Loading...
HomeMy WebLinkAbout2723 SOUTHAMPTON RD; ; CB901514; PermitB U I L D I N G P E R M I T Permit No: CB901514 Project No: A9001691 Development No: 09/17/90 11:03 Page 1 of 1 ~ Job Address: 2723 SOUTHAMPTON RD Str: Fl: Ste: Permit Type : RESIDENTAL ADDITION/ALTERATION Parcel No: 208-154-05-00 8117 09/17/90 0001 0 C-MT Valuation: 1,000 Construction Type: VN Occupancy Group: Description: 154 SF PATIO COVER : ALREADY BUILT OWNER : HAINKE, ALBERT *** Fees Required *** Fees: Adjustments: Total Fees: Fee description Building Permit Plan Check Strong Motion Fee "BUILDING TOTAL Class Code: ok-}OO'f Status: ISSUED Applied: 09/17/90 Apr/Issue: REAR *** Validated By: DC Lie. OWNER Fees Collected & Credits Total Credits: Totail. Payments: Balance Due: Fee/Unit .00 .00 42 .00 Ext fee Data 25.00 16.00 1.00 42.00 CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 PERMIT APPLICATION City of Carlsbad Building Department I " p 0 EST. YAL. ____ ~~~U~-------2075 Las Palmas Dr., Carlsbad, CA 92009 16191 ,,a-1161 / 1. A B 2. PERMIT TYPE 0 COMMERCIAL 0 INDUSTRIAL □NEW ~RESIDENTIAL QAPARTMUIT TENANT IMPROVEMENT □TENANT IMPROVEMENT □CONDO QsINGLE FAMILY DltlELLING □ADD IT ION/AL TE RAT ION □DUPLEX □DEMOLITION □RELOCATION OM□B!LE HOME □ELECTRICAL □PLUMBING □MECHANICAL □POOL QSPA □RETAINING WALL 0S□LAR 0□THER OJECT INFORMATION PLAN CHECK No. Building or Suite CA!?LS8110 PLAN CK DEPOSIT, ___________ _ VALID. BY ______________ _ DATE _______________ _ LEGAL OESCfl:JPTION Lot No. Subdivision Name/Number Unit No. Phase No. 3. 4. // .x /I-I BLOG. SO. FTG. CONTACT PERSON NAME CITY SIGNATURE APPLICANT NAME Cl TY 0 CONTRACTOR STATE ADDRESS ZIP CODE 0 AGENT FOR CONTRACTOR ADDRESS DAY TELEPHONE 0 AGENT FOR O\.INER STATE ZIP CODE DAY TELEPHONE PROPOSED USE 5. _.,Pl9f,ERTY OWNER /:: 11l 6tltT J-}111 l'i i<l C ! TY CA- STATE c} 7.l 3 .Sut,f1HAmtt,.,,1□,""' □TENANT A~ESS a /(_/J- "7,). VO u;, u,. ,,,, oj / ZIP CODE DAY TELEPHONE 7 _) 7 V 7 ~ 6. CONTRACTOR 7. 8. NAME CI TY STATE STATE LIC. # ____ _ ADDRESS ZIP COOE LICENSE CLASS _____ _ DAY TELEPHONE CITY BUSINESS LIC. # SIGNATURE TITLE DATE DESIGNER NAME ADDRESS ZIP CODE CITY STATE DAY TELEPHONE STATE LIC. # WORKERS' COMPENSATION \.lorkers' C~nsation Declaration: hereby affirm that have a certificate of consent to self-insure issued by the Director of Industrial Relations, or a certificate of 1./orkers' COOl)ensation Insurance by an ao:Eitted insurer, or an e11act 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 Certificate of f)lemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the t.lorkers• CO!ll)enSation La1o1s of California. SIGNATURE DATE OWNER-BUILDER DECLARATION Q1,1ner-Builder Declaration: I hereby affirm that lam exempt from the Contractor's License Lai. for the following reason: O I as owner of the property or my employees 1,1ith wages as their sole compensation, will do the i.ork 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 o.iner of property 1o1ho builds or in-proves thereon,, and who does such work himself or through his 01,1n employees, proYided that such improvements are not intended or offered for sale. If, howeyer, the building or improvement is sold within one year of coopletion, the owner-builder w1ll haYe the burden of proving that he did not build or io-proYe for the purpose of sale.). 0 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 01o1ner of property who builds or in-proves thereon, and contracts for such projects with contractor(s} licensed pursuant to the Contractor's License La1o1). 0 ! am exeo-pt under Section ____________ Business and Professions Code for this reason: (Sec. 7031.5 Business and Professions Code: Any City or County 1o1hich 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 La1,1 (Chapter 9, coo-mencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is ex~t 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 C~PLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY: Is the applicant or future building occupant required to suOOlit 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 0No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □YES 0,0 IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE DF OCaJPANCY MAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS MET OR IS JIEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 9. CONSTRUCTION LENDING AGENCY hereby affirm that there is a construction lending agency for the performance of the .iork for which this permit is issued (Sec 3097(i) Civil Code). LENDER'S NAME LENDER'S ADDRESS 10. APPLICANT'S SIGNATURE l certify that I have read the application and state that the above information 1s correct. l agree to comply 1,1ith all City ordinances and State lai.s relating to building construction. I hereby authorize representatiYes of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE INDEMNIFY AN KEEP HARMLESS THE CITY DF CARLSRAD AGAINST All Ll,\BILITIES, JWGMENTS, COSTS AND EXPENSES WHICH MAY IN ,\NY W,\Y ACCRUE AGAINST SAID CITY IN CONSEQUENCE DF THE GRANTING OF THIS PERMIT. EJ\piration. Every permit is ued by the Building Official under the provisions of this Code shalt eJ\pire by limitation and become null and void if the budding or authorized by such pe mit is not conmenced 1,1ithin 180 days from the date of such permit or if the building or work authorized by such permit is suspended ando at any time afte th (£or is coornenced for a period of 180 days (Section 303(d) Uniform Building Code). ANT'S SIG TURE , / ._ Q 7 E □coRIRAliok LJay PHONE APPROVED BY:---------/...... DATE: __________ _ WHITE: File YELLOW: Applicant PINK: Finance 04/19/91 INSPECTION HISTORY LISTING FOR PERMIT# CB901514 DATE INSPECTION TYPE INSP ACT COMMENTS 09/18/90 Frame/Steel/Bolting/Wel RI RI T2/RS/434-0436 09/18/90 Frame/Steel/Bolting/We! PD AP HIT <RETURN> TO CONTINUE ... CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB901514 FOR 09/18/90 INSPECTOR AREA PD PLANCK# CB901514 OCC GRP DESCRIPTION: 154 SF PATIO COVER REAR ALREADY BUILT TYPE: RAD JOB ADDRESS: 2723 APPLICANT: HAINKE, CONTRACTOR: SOUTHAMPTON RD ALBERT OWNER: HAINKE, ALBERT REMARKS: T2/RS/434-0436 SPECIAL INSTRUCT: TOTAL TIME: CD 14 LVL DESCRIPTION ST Frame/Steel/Bolting/Welding ------------------ -------------------- CONSTR. TYPE VN STR: FL: STE: PHONE: 619 434-0436 PHONE: PHONE: ~ '_JI_ INSPECTOR~ ' ACT COMMENTS tit? _________ _ ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS --=.:c -----. . .. . ... _ 1 ·· . Pro re ~t1 ~ ,N,$1 , . . , ..... . ·: : : : : : i : : : . : : 1 : : : : : : ; : : : ::T: . : : : : i . : . : . : : : : . -:-:--::· : -: .... , .. BU.11-Dl.~G :qEPT . . -:-:---:- .= • --• i • : •• ; • ! _ •• : : l ••. ! • j_ ---u _: _[ . __ : : •.•• --: • --•-l --. _ _;_ -7'd ~ ':~ I=--' •. ! • . • . . i . . . I ' .