HomeMy WebLinkAbout1707 LOBELIA CT; TP; CB910716; PermitB U I L D I N G
05/'11/9-10:08
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Job Address: 1707 LOBELIA
>prm1t Type: ELECTRICAL
Pa.tee: No:
Vc:1luation: 0
Construction Type: NEW
CT
P E R M I T
Str:
Permit
ProJect
Development
Fl: Ste:
>8 05
No:
No:
No:
c B 1 .!. l' '_ r,
A910tl>-i
Occupancy Group: Class Code: D
0$/ (Jl /'-!.
\ 5/ 1./'"l
[,C
Description: TEMP POWER FOR MODEL
Appl/Ownr : WESTERN NATIONAL HOMES
19700 FAIRCHILD ROAD #23D
IRVINE, CA 927L5
**I< Fees Required
Fees:
ArlJustments:
Tota_ F~•es:
Ft=>e description
Enter "Y for Ele
Entel'. "i'" for Tern
* ELECTRICAL TOTArl
ue Poe
~ rv1ce >
1nimum~
714
Applied:
Apr/Issue:
Validated By:
476-3031
t
.oo
.00
1 S. 1•0
Ext fee .. >it=t ~--------------
LAPPROVAL
5.(0 i'
10.)0 Y
1'j,CO
L--<--
___ DATE LO ·cl.9. ~(
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161
-------------------
PERMIT APPLICATION ~
""
City of Carlsbad Building Department EST. VAL. ______________ _ 2075 Las Pal mas Or., Carlsbad, CA 92009 (619) 438-1161
1.
A
B
C
PERMIT TYPE
COMMERCIAL
0 INDUSTRIAL
D RESIDENTIAL 0 APARTMENT
OouPLEX □DEMOLITION
□MECHANICAL □POOL
PLAN CK DEPOSIT ___________ _
VALID. BT _____________ _
DATE _______________ _
TENANT IMPROVEMENT
□TENANT IMPROVEMENT
□CONDO □SINGLE FAMILY DWELLING OAD0ITI0N/ALTERATJ0N
OREL0CATIOH □MOBILE HOME ~LECTRICAL □PLUMBING
□SPA □RETAINING WALL OsoLAII □OTHER
2. PROJECT INFORMATION PLAN CHECK No.
Addms. 1707 U~I n tl.T
Nearest Cross Streets
LEGAL DESCRIPTION Sutx:li v1 s ion Name/Nl.ll't>er CT~S--3 Unit No. Phase No.
CHEOC: BELOW IF SUIJIIIITTED:
3.
4.
q2 Energy Cates 02 Structural Cales q2 soils Report D 1 Addressed Envelope
ASSESSOR IS PARCEL EXISTING USE PROPOSED USE
(/J1t17td,)
BLDG. SQ. FTG. # OF STORIES
CONTACT PERSON. I~-+. --, I) // _ _, ~. •·••tv~ YltJU<.tJY(.8.-£ F't7 rru<..<J.,,
STATE CA
ADDRESS
ZIP CODE CITY
0 CONTRACTOR
NAME
CITY ~
0 AGENT FOR CONTRACTOR
ADDRESS
STATE ZIP COOE
/o/70() ~~ K#i. ft ;}3()
q;2. 7/ s. ,., "'"''"' 71</-I./ 7 C. -3o 3 /
□owNER 0 AGENT FOR OWNER
DAY TELEPHONE
5. PROPERTY OWNER OIJNER □LESSEE □TENANT
NAME
CITY STATE
ADDRESS
ZIP COOE DAY TELEPHONE
6. CONTRACTOR
7.
8.
NAME
CITY STATE
STATE LIC. # ____ _
ADDRESS
ZIP COOE
LICENSE CLASS _____ _
DAY TELEPHONE
CITY BUSINESS LIC. #
SIGNATURE TITLE DATE
DESIGNER NAME
CITY
WORKERS' COMPENSATIO
STATE
ADDRESS
ZIP CODE DAY TELEPHONE STATE LIC. #
Workers• C~nsat1on Declaration: hereby affirm t at I have a certificate of consent to sel ·insure issued by the D1rector of Industr,a Relations,
or a certificate of Workers' C~nsat ion Insurance by an aalli tted insurer, or an exact copy or duplicate thereof certified by the Di rector of the
insurer thereof filed with the Bui ld i ng Inspection Department (Section 3800, Lab. C).
INSURANCE COMPANY POLICY NO. EXPIRATION OATE
Certificate of Exerrption: I certify that in the performance of the work for which this permit is issued, I shall not e«ploy any person in any manner
so as to become subject to the Workers' Coopensat ion Laws of cal i forni a.
SIGNATURE DATE
OWNER-BUILDER DECLARATION
Owner-Builder Declaration: J hereby affirm that I am exempt from the Contractor's License Law for the following reason:
0 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 i,rproves thereon., and who
does such work himself or through his own employees, provided that such i,rprovements 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 tor the purpose
of sale.).
D I, as owner of the property, am exc I us i ve l y contracting with I i censed contractors to construct the project (Sec. 7044, Business and Professions Code:
The Contractor's License Law does not appty to en owner of property who builds or improves thereon, and contracts for such projects with contrector(s)
t i censed pursuant to the Contractor's License Law).
0 I am exerrpt under Section ____________ Business end 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, al so requires the appt i cant for such permit to f i le a signed statement that he is Ii c:ensed pursuant to the provisions of the
Contractor's License Law (Chapter 9, c:onmencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is exerrpt 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 dol I ars [S500J ) .
SIGNATURE DATE
COMPLETE THIS SECTION FOR. NON-RESIDENTIAL BUILOING PERMITS ONLY:
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management end prevention
program under Sections 25505, 25533 or 25534 of the Presley-Tamer Hazardous Si.bstance Account Act,
□YES QNO
Is the applicant or future building occupant required to obtain a permit from the air poltution control district or air quality management district?
□YES 0NO
fs the fac:il ity to be constructed within 1,000 feet of the outer txiundary of a school site?
□YES O•o
IF ANY Of THE ANSMERS ARE YES, A FINAL CERTIFICATE Of 0Ca.PANCY NAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS
Of THE OfFICE OF ENEfl:Q:NCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
9. CONSTRUCTION LENDING AGENCY
hereby affirm that there is a construction I ending agency for the performance of the work for which this permit is issued (Sec 3097( i) Ci vi l Code).
LENDER'S NAME LENDER'S ADDRESS
10. APPLICA T'S SIGNATURE
I certify that I ave read the application and state that the atxive information is correct. I agree to corrply with all City ordinances and State laws relating
to building construction. ! hereby authorize representatives of the City of Carlsbad to enter upon the atxive mentioned property for inspection purposes. I ALSO
AGREE TO SAVE INOENNIFY AND KEEP HARMLESS THE CITY Of CARLSBAD AGAINST ALL LIABILITIES, JlllCXNTS, COSTS AND EXPENSES l,IHICH NAY IN ANY IIAY 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 expire by limitation and become null and void if
or work authorized by such permit is not coomenced within 180 days from the date of such permit or if the building or work authorized by such permit
or abandoned at any time after the work is conmenced for a period of 180 days (Section 303Cdl Uniform Building Code).
the building
is suspended
APPLICANT'S SIGNATU ~NER OcoNTRACTOR Dev PHONE APPROVED-'BY: ______ _
t£X, DATE~
HITE: File YELLOW: Applicant PINK: Finance
PERMIT# Ch.,v_ ~~
DESCRIPTION: MODEL
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 05/08/91
PLAN 2 2888 SF+ 639 SF
9 /-7/C
INSPECTOR AREA PD
PLANCK# OB96196~
OCC GRP R3/Ml
CONSTR. TYPE VN
GARAGE
TYPE: SFD
CT 85-34 LOT 35
JOB ADDRESS: 1707
APPLICANT: WESTERN
CONTRACTOR:
LOBELIA CT
NATIONAL HOMES
OWNER: WESTERN NATIONAL HOMES
REMARKS: MH/JERRY/431-7122
SPECIAL INSTRUCT:
TOTAL TIME:
--RELATED PERMITS--
LVL DESCRIPTION
PERMIT#
CB910716
CB910425
RW910039
TYPE
ELEC
POOL
ROW
CD
32 EL Const. service/Agricultural
STR: FL: STE:
PHONE: 714 476-3031
PHONE:
PHONE: @p~
INSPECTOR '
STATUS
ISSUED
ISSUED
ISSUED
ACT COMMENTS
rrf_ ____ _
***** INSPECTION HISTORY *****
DATE DESCRIPTION ACT INSP COMMENTS
040591 Interior Lath/Drywall AP PD
040591 Exterior Lath/Drywall AP PD
040491 Exterior Lath/Drywall AP PD
040491 Interior Lath/Drywall AP PD
040391 Interior Lath/Drywall NR PD
040291 Interior Lath/Drywall NR PD
040291 Insulation AP PD
040191 Insulation AP PD
032791 Rough Combo AP PD
032691 Rough Combo co PD
032591 Rough Combo NR PD
032291 Sewer/Water service AP PD
032191 sewer/Water Service NR PD
032091 Sewer/Water Service NR PD
031391 Shear Panels/HD's AP PD
031191 Shear Panels/HD's NR PD
031191 Roof/Reroof AP PD
030791 Shear Panels/HD's AP PD
030791 Roof/Reroof AP PD
011891 Ftg/Foundation/Piers AP PD
011591 Underground/Under Floor AP PD
010991 Underground/Under Floor AP PD