HomeMy WebLinkAbout1734 SCHOONER WAY; ; CB941706; PermitB U I L D I N G P E R M I T Permit No: CB9417UG
P1oject Nu: A9402515
Development No:
.
12/29/':14 14:4U
Page l of 1
Suite :
Lot#:
0134 12/29/94 0001 01
C-PRMT
02
26-00
Job Address: 1734 SCHOONER WY
Permit Type: MISCELLANEOUS
Parcel No: 207-320-04-00
Valuation: 500
Con struction Type: NEW
Occupancy Group:
Description: ENLARGE OPENING
: ROOM &. KITCHEN
Reference#:
BETWEEN FAMILY
Status:
Applied:
Apr/Issue:
Entered By :
bl9-931-1153
I~SUED
12/29/➔4
12/29/94
RMA
Appl/Ownr : ROSSMAN, CHRIS
1734 SCHOONER WY
CARLSBAD , CA 92008
~*' Fees Required ** l ected & Credits AAA
----------------------------------------------------
Fees: 26 .0
Adjustments: . o 'l'otal Ctedi ts: . 00
Total Fees: o otal Paymen-s : .oo
Balan~A Due : 26 .00
Fee description --------~-~··~~ Units Fee/Unit Ext fee Data
Miscellaneous Fee #1
* MISCELLANEOUS TdTA~
26.00
26 .0(J
l7NM. APPROV~/1 I
ii. SP. ,4..,_ DATE~
_EARANCE-----
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
PERMIT APPLICATION PLAN CHECK NO. Df>IJ L/ I 7 /) b
City,,of Carlsbad Building Department
2075 Las Pal118S Dr., Carlsbad, CA 92009 (619) 438·1161 EST.VAL. ____ ?o!:::....:.0:,__0 ___ _
I. PERMI I NPE
PLAN CK DEPOSIT,-______ _
VAUD. BY_..,u,=t/ ____ ~-~--
From Llsc 1 (see back) give code of Permit-Type: ___________ _ DATI! /21£7/t/'f
For Residential Projects Only: From Llst 2 (see back) give
Code of Structure-Type: --~S.,__,f__.D,£-__________ _
Net Loss/Gain of Dwelling Units
2. PROJF.CT INFORMATION FOR OFFICE USE ONLY
Address 17 3 '/ Sc.hoone-Je
Nearest Cross Street I. S L/E
Building or Sune No.
i.EGAL DESCRIP I ION Lot No. Subd1V1s1on Name/Number Umc No. Phase No.
7G
CHECK BEWW IF SOBMII IED:
□ 2 Energy calcs □ 2 Structural Cales □ 2 Soils Report D 1 Addressed Envelope
ASSESSOR'S PABCEl EXISTING USE
~f!:.l'lo,Je, Clo~ef, Open (Fn/,."1e) /JcJO,t ·
PBOPQSED USE
DESCRIPTION OF WORK
SQ. Ff. # OF STORIES
3. WN IACI PEltSON (U duferenl from apphcant)
NAME (last name first)
# OF BEDROOMS # OF BATilROOMS
ADDRESS
CI1Y STATE ZIP CODE DAY TELEPHONE
4. APPUCANI UWNIRACIOk OAG£NI FYRWNIRACIOR t1tJWN£k UAGENI FOR OWNER
NAME (last name first) R,ot.t>/'l'lt:tn I C/,,,« I.S ADDRESS / '} 3, <j S c,l,,,oo,-,e.-< "'-'":!f s.i1«1J£rtJfi:i STATE CA ZIPCODE'/;l;OO'J DAYTELEPHONE 931-11s3
NAME (last name first) jc,,,,.,. e ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE
NAME (last name first) Se..nte ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE
STATE UC.# UCENSE CIASS CITY BUSINESS UC. #
DESIGNER NAME (last name hrst) ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE STATE UC.#
7. WolOO:kS' WMPENSAIION
Workers' Compensation Declaration: I hereby afhrm that I have a ceruhcate of consent to self-msure 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).
INSURANCE COMPANY POUCY NO. EXPIRATION DATE
Certthcate of Exempt10n: I certify that m the performance of the work for which this pemut JS issued, I shall not employ any person m any manner
so as to become subject to the Workers' Compensation Laws of California.
SIGNATURE DATE
8. OWNER-BUllhffi Oti!tARAliuN
D
□
Uwner-BuUder Declaration: I hereby afhnn that I am exempt from the Confractofs Llcense Law for the foilowmg 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 Llcense 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 Llcense 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 Llcense 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 permit 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 penal,ty of not more than five hundred dollars [$500]). , /
SIGNATURE ..d -_/~ • DATI! /:J. -~'iJ'-9'-t
WMPLEIE IHIS SECll~ultNUN-RESWtNIIAL BUILDING PEkMIIS 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 to be constructed within 1,000 feet of the outer boundary of a school site?
□YES □NO
IF ANY OF TilEANSWERS ARE YES, AFINAL CERTIFICATl!OF OCCUPANCY MAYNOTBEISSUEDAFl'ER.JIJI.Y 1, 1989 \JNIJlSSTilE APPLICANT
HAS MET OR IS MEfillNG TilE REQUIREMENTS OF TilE OFFICE OF EMERGENCY SERVICES AND TilE AIR POLLIITION CONTilOL DISTRICT.
9. WNSIKUCIION LRNDING AGENCY
I hereby afhrm that there ts a construction iendmg agency for the performance of the work for which thts permit IS issued (Sec 3097(1) CivU Code).
LENDER'S NAME LENDER'S ADDRESS
10. APPUCAN I CEkliFICAIION
I certify that I have read the apphcatlon and state that the above mformat1on 1s correct. I agree to comply with ali City ordmances and State 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 TilE CTIY OF CARISBAD AGAINSf AIL IJABIIITIES, JUDGMENTS, <DSl'S
AND EXPENSES WlDCH MAY IN ANY WAY ACCRUE AGAINSf SAID CTIY IN CONSEQUENCE OF TilE GRANTING OF TIIlS 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 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) Unifonn Building Code).
APPUCANTS SIGNATURE /, DATE: ___ _
: File YEll.OW: Applicant PINK: Finance
0
• PERMIT# CB941706
DESCRIPTION: ENLARGE OPENING
ROOM & KITCHEN
TYPE: MISC
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 05/04/95
BETWEEN FAMILY
STE:
INSPECTOR AREA PY
PLANCK# CB941706
OCC GRP
CONSTR. TYPE NEW
LOT: JOB ADDRESS: 1734 SCHOONER WY
APPLICANT: ROSSMAN, CHRIS
CONTRACTOR:
PHONE: 619-931-1153
PHONE:
OWNER:
REMARKS: MW/CHRIS/931-1153
SPECIAL INSTRUCT: DID NOT INDICATE WHAT
PHONE: ~7 /_
INSPECTOR ' #
TYPE OF INSPECT=Io-=-N:-::---,fl---,..,...------
TOTAL TIME:
CD LVL DESCRIPTION ACT COMMENTS
19 ST Final Structural ~-------------------------------------------------------------
***** INSPECTION HISTORY*****
DATE DESCRIPTION ACT INSP COMMENTS
010495 Frame/Steel/Bolting/Welding AP PY
Fam/lj Room
ChR/5 :r Rossrna..n
17 3'/ 5c..hoone.t.. Wa.::5
CaRl:sba.c/, C.A
Close+.
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