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HomeMy WebLinkAbout1716 BONITA LN; ; CB910577; PermitBUILDING PERMIT Permit No: CR911'~577 rt4./o2/'31 ot3: 46 Project No: A910(.1691 Page 1 of 1 Development No: Permit Type: RESIDENTAL ADD/ALT (UNDR SlOK) Parcel No: 205-080-11-00 .. . Val.uat ion: 15,000 L"onstruction 'TYKJ~ : VN Description: REMODEL KITCHEN PER MATA , ,;ob Address: 1716 BONITA LN Str: F1: Ste: _. -. . . j-$,72 ;2&:'.:>2;'F?, 2 - y L; ._ ,. t!k 5830 Status: ISSUED occupancy Group : Class Code: A p p 1 i ed : 0 4 ,' 0 2 /' 9 1 Apr,/Isstie : 04/02/91 Validated By: 5C Appl/Ownr : ZELLER, DANIEL F. 619 729-2153 1716 BONITA LANE .00 . 0 0 296.00 Ext fee 162.00 105. 00 1 * 00 268.00 7.50 2.50 2.51) 13. uo 5.00 10.00 15.00 Y Y CITY OF CARISBA0 2075 Las Pahas Dr., Carlsbad CA 92009 (619) 438-1161 PERMIT APPLICATION City of Carlsbad Building Department 2075 Las Palmas Dr., Carlsbad, CA 92009 (61s) 438-1161 1. PERMIT TYPE A - OCfflMERClAL u YEW UTEWANT IMPROVEMENT EST. VAL PLAN CK DEPOSIT VALID. BY B - OINDUSTRIAL UNEU OTENANT IMPROVEMENT C - ORESIDENTIAL OAPARTMENT OCONDO OSINGLE FAMILY DUELLING @ADDITlOU/ALTERATlOU ODUPLEX ODEMOLITION ORELOCATION OMOBlLE HfflE UELECTRICAL UPLUMBING OMECHANICAL OPOOL RSPA ORETAINING WALL OSOLAR OOTHER /A 2. PROJECT INFORMATION PLAN CHECK No. - /' FOR OFFICF USF ON1 Y Address Buildinu'or Suite No. * unit NO. Phase No. Nearest Cross Streets Lot No. II LEGAL DESCRIPTIOY n2 Energy Calcs 02 Structural Calcs 02 Soils Report nl Addressed Envelope ASSESSOR'S PARCEL EXISTING USE PROPOSED USE W BLOG. SO. FTC. X OF STORIES 3 3. CONTACT PERSON ADDRESS L2 \7 54 yv fl ' CITY STATE DAY TELEPHONE 39 $6 xT SIGNATURE c i4 0 AGENT FOR CONTRACTOR OWNER UACENT FOR OUNER CONTRACTOR ADDRESS CITY STATE ZIP CODE 93OC?S DAY TELEPHONE -3.1.$3 PROPERTY OWNER OTENANT 5* NAME oo/fiLi&L E<4 0- 8, zg& ADDRESS /?/G &&jM pz& c I TYCM& &$ fl- STATE cd. ZIP CODE DAY TELEPHONE 729-2/- ADDRESS 6. CONTRACTOR NAME CITY STATE ZIP CODE DAY TELEPHONE STATE LIC. # LICENSE CLASS CITY BUSINESS LIC. # SI CNATURE TITLE DATE DESIGNER NAME ADDRESS CITY STATE ZIP CODE DAY TELEPHONE STATE LIC. X 7. WORKERS ' COMPENSATION Workers' Compensation Declaration: I hereby affirm that I have a certificate of consent to self-insure issued by the Director of Industrial Relations, or a certificate of workers' Compensation Insurance by an ahitted 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 COnPANY POLICY NO. EXPIRATION DATE Certificate of Exemption: so as to become subject to the Workers' Compensation Laws of California. I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner SIGNATURE DATE 8. OWNER-BUILDER DECLARATION Owner-Builder Declaration: I hereby affirm that I am exempt from the Contractor's License Law for 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 TSec. 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 plrsuant to the Contractor's License Law). 0 I am exempt under Section (Sec. 7031.5 Business and Professions Code: Any City or County vhich 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, cwrmencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefran, 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 Business and Professions Code for this reason: DATE 4-2- Is the applicant or future buitding occupant required to sutmit 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? Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES 0 NO OYES 0 NO RYES 0 NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? IF ANY OF THE ANSERS ARE YES, A FINAL CERTIFICATE OF 0CaJPANC.I MY NOT BE ISSUED AFTER JULY 1, 1989 UYLESS THE APPLICANT HAS ET OR IS MEETING THE REPUIREEYTS OF THE OFFICE OF EMERGENCY SERVICES Auo THE AIR POCLUTIOY IXNTROL DISTRICT. 9. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097ti) Civil Code). LENDER'S NAME LENDER'S ADDRESS 10. APPLICANT'S SIGNATURE I certify that I 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. 1 ALSO AGREE TO SAVE INDEMNIFY IND KEEP HARMLESS THE CITY OF CARLSLMD AGAINST ALL LIAEILITIES. JWJCIIENTS. mSTS AMI EXPENSES WHICH MY IN ANY WAY ACCRUE AGAINST SAID CITY IN COIISEOUENCE OF THE GRANTING OF THIS PERMIT. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. Expiration. Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and becorne null and void If the building or work authorized by such permit is not cannenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work IS cannenced for a period of 180 days (Section 303(d) Uniform Building Code). APPROVED BY: DAW: PER OCONTRACTOR OBY PHONE WHITE: File YELLOW: Applicant PINK: Finance * .b CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB910577 FOR 05/29/91 INSPECTOR AREA PY DESCRIPTION: REMODEL KITCHEN PER MATA PLANCK# CB910577 TYPE: RAD CONSTR. TYPE VN JOB ADDRESS: 1716 BONITA LN STR: FL: STE: APPLICANT: ZELLER, DANIEL F. PHONE: 619 729-2153 CONTRACTOR: PHONE : OWNER: OCC GRP REMARKS: RS/729-2153 SPECIAL INSTRUCT: TOTAL TIME: CD LVL DESCRIPTION ACT COMMENTS 19 ST Final Structural 29 PL Final Plumbing 39 EL Final Electrical 49 ME Final Mechanical DATE DESCRIPTION ACT INSP COMMENTS 050291 Gas/Test/Repairs AP PY 050191 Insulation AP PY 043091 Frame/Steel/Bolting/Welding AP PY ND GAS TEST (UNDRFLOOR) 041091 Ftg/Foundation/Piers AP PY 4/9/91 BY TONY MATA I .... P P v N .Y N 0 0 Y u .*’ ,.‘ c .# h Certificate of Compliance: Residential (Page 1 of 2) CF-1R 3 -25-9 Date ZE LC&F A-00 ProJect Title Building Pamit Y 1116 WW-p Project Addr Documentation Author Telephone Compliance Method (Package, Poini System or Canputcr) 14-4-hf408 Enforcement Agency Use Only 7 Climate Zone AOQ(Tt3A h\~% 6M.5 GENERAL INFORMATION Total Conditioned Floor Area: \Ob fi2 Building Type: (check one or more) 3 Single Family HoteVMotel - Multi-Family (less than 4 stones) - Multi-Family (4 or more stories) x Addition - Existing-Plus-Addition Front Entry Orientation: Floor Construction Type: West / All Orientations (circle one or more) Number of Dwelling Units: Infiltration Control: Floor (circle one or both) BUILDING SHELL INSULATION Component Insulation LocationKomments Type R-value (attic, to garage, typical, etc.) Wall.. ............ Wall .............. Roof ............. Roof ............. Floor.. ........... Floor ............. Slab Edge ..... GLAZING Shading Devices Glazing Area GlassType Intenor Exterior Overhang Framing Type Orientation (sf) (single. double) (roller blind, etc.) (shadescreen. etc.) (yestno) (metallwood) Front .... (5) Front .... ( ) Left,..... (VJ) Left...... ( ) Re ar..... (14) Re ar..... ( ) Right .... (E) Zight .... ( ) Skylight ....... Skylight ....... 0 c. THERMAL MASS Type/Covering Area Thickness (slab/expsed. tile. etc.) (Sf) (inches) Location/Description (kitchen, bath, etc.) IN-3142 CITY OF CARIBAD BUILDING DEPARTMENT FOR APPLICANT TO FILL IN I SEWER / I BUILDING LEGAL DESCRIPTION Lor NO 15 ADDRESS NEAREST CROSS ST BLOCK TRACT USE OF f 4- /?&*3a e I ADDRESS CONTRACTOR'S STATE CARLSBAD BUSINESS LICENSE NO. LICENSE NO NO. DESCRIPTION OF WORK FEE HOUSE SEWER CONNECTING TO PUBLIC SEWER SEPTIC TANK, SEEPAGE PIT OR PITS 0 $5.00 I PRIVATE DISPOSAL SYSTEM HOUSE SEWER CONNECTING TO CONNECT ADDITIONAL BLDG. OR WORK TO HOUSE SEWER ALTER, REPAIR OR ABANDON HOUSE SEWER OR DISPOSAL SYSTEM @ 52.00 @ $1.50 __ OVERFLOW SEEPAGE PIT, DRAINFIELD EXTN., CESSPOOL, DRYWELL. MANHOLE @ $5.00 AUTHORIZATION TOTAL FEE I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN CONTRACTOR TO CONNECT THE ABOVE DESCRIBED BUILD- ING TO THE PUBLIC SEWER. I SIGNED THIS DAY OF OWNER OR OWNER'S AGENT I ADDRESS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING PLUMBING AND SEWERS. I I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY THE CITY OF CARLS- BAD AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL I OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROP CONNECTION DATA Lateral Charge Computation 30' H., IO' V. @ 4" = __ 6" = ___ Add. Horiz. @ 4" = __ 6" = - Add. Vert. @ 4" = __- 6" = ~ Total Construction Cost 10% Service Charge Total Lateral Chargs Lat. No.: Logged in Plat: LINE COST DATA A. D. & Assrnt. No. LINE COST: C. C. @- / dwelling P. S. @___ / dwelling OTHER TOTAL Grand Tofal, Lateral, etc. FOR SEWER LOCATION $1 St. NORTH ENGl NEERING SEWER DEPT. Signed I Signed This is a Sewer Permit When Properly Filled Out, Signed and Validated Issued By PERMIT VALIDATION