HomeMy WebLinkAbout1714 CATALPA RD; ; CB961930; PermitSuite.
Permit Wo: CB96193U
Project Wo- A9602757
Development tfo:
10/09/96 10-55 BUILDING PERMIT
Page 1 of i
Job Address: 1714 CATALPA RD
Permit Type. ELECTRICAL
Valuation' 2lS"51l-°^00 Lot*. ^6010/09/96000101 0?v ci _]_ ua L J. on Q r~pJJMT A7 f'
Occupancy Group: 0 - Construction Type- NEWi-, Rer (? J~prt r-fs & • i»t-'i
Description RUN 140 FT GAS & ELEC TO SPA Stafus• ISSUED
Applied- 10/09/96
Apr/Issue• 10/09/96
Appl/Ownr : MASTNY MARCFTA Entered By.* _, *««.v-c-.uM 6*9 i' i -71 •> e1714 CATALPA RD u-^^^-/bjb
CARLSBAD CA * 920Q9
Required A ,^ ^-'' , "^ ,, , ^ , ,
Fees- 47/x - xx1", % '' ' • , "' ^
Adjustments / ' '\ ^ N> ;/ ' /'/ \
Total Fees: / , \ ^ 's '" ' \ ,Cr a,\\ \
___Fee descnpt.on /„/- /' '-/p/ ,, ^Jf ^ ^) \
Enter "Y" for Elect! £-x^- /e Ftie"^ : - '^ "'-*V?"\ '~~7" " V"'
Enter "Y" for Remedy ,'~ / X ^--, ' **'*'*" S*' *,<J '
Other ' ' \^ f y T^ ' - - '
* ELECTRICAL TOTAL ' V-V ^ ^V \ >- ~ 5^°°. -V'') ^ V
\ \ '-x"\ • ', > "* "" V y
xeoits
.00
00
47 00
Ext fee
10 DC
ID. 00
27 . 00
47 00
A A A
Data
Y
Y
GAS PERHI
FINAL APPROVAL//,
CITY OF CARLSBAD
2075 Las Palmas Dr , Carlsbad, CA 92009 (619) 438-1161
PERMIT APPLICATION S~S^AH . i v|3
2075 Las PaLaas Dr., Carlsbad, CA 92009 (619) 438-1161 X&Bff^r
For Residennal Proiects Only From List 2 (see back) give
Code of Structure-Type
Net Loss/Gain of Dwellma Units
2. PROJECT INFORMATION
/-^l / /y -->
PLAN CHECK NO. ^ fe) ( 7 ^ £>
EST VAL
PLAN CK DEPOSIT - ,
VALID. BY t ^ , (It/V—
DATE ?0 jy JV f "
FOR OFFICE USE ONLY
Nearest Cross Street
LtUAL DESCRIPTION Lot No Subdivision Name/Number Unit No Phase No
CHhCK HhUJW IF SUBMITTED
D 2 Energy Calcs D 2 Structural Calcs D 2 Soils Report D 1 Addressed Envelope
ASSESSOR'S PARCFT
DESCRIPTION OF WORK
SQ FT # OF BATHROOMS3 UJNl'AL'l PLKSUN UldiMerent Irom applicant)
NAME (last name first) ADDRESS
CITY STATE ZIP CODE
4 APPLICANT UcDNTH
NAME (last name first) /
VCITY
(AU1UK UAOhNl rUHCUNlKAClUK
STATE ZIP CODE
DAY TELEPHONE
LJOWNEK LJAGHNT FOK OWNER
DAY TELEPHONE
NAME (last name first) $4$ fay
CITY £0S/$V*>d STATE C/ & ZIP CODE
ADDRESS n**( tote/?
