------- 8 0 INDUSTRIAL □NEW O TENANT rnPROVEMENT C • )21.RES!DENTIAL □APARTMENT □CONDO Jl!srNGLE FAMILY DWELLING □ADDITION/ALTERATION 0 DUPLEX O DEHOLIT ION O RELOCATION OMOBI LE HOME □ELECTRICAL PLUMBING ,/? OMECHANJCAL □POOL □SPA □RETAINING WALL □SOLAR ~OTHER..,_----- 2. PROJECT INFORMATION PLAN CHECK No. 3. 4. BLOG. SC. FTG. SIGNATURE NAME CITY A,, OcoN:o/TOR // vc..,• /r ~ # Of STORIES ADDRESS □ AGENT FOR CONTRACTOR ADDRESS STATE ZIP COOE Unit No. Phase No+ 1 Addressed Envelo PROPOSED USE ~,'I <;5~-?l, 5 ~ DAY TELEPHONE / 2-er / 6 )if 0 AGENT FOR OWNER DAY TELEPHONE 5. PROPJRTY OWNER....-?_ NAME Le✓,,z c.._.oraJ □LESSEE OTrnA.HT / ?-1 2a j o v--(et'? A'~ OWNER ADDRESS CITY ~l-012 ~ STATE ZIP CODE 6. CONTRACTOR ,?:Jr; ././r NAME ~ ~ // J-U.c r: 70;J,,t. CITY C&rt~ b~ d ADDRESS STATEC(A ZIP CODE 7C LICENSE SIGNATURE TITLE ADDRESS Cl TY STATE ZIP CCOE DAY TELEPHONE 2777 {..Uf~ '5;,L t?-J-o0 'I DAY TELEPHONE ?2-1 /cJ s-¥ CLASS L .:2.2 CITY BUSINESS 4-4 2-i._o 0 DATE 6 DAY TELEPHONE STATE LIC. # 7. WORKERS' COMPENSATION Workers' Corrpensation D-eclaratlon: heteby affirm that have a certificate of consent to self-insure issued by the Director of Industrial Rel.;;i.tions, or a certificate of w'orkers• C~nsation ln-surance by an adTiitted insurer, or an exact copy or duplicate thereof certified by the Director cf the insurer thereof filed with the Build1ng Inspect10 D partment (Section 3800, Lab. C). INSURANCE COMPANY -,he,_ POLICY NO. EXPJRAT ION DATE Certificate of Ex.errption: I certify that ln the perform,3nc-e of the work for which this permit is issued, I shall not etrploy any person in any !Tldnne-r so as to become subject to the Workers• Corrpensation Laws of California. SIGNATURE DATE 8. OWNER-BUILDER DECLARATION Owner-Builder Declaration: I hereby affirm that I am exempt fr-om the Contractor's License Law -for the following r-eas.on; 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 i"l'roves thereon., and who does such wor• himself or through his own employees, provided that such i-.,rovements are not intended or offered for sale. If, however, the building or improvement ;s sold within on-e year of completton, the Ol'lner-builder will have the burden of prov?ng that he did not build or illl}r□ve for the p,.1rpose of sale. l. D I, as owner ol the property, am eKclusively contracting with licensed contractors to construct the project (Sec. 704•, Business and Profess1ons Code: The Contractor's License Law does not apply to an owner of property who builds or ;-.,roves thereon, and contracts for such projects with contractor Cs) licensed pursuant to the Contractor's License Law). 0 I am exeOYPt ~rider Section ___________ Business and Professions Coda for this reason~ (Sec. 7031.5 Business and Profess;ons Code: Any City or County w11lid, requires a permit to construct., alter, in,,:,rove, deroolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuar,t 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 therefrom, and the basis for the alleged e.emption. 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 COMPLETE THIS SECTION FOR NON·RESlDEHTIAL BUILDING PERMITS ONlY: [s the applicant or future b,.dld;ng occupant required to submit a busin.ess planr acutely hazardous mate-rials registration form or risk management and prevention, program under Sections 25505, 25533 or 25534 of the Presley-Tanner Ha,ardous Substance Account Act? Oves o~o 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 site1 □YES IF ANY Of THE ANS\IERS ARE YES. A FINAL CERT! FICATE Of OCCUPANCY IIAT NOT BE ISSUED AFTER JULT 1 • 1989 UNLESS THE APPLICANT HAS MET OIi JS MEETING THE REQUIRENENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 9. CONSTRUCTION LENDING AGENCY hereby affirm that there is• construct1on lending agency for the performance of the wor• for which this permit is issued (Sec 3097(i) Civil Code). LENDER'S NAME LENDER'S ADORE SS 10. APPLICANT'S SIGNATURE J certify that J have read the application and state that the above informat1on is correct. I agree to comply with all City ordinances and State laws relating to building construct,on. I hereby authorize representatives of the City of Carlsbad to enter upon the -Above mentioned property for inspection purposes. 1 ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIABILITIES, JWGIIENTS, COSTS ANO EXPENSES IIIIICH IIAT IN ANT WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. Expiration. Every permit issued by the Building Official under the provisions of this Code shall expire by llmitation and become null and vo1d if the building or work authcri:zed by such permit is not cc,rrmenced ffithin 180 days from the date of such permit or if the building or work authorfzed by such permit is suspended or abandoned at any tirne after the -,ork is coo,nenced for a pecfod of 180 days (Section 303(d) Uniform auildin9 Code). 0 OWNER ~CONTRACTOR OBY PHO~E AP!'ROVED BY, _______ _ DATE: YELLOW: Applicant PINK: Finance 06/18/91 INSPECTION HISTORY LISTING FOR PERMIT# CB901011 DATE INSPECTION TYPE INSP ACT COMMENTS 07 /10/90 Roof/Reroof RI RI Tl/MH/TOM/729-1054 06/20/90 Ftg/Foundation/Piers RI RI TJ/MH/TOM/729-1054 06/20/90 Ftg/Foundation/Piers PK/ AP HIT <RETURN> TO CONTINUE ... -~ I -,~(:,<; , ____ _, ...... _______ _ 6 ei,V ~ 1/1' Q. N ---~