HomeMy WebLinkAbout2351 TERRAZA RIBERA; ; CB961669; PermitB U I L D I N G P E R M I T Permit No: CB96166~
Project No: A9602381
Deve, opment N >:
l,9/05/96 16:39
Page 1 of 1
Job Address: 2351 TERRAZA RIBERA SHite:
Permit 7ype: MtCHANICAL
Parcel No: 215-582-32-00 Lot#:
Valuation: 0
Occupancy Group : Reference#:
Description: INSTALL NEW A/CW ELECT CIRCUI
9498 09/05/96 0001 01 02
C-PRMT 44
Construction Type: NEW
Status: ISSUED
App:ied: 09/05/Y6
Apr/Issue: 09/05/G6
Entered Bv: RMA Appl/Ownr : AS I HASTINGS
1250 GREENFIELD DR
619 590-9300
EL CAJON CA 92021 ------
Fees Required
Fees:
Adjustments:
Total Fees:
Fee description
Enter 'Y' for Mee n
Install Furn/Duct
Other
~ MECHANICAL TOTA
& Credits ------------------------
.00
.00
44.00
Ext fee Data
15.00 Y
9.00
20. 00 ELECT Ft.!
44.00
EXPIRED PER IT
PERMIT HAS EXPIRED IN ACCORDANCE WITH U B C SECTION 303 (d) · ·
CITY OF CARLSBAD
2075 Las Palrnas Dr., Carlsbad, CA 92009 (619) 438-1161
PERMIT APPLICATION PLAN QiECK NO.
City of Carlsbad Buildil'G Depart.nt
2075 Las P•l-Dr., Carl-, CA 92009 (619) 438·1161
J. PmMll NPR
From Lise I (see back) give ccxle of Pennie-Type: ___________ _
For Residential Projects Only: From List 2 (see back) give
Code of Structure-Type: ____________________ _
Net Loss/Gain of Dwelling Uni~
2. PRQ/ECT INFORMATION FOR OFFICE USE ONLY
Address {). J
Nearest Cross Street
LEGAL DESCRIPTION Lot No. Su6d.1V1s1on Name/Number Ona No. Phase No.
□ 2 Energy C-alcs □ 2 Structural Cales □ 2 Soils Repon □ 1 Addressed Envelope
ASSESSOR'S PARCEL /f/c. DESCRIPTION OF WORK
SQ. IT. # OF STORIES # OF BEDROOMS # OF BATIJROOMS
3. WN nu.:-1 PERSON (U duferent irom applicant)
NAME (last name first) ADDRESS
CITY STA TE ZIP CODE DAY TELEPHONE
4. APPUCANI OWNIRAClytt tJ«CQU/DRCUNIRACIOR □OWN~ _ OA½.f11-f0ROWNER
NAME (last name first) G f (f ;1 ,7 / /:: f }'rJ er-ADDRESS / ;;i. ir )I ? ..I.'
CITY .s.-i) I STATE ZIP CODE C-#;! I O I DAY TELEPHONE . '3_) -_5-,9 I," 7
NAME (last name f,..t) {))[ fon} /,' SC '1 ADDRESS ;,l 3J-l ·te,_( /'d,?.<:~ -,~
CITY C-<1r1r:-or;,-;:/ STATE ZIPCODE 9'v2-t1C'? DAYTELEPHONE v-??_?,,,
NAME (last name first) 5 / /-ft;,' J' · IN tf J? ADDRESS ( ;;2 9" {) C r-? < -" l.t
CITY r7 Cc/·,'r? STATE ZIPCODE UlrJ.f;,./ DAYTELEPHONE 5~pc1-J?:Sdtf
Or
Cl z/5-1
STATE UC. # _j;7 .7 f LICENSE CLASS (.. / 0./. ;;l () CITY BUSINESS LIC. #
DESIGNER NAME (last name hr~t) AODR£SS
CITY STATE ZIP CODE DAY TELEPHONE STATE UC.#
7. WORKERS' WMPRNSA I ION
Workers' Compensauon beclaranon: I hereby affirm that I have a ceruhcare of consent to self-msure issued by ihe bireclOr of Indusmal
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 Depanmenr (Section 3800, Lab. C).
I I / '1-15--'I/ INSURANCE COMPANY .,,--Ci? o-tl ( ,;.S POLICY No.J) 'f 3t 1 EXPIRATION DATE
s
I hereby affirm that I am exempt from the Contractofs Llcense Law for the followmg reason:
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 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.).
D I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Profe$iOns
Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects
with contractor(s) licensed pursuant to the Contractor's License Law).
□ I am exempt under Section ________ Business and Professions Code for this reason:
(Sec. 7031.S Business and Professions Code: Any City or County which requires a pennit to construct, alter, improve, demolish, or repair
any structure, prior to its issuance, also requires the applicant for such pennic ro file a signed statement that he is licensed pursuant to the
provisions of the Contractor's License Law (Chapter 9, commencing with Section 7000 of Division 3 of the Business and Professions Code)
or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.S by any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars [$S001).
SIGNATIJRE DATE
COMPLEI E I AIS SEC I ION FOR NON.RESJDEN i lAt BUILDING PERMI t SONLY:
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, 2S533 or 25S34 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 □NO
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 YES, A FINAL CERTIFICATE OF OCx:tJPANCY MAY NOT BE ISSUED AFTER.JULY 1, 1989 UNU.SS nm APPLICANT
HAS MIIT OR IS MEimNG nm RF.QUIREMElfl'S OF nm ornCE OF EMERGENCY SERVICES AND THE AIR POLI.IJTION mNTROL DISllllCT.
9. WNSIROCIRJN L£NDINC ACE.NCT
l hereby afhrm that there 1s a construcCion lendmg agency for ffie performance of the work for which ifos permu 1s issued (Sec 3097(1) Civil Code).
LENDER'S NAME LENDER'S ADDRESS
IO. APPUCAN I CERilllCA:liON
I certify that I have read the apphcauon and stare that the above 1niormat1on 1s correct. I agree to comply wun all c,cy ordmances ana 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 AISO AGREE m SAVE INDEMNIFY AND KEEP HARMLESS TIIE CTlY OF CARISBAD AGAINST ALI. LIABllJTIES, JUDGMENTS, CDSTS
AND EXPENSES MUCH MAY IN ANY WAY ACCRUE AGAINST SAID CTlY IN mNSEQUENCE OF THE GRANTING OF nns PERMIT.
OSHA: An OSHA permit is required for excavations over S'0" 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 nor commenced within 36S ys from the date of such permit or if the building or work authorized by
such permit is suspended or abandoned at a~~fter the wor · o enced for a period of 180 days (Section 303(d) Uniform BuildjDg ~).0 6
APPLICANTS SIGNATIJRE [.UC,;-',~ ,_..,_7i.-,,.-DATE, <z::_-5 ~/'
WHITE: File Applicant PINK: Fmance