HomeMy WebLinkAbout1328 PINE AVE; ; CB950135; PermitB U I L D I N G P E R M I T Permit No: CB950135
Project No: A9500176
Development No:
01/23/95 11:14
Page 1 of 1
Job Address: 1328 PINE AV
Permit Type: MISCELLANEOUS
Parcel No: 205-020-10-00
Valuation: 4,584
Construction Type: VN
Suite:
Lot#:
Occupancy Group: Reference#:
Description: RE-ROOF HOUSE AND CHANGE
: PORTION OF ROOF FRAMING
Appl/Ownr : KELLETT, PATRICK
1328 PINE AVE
619
0399 OV23/9'5 0001 Ol
C-PRMT
Status:
Applied:
Apr/Issue:
Entered By:
720-1348
02
120.00
ISSUED
01/23/95
01/23/95
MDP
CARLSBAD, CA. 9 ;3-9-S------------~
_*** ___ F;::
5
~eguirea __ ~~~()\\(?:*~~~J.~~~ed_&_credits ______ ***
Adjustments: [ . oo':::!J ~ To~~~~!s: . 00
Total Fees: · .. ~o M/ln ~z_-..§a.1 P~Yrt::ts '. , 00
·.. . -rf~-Balanc~Dlie. 120.00
<!;;, ;i) INCO~l~~TED '~ ~ ~~ [}[ft (§f~~/
~
CITY OF CARLSBAD
'2075 Las Paimas Dr., Carlsbad, CA 92009 (619) 438-1161
120.00 PERMIT
120.00
• . . . PI.AN CHECK NO • PERMIT Al-PuCA'IlON ..
City of carlabed Bufldi~ Department e
l
~.VAL 2075 Las Palma Dr •• Cerlsbad. CA 92009 (619) 438-1161
1. PIDOm' 1'YPR
PLAN CK DEPOSIT _______ _
VAUD.BY. __________ _
DATE
From list 1 (see back) give code of Permit-Type: -----------
for Residential Projects Only: From List 2 (see back) give
Code of Structure-Type: ___________________ _
Net Loss/Gain of Dwelling UnftJ ----------------
FOR OFFICE USE ONLY
Building or Suite No.
Nearest Cross Street
LEGAL OESCRIP1'ldN Lot o. ~VISlon Name/Number Orut No. Phase No.
CHECK BilbW IP sOBMII IED:
D 2 Energy Cales D 2 Structural Cales D 2 Soils Report D 1 Addressed Envelope
ASSESSOR'S PARCEL
DESCRIPTION OF WORK (2 L ~fl.a;_.<
SQ. Fr. # OF STORIES # OF BEDROOMS
l(elle:f±: Cyril F ADDRF.S.5 2Ct,'fb H,, .
CTIY SfATE ZIP OODE 92.o<Jg DAY TELEPHONE
NAME (lastnarnefim) Kell , Cyn'l F ADDRF.S.5 ;2C,'f-5 Hijhun
CITY CA12.U5BM SfATE c11. ZIP OODE 1,u:08 DAY TELEPHONE
6. CDN11tAc1ult ,1\. . ~ 1 ,2 .. UJ ~ . NAME (last name first) L,e,u-NVL ~ ADDRESS
CITY SfATE
SfATE UC.#
DESIGNER NAME (last name first)
ZIP OODE
UCENSE CLASS
DAY TELEPHONE
CTIY BUSINESS UC. #
ADDRESS
# OF BATIIROOMS
CTIY SfATE ZIP OODE DAY TELEPHONE SfATE UC. #
1. WoltkEltS' OOMP£NSA11dN
Workers' Compensaoon Declaranon: I hereby allurn that I have a cert!flcate of consent to sell-insure 155ued by the Director of lndustrlal
Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certlfled
by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, uib. C).
INSURANCE OOMPANY POUCY NO. EXPIRATION DATE
A. UWNKR-B 10N /
)..r Owfier-Builder IJ¥1aratlon: I hereby affirm that I am exempt from the Confi'acfofs llcense Law for the foilowmg 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 oc
offered for sale (Sec. 7044, Business and Professions Code: The Contractor's IJcense uiw 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 thatJUCb lmprovementJ are not Intended
or offered for sale. If, however, the building or Improvement ls sold within one year of compledon, the owner-bdilder will have the burden
of proving that he did not bw1d or improve for the purpose of sale.)."" ~ ' ~
D I, as owner of the property, am exclusively contracting with licensed cbntt_actors to construct the project (Sec. 7044, Business and Professions
Code: The Contractor's Llcense uiw 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 uiw).
