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