HomeMy WebLinkAbout2361 TERRAZA SALVO; ; CB911001; PermitB U I L D I N G P E R M I T Permit No: CB911001
Project No: A91U12J6
Development No:
(7/09/91 08:41
Page 1 of 1
Job Address: 2361 TERRAZA SALVO Str:
Permi t Type : RESIDENTAL ADD/ALT (UNDR $10K)
Parcel o: 215-571-3 -00
Valuation: 1,000
Construction TyFe: VN
Occupancy Group: Class Code:
Description: 96 SF DECK ALREADY BUILT/SPECS
Appl/Ownr : MER ICK, STEPHEN
2361 T RRAZA ~ALVO
CARLSBAD, CA 92 09
Fees Required
Fees:
AdJu tments:
Total Fees:
Fee description
Building Permit
Plan 'heck
Stong Motion Fee
* BUILDING TOTAL
CllY OF CARLSBAD
619
Fl: Ste:
3370 07/09/91 0001 01 c-T
S arus:
Applied:
Ap /Issue:
Vali ated By:
753-1751
ssun,
07/09/91
07/U9/ 1
DC
.00
,00
42.00
*A*
Ext fee Data
25.00
16.00
1.00
42.00
2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161
PERMIT APPLICATION PLAN CHECK NO. Cf/~ /oo I
City of Carlsb.:j Building Department
EST.VAL._...._/2""-~-------2075 Las Palms Dr •• Carlst-t, CA 92009 (619) 438·1161
PLAN CK DEPOSIT......,__,,,.._ _____ _
VAIID. BY OC..
DATE 7/7/hJ ;
A -mmerc1ale i.iiing □enantmprovement
B -0 Industrial D New Building □Tenant Improvement
C -□ Residential O Apartment O Condo D'Si~gle Family Dwelling D Addition/ Alteration
D Duplex □ Demolition □ Relocation □ Mobile Home D Electrical □ Plumbing
□ Mechanical □ Pool □ Spa □ Retaining Wall □ Solar □ Other ____ _
2. PROJECT INFORMATION FOR OFFICE USE ONLY
j!tt;ss ffel!/IZ./J ~fl(,,U() Building or Suite No.
Nearest Cross Street u (!JJ-£ /JS f; fr]) ..
mt o.
cl !ECR BEWW IF sOBMI 11 Eb:
□ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report D 1 Addressed Envelope
7 , o·o
DESCRIPTION OF WORK
De¾~R!Es qt,
NAME
CITY
ADDRESS
erJ STATE ZIP CODE DAY TELEPHONE
4. APPUCANI i!t NIRACIOk □AGENIFokCON!RACIOR UUWNEH □AGENIFOROWNER
NAMJ/~et?A/ t/ltt'E ez>ps,-I ~A9,2Wt" ;,,c-c,N,t( c/ ,EA/et /W/~6' C'/9-9?A!' y c1i4 l STA TE {(t2:ool" DAY TELEPHONE
efiltf'f.?;q//J
DAY TELEPHONE
6. ~~;{}0!~;z,WLC~ dJ/IIJ'7 ADDREss / SY' /fllN.L5;eav.tr cr-
c1TY 6,t,,e//1.)/./)}d' STATE Cfr ZIP CODE 9'ei;i?~ DAY TELEPHONE 7SJ}/~S-7,
STATE UC. ~m<i '.tiiii~i~sClASS fS CITY BUSINESS LIC. # DESIGNER NAME
CITY STATE ZIP CODE DAY TELEPHONE STATE UC.#
1. WOfiRERS' WMPENSA:IION
Workers' Compensation Declaration: I hereby affirm that I have a certtllcate of consent to self•msure issued by the O1rectorol lndustnal
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).
INSURANCE COMPANY POIJCY NO. EXPIRATION DATE
Ccn1t1cate of Exemption: I certify that m the performance of the work for which this pernm 1s issued, I shall not employ any person m any manner
so as to becom , ject to the Workers' Compensation Laws of California.
s c,,?.., yl
□
□
□
ere ya irm t at am exempt rom t e ontracto s cense w or t e o owing 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 nor apply to an owner of property who builds or improves thereon, and contracts for such projects
with contractor(s) licensed pursuanr 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 permit
subjects the applicant to a civil penalry of not more than five hundred dollars [$500]).
SIGNATIJRE DATE
COMPLETE 'l'Hls SECl ioN FOR NON•RES!DEN I IAL BUILDING PERMITS ONLY:
Is the applicant or future building 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
Js 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 site?
□ YES □ NO
IF ANY OF TIIE ANSWERS ARE YFS, A FINAL CERTIFICATE OFDCX:UPANCY MAY Nil BE ISSUHD AFTER JULY 1, 1989 UNU!SS 11IE APPUCANT
HAS MET OR IS MEETING TIIE REQUIREMENTS OF TIIE OFFICE OF EMERGENCY SERVICES AND 1HE AIR POILU110N OON"JROL DISI1UCT.
9. wNS'lltUCIION LENDING AGENCY
I hereby afhrm that there 1s a construct10n lending agency tor the performance of the work for which this permit IS issued (Sec 3097(1) CtVli Code).
LENDER'S NAME
to. APPilcAN't CEilfiFICA'lloN
I.ENDER'S ADDRESS ===
I ceruly that I have read the apphcauon and state that the above mlormatton 1s correct. I agree to comply with all 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 inspection
purposes. I Al50 AGREE 10 SAVE INDEMNIFY AND KEEP HARMIESS TIIE CfIY OF CAIUSBAD AGAINSf AIL IJA8ll111F.S, JUDGMENTS, CDSTS
AND EXPENSES WlDCH MAY IN ANY WAY ACX:RUE AGAINSf SAID CTlY IN CDNSEQUENCE OF TIIE GRANTING OF TIDS PERMIT.
OSHA: An OSHA permit is required for excavations over S'O" deep and demolition or construction of structures over 3 stories in height.
Expiration. Every permit 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 abandoned at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code).
APPLICANT'S SIGNATURE ~-/.-.,,,-"' _/ L &4'.' -be-~-<.
DATE: .2'e1, 8-,&
/
Wl-IlTE: File YEU.OW: Applicant PINK: Finance
01/14/92 INSPECTION HISTORY LISTING
FOR PERMIT# CB911001
DATE
07/30/91
07/25/91
07/25/91
INSPECTION TYPE INSP ACT COMMENTS
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