HomeMy WebLinkAbout1704 EVERGREEN CIR; ; CB920910; Permit' ~ ·•
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Fl PPROVAL
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CL(ARANCE ____ _
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
79-00
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PERMIT APPLICATION PLAN CHECK NO. ~-f'/{J
City of carlsbad Building Depart11ent
2075 Las Pal-,s Dr •• C&rlsbad, CA 92009 (619) 438-1161
VAUD.BY,~~~~~~~~~~-
I. PF.JtMti IYPE DATE
A -LI COmmerc1al ®ew Budding D tenant Improvement
B -CJ Industrial [J New Building D Tenant Improvement
C -D Residential D Apartment D Condo D Single Family Dwelling D Addition/ Alteration
D Duplex D Demolition
D Mechanical CJ Pool
D Relocation D Mobile Home D Electrical CJ Plumbing
CJ Spa CJ Retaining Wall CJ Solar a Other
2. PROJF.Cf INFORMATION FOR OFFICE USE ONLY
LEGAL b£sCkll'l lbN Lot No. subd1~Nut07;:).....
CHECKBEWWIFSOBMIII~ ~ Unit No. Phase No.
D 2 Energy Cales D 2 Structural Cales D 2 Soils Report CJ l Addressed Envelope
ASSESSOR'S PARCEi, EXISTING USE PROPPSEQ USE DESCRIPTION OF WORK
SQ. Ff. f(O~ # OF STORIES
NAME ADDRESS
CI1Y STATE ZIP CODE DAY TELEPHONE
S.PROPPlt~ .... \
NAME L-ftN'Hl f"c:'V ADDRESS
CI1Y~T3,N) STATE CA ZIPCODE9?Dz:.ls DAYTELEPHONE 1/3c.J.-/f7~
6
' ~~·~z~yLJ A}€ $,ulV~ ADDRESS 1f{JJ'} tl-tv~ 0 e.t)
c11Y LA Mi:34 sTATEG4 zIPCODE q,ctv~ DAYTELEPHONE Yb9 .. q~
STATE UC. #(a31;;>;).{p UCENSE CLASS B
DESIGNER NAME ADDRESS
CI1Y BUSINESS UC. #
Cl1Y STATE ZIP CODE DAY TELEPHONE STATE IJC. # 7. WORkRRS' WMPP.NSAliON
Workers' Compensabon Declarat1on: I hereby affirm that I have a certificate of consent to self .insure issued by the Director of lndustnal
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 H (l ,';),_
rom
perty or my employees with wages as their sole compensation, will do the work and the structure is not intended or
for sale . 7044, Business and Professions Code: The Contractor's Llcense Law does not apply to an owner of property who builds
or i ereon, 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.).
D 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 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, 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
subjects the applicant to a civil penalty of not more than five hundred dollars [$500]).
SJGNATIJRE DATE
CoMPLEIE IRIS SEC I ION FOR NON-RESIDEN IIAL BOILOING PERMll'S 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? a YES a NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
CYES CNO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
DYES ONO
IF ANY OF nm ANSWERS ARI! YES, A FINAi.CERTIFiCATE OFoc:nJPANCY MAY NOT REISSUE[) AFrnR.JULY 1, 198911NIJlSS nm APPUCANT
HAS MET OR IS MEETING THE REQUIREMENTS OF nm OFFICE OF EMERGENCY SERVICES AND nm AIR POIJ.IJTION CDNTil.OI. DISI1UCT.
LENDER'S NAME LENDER'S ADDRESS
10. APPilCAN I cmtffllCAliON
I certify that I have read ilie apphcatton and state that the above 1nformat1on 1s correct. I agree to comply wtth 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 AISO AGREE TO SAVE INDEMNIFY AND KEEP IIARMIJlSS nm CfIY OF CARISBAD AGAINSf ALL IJABlIJTIES, JUDGMENTS, CDSfS
AND EXPENSES WJilQI MAY IN ANY WAY ACX:RUE AGAINSf SAID CfIY IN CDNSEQUENCE OF nm GRANTING OF nns PERMIT.
OSIIA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height.
Expiration. Every pennit 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 pennit is not commenced within 365 days from the date of such permit or if the building or work authorized by
such pennit is suspended or aban ned at any time after the work is commenced for a period of 180 days (Section 303(d) Unifonn Building Code).
APPUCANTS SIGNATURE DATE: ?/¢2=
OW: Applicant PINK: Finance
•
PERMIT# CB920910
DESCRIPTION: 173 SF PATIO ENC
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 09/08/92
ICBO #4383P
INSPECTOR AREA PY
PLANCK# CB920910
OCC GRP
TYPE: PATIO
JOB ADDRESS: 1704
APPLICANT: SKYLINE
CONTRACTOR:
OWNER:
EVERGREEN CR
SUNROOMS
REMARKS: RS/LORI/469-9556
SPECIAL INSTRUCT:
TOTAL TIME:
--RELATED PERMITS--
CD LVL DESCRIPTION
PERMIT# TYPE
CB920830 ELEC
19 ST Final Structural
CONSTR, TYPE NEW
STR: FL: STE:
PHONE: 619 469-9556
PHONE:
PHONE: ~ I
INSPECTOR M. ~<ff../l-,;;-._-
STATUS
ISSUED
ACT COMMENTS
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***** INSPECTION HISTORY*****
DATE DESCRIPTION ACT INSP COMMENTS