Loading...
HomeMy WebLinkAbout1749 CATALPA RD; ; CB941532; PermitBUILDING PERMIT 11/2H/94 14 43 Page l of 1 Job Address: 1749 CATALPA HD Permit Type. ELECTRICAL Suite Parcel No. 215-515-06-00 Valuation U Construction Type. NEW Occupancy Group- Reference*- Description: ELEC FOR ABOVE GROUND SPA Appl/Ownr KELBERT, ROBERT 1749 CATALPA n ' CARLSBAD, CA A*A Fees Required Fees Adjustments: Total Fees: / Fee description i Lot* Permit No CB941532 Project No A9402265 Development No. 9712 j1/28/94 0001 01 02 C-PK'HT 20-00 Status. ISSUED Applied 11/28/94 , Apr/Issue 11/28/94 Entered By DC 619 930-U510 cted & Credits Enter "Y" for Elecft^icAt^sue Enter "Y" for Remodel-" ^x A ELECTRICAL TOTAI^ ^ ^ Balance'bue; .1 -, aiiT^s" ^ Fee/Unit *- ^ _i^^-_~u-,-* ~ / ^1' VK-x^ '§1 f /^vf; / ' !, !' „ .-" / / 00 00 2 0 0 0 Ext fee Data 10 00 Y 10,00 y 20.00 oLEARANCE CITY OF CARLSBAD 2075 Las Palmas Dr , Carlsbad, CA 92009 (619^43^116] PERMIT APPLICATION City of Carlsbad Building Department 2075 Las PaImas Dr., Carlsbad, CA 92009 (619) 438-1161 T PERMIT TYPE From List 1 (see back) give code of Permit-Type For Residential Proiects Only From List 2 (see back) give Code of Structure-Type Net Loss/Gain of Dwelling Units PLAN CHECK NO.O EST.VAL PLAN VALID BY_ DATE 2. PROJECT INFORMATION FOR OFFICE USE ONLY Address Nearest Cross Street C0lu.**A is\f> LEGAL DESCRIPTION Subdivision Name/Number Unit No Phase No CHLLK BLLOW II- SUBM1I IhD D 2 Energy Calcs D 2 Structural Calcs D 2 Soils Report D 1 Addressed Envelope ASSESSOR'S PARCEL EXISTING USE PROPOSED USE DESCRIPTION OF WORK SQ FT frf 5/V? # OF STORIES # OF BEDROOMS # OF BATHROOMS UJNIAUI FtKaUN tit oiiterent rrom applicant.) NAME (last name first) CITY STATE ADDRESS ZIP CODE DAY TELEPHONE 4 APP1ICANI UCONIKAL1OR UAGhNI 1-OH CONTRACTOR DOWNER UAGENT FOR OWNER NAME (last name first) ADDRESS CITY STATE ZIP CODE DAY TELEPHONE CITY STATE DAY TELEPHONE 6 CONTRACT! NAME (last name first) CITY ADDRESS STATE ZIP CODE DAY TELEPHONE STATE LIC #LICENSE CLASS CITY BUSINESS LiC # LJtMGNbK NAMh (last name tirstj CITY STATE ADDRESS ZIP CODE DAY TELEPHONE STATE LIC # 7- WORKERS* COMPENSATION Workers Compensation Declaration 1 hereby affirm mac 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 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: Certificate 01 Exemption 1 certify that in the performance of the work for which this permit is issuedTTsnaU not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California SIGNATURE DATE 8. OWNER-BUILDER DECLARATION Owner-builder Declaration 1 hereby atlirm that I am exempt rrom the Contractors 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 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, Jilter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement ihat 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 tfie-applicant to a civil penalty of not more than five hundred dollars [$500]) SIGNATURE DATE COMPLETE THIS SECTION -RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future building occupant required to submit a business plan, acutely hazardous matenals registration form or nsk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Acccunt Act' D YES D NO Is the applicant or future building occupant required to obtain a permit from the air pollution control distnci or air quality management district? D YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?n YES p NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFTER -lULY 1, 1989 UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE A[R POLLUTION CONTROL DISTRICT. 9. CONSTRUCTION LENDING AGENCY ______ _ I hereby aitinn that there is a construction lending agency tor the performance ot the work for which this permit is issued (Sec 3097(1) Civil Code) LENDER'S NAME LENDER'S ADDRESS TO APFLJCANTCER1TFICAI1ON I certify that I have read the application and state that the above information is correct I agree to complj^ivith all City ordinances and Stale 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 CITY OF CARLSBAD AGAINST Mi LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SATD 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 permit is not commenced within 365 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 commenced for a period of 180 days (Section 303(d) Uniform Building Code) APPLICANTS SIGNATURE /^^/2__ * S%& DATE YELLOW: Applicant PINK: Finance CITY OF CARLSBAD INSPECTION REQUEST PERMIT* CB941532 FOR 11/30/94 DESCRIPTION: ELEC FOR ABOVE GROUND SPA TYPE: ELEC JOB ADDRESS: 1749 CATALPA RD APPLICANT: KELBER, ROBERT CONTRACTOR: OWNER: REMARKS: MW/KELBER/930-0510 SPECIAL INSTRUCT: PHONE: PHONE: PHONE: INSPECTOR AREA PLANCK# CB941532 OCC GRP CONSJPR. TYPE NEW STE: / 1 LOT: 619 930-051) INSPECTOR TOTAL TIME: CD LVL DESCRIPTION 53 SW Electric/Conduit/Wiring ACT COMMENTS DATE DESCRIPTION ***** INSPECTION HISTORY ***** ACT INSP COMMENTS )7f v_. City of Carlsbad ^ ^W^^HMHMI^^^H^MH^^^H^^HHM^^^H^^HBuilding 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 issue'd until this verification is received 1 I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no)~ 2 I (have/have not) _ nA'~ _ signed an application for a building permit for the proposed work 3. I have contracted with the following person (firm) to provide the proposed construction1 Name _ Address _ City _ , __ Phone ______ __ ___ Contractors License No __ _ _ 4. 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 City Phone 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 Palmas Drive • Carlsbad, California 92OO9-1576 «• (619) 438-1161