D I am exempt under Section Business and Professions Code for this reason:
(Sec. 7031.5 Business and Professions Code: Any aty or County which requires a permit to construct, alter, Improve, demolish, or repair
any structure, prior to Its Issuance, also requires the applicant for auch permit to file a ~ed statement thar,he is licensed pursuant to the
provisions of the Contractor's license uiw (Chapter 9, commencing with Section 7000 ol Division 3·of the Business aoo Professions Code)
or that he ls exempt therefrom, and ~ basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit
subjects the a t to a civil penal of not more than five hundred dollars [$500]).
SIGNATIJRE ~ DATE I ff~
Ii the applicant or future bulldlng occupant required to submit a business plan, acufe!Y hazardous terlals reglstradon form or risk management and
prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? --;. ·
DYES D NO
Is the applicant or future building occupant required to obtain a pennlt from the air pollution control district or air quallty management district?
DYES D NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
DYES D NO '·
IF ANY OF 11IE ANSWERS ARE YFS, A FINAL CEB.TlFICAIB OF OCDJPANCY MAY NOT BE~ AFIBR JULY 1, 1989 UNIBSS THE APPllCANT
HAS MET OR IS MEKI1NG nm REQUIREllENTS OF nm OWICE OF EMERGENCY SERVICHS AND nm AIR POLLU110N CDNIROL DIS'IlUCT.
9. CllNSraOCl10N 1Jl1IDING MF.NcY
I hereby aHirm that there ma constiuctlon lending agency for the perlormance ol the work for which this permlt Ii issued (sec 3097(1) dvil Code).
LENDER'S NAME ;V Ir LENDER'S ADDRF.S.5
10: APPUCAN"I CERfiFldrnON
I certify that I have read the applicafion and state that the above lnformatlon 15 correct. I agree to comply wiffi all City ocdlnancea and State laws
relating to building construction. I hereby authorize representatives of the Qty of Carlsbad to enter upon the above mentioned property for Inspection
purposes. I AI.SO AGREE '10 SAVE INDEMNIFY AND IEEP HARMLESS nm a"IY OF CARISBAD AGAINST AU.~ JUDGMF.N'IS, CXlSI'S
AND EXPENSES WlilCH MAY IN ANY WAY ACXllUE AGAINST SAID Cl'IY IN CDNSEQUF.Na! OF TIIE GRANTING OF TIIIS Pl!RMIT.
OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or conmucrlon of muctures over 3 stories in height
Expiration. Every permit Issued by the Building Official under the ~ons of this Code shall expire by llmltation 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 permit or If the building or work authorized by
such permit Is suspended or abandoned at y time after the is commenced for a period of 180 days (Section 303(d) Uniform .l:JW~!g,(j~eJ
APPUCANTS SIGNATURE C DAT&l...li-~~-l
0
•, • ,. CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT# CB950135 FOR 12/06/95 INSPECTOR AREA PD
PLANCK# CB950135
OCC GRP
DESCRIPTION: RE-ROOF HOUSE AND CHANGE
PORTION OF ROOF FRAMING
TYPE: MISC
JOB ADDRESS: 1328 PINE AV
APPLICANT: KELLETT, PATRICK
CONTRACTOR:
OWNER:
REMARKS: MW/PAT/720-1348
SPECIAL INSTRUCT:
TOTAL TIME:
CD LVL DESCRIPTION
CONSTR. TYPE VN
STE: LOT:
PHONE: 619 720-1348
PHONE: PHONE: -e£e_•
.INSPE~ .,
ACT COMMENTS
=1/=1 =ST ='l:.=n=,aJ==L=tru==ct=~==l=M==F3=o===='---------
DATE
033195
033195
033195
032895
031695
031495
031095
030395
022295
***** INSPECTION HISTORY*****
DESCRIPTION
Frame/Steel/Bolting/Welding
Insulation
Exterior Lath/Drywall
Frame/Steel/Bolting/Welding
Frame/Steel/Bolting/Welding
Roof/Reroof
Frame/Steel/Bolting/Welding
Roof/Reroof
Ftg/Foundation/Piers
ACT INSP
AP PY
AP PY
AP PY
CO PD
PA PD
CO PD
NR KP
AP PY
AP PD
COMMENTS·
PAD FTG FOR FRONT PORCH
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