DAY TELEPHONE ' 1J6 CONTRACTOn
NAME (last name first)
CITY STATE
STATE LIC #
ADDRESS
ZIP CODE DAY TELEPHONE
LICENSE CLASS CITY BUSINESS LIC #
UhblbNLK NAML (last name tirstj
CITY STATE
ADDRESS
ZIP CODE DAY TELEPHONE STATE UC #
WUKKtHb' COMPtNSAnON
Workers Compensation Declaration I hereby all irm that I nave a cert ideate of consent 10 sell-insure issued by the Director ol Industrial
Relations, or a certificate of Workers' Compensauon 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 POLICY NO EXPIRATION DATE
Certilicate of Exemption I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner
so as to become subiect jo the Workers' Compensation Laws of Cahf9mia
SIGNATURE,
OWNEH-l
fDATE
~7~7Uwner-Builcier Declaration I hereby atlirm that 1 am exempt Irom the Contractors License Law lor the following reason
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 improves thereon, 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 )
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)
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 License 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*^fioLpenatty of not gio/e than fivejiundred dollars [$500])
COMPLETE THIS SECTION FOR NQEgB£SJPENTlAL BUILDING PERMITS ONLY / /
Is the applicant or future building ^fcupant required to submit a business plan, acutely hazardous mapenals j^gistration form or nsk management and
prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act?
D YES D NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control distnct or air quality management district?
O YES D NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school sue?
D YES D NO
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT
HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
9 qjNSTUUOTlUN LENLUNC: AG'ENl'V
I hereby'aTTirm that there is a construction lending agency tor the performance ot the work tor which tnis permit is issued Ibec 3097U) Civil CxxleJ
LENDER'S NAME LENDER'S ADDRESS
10 AWUCANT
r certify that I have read the application and state that the a&ove intormation is correct Fagree to comply with all Ciry ordinances dna 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 ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE OTY OF CARLSBAD AGAINST AIJLIJABOJTIES, JUDGMENTS, COSTS
AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT
OSHA. An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stones in height
Expiration Every permit 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 peptfiit A not commenced within,365 days from the date of such permit or if the building or work authorized by
such permit is suspended or aban^nafe&iiX.tim^ aft^r the-wcH^s commenced for a period of 180 days (Section 303(d) Uniform Building Cade)- .
APPLICANTS SIGNATURE /7// ///s-s / DATE f fo
WHITE. File YELLOW' Applicant PINK: Finance
CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT# CB961930 FOR 11/01/96
DESCRIPTION: RUN 140 FT GAS & ELEC TO SPA
TYPE: ELEC
JOB ADDRESS: 1714 CATALPA RD
APPLICANT: MASTNY, MARCELA
CONTRACTOR:
OWNER:
REMARKS: BJN/ROBERT/431-7535
SPECIAL INSTRUCT:
PHONE:
PHONE:
PHONE:
INSPECTOR AREA
PLANCK# CB961930
OCC GRP
CONSTR. TYPE NEW
STE: LOT:
619 431-7535
INSPECTOR
TOTAL TIME:
CD LVL DESCRIPTION
23
53
ACT COMMENTS
PL Gas/Test/Repairs
SW Electric/Conduit/Wiring
***** INSPECTION HISTORY *****
DATE DESCRIPTION
101696 Gas/Test/Repairs
101696 Rough Electric
ACT INSP
AP DC
AP DC
COMMENTS
City of Carlsbad
Building Department
OWNER-BUILDER VERIFICATION
Attention Property Owner
An 'owner-builder' building permit has been applied for in your name and bearing your signature
Please complete and return this information at your earliest opportunity to avoid unnecessary delay in
processing and issuing your building permit No building permit will be issued until this verification ts
received
1 I personally plan to provide the major labor and materials for construction of the proposed property
improvement {yes or no) V
not)
proposed work
signed an application foir a building permit for the
I have contracted with the following person (firm) to provide the proposed construction
Name __ ____ .
Address
Phone
City
Contractors License No
I plan to provide portions of the work, but I have hired the following person to coordinate, supervise,
and provide the major work
Name___ ___
Address
Phone
City
Contractors License No
I will provide some of the work but I have contracted (hired) the following persons to provide the
work indicated
Name Address Phone Type of Work
Signed
Property Owner
Date
2O75 Las Palrfia^'Drive •Carlsbad, California 92OO9-1576 • (619) 438-1 161