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HomeMy WebLinkAbout1374 SPARROW RD; ; CB960560; Permitlj;_f 1_11tf-B U I L D I N G P E R M I T Permit No: CB9605bll Project No: A95000b8 Development No: 03/25/9b 09:06 Page 1 'of 1 Suite: 6658 03/25/96 0001 01 02 Lot# : 5 7 C-f'RMT Construction Type: VN Reference#: CT90-15 Status: ISSUED 47-00 1Job Address: 1374 SPARROW RD Permit Type: ELECTRICAL Parcel No: 215-641-04-00 Valuation: o Occupancy Group: R3/Ml Description: RUN ELECT & GAS FOR SPA-1/2 Applied: 03/25/96 : ABOVE & 1/2 BELOW GROUND-FACTORY MADE Apr/Issue: 03/25/96 Appl/Ownr : MERKT, MICHAEL 918 BEGONIA CT CAARLSBAD CA Plan Check Number Fees Required **'I- Fees: Adjustments: Total Fees: Fee description TOTAL 92009 Entered By: RMA 619-944-1120 CITY OF CARLSBAD .00 .00 47.00 * j. * Ext fee Data 10.00 Y 10.00 Y 27.00 GAS PERMIT 47.00 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION PLAN CHECK NO. Sio City of tar I st.I Buildi-. Departant 2075 Las Pal-Dr., tarlsl>MI, CA 92009 (619) 4311-1161 EST.VAL. __________ _ J. PtkMti ii PE PIAN CK DEPOSIT. ___ -1'!--t---- VAIID. ~BY;---t'.=\"°7'=T,-:;:"r-P.-4C'----DATE From List 1 (see back) give code of Pennit-Type: ___________ _ --------. -----------.. -. -------. ------------------. -----. For Residential Projects Only: From Ust 2 (see back) give Code of Structure-Type: ___________________ _ Net Loss/Gain of Dwelling Units 2. PRO.IF.CT INFORMATION FOR OFFICE USE ONLY Address /3 ~S Bu1ldmg or Suite No. Nearest Cross ltrttt mt o. ase o. □ I Addressed Envelope L1 tt e~ II OF BEDROOMS II OF BA111ROOMS ADDRESS CllY STATE ZIP CODE DAY TELEPHONE 4. :Ji~C::naJt:~,~~';~f~c1~~o:t'Nk":'iJs':., ,%o~~o:;i_,"J!Nt •g:5r-N£k CITYC.A-e~B STATECAllz1PCODE ;).001 DAYTELEPHONE 44-11.;i.O · NAME (last name first) W 1",LS J '1"" Aw-, Q.S ADDRESS 13 4-7 -5 f>,,,.,.Y'O<.v Rd, · c1TY c. A..-lsb~d sTATE CA. z1p coDE <taoo"J DAY TELEPHONE -Cf o I . NAME (last name first) f(\,c..~iq,e,L ft. i'Y'Q.V' (. ADDRESS Cf/ CC, \~ej UWll't (.,,T CITY(:. AV-~b,q,~ STATE c,4 ZIP CODE 9,}..00'f DAY TELEPHONE 9 'f-4--/J .;I.Q STATE UC. 11'\:f"J f&::i_ LICENSE a.ASS l3 CITY BUSINESS UC. II ast name 1rst CllY STATE ZIP CODE DAY TELEPHONE Workers' Compensation Oeclarat1on: I hereby affmn that l have a certificate of consent to seif-msure issued by ffie 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 POLICY NO. EXPIRATION DATE Cer11hcate of Exempuon: I certify that m the perfonnance of the work for which this pennll IS issued, I shall not employ any penon many manner so as to become subject to the Workers' Compensation Lawa California. SIGNATURE DATE □ □ □ Owner-Builder DeciaraUon: I hereby afnnn that I am exempt from the Confradofs ilcense Law for the ioiiowmg 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 improvemencs 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 propeny~ am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does nor 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 ics 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 Llcense Law (Chapter 9, commencing with Section 7000 of Division 3 of the Business and Professions c.ode) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a pennit subjects the applicant to a civil penalty of not more than five hundred dollars [$5001). SIGNA111RE DATE WMPll:IE IHIS SECIIUN FOR NON-R£SIDEN IIAL BotWING PERMll'S ONLY: ls the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration fonn or risk management and prevention program under Sections 25505, 25533 or 25534 or the Presley-Tanner Hazardous Substance Account Act? □ YES □ NO Is the applicant or future building occupant required to obtain a permit rrom 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 or a school site? □ YES □ NO IF ANY OF nm ANSWERS ARE YE,, A FINAL CERTIFICATE OF OOCUPANCY MAY NOT BE 1$1/ED AFTER JULY I, 1989 UNLESS nm APPUCANT HAS Mirr OR IS MElmNG nm REQUIREMENTS 01' nm OFFICE 01' EMERGENCY SERVICES AND nm AIR POIJ.UTION WNTROL msnucr. 9. WNSIR0CIION l.£NDLNG XCENct I hereby aihrm ffiat ffiere 11 a construction lendmg agency for ffie perfonnance of the work for which this permit IS wued (Sec 3097(1) C.vU Cooe). LENDER·s NAME No J;::!. G" LENDER'S ADDRESS 10. XPPUCAN I CEl I IFICA liu I certify ffiat I have read the apphcat1on and state that the above mlormat1on ts correct. I agree to comply with all City ordinances 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 1U SAVE INDEMNIFY AND KEEP HARMIBSS nm CTlY OF CARlSIIAD AGAINST ALL IJABllJTIES, JUDGMENTS, <DSTS AND EXPENSES WJUOI MAY IN ANY WAY NXRUE AGAINST SAID CTlY IN WNSEQI/ENCE OP nm GRAN11NG 01' 11llS PERMIT. OSHA: An OSHA pennit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Expiration. Every pennit issued by the Building Official under the provisions of this Ccxle shall expire by limitation and become null and void if the building or work authorized by such pennit is not commenced within 365 days from the date or such permit or if the building or work authorized by such permit is suspended or abandoned at any i after the work is co menc for a riod of 180 days (Section 303(d) Uniform Building c.ode}. APPLICANTS SIGNATURE ?::12_ _ DATE:~.2S'-.?G PINK: Finance ···-·------- CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB960560 FOR 10/29/96 DESCRIPTION: RUN ELECT & GAS FOR SPA-1/2 ABOVE & 1/2 BELOW GROUND-FACTORY MADE TYPE: ELEC JOB ADDRESS: 1374 SPARROW RD APPLICANT: MERKT, MICHAEL CONTRACTOR: OWNER: PHONE: PHONE: PHONE: INSPECTOR AREA PY PLANCK# CB941011 OCC GRP R3/Ml CONSTR. TYPE VN STE: LOT: 57 619-944-1120 REMARKS: BJN/JAMES/930-3348 SPECIAL INSTRUCT: INSPECTOR __.f' ... ~_..J,v .... _-_____ _ I/ TOTAL TIME: --RELATED PERMITS--PERMIT# TYPE CB960661 PLUM STATUS ISSUED ACT COMMENTS , /) , ~ /e,J} 5:-f ~21 y:L: CD LVL DESCRIPTION 59 SW Final Pool ---------------------------------------------------------- ***** INSPECTION HISTORY***** DATE 032996 032996 DESCRIPTION Gas/Test/Repairs Underground/Conduit-Wiring ACT INSP AP PY AP PY COMMENTS