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HomeMy WebLinkAbout1707 LOBELIA CT; TP; CB910716; PermitB U I L D I N G 05/'11/9-10:08 f'a.qe 1 of 1 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