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HomeMy WebLinkAbout1379 NIGHTSHADE RD; ; CB960568; PermitBUILDING PERMIT Permit No: CB960568 03/26/96 10:50 Project No: A9600785 Page 1 of 1 Development No: Job Address: 1379 NIGHTSHADE RD Suite: Per Type: PATIO/DECK 6685 03/26/96 0001 01 02 Parcel No: 215-641-25-00 Lot#: Valuation: 2,112 Construction TypY'EW UOSO Occupancy Group: Ref erence#: Status: ISSUED Description: 192 SF DECK-2ND STORY-OFF Applied: 03/26/96 MASTER BED - W/FRENCH DOORS & HEADER Apr/Issue: 03/26/96 Entered By: RMA Appl/Ownr : RAASCH, ROBERT 619-756-3512 2989 LONEJACK RD ENCINITAS CA 92024 *** Fees Required *** ----------------------------/ Fees: 110.Q Adjustments: tW Total Fees: 11 .06 Fee description / [ --------------- Building Permit Permit Plan Check Strong Motion Fee Other * BUILDING TOTAL 11 C11ected & ------------ t?1i9: iotaiajra,. Ba aDje / its éL I Credits ---------------- .00 .00 110.00 Ext fee Data --------------- 54.00 35.00 1.00 20.00 FRENCH DRS 110.00 ~p P-Pp", CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION City of Carlsbad Building Department 2075 Las Patinas Dr., Carlsbad, CA 92009 (619) 438-1161 From List I (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 Units 2. PROJECT INFORMATION PLAN CHECK NO. Cf, VAL I CK DEPOSIT FOR OFFICE USE ONLY ____• ttuu • auiiaing or Suite No. /37 N'4#s14c/e. Nearest Cross Street LEGAL DESCRIPTION Lot No. Subdivision Name/Number Unit No. Phase No. CHECK BELOW IF SUBMITTED: 02 Energy Calcs 02 Structural Calcs 02 Soils Report 01 Addressed Envelope ASSESSOR'S PARCEL EXISTING USE PROPOSED USE - DESCRIPTION OF WORX7(), SQ. Fr. /9e 0 OF STORIES # OF BEDROOMS # OF BATHROOMS WN fALl I'IJ(JN (if different from applicant) NAME (last name first) ADDRESS CITY STATE ZIP CODE DAY TELEPHONE APPLicANT LI WNTIIACIDR LI AGENT FOR CONTHACfOR U OWNER LI AGENT FUR OWNER NAME (last name first) ADDRESS CITY STATE ZIP CODE DAY TELEPHONE - 5. PROPERTY OWNER NAME (last name first) XA'(411/464.47141 ADDRESS 1979 C0ir41ô4 CITY STATE &- ZIP CODE 1,2k.00 DAY TELEPHONE 4t5/ 7114/ NAME (last name first)4éJ'C/ ovveevr ADDRESS Q9cP F Zatle Z*j STATE ZIP CODE 7 DAY TELEPHONE 757 -337 UkIt3t STATE LIC.#-VJICV LICENSE CLASS ,d'f CITY BUSINESS LIC. # CITY STATE ZIP CODE DAY TELEPHONE STATE LIC. # 7 WORKERS' WMPENSATION Workers' Compensation Declaration: I hereby affirm that I have a certificate of consent to sell-insure issued by the Director of Industrial 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 POLICY NO. EXPIRATION DATE Uwner-builder Declaration: I hereby a1flr1n that I am exempt from the Contractor's License Law for the following reason: o 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.). 0 1, 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). 0 1 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, 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 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 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: 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? DYES ONO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? DYES ONO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? DYES 0 N IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS MEE OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISThICr. ereby affirm that there is a construction lending agency for the performance 6Fthe work for which this permit is issued (Sec 3097(i) Civil Code). LENDER'S NAME LENDER'S ADDRESS 10. APPLICANT CEkI1FILAflON I certily that I 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 of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE 10 SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARlSBAD AGAINST ALL ]LIABILITIES, JUDGMENTS (flSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 5'O" 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 buildin or work u ttpdzqfi by such permit is not commenced within 365 days from the date of such permit or if the building or work authorized by such it uj050,tr abandoned at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Bu - - 0 CITY OF CARLSBAD INSPECTION REQUEST PERNIT# CB960568 FOR 05/17/96 INSPECTOR AREA PY DESCRIPTION: 192 SF DECK-2ND STORY-OFF PLANCK# CB960568 MASTER BED - W/FRENCH DOORS & HEADER 0CC GRP TYPE: PATIO CONSTR. TYPE NEW JOB ADDRESS: 1379 NIGHTSHADE RD STE: LOT: APPLICANT: RAASCH, ROBERT PHONE: 619-756-3512 CONTRACTOR: PHONE: OWNER: PHONE: REMARKS: MW/BOB/756-3412 INSPECTOR SPECIAL INSTRUCT: FRENCH DOOR TOTAL TIME: CD LVL DESCRIPTION ACT COMMENTS 14 ST Frame/Steel/Bolting/Welding 4 **** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP COMMENTS 032796 Ftg/Foundation/PierS AP PY