HomeMy WebLinkAbout1708 LOBELIA CT; TP; CB910718; PermitJ ' .. ,I
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05/01/91 10:.
Page 1 of
Job Address:
Permit Type:
Parcel No:
Valuation:
B U l L D I N G
1,ot
~ , _.JELIA
..... .t{ICAL
0
CT
Construction Type: NEW
P E R M I '"
Str :
Permi.t Project
Development
F!: Ste:
No: 1,."P'-11 l/1 i No: A9lll ll:< 7
No:
215B 05/01/91 2()01 01
occupancy Group: Class Code: Sb
Applied: Description: TEMP POWER FOR MODEL+ GAS
Appl/Ownr WESTERN NATIONAL HOMES
19700 FAIRCHILD ROAD #230
IRV[NE, CA 92715
*** Fees Required
Fees:
Adjustments :
Tota1 Fees:
Fee description
Enter "Y" for Ele
Enter "Y" for Tern or
Other
* ELECTRICAL TOTA~
***
i · mum]
714
Apr/Issue:
05/lli/9'.:..
)5/01/9!
Validated By:
476-3031
DC
lected & Credits * * *
t
.OJ
.00
25.0)
Ext fee ::.>atn ~-----------------
5.011 Y
10.00 Y
10 . 0 0 TEMPt.iA:::.
25.CO
AL APPROVAL
INS -~ ____ Dt\iELO ·;J.1-9,L
CLEARANCE ____ _
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161
PERMIT APPLICATION ~ •
City of Carlsbad Building Department
2075 Las Pal mas Dr., Carlsbad, CA 92009 (6191 438-1161
EST. VAL. ______________ _
1
A
•
C
PLAN CK DEPOSIT ___________ _
VALID. BY ______________ _
PERMIT TYPE DATE ______________ _
COMMERCIAL TENANT IMPROVEMENT
0 INDUSTRIAL □TENANT IMPROVEMENT
□RESIDENTIAL □APARTMENT □CONDO □SINGLE FAMILY DWELLING □ADDITION/ALTERATION □DUPLEX ODEM0LITt0N □RELOCATION □MOBILE HOME ~LECTRICAL □PLUMBING
□MECHANICAL □POOL QSPA QRETAINING WALL □SOLAR □OTHER
2. PROJECT INFORMATION PLAN CHECK F '"'"'' /Joi u8a1 r1 er
Nearest Cross Streets
LEGAL DESCRIPTION Lot No. Subdi VI s ion Name/Nu:nber Un, t No. Phase No.
CHECK BELOW IF SUBMITTED:
3.
4.
5.
Q2 Energy Cales p2 Structural Cales
BLDG. S0. FTG.
CONTACT PERSON ,IJ.-,., ._,'. A
NAME to~ I~...,_,,,
CITY
NAME
CITY
NAME
CITY
0 CONTRACTOR
02 Soils Rep0rt D 1 Addressed Envelope
EXISTING USE PROPOSED USE
# OF STORIES
ADDRESS IC/700 ~ "Rd-°#o(..5<}
STATE L./', ZIPCooe'f,;J..7/~ DAY TELEPHONE 711./-t..)7~-3o3/
0 AGENT FOR CONTRACTOR
ADDRESS
STATE
OWNER
STATE
ZIP CODE
ADDRESS
ZIP COOE
□OWNER 0 AGENT FOR OWNER
DAY TELEPHONE
QLESSEE □TENANT
DAY TELEPHONE
6. CONTRACTOR
7.
8.
NAME
CITY STATE
STATE LJC. #. _____ _
ADDRESS
ZIP CODE
LICENSE CLASS _____ _
DAY TELEPHONE
CITY BUSINESS LJC. #
SIGNATURE Tl TLE DATE
DESIGNER NAME
CITY STATE
ADDRESS
ZIP CODE DAY TELEPHONE STATE LIC. #
WORKERS' COMPENSATION
Workers' Coq,ensat ion Declaration: hereby aff ,rm that have a cert 1 f 1 cate of consent to self. insure issued by the Di rector of Industrial 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 o i rector of the
insurer thereof filed with the Building Inspection Department (Section l8D0, Lab. C).
INSURANCE CCMPANY POLICY NO. EXPIRATION DATE
Certificate of Exeirption: I certify that in the performance of the work for which this permit is issued, I shall not eirp\oy any persoo in any manner
so as to become subject to the Workers• Coq>ensation Laws of California.
SIGNATURE DATE
OWNER-BUILDER DECLARATION
Owner-Builder Declaration: I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
D I as owner of the property or my employees with wages as their sole COl'l'pensation, 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 iqiroves thereon,. and who
does such work himself or through his own eirployees, 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 iqirove 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(sl
licensed pursuant to the Contractor's License Law).
D I am exe!1')t 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, irrprove, demolish, or repair any structure,
prior to its issuance, al so requi res the applicant for such permit to f i le a signed statement that he is licensed pursuant to the provisions of the
Contractor's License Law (Chapter 9, conmencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is e~t 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
100re than five hundred dollars [S: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?
□YES 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 □No
Is the facility to be constructed within 1,000 feet of the outer boll'ldary of a school site?
□YES
If ANY Of THE ANS\ERS ARE YES, A FINAL CERTIFICATE Of OCCU'ANCY NAT NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPUCANT HAS MET Cit IS MEETING TH£ REQIJIRBl:NTS
OF THE OFFICE OF EMERGENCY SERVICES AND TlfE AIR POlLUTION CONTROi. DISTRICT.
9. CONSTRUCTION LENDING AGENCY
hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued < Sec 3097( i ) Civil Code).
LENDER IS NAME LENDER'S ADDRESS
10. APPLICANT'S SIGNATURE
J certify that J 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. ALSO
AGREE TO SAVE INDEMNI FT AND KEEP HARMLESS THE CITY Of CARLSBAD AGAINST All LIABILITIES, Jlllli'IENTS, COSTS AND EXPENSES WHICH NAY IN ANT WAY 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 conmenced 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 303(d) Uniform Building Code).
APPROVED. BY:
the bui !ding
is suspended
APPLICANT'S SIGNAT .»NER OcoNTRACTDR □BY PHONE DA.TE: _________ _
YELLOW: Applicant PINK: Finance
PERMIT# CB901967
DESCRIPTION: MODEL
GARAGE
TYPE: SFD
JOB ADDRESS: 1708
APPLICANT: WESTERN
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 05/08/91
PLAN 1 2732 SF+ 593 SF
CT 85-34 LOT 34
LOBELIA CT
NATIONAL HOMES PHONE:
f'/-//p
INSPECTOR AREA PD
PLANCK# C:B90I967
OCC GRP R3/Ml
CONSTR. TYPE VN
STR: FL: STE:
714 476-3031
CONTRACTOR:
OWNER: WESTERN NATIONAL HOMES ~:g~:: /J 1->-, /YJ
INSPECTOR0~ r ,,,Jd{_ REMARKS: MH/JERRY/431-7122
SPECIAL INSTRUCT:
TOTAL TIME:
--RELATED PERMITS--
LVL DESCRIPTION
PERMIT# TYPE
CB910718 ELEC
CD
32 EL Const. Service/Agricultural
STATUS
ISSUED
ACT COMMENTS
/sf ____ _
***** INSPECTION HISTORY *****
DATE DESCRIPTION ACT INSP COMMENTS
040891 Exterior Lath/Drywall NR PD
040591 Interior Lath/Drywall AP PD
040591 Exterior Lath/Drywall AP PD
040491 Exterior Lath/Drywall AP PD
040291 Insulation AP PD
040291 Interior Lath/Drywall AP PD
040191 Interior Lath/Drywall NR PD
032891 Insulation AP PD
032891 Rough Combo AP PD
032791 Rough Combo AP PD
032691 Rough Combo AP PD
032591 Rough combo co PD
032291 sewer/Water Service AP PD
032191 Sewer/Water service NR PD
032091 Sewer/Water Service NR PD
030591 Shear Panels/HD's AP PD
030591 Roof/Reroof AP PD
011891 Ftg/Foundation/Piers AP PD
011591 Underground/Under Floor AP PD
010991 Underground/Under Floor AP PD