HomeMy WebLinkAbout2305 JACKSPAR DR; ; CB951539; PermitI 11s0
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2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
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PERMIT APPLICATION PLAN CHECK NO.
City of Carlsbad Building Department
2075 Las Pal,..s Dr., carlsbad, CA 92009 (619) 438·1161
I. PkilM.il lYP£
From Llst 1 (see back) give code of Permit-Type: ____________ _
For Residential Projects Only: From Llst 2 (see back) give
Code of Structure-Type: ______________________ _
Net Loss/Gain of Dwelling Units
2. FOR OFFICE USE ONLY
u1 mg or u1te o.
Nearest Cross Street
CHECK BEIDW IF S0BMII IEO:
D 2 Energy Gales □ 2 Structural Cales □ 2 Soils Report D 1 Addressed Envelope
ASSESSOR'S PARCEi, EXISTING USE PBOPQSEP USE
DESCRIPTION QF WORK EL EL, H ~,,r,; IL pr:, 0,\-;, 'j)'\·L .f"i:0 '<'.. '2. ";if IZ 12 I £'...<\ 1 l u 1-1 r--,[ t, 'I IS I<' '>
# OF BEDROOMS SQ. IT. # OF STORIES # OF BA TI-IROOMS
3. WN IACI PD&JN (II dtftereni from applicant)
NAME (last.name first) ADDRESS
CllY STATE ZIP CODE DAY TELEPHONE
4. XPPDCANI UWNIRACIOR OAGENI FORCONIRACIOR DOWNER t!lAGENI FOR OWNER
NAME (last name firnt) &.tcH,\1--{/\fi . t':,;,-...>(', ADDRESS E.Au LE, CA-I-\ Y~~ N
c11YGif L~~ STATE ,;:;_4 ZIPmDE DAYTELEPHONE 92>o
5. PROP£k~ 0 j) I') I U ~ -.-r} v1 NAME (last name first) __ I\... . fl t,..I f\ / v I , ADDRESS
CI1Y STATE ZIP CODE DAY TELEPHONE
NAME (lase name first)
CI1Y STATE
STATE LIC. #
ZIP CODE
LICENSE CLASS
ADDRESS
DAY TELEPHONE
CI1Y BUSINESS LIC. #
DESIGNER NAME (last name llrsr) ADDRESS
CllY STATE ZIPmDE DAY TELEPHONE STATE LIC. #
7. WORKERS' WMPENSA I ION
workers' compensation uec1arat1on: I hereby affirm that I have a ceruhcate of consent to self-insure issued by the Director of lndustnal
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).
", ',L>..,
INSURANCE COMPANY.l\!Z&t.,N,.!\-t dN <, lo. POLICY NOI.Vcw,,,1•• EXPIRATION DATE 1
□
□
□
xempt1on: cert1 at in t e pe ormance o t e wor or w
ubject to the Workers' Compensation Laws of California.
DATE
Owner-Builder Declaration: I hereby athrm 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).
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, alter, improve, demolish, or repair
any structure, prior to its issuance, also requires the applicant for such pennit 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 [$500]).
SIGNATURI! DATE
COMPlllf: 'IHIS SECIION FOR NON-RESIDEN IIAL BUILDING PERMIIS 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?
□ YES □ NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
□YES □NO
Is the facility co be constructed within 1,000 feet of the outer boundary of a school site?
□YES □NO
IF ANY OF TIIEANSWERS ARE YES, AFINALCI!R'I1FICATE OF OOCUPANCY MAY NOT BE ISSUED AFrnRJULY 1, 1989 UNlJ'.SS TIIEAPPUCANT
HAS MET OR IS MEl!TING TIIE REQlllREMENTS OF TIIE OFFICE OF EMERGENCY SERVICES AND TIIE AIR POllUTION ffiNTilOL DISl1UCT.
9. WNS'I KOCI ION LHNDING AGENCY
I hereby arftrm that there JS a construction lending agency for the performance of the work for which this penn1t 1s issued (Sec 3097 (I) C1V1i Code).
LENDER'S NAME LENDER'S ADDRESS
IO. APPllCANI CERIMCAIJUN
I certUY that I have read the apphcac1on and state that the above mformauon ts correct. I agree to comply with all City ordmances and State laws
relating to building construction. I hereby authorize representatives of the City of c.arlsbad to enter upon the above mentioned property for inspection
purposes. I AISO AGREE 1U SAVE INDEMNIFY AND KEEP HARMll5S TIIE CI1Y OF CARISBAD AGAINST All UABILITIES, JUDGMENTS, CXlSTS
AND EXPENSES WIIlCH MAY IN ANY WAY ACXJUJE AGAINST SAID CI1Y IN mNSEQUENCE OF TIIE GRANTING OF uns PERMIT.
OSHA: An OSHA permit is required for excavations over S'O" deep and demolition or construction of structures over 3 stories 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 bys h 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 a oned at any ti e after e work ·s commenced for a pericxl of 180 days (Section 303(d) Uniform Buildi , e). __
APPLICANT'S SIGNATUR . DATE: I<• L ) </ 'j
PINK: Finance
PERMIT# CB951539
DESCRIPTION: PEDISTAL FOR
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 06/05/96
IRRIGATION
EAGLE CANYON, D.R, HORTON
TYPE: ELEC
STE:
·---~-----
INSPECTOR AREA
PLANCK# CB951539
OCC GRP
CONSTR. TYPE NEW
LOT: JOB ADDRESS: 2305 JACKSPAR DR
APPLICANT: BUCANAN, BOB
CONTRACTOR:
PHONE: 619-930-1907
OWNER: ::g::: /) II -"', ~ /JJ
INSPECToU-;f;;::;-~~ -1· REMARKS: MW/BOB/920-1907
SPECIAL INSTRUCT:
TOTAL TIME:
CD LVL DESCRIPTION ACT COMMENTS
32 EL Const. Service/Agricultural fJr7
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***** INSPECTION HISTORY*****
DATE DESCRIPTION
052496 Underground/Conduit-Wiring
ACT INSP
CO PY
COMMENTS
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A~Pi~OV~G
BY ~
OC1 2 3 \995
City of CARLSB1-\D
BUILDING PEPT.
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