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HomeMy WebLinkAbout1708 LOBELIA CT; TP; CB910718; PermitJ ' .. ,I ( - 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