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HomeMy WebLinkAbout2210 NOB HILL DR; ; CB982913; PermitB U I L D I N G P E R M I T Permit No: CB982913 09/02/98 16:39 . Project No: A9803777 Page 1 of I . Development No: Job Address: 2210 NOB HILL DR Suite: Permit Type: PATIO/DECK Parcel No: 167-112-29-00 Lot#: Valuation: 8,096 . Construction Type: VN Occupancy Group: Ref erence#: Status: ISSUED Description: 368 SF PATIO ENCLOSURE Applied: 08/31/98 :. ICBO # 4383P Apr/Issue: 09/02/98 Appl/Ownr : SKYLINE SUNROOMS 57.10 KEARNY VILLA ROAD SAN .,DIEGO CA .92123 **ic Fees Required *** Fees: 17,4"09.— Adjustments: / .0Q 17 Total Fees: /174.001 Fee description I ------------- Building Permit - Plan Check Strong Motion Fee * BUILDING TOTAL 1. Entered By: MDP 619 227-7666 0757 09/02/98 0001 01 02 Fees-Collected & CredcMT p4.00 ------------------------- 7\!o N To1aa/Credits: '.1) I Total "Paymnts: SBlad..-Diie:\ çinit\ e'/Un -- .00 .00 174; 00 t Ext fee Data ------------------ 105.00 68.00 1.00 174.00 I- - - -. - - FINAL. APP OVAL• INSP.,1/'DATE ,Ø,/, CLEARANCE CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760)438-1161 FOR OFFICE USE ONLY PLAN CHECK NO._ EST. VAL. Plan Ck. Deposit Validated By Address (include Bldg/Suite #) Business Name (at this address).......- ir -2- rdAl"(0327 Legal Des ( tion Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units d ic1 Assessor's Parcel Nam.# Existing Ue 1P41/O v(• ( . Proposed Use Description of Work SO. FT. #of Stories # of Bedrooms 2. CONTACT PERSON (if diflerint from aP7 4 &nLffj 1 ptaid Name Address City State/Zip Telephone # Fax # APPLICANT — Contractor— Agerit for Contractor 0 -d—wner 0 Agent for Owner 23- Name - Address City - State/Zip Telephone # Name . ' Address , City State/Zip Telephone # TCONTRACTORCOMPANY, NAME —J (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, commending 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 ($5001). <Y-tNE 54tsoewlks IG 7io p<EMW L'/W4-12D 42..3 4/7 , Name Address - City State/Zip TelephoJ State License # &32=4 License Class City Business License ii Designer Name Address , City State/Zip Telephone State License # r6RKjRScOMPENSATIoN Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor. Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My worker's compensation insurance carrier and policy number are: - / Insurance Company 'S1?i7- _f(AJt7 Policy No. Expiration Date /_1_(j_ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) - . V CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any peráon in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure worker;, compensatIon coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dolle$1 flOO), In sddiI3lb,f cost of compensation, damages as provided for in Section 3706 of the Lybor cof a. Interest and attorney's fees. SIGNATURE \ - —' L ____________________________ DATE 7TOWNERBUILDE'bC*R*11ON '' 1 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 (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). 0 I am exempt under Section Business and Professions Code for this reason: I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ONO I (have / have not) signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction (include name /.address / phone number / contractors license number): I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone number / contractors license number): I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type of work): PROPERTY OWNER SIGNATURE DATE COMPLETETHIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY _-._- 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? - 0 YES 0 NO 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 Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES 0 NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. S. 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. 3097(i) Civil Code). LENDER'S NAME _______________________________ LENDER'S ADDRESS - . - I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the Cit%' 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 ALL LIABILITIES, JUDGMENTS. COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID 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 stories in height. EXPIRATION: Every permit issued by th4 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 thin 365 days from the date of such permit orif the building or work authorized by such permit is suspended or abandoned at any time aj1iPlç is commerW4d fqt aeriod of 180 days (Section 106.4.4 Uniform Building Code). - , ( - - APPLICANT'S SIGNATU DATE ITE: File YELLOW: Applicant PINK: Finance 6-3 S CITY OF CARLSBAD INSPECTION REQUEST PERNIT# CB982913 FOR 10/26/98 INSPECTOR AREA DH DESCRIPTION: 368 SF PATIO ENCLOSURE PLANCK# CB982913 ICBO # 4383P 0CC GRP TYPE: PATIO CONSTR. TYPE VN JOB ADDRESS: 2210 NOB HILL DR STE: LOT: APPLICANT: SKYLINE SUNROOMS PHONE: 619 227-7666 CONTRACTOR: PHONE: OWNER: PHONE: INSPECTOR OA REMARKS: C/DAREN/619/277-7666 SPECIAL INSTRUCT: --RELATED PERMITS-- PERNIT# TYPE CB981275 POOL RW980125 ROW CD LVL DESCRIPTION 19 ST Final Structural STATUS ISSUED ISSUED ACT COMMENTS ***** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP COMMENTS 102298 Final Structural CO PD ON CARD (t1Wt1 fivt1 (7A1f' O' / 4o DIL .— z5 YL 6 v If 1 _c-)i_f / (/1 /ih/b 7'U /-( 6U