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
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