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Home My WebLink About2743 TIBURON AVE; ; CB940255; PermitB U I L D I N G P E R M I T Permit No: CB940255 Project No: A9400371 Development No: 03/10/94 13:19 Page 1 of 1 1 J ob Address: 2743 TIBURON AV Suite: Permit Type: PATIO/DECK Parcel No: 167-562-33-00 Lot#: Valuation: 1,376 Construction Type : NEW Occupancy Group: Reference#: Description: 128 SF DECK PER PETERSON Status: ISSUED Applied: 03/10/94 Apr/Issue: 03/10/94 Entered By: DC Appl/Ownr : HANEY, ROBERT L. 2743 TIBURON AVENUE CARLSBAD, CA 92008 *** Fees Required Fees: ~djustments: Total Fees: Fee description Building Permit Plan Check Strong Motion Fee * BUILDING TOTAL *** 55 .00 .oo 55.00 *** 619 120.J o505 Fees Collected & Credits Total Credits: Total Payments: Balance Due: Units Fee/Unit .oo .00 55.00 Ext fee Data 33 .00 21.00 1.00 55.00 FINAL APPROVAL INSP. ~ DATE 5-'{-Jrf CLEARA~Cf _ CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPUCATION PLAN CHECK NO. 9P:.,,?~ City.of Carlsbad Building Depart111ent EST.VAL /-?$ 7_6 2075 Las PalA1s Dr., Carlsbad, CA 92009 (619) 438-1161 PLAN CK DEPOSIT _______ _ VALID. BY b ' , I. PillMll lYP£ DATE ;a,J~Z19' A -0 Commercial LI New Building LI Tenant Improvement B -D Industrial □ New Building □ Tenant Improvement C -.llResidencial □ Apartment D Condo O Single Family Dwelling □Addition/Alteration D Duplex D Demolition D Relocation D Mobile Home D Electrical D Plumbing □ Mechanical D Pool D Spa D Retaining Wall □ Solar D Other DE(/<.. 2. PRCllOCT INJ'CJRMATION FOR OFFICE USE ONLY nu o. □ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope ASSESSOR'S PARGEJ lh 7 -;<S'",i:;;/ ~ 3 3 ·-00 EXJSJJNG USE PROPQSEP USE DESCRIPTION OF WORK # OF STORIES 1 1 eren rom app 1can 13 ',41/;/6L ADDRESS crry C'A I<' cs B P1 D NAME CITY STATE ADDRESS ZIP CODE DAY TELEPHONE s. i:1:rJJ_;'w)'.z; A/ Ey STATE <'f/, ADDRESS CITY CA/ZL s 8-4 p ZIP CODE '12.0(7'g' DAY TELEPHONE NAME CITY STATE STATE IJC. # ADDRESS ZIP CODE IJCENSE CLASS DAY TELEPHONE CITY BUSINESS IJC. # CITY STATE ZIP CODE DAY TELEPHONE STATE IJC. # 1. womam:s· WMPENSA'l ION Workers' Compensation Deciarat1on: I hereby affirm that I have a certificate of consent to self-msure issued by the Director of 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 Ccrt1hcate of Exemption: I certify that m the performance of the work for which this penmt 1s issued, I shall not employ any person many manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE 8. 0WNm-nonnm DECLARAliuN □ □ Owner-Builder Declarauon: I hereby afhnn that I am exempt from the Contracto?s License Law for the following 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 Ccxle for this reason: (Sec. 7031.5 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 pennit 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 i t a ~nal not more than five hundred dollars [$500]). 9( SIGNATURE DATil _Y, ',tf,, Is the applicant or future building occu 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 Presley-Tanner Hazardous Substance Account Act? □YES □NO Is the applicant or future building occupant required to obtain a pennit 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 YES, A FINAi.CERTIFICATE OFCJa:UPANCY MAY NOT BE ISSUED AFl'l!R JULY 1, 1989UNLESS nm APPIJCANT HAS MET OR IS MEIITING TIIE REQUIREMENTS OF TIIB OFFICE OF EMERGENCY SERVICES AND nm AIR POU,IJTION CDNTROL DISilUCT. 9. WNSIRUCituN IENDING AGENCY l hereby alllnn that there 1s a construction lending agency for the performance of the work for which this penmt 1s issued (Sec 3091(1) C.VJI C@e). LENDER'S NAME LENDER'S ADDRESS 10. APPUCAN I CRkllFICXIIUN I cemfy that I have read the application and state that tfie above mformal!on 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 ALSO AGREE TO SAVE INDEMNfr-Y AND KEEP IWlMJ.F.SS TIIB CITY OF CARLSBAD AGAINST AU. IJABILITIES, JUDGMENTS, CDSTS AND EXPENSES WIDCH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CDNSEQUENCE OF nm GRANTING OF TIIIS PERMIT. OSHA: An OSHA pennit 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 pennit or if the building or work authorized by such pennit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 303(d) Unifonn Building Code). DATE: $/~y , File YEU.OW: Applicant PINK: Finance PERMIT# CB940255 DESCRIPTION: 128 SF DECK PER TYPE: PATIO JOB ADDRESS: 2743 TIBURON APPLICANT: HANEY, ROBERT L. CONTRACTOR: OWNER: CITY OF CARLSBAD INSPECTION REQUEST FOR 05/04/94 PETERSON AV PHONE: PHONE: PHONE: INSPECTOR AREA PY PLANCK# CB940255 OCC GRP CONSTR. TYPE NEW STE: LOT: 619 720-0585 REMARKS: MH/BOB/720-0585 SPECIAL INSTRUCT: INSPECTOR ----lf+-~14---------- TOTAL TIME: LVL DESCRIPTION ACT COMMENTS CD 19 ST Final Structural lkf_ ---------- ------------------ ------------------ ------------------ ***** INSPECTION HISTORY***** DATE 040494 040494 032494 DESCRIPTION Frame/Steel/Bolting/Welding Rough Electric Ftg/Foundation/Piers ACT INSP AP PY AP PY AP PY COMMENTS