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HomeMy WebLinkAbout2766 DUNDEE CT; ; CB971913; Permit09/11/97 13 Page 1 of Job Address Permit Type Parcel No: Valuation: BUILD : 21 1 : 276 6 DUNDEE CT : RESIDENTAL ADD/ALT 208-102-39-00 9 ,400 ING PERMIT Suite Permit No: Project No: Development No; CB971913 A9702429 Lot#; Occupancy Group: Reference*: Description: ENCLOSE OVENHANG lOOSF, : ADD FIREPLACE, INSTALL PATIO DOOR Appl/Ownr : AMERICAN MASTER 2 6 04 EL CAMINO REAL CARLSBAD, CA 92009 *** Fees Required *** 760 Construction Tvpe: 9044 09/ll/?^tQO^iL:^l Appfrf^f: Apr/Issue: Entered By: 721-7655 #369 Fees Collected & Credits NEW ISSUED 0 7/MW 09/11/97 JM * * * Fees Adjustments Total Fees Fee description Building Permit Plan Check Strong Motion Fee * BUILDING TOTAL — JUX Enter "Y" for Ele*bric Is:-;ue Fjlffl )| Enter "Y" for Remodel g| * ELECTRICAL TOTAL * -.-^^.^^^ Enter 'Y' for Mechcinical Isjue Fe'&* Each Install Fireplace ^tHj^ > * MECHANICAL TOTAL Totai Credits Total Payments Balanc*- Due; Units Fee/Unit . 00 76 . 00 160.00 Ext fee Data 117 00 76 00 1 00 194 00 10 00 Y 10 00 Y 20 00 15 00 Y 6 50 22 00 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 1. PROJECT INFORMATION FOR OFFICE USE Ol\ltY PLAN CHECK NO. TV/?/ 5 EST. VAL. Plan Ck. Deposit Validated By. Date ^ Sf4 7 Address (includ^Bldg/l eft) Business Name (at this address) Legal Description Lot No. Subdivision Name/Number division Name/K Unit No. Phase No. Total # of units Assessor's Parcel ff ofWpr. /Ct^^i^ Existtng Use Proposed Use # of Bedrooms # of Bathrooms Name APPLICANT B^c Name 4. PROPEjn-Y OWNER Address City State/Zip Telephone ft Name 6 CONTRACTOR - COMPANV NAME Address City State/Zip Telephone # (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 Codel 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 thap five hundred dollars [$500]). Name State License * ^2. ^ Address License Class City State/Zip City Business License # '^lepho/e ft Designer Name Address City State/Zip Telephone State License * 6. vyO^ERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D 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. D 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 ipsu^ce carrier and policy number are: ^ Insurance Company ^Pf-f Ot't.-j^ Policy No. ^ ^7J^ /j^yjr3 ^/ Expiration Date ^ 6 ^rQ ED IF 1th PERI (THIS SECTION NEED NOT BE COMPLETED IF TME PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESS) Q CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and ahail subject an empioyer to criminal penalties and cWii fines up to one hundred thousand dollars (JlOOjUin), In atMllliiii lu lllii of compansatlon, damages as provided for In Section 3706 of the Labor code^ interest and attomey's faes. SIGNATURE y'^^^g^^lgMrf* y - •^^ISL ^ — DATE q BUILDER DEAARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: Q 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 yeer of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). Q 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: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. Q YES QNO 2. I (have / have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number): 4. 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): 5. 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 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 26534 of the Presley-Tanner Hazardous Substance Account Act? Q YES Q NO Is the epplicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Q YES Q NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? • YES • 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. I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(1) 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 CitV 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 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 end 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 Cflinapenced for a period of,4fiQ days (Section 106.4.4 Uniform Building Code). OATE 7'/^^y Applicant PINK: Finance APPLICANT'S SIGNATURE work is Cflmmenced for a period rM&d days 1 ( WHITE: File YEtEoWr CITY OF CARLSBAD INSPECTION REQUEST PERMIT* CB971913 FOR 01/07/98 INSPECTOR AREA PY DESCRIPTION: ENCLOSE OVENHANG lOOSF, PLANCK* CB971913 ADD FIREPLACE, INSTALL PATIO DOOR OCC GRP TYPE: RAD CONSTR. TYPE NEW JOB ADDRESS: 2766 DUNDEE CT STE: LOT: APPLICANT: AMERICAN MASTER PHONE: 760 721-7655 CONTRACTOR: PHONE: OWNER: PHONE: REMARKS: C/AMER MASTERS/721-7655 SPECIAL INSTRUCT: TOTAL TIME: INSPECTOR —RELATED PERMITS— PERMIT* TYPE CB920461 RAD CD LVL DESCRIPTION 19 ST Final Structural STATUS EXPIRED ACT COMMENTS *ie*** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP COMMENTS 120397 Final Masonry CO PY 120397 Final Structural CO PY NO ONE HOME 120297 Final Masonry NS PY 120297 Final Structural NS PY 112197 Final Structural CO PY SEE LIST 102897 Exterior Lath/Drywall AP PY 102797 Exterior Lath/Drywall NS PY 093097 Interior Lath/Drywall Shear Panels/HD's AP PY 092497 Interior Lath/Drywall Shear Panels/HD's AP PY 092497 Frame/Steel/Bolting/Welding AP PY 092497 Rough Electric AP PY 091597 Ftg/Foundation/Piers AP PY ^/l^ • ' APPROVALS D W^7 y-fp /..^// s/'^/^v- jtijiE. ytcJ^J ijjio-'jjc. in Ck6/1L(ST/'')b oiuM^ f ('2.^(9^'-^^^^ XT' A 'ill 1(^1-^S^uxJ Plaaning EngkiMi Fira Coastal OMTBi • HaaMi .Assoc. 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