HomeMy WebLinkAbout2703 TIBURON AVE; ; CB901486; Permit09/13/90 15:57
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B U I L D I N G
Job Address: 2703 TIBURON AV
Permit Type: RETAINING WALL
Parcel No : 167-512-51-00
Valuation: 6,120
Construction Type: NEW
PERMIT Permit No: CB901486
Project No: A9001663
Development No:
Str : Fl: Ste :
40 n
Occupancy Group: Class Code: e1~ I 5 q?atus: ISSUED
09/13/90
09/13/90
KZH
Description: 480 SF RETAINING WALL Applied:
Apr/Issue:
Validated By:
OWNER : FELDMAN, ROBERT E. Lie. OWNER
**A Fees Required *** ***---fees Collected & Credits
Fees:
Adjustments:
Total Fees:
Fee description
Building Permit
Plan Check
Strong Motion Fee
* BUILDING TOTAL
Total Cre its:
Total Payments:
Balance Due:
Uni s Fee/Unit
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161
.00
.00
150.00
Ext fee Data
90.00
59.00
1. 00
150.00
PERMIT APPLICATION
•
City of Carlsbad Building Department
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 .
1. PERMIT TYPE 0 COMMERCIAL
0 INDUSTRIAL
0 RESIDENTIAL
□DUPLEX
D APARTMENT
Nearest Cross Streets
.
.
TENANT IMPROVEMENT
QTENANT IMPROVEMENT
□CONDO □SINGLE FAMILY DWELLING OAD0ITI0N/ALTERATI0N
□RELOCATION □MOBILE HOME □ELECTRICAL □PLUMBING
OSPA t§RETAINING WALL QS0LAR □OTHER
PLAN CHECK No. ve.
Ave.
Sub::4-¥i s i or Nal'(lf:iNumber t·oorn uevelopment Corp. Unit No. Phase No. 1
CHECK BELON IF SUBMITTED:
Q2 Energy Cales Oz Structural Cales Envelope
ASSESSOR'S PARCEL PROPOSED USE
Move existing retaining wall back Ft.
DG. sa. FTG. : 0~ ~RiEs
;;our sonorete to cuts: w-. CONTACT PERSON
NAME Robert E. Feldmann ADDREss 2703 Tiburon Ave.
Cl TY Carlsbad, STATE CA.ZIP CODE 92008 DAY TELEPHONE (619) 434-8077
/2G'-IATURE V4. APPLICANT
8.
NAME
CITY
0 CONTRACTOR
Robert E. Feldmann
Carlsbad,
PROPERTY OWNER
"" bert E Feldmann
v Carls baa,
CONTRACTOR
NAME
Owner-Builder Cl TY
0 AGENT FOR CONTRACTOR ~OWNER
ADDRESS
STA TE CA.zrr cooE 92008
0\JNERX
ADoms 2 7 0 3 Tiburon
STATE CA.
STATE
ZIP CODE
ADDRESS
ZIP CODE
92008
STATE LJC. # ____ _ LICENSE CLASS _____ _
SIGNATURE
DES GNER NAME
!TY
WORKERS' COMPENSATION
STATE
TITLE
ADDRESS
ZIP COOE
0 AGENT FOR OWNER
DAY TELEPHONE (619) 434-8077
BLESSEE □TENANT ve.
DAY TELEPHONE (619) 434-8077
DAY TELEPHONE
CITY BUSINESS LIC. #
DATE
DAY TELEPHONE STATE LIC. #
l.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 lolorkers' C~nsation Insurance by an actnitted insurer, or an eKact 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 E11efll)tion: I certify that in the performance of the work for which this permit is issued, I shall not ~loy any person in any manner
so as to become subject to the \Jorkers' Compensation Laws of California.
SIGNATURE DATE
OWNER-BUILDER DECLARATION
O.rner·Builder Declaration: I hereby affirm that I am exempt from the Contractor's license Law for the following reason;
0 I as owner of the property or my errployees with wages as their sole compensation, .rill 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 irrproves thereon,, and who
does such work himself or through his o.rn employees, provided that such irrprovements are not intended or offered for sale. If, however, the building
or improvement is sold within one year of c~letion, the owner-builder will have the burden of proving that he did not build or irrprove for the purpose
of sale.).
[] I, as owner of the property, am e11clusively contracting .rith 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).
0 I am e11empt 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 La.r (Chapter 9, COlllllencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is e11~t therefrom,
and the basis for the alleged e11elllJtion. Any violation of Sect10n 7031.5 by any applicant tor a permit subjects the applicant to a civil penalty of not
more than five hundred dollars [$500]).
SIGNATURE DATE
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY:
!s 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?
Ons □No
Is the applicant or future building occupant required to obtain a permit froo the air pollution control district or air quality management district'
□YES
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
□YES □'°
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE Of OCOFANCY MAY lrfOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS IU:T OR IS MEETING THE REQUIRENENTS
OF THE OFFICE OF EMERGENCY SERVICES AND TNE AIR POLLUTION CONTROL DISTRICT.
9. CONSTRUCTION LENDING AGENCY
hereby affirm that there is a construction lending agency for the performance of the .rork for which this permit is issued (Sec 3097(i) Civil Code).
LENDER'S f/AME LEf/DER' S AOORESS
10. APPLICANT'S SIGNATURE
I certify that! have read the application and state that the above information is correct. I agree to comply with all City ordinances and State la.rs relating
to building construction. 1 hereby authorize repre~entat1ves of the City of Carlsbad to enter upon the above mentione;d property for inspection purposes. I ALSO
AGREE TO SAVE INDEMNIFY ANO KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, Jll)GMENTS, COSTS AND EICPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID
CITY IN CONSEQUENCE OF THE GRANTING Of TNIS PERMIT.
EKpiration. Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if
or work authorized by such permit 1s not cOllll1enced within 180 days from the date of such permit or if the building or work authorized by such permit
or andoned at any time after the work is cormienced for a period of 180 days (Section 303(d) Uniform Building Code).
the bu1 ld1ng
i ~ suspended
APPL N URE □ O\.JNER D CONTRACTOR □ BY PHONE APPROVED BY; _______ _
DA.TE:
WHITE: File YELLOW: Applicant PINK: Finance
I " 02/15/91 INSPECTION HISTORY LISTING
FOR PERMIT# CB901486
DATE INSPECTION TYPE INSP ACT COMMENTS
10/01/90 Grout RI RI Tl/MR/ROBERT
t 10/01/90 Grout PY AP
09/26/90 steel/Bond Beam RI RI T2/MH/434-8077
09/26/90 Steel/Bond Beam PY AP
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