HomeMy WebLinkAbout1749 CATALPA RD; ; CB941532; PermitBUILDING PERMIT
11/2H/94 14 43
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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