HomeMy WebLinkAbout1720 BLACKBIRD CIR; ; CB920245; PermitI
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BUILDING PERMIT Permit No: CB920245
03/03/92 13:41 Project No: A9200624
, Page 1 of 117213 Development No :
Job Address:i^BLACKBIRD CR
Permit Type: PATIO/DECK
Parcel No: ' Valuation: 2,080 1 Construction Type: NEW ' Occupancy Group: R3
i Description: 320 SF COVER I I
I Appl/Ownr : GARNER, ROGER
i
i
Class Code:
C-QRM , 90.00
Status: ISSUED
Applied: 03/03/92
Apr/Issue: 03/03/92
Validated By: CD
9441762
4380052
,944176 2
.oo .oo
90.00
Ext fee Data .----------------
54.00
35.00
1.00
90.00
CmW~
2075 Lss pphnep Dr., clulsbld, CA 92009 (619) 438-1161
PERMIT APPUCATION
City of Carlsbed Building Depert.ent 2075 Las Palms Dr., Carlsbed, CA 92009 (619) 438-1161
A - U Commercial O'lpew Building U Tenant Improvement
B - 0 Industrial 0 New Building 0 Tenant Improvement
C - Residential 0 Apartment 0 CondoXSngle Family Dwelling 0 Mdition/Alteratior
0 Duplex 0 Demolition 0 Relocation 0 Mobile Home 0 Electrical OPlumbing
0 Mechanical OPool 0 Spa ORetaining Wall OSolar OOther
x
2. PR~INPORMATION
PLANCHECKNO. %-+e
FOR OFFICE USE ONLY
c&b8s 8r me
LEGAL DESCRIPTION Lot No. Subdiwsion NamdNumber Unit No. Phase No. 17 i4vO CEr
0 2 Energy Calcs
DESCRIPTION OF WORK
0 2 Structural Calcs 0 2 Soils Report 0 1 Addressed Envelope
E
SQ. FT. 3ao #OFSTORIES a=
(Ir airrerent from applicant) NAME ADDRESS
ZIP CODE DAY TELEPHONE
SW- 176 2
ADDRESS COOYO gQ&L;.\q c3\,
DAY TELEPHONE
5L[ p+ 4
ZIP CODE DAY TELEPHONE
STATh LIC. # LICENSE CLASS CITY BUSINESS LIC. #
CITY STATE ZIP CODE DAY TELEPHONE STATE LIC. #
Workers' Compensation Declaration: 1 hereby attirm that I have a certlricate of consent to selt-insure issued by the Uirector ot industrial Relations, or a cdficate of Workers' Compensation Insurance by an admitted insum, 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 Cemticate or Exemptlon: 1 cerufy that in the pertormance ot the work tor which this permit 1s issued, 1 shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California.
SIGNATURE DATE
Owner-Burlder Declaration: I hereby affirm that I am exempt trom the Contractor's License Law tor 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 conuactor(s) licensed pursuant to the Contractor's License Law).
I am exempt under Section
(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 a civil penalty of not more than five hundred dollars [SSOO]).
0
0
0 Business and Professions Code for this reason:
SICNATURE DATE
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?
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
Is the facility to be constructed within 1,OOO feet of the outer boundary of a school site?
IF ANYOF THE ANSWERS ARE YES, A PINALcERTmcATE OPOOCUPAP(CY MAY NOT BE ISSUED AFIWJULY 1,1989 uNLEssTHE"T HAS~ORISMEeTMGTHEREQUTREMEKISOPTHEoFFlceOPEMERCWCY~~ANDTHEAIR~~OONTROL~.
OYES NO
OYES 0 NO
OYES 0 NO
1 hereby attirm that there is a construction lending agency tor the pertormance ot the work tor which this permit is issued [Sec 3 mv
LENDER'S NAME LENDER'S ADDRESS
1 certity that 1 have read the application and state that the above intormation 1s correct. 1 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. IAISOAGREETOSAVEI"IPYANDKEEPHARMLPSSTHECITYOFCARLSBADAGAIN~AU.~,JUDGMENTS,a)6Is ANDEXPENSPSW" MAY IN ANYWAYMCRUEAGAIN~SAIDCITYM ~NSJQUJWCEOFTHEGRANTINCOFTHISPERMIT.
OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height.
Expiration. Every permit issued by the Building Official under the provisions of thii Code shall expire by limitation and become null and void if the
365 days from the date of such permit or if the building or work authorized by commenced for a period of 180 days (Section 303(d) Uniform Building Code).
APPLICANT'S SIGNATURE DATE: 3-3-92
I. WHIP: File YELLOW Applicant PINE Finance
1- d
PERMIT# CB920245
DESCRIPTION: 320 SF COVER
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 04/03/92
TYPE: PATIO
JOB ADDRESS: 2040 BLACKBIRD CR
APPLICANT: GARNER, ROGER
CONTRACTOR: GARNER, ROGER
OWNER: JUNG , JACK
REMARKS: RS/ROGER/944-1762
SPECIAL INSTRUCT:
TOTAL TIME:
CD
19
LVL DESCRIPTION
ST Final Structural
INSPECTOR AREA MP
PLANCK# CB920245
OCC GRP R3
CONSTR. TYPE NEW
STR: FL: STE : PHONE: 9441762
PHONE: 9441762
PHONE: 4380052
INSPECTOR ks'J\
ACT COMKENTS
DATE DESCRIPTION
***** INSPECTION HISTORY *****
ACT INSP COMMENTS
CITY OF CARLSBAD
INSPECTION REQUEST PERMIT# CB920245 FOR 04/02/92
DESCRIPTION: 320 SF COVER
TYPE: PATIO
JOB ADDRESS: 2040 BLACKBIRD CR
APPLICANT: GARNER, ROGER
CONTRACTOR: GARNER, ROGER
OWNER: JUNG , JACK
REMARKS: RS/ROGER/944-1762
SPECIAL INSTRUCT:
TOTAL TIME:
CD
19
INSPECTOR AREA MP
PLANCK# CB920245
OCC GRP R3
CONSTR. TYPE NEW
STR: FL: STE :
PHONE: 9441762
PHONE: 9441762
PHONE: 4380052 fl
INSPECTOR I4 4’-
LVL DESCRIPTION ACT COMMENTS
ST Final Structural
***** INSPECTION HISTORY *****
DATE DESCRIPTION ACT INSP COMMENTS