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HomