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HomeMy WebLinkAbout1008 MERGANSER LN; ; CB961847; PermitB ll I L D I N G P E R M I T Permit No: CB 6184 Project No: A~bG2 Ob Development No: l /04/96 11:$2 Page 1 of 1 1 Job Address: 1008 MERGANSER LN ~ermit Type: PATIO/DECK Parcel No: 215-760-05-00 Valuation: 2 ,606 S1.ti te: 0174 10/0q/96 0001 o Lot#: Occupancy Group: Reference#: C M Construction Type: NEW Status: ISSUED Appi1ed: 09/25/ 6 Ap1/Issue: 10/04/36 Entered By: RMA 756-2323 Description: 386 SF-2 PATIOS-ISLA MAR MODEL Appl/Ownr : RICHMOND AMERICAN HOMES 17318 REDHILL AV IRVINE CA 92614 Fees Required Fees: Al justments: Total Fees: Fee descript1orl Building Perna t Plan Check Strong Motion Fee 'k BUILDING TOTAL 714 .00 .00 90.00 Ext fee Data 54.00 35.00 1. 00 90.00 -II~->RQVAL I INSP. _£_ DATE /IJ{rftt. CLEARANCE _____ ! CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 9200') (619) 438-1161 Pl!RMIT'APPUCATION PLAN CHECK NO. City of carlsbad Building Departant PSf. VAL ), 1 (;,D& 2075 Las Pal-Dr., carlsbad, CA 92009 (619) 438-1161 I. P£kM.il hPE PLAN CK DEPOSIT 1 VAIID.BY -------- DATE From List 1 (see back) give code of Pennie-Type: ____________ _ For Residential Projects Only: From Use 2 (see back) give Code of Structure-Type: ____________________ _ Net Loss/Gain of Dwelling Units 2. PRCllECT INFORMATION FOR OFFICE USE ONLY Address Bu1ldmg or Suite No. Nearest Cross Street 1)1\-WlZ- r mt o. CHECK BEWW IF SOBMI I I ill: □ 2 Energy Cales □ 2 Scructural Cales □ 2 Soils Report □ I Addressed Envelope ASSESSOR'S PARCEi. ~NG USE PROPOSED USE # OF BEDROOMS # OF BATIIROOMS ADDRESS CI1Y STATE ZIP CODE DAY TELEPHONE NAME (last name first) S~ ADDRESS CI1Y STATE ZIP CODE DAY TELEPHONE NAME (last name first) "5 /><(v\,-tl-ADDRESS CI1Y STATE STATE UC.# ZIP CODE UCENSE CLASS DAY TELEPHONE CI1Y BUSINESS UC. # DESIGNER NAME (last name Urst) ADDRESS CI1Y STATE ZIP CODE DAY TELEPHONE STATE UC.# 7. WdkkERS' WMPENSAIION Workers' Compensation Declarat1on: I nereby afhrm that I nave a cerlif1cate oi consent to seit-msure 1ssuea Dy tne u1rector or 1naustnal Relations, or a certificate of Workers' Compensation Insurance by an admicted insurer, or an exact copy or duplicate thereof certified by the Director of the insurer thereof filed with che Building Inspection Oeparunent (Section 3800, Lab. C). INSURANCE COMPANY POUCY NO. EXPIRATION DATE Cemhcate of Exempuon: I certify that m the peiionnance of the work for which thts permit 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. OWNER-B0lWkk DFl!DJtAilbN □ Owner-Builder Declaration: I hereby afnrm that I am exempt from the Confradofs Llcense Law for the ioiiowmg reason: I, as owner of the property or my employees with wages as cheir sole compensation, will do the work and the sb"Ucture is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's Llcense 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 d'.- 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 Llcense 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 Llcense 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 consb"Uct, 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 Llcense 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 subj~canvto a civil penalty of not more than five hundred dollars [$500]). & A SIGNATI/RE __l~\J'-----DATE ]J,._-Z-'J...L._"1-b COMPUIE IRIS SECIION FOR NON-RESIDEN IIAL B0IW[NG PERMtrs 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? 0 YES □ NO ls the applicant or future building oc:cu_pant required to obtain a permit from the air pollution conaol district or air quality management district? □ YES □ NO Is the facility co be constructed within 1,000 feec of the outer boundary of a school site? □ YES □ NO IF ANYOFTIIEANSWERS ARE YES, A FINAL CERTIFICATE OF OCCIJPANCYMAYNUf BE JliSIIED AFTER JULY 1, 1989 UNLESS TIIEAPPUCANT HAS MET OR JS ME£mm TIIE REQUIREMENTS OF TIIE omCE OF EMERGENCY SERVICES AND TIIE AIR POLl.UTION CONTROL DIS11UCT. 9. WNSIRUCIION LENDING AGENCY I hereby affirm that there ts a construction lending agency for the peiionnance o.f the work ior which this pemut ts LSSued (Sec 3097(1) C1vU Code). LENDER'S NAME LENDER'S ADDRESS 10. XPPUCAN i cmt liFICXI ION I certJiY that I have read the appUcauon and state that the above mformauon is correct. I agree to comply with all Gey 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 AISO AGREE TO SAVE INDEMNIFY AND KEEP HARMIJ!SS TIIE CflY OF CARISBAIJ AGAINSf AU. UABIUllF.S, JUDGMENTS, CXlSfS AND EXPENSES WHICH MAY IN ANY WAY AOCRUE AGAINST SAID CflY IN CONSEQUENCE OF TIIE GRANTING OF nns PERMIT. 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 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 che date of such permit or if the building or work authorized by such permit is suspended or a tan time after the work is commenced for a period of 180 days (Section 303(d) Uniform Bui':UYl~ APPUCANT'S SIGNATU ~ -~~,t''-------DATE;"'7;_.._;µ:c.c,.~~~ ...... - WHITE: File YELl.OW: Applicant PINK: Finance 0 , PERMIT# CB961847 DESCRIPTION: 386 SF-2 TYPE: PATIO CITY OF CARLSBAD INSPECTION REQUEST FOR 10/09/96 PATIOS-ISLA MAR MODEL JOB ADDRESS: 1008 MERGANSER LN APPLICANT: RICHMOND AMERICAN HOMES CONTRACTOR: PHONE: 714 PHONE: OWNER: INSPECTOR AREA PLANCK# CB961847 OCC GRP CONSTR. TYPE NEW STE: LOT: REMARKS: MW/JIM/603-9294 SPECIAL INSTRUCT: PHONE: ,,._?7 INSPECTOR--~~---------7 TOTAL TIME: --RELATED PERMITS-- LVL DESCRIPTION PERMIT# TYPE CB960732 SFD CD 19 ST Final Structural ------------------------------------------------------ STATUS ISSUED ACT COMMENTS ~---------- ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS LETTER OF TRANSMITTAL ATTENTION: TRANSMITTAL: PER YOUR REQUEST □ FOR YOUR INFORMATION □ VIA: OVERNIGHT □ MAIL □ COURIER □ COMMENTS: '5( U~ ,.,_, rr,t1..-,-&FL ~p u_ ;z; ,tj7U> cc,,,,z,~ f ~ iT} "'2 '{'2. . i,,,c'I ) ...... ~Le'. .... ,(8)L:-~l? .............. '(;'<f-f7. ~ S ]~L,-(S) L--l:i 1)~~L. @ ~~ lJ BY: CC: I \ c, ~ 't , r< 2 '),Cc, tf ff; PLEASE REPLY □ OTHER □ 17310 REDHILL AVENUE SUITE 320 • IRVINE • CALIFORNIA 92714 • 714/756-7373 • Fax 714/757-4333 (WHITE -Recipient YELLOW -File Copy)