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Home My WebLink About2613 SOMBROSA ST; ; CB961417; PermitB U I L D I N G 08/05/96 16 :37 Paqe 1 of 1 Job Address: 2613 SOMBROSA ST Permit Type : PATIO/DECK Parcel No: 255-112-02-00 Valuation: 2,200 P E R M I T Suite: Lot#: Permit No: CB9b1417 Project No: A9602l52 Development No: Construction Type : Occupancy Group : Reference#: Status: Applit=d: VN ISSUED 08/05/96 08/05/96 MDP Desci1ption: 200 SF DECK WITH DOOR AND : ELEC. CITY SPECS. Aµpl/Own1 : HAYNES , ROBERT 2b13 SOMBROSA STREET CARLSBAD, CA. Ale* Fees Requited Fees: AdJustments: Total Fees: Pee description Building Permit Plan Check Strong Motion Fee Other "BUILDING TOTAL Apr/Issue: Ente:i:ed By : b-~ 44 ~662 ~ \} \Af{)r oa1os196 0001 01 \g,., C-PRMT .00 .00 110.00 02 110-00 Ext fee Data 54 .00 35.00 1.00 20.00 ELECTRIC 110,00 CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION PLAN CHECK NO. C, 0 -J L( \ 7 City of Carlsbad Building Department 2075 Las Palms Dr., Carlsbad, CA. 92009 (619) 438-1161 EST.VAL,___ _________ _ I. Pf:RMll lWR PLAN CK DEPOSIT _______ _ VAIID.BY ___________ _ DATE From Llst 1 (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. PROJECf INFORMATION FOR OFFICE USE ONLY Address 14 /3 ~Of'\Beos,,\ ~T-Building or Sune No. ame/ um r mt o. ase o. CHECK BEWW IF S0BMII 1£0: C(8Af\ T(ZAC.T 1f J3-18'. / It,} •I #'i D 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report D 1 Addressed Envelope ASSESSOR'S PARCEJ iii 55 • 1161 -Q J DESCRIPTION OF WORK le-(_,.J f>, d(l_ .. it. SQ. FT. 'lex:> ().._"-# 0 STORIES EXISTING USE PROPOSED lJSE CJ c.c_ # OF BEDROOMS # OF BATHROOMS 3. WN IACI PERSON (U duferent from appJlcant) NAME (last name finll) 12.0BS2T Hf't y ,-.t <;;, ADDRESS 'Zl., r~ CITY STATE ZIP CODE DAY TELEPHONE 4. APPDCANI UCUNIHALJU!{ DAGEN I FORWNIHACIOR ADDRESS .)<OWNER DAGEN I FOR OWNER NAME (last name first) CITY STATE ZIP CODE DAY TELEPHONE NAME (last name first) t/A Y,-JE..S ADDilESS Z~ I ~ <;;;oM(3 ~ IT- DAY TELEPHONE q4t_/. 5{qfo 'L CITY C,/f:,,4_ ~ STATE C,q. ZIP CODE q2o;:A 6. CDN IRACIUR NAME (last name first) ADDRESS CITY STATE STATE UC.# ZIP CODE LlCENSE CIA5S DAY TELEPHONE CITY BUSINESS UC. # DESIGNER NAME (last name first) ADDRESS CITY STATE ZIP CODE DAY TELEPHONE STATE LlC. # 7. WORRI1tS'WMPENSAIION Workers Compen$at1on Declaration: I hereby afhrm that I have a cerutlcate of consent to seli•msure issued by the Director of lndustnal Relations, or a certificate of Workers' Compensation Insurance by an admiued 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 PCIJCY NO. EXPIRATION DATE Cert1hcate of Exemption: I cerufy that m the performance of the work lor which this permit 1s issued, I shall not employ any person m any manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE 8. OWNER-B0UDER Df.CL\ltAIIUN □ □ □ Uwner•BuUdcr Dcclarat1on: I hereby afhrm that I am exempt from the Contractor's License Law for the followmg 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 completion, 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 to 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 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 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 pennit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]). SIGNATURE DATE COMPLE IE I HIS SECI ION FOR NON.HESJDEN I JAL BUILDING PEHMI IS ONLY: Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration fonn or risk management and prevention program under Sections 25505, 25533 or 25534 of the Prcslcy•Tanncr 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 ONO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ YES □ NO IF ANY OF THE ANSWERS ARE YF.S, A FINAi.CERTIFICATE OF OCX.1JPANCY MAY NUT BE JliSUEI) AFfERJULY I. 1989 UNIBSS THE APPIJCANT HAS MET OR IS MEE'11NG TIIE REQUIREMENTS OF THE OFFICE OF EMFJ!.GENCY SERVICES AND THE AIR PCIJ,UTION OONTil.OL Di>,7RJCT. 9. UJNSIR0CIION 1£NDING AGENCY I hereby afhrm that there 1s a construction len<lmg agency for the performance of the work for which this permit 1s issued (Sec 3097(!) CIVIi Ccxl.e). LENDER'S NAME LENDER'S ADDRESS IO. APPUCAN I C£RIIFICAIIUN I certify that I have read the appl1cat1on and state that the above mlormat1on 1s correct. I agree to comply with all City ordmances and State laws relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CTIY OF CARISBAD AGAINST AIL LlABIIITIES, JUDGMENTS, <XlSTS AND EXPENSES WIII□I MAY IN ANY WAY AOCRI/E AGAINST SAID CTIY IN OONSEQUENCE OF TIIE GRANTING OF TIIIS PFJ!.MIT. OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Expiration. Every pennit 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 aba~at any time fter the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code). APPIJCANT'S SIGNATURE I:::, j • r\/;\_ DATE: t21q'lto WJ-IlTE: File OW: Applicant PINK: Finance C, PERMIT# CB961417 DESCRIPTION: 200 SF ELEC. CITY OF CARLSBAD INSPECTION REQUEST FOR 09/11/96 DECK WITH DOOR AND CITY SPECS. TYPE: PATIO JOB ADDRESS: APPLICANT: 2613 SOMBROSA ST HAYNES, ROBERT PHONE: CONTRACTOR: PHONE: OWNER: PHONE: INSPECTOR AREA DC PLANCK# CB961417 OCC GRP CONSTR. TYPE VN STE: LOT: 619 944-5662 REMARKS: MW/JEANINE/944-3506 SPECIAL INSTRUCT: INSPECTOR ~A-'-9~-1----------("-; TOTAL TIME: CD 19 39 LVL DESCRIPTION ST Final Structural EL Final Electrical ACT COMMENTS '¢---- ***** INSPECTION HISTORY***** DATE DESCRIPTION 081296 Ftg/Foundation/Piers ACT INSP AP DC COMMENTS ' -,- .L ' L ' ' --,-- '-- '------ --' -1---- -,---,- -,- -,_ ,_ ----_,_ ' -,- _,_ ' -,- I_ ----_1_ -----:- ' ,_ -,_ -- -,--, -' -----:----,:,-~ ' ' l.Q -,- _,_ - -,--, --, -r-:' : y'-'' I I --",----,---....., ' ' '------:----'--- '