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HomeMy WebLinkAbout1101 KNOWLES AVE; ; CB901972; PermitB IJ I L D I N G P E R M I T Permit ProJect Development No: l · 1:: 1, 1 i , A '-I '(, .. -' 12127/90 Otl:39 P'lgP 1 of 1 ,.T<>b Addi ess: 11 J 1 ~ !•,K;wLL, t'J.V Perm1 t Type: ~1FMOLITION PERMIT Parcel No: l~r .. l~-14-UU valuation: o Construction Type: NEW occupancy Group: Clas~ Code: Description: 2 SFD'S 1200 SF & 800 SF : 1101 AND 1111 KNOWLES AVENUE Appl/Ownr : LEWIS, ROBERT 1827 DORA DRIVE CARDIFF, CA 92007 *** Fees Required Fees: AdJustments: Total Fees: Fee description Enter "Y for r Enter "Y" for PlUIJlbl. r Total $tr: b19 No: No: Fl: Ste: Status: Applied· Apr/Issue: Validated By: 944-7424 I::,SI IE[J 12./27/'-I I 12./i7/YCl DC 0056 12/?7/ llected & Cred1~;g, t .lllJ ,00 .3(•. Uli Ext fE't> r,,lt a 20.llll 'i 10,JO X' 10. lhl PERMIT APPLICATION • City of Carlsbad Building Department EST. VAL. _______________ _ 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 . 1. A 8 2. PERMIT TYPE COMMERCIAL 0 INDUSTRIAL 0NEW 0 RESIDENTIAL O APARTMENT 0 DUPLEX Js_oeMOLI TION iCAL □POOL TENANT IMPROVEMENT 0 TENANT IMPROVEMENT . . . □CONDO □SINGLE FAMILY DWELLING OADDJTI0N/ALTERATI0N □RELOCATION □MOBILE HOME □ELECTRICAL □PLUMBING QSPA □RETAINING WALL □SOLAR □OTHER JECT INFORMATION PLAN CHECK NO. 11 0 I 4-1:ll'f J< IJDwU: .S ;h.J ~ Nearest Cross Streets PLAN CIC DEPOSIT. ___________ _ VALID. BY. ______________ _ DA.TE _______________ _ LE~L DESCRIPTION D_ttv is Cll-itL.S~l\<'.J ?fl Lot No. Subdivision Name/Nunber f Unit No. Phase No. CHECK BELOW If Sl.llMITTEO: 2 Energ Cales 02 Structural Cales -~ '~f£:'.!:o 'lf 2 BLDG. SQ. FTG. ,. I 3. CONTACT PERSON NAME i2o6Ea..r-U,.v", \ CITY ~,l.P11"°? f--1'1 4. 0 CONHACTOR CI TY PE.RTY OWNER ' rLOBetl-=f \....E.w •5 cA..:4?,ef: 1 Addressed Enve\o PROPOSEO USE # OF 0 L-0 £ ~ K-o I"' CS f 2.-00 If ~ STORIES 'l 0-0 ADDRESS f't.21 110i2-A-LJ/L STATE ZIP CODE 'i 2-oo 7 DAY TELEPHONE (j 4-'+ -7 " 7.... '-I 0 AGENT FOR CONTRACTOR ADDRESS Om.JNER 0 AGENT FOR OWNER STATE ZIP CODE DAY TELEPHONE OWNER ADDRESS '1" ,1. □LESSEE I 02-7 po,'-? Dt □TENANT STATE~ ZIP CODE 1 "},,,C() / DAY TELEPHONE 6. CONTRACTOR 7. 8. NAME ADDRESS Cl TY STATE ZIP COOE DAY TELEPHONE STATE LIC. # ____ _ LICENSE CLASS _____ _ CITY BUSINESS LIC. # SIGNATURE Tl HE DATE DESIGNER NAME CITY WORKERS' COMPENSATION STATE ADDRESS ZIP CODE DAY TELEPHONE STATE LIC. # Workers' CO!ll)l!nsat1on Declaration: hereby affirm that have a certificate of consent to self·insure issued by the Director of Industrial Relations, or a certificate of Workers• corr-.:iensation Insurance by an actnitted insurer, or an e11act 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 EXetrfltion: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the IJorkers' Compensation Laws of California. SIGNATURE DATE OWNER-BUILDER DECLARATION Owner-Builder Declaration: I hereby affirm that I am exempt from the Contractor's License Law for the following 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 ~loyees, provided that such improvements 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 improve for the purpose of sale.). D ], 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). D 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, irrprove, 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, cOl!lllE'ncing with Section 7000 of Division 3 of the Business and Professions Code) or that he is ex~t therefrom, and the basis for the alleged ex~tion. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred do l l ars {$500] ) . SIGNATURE DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL 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 Pres\ey·Tanner Hazardous Substance Account Act? □YES ON0 Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0YES 0NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □YES o,o IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCQPANCY MAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS NET OR IS 11:EYING THE IUIUIRENENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POI.LUTION CONTROL DISTRICT. 9. CONSTRUCTION LENDING AGENCY hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(i) Civil Code). LENDER'S NAME LENDER'S ADDRESS APPLICANT'S SIGNATURE 10. 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 laws relating to building construction. I hereby authorize representatives ot the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAO AGAINST ALL LIABILITIES, JLOQl!ENTS, COSTS ANO EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. Expiration. Every permit issued by the Building Official under the provisions of this Code shall e~pire by limitation and become null and void if or wo authorized by such permit is not COIIITlenced 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 C011111enced for a period of 180 days (Section 3D3(d) Uniform Building Code). the bui !ding is suspended / "!J....owNER □ CONTRACTOR □ BY PHONE APPROVED BY: _______ _ DATE: WHITE: File YELLOW: Applicant PINK: Finance -------- .. , .. _-,·,~.,-.'..'-,_-,,~':'~"'.--~~~~;-~.--':P.""~"'~~cr.:,:•_ ·;r;;:.;..~-..~·, "'"f•·.-, ,- CITY OF CARLSBAD 1200 CARLSBAD VILLAGE DRIVE · CARLSBAD, CALIFORNIA 92008 438-5621 REC'D FROM .L.EvJ IS A ;tJo L=/..S.t5Rc€ 4880 12/26/9~ ll<WC ~ ~ 05(?5 'lJ. 79 DATE ..I.. ACCOUNT NO. DESCRIPTION AMOUNT . . .•. • 7 3 .;;i u -o?/ o .P~l-JC. F~C.JL 1rY tFe:.t::-s / ft 51 ,;7 _ .. -I I "3':;;,o· ~.Jo I' ·-.,~ 3'.;ijy':..:;,;:i. ;;i._ ~ ,,9'..:\U-'I "":"' 7~. . .• :-. I o"" ,<'J'"'l •:·· . I \ .,., I //{/' ~ t~~ ; (;-'? ~ ,if/} -'<-~ . -I I \ •.•,· <<::_;, .< .$,"4'"-~· W ···•• ··:': .. • I U ~ ~~~&• _ , I . r.l. '-J q:q~•~"-i.·.c:-., C I \~,:·~. ~~P_~'<i. ~ ' . ' -·. : \> ... , ◊-i /lJ/ ! .'-'"°. . -• 'J\,/ I <:-2 .:~~J ~ A <:'1/ l I • . I I I RECEIPT NO. 1 6 9 9 ._. , _, < < '. .. · ·.-TOTAL .i---/ C 7 ~ / J ~--'"""'"'-'___.."-"--'-CC."""-'''~• ..).,· --.-., PACIFIC BELL 7337 TRADE STREET, ROOM 5460 SAN DIEGO, CALIFORNIA 92121 Notice of Service Discontinuance PERMIT DEPARTMENT C CITY OR COUNTY OF _)r=h,~ !] i(-·&·u TELEPHONE SERVICE TO: !IOI !I !Ill ADDRESS WILL BE DISCONTINUED, AND ALL SERVICE LINES WILL BE REMOVED BY // -/ &.J -Cf J DATE THIS BUILDING CAN BE MOVED OR TELCO 213 soG/11 WJJl//f San Diego Gas & Electric P.O. BOX 1831, SAN DIEGO, CALIFORNIA 92112 Notice of Service Discontinuance PERMIT DEPARTMENT CITY OR COUNTY OF ~ND/OWERVICE TO ltt'>I '" I/ I I AOORESS WILL BE DISCONTINUED, AND ALL SERVICE LINES WILL OE REMOVED oy___,/c..::' ·«""---'· r::__,7_· 9_,_Q"-'-------- OATE THIS BUILDING CAN BE MOVED OR RAZED AFTER THE AOOVE DATE. -------··-·-~-·- SAN DIEGO GAS & ELECTRIC COMPANY FORM 106-2152A TELEPHONE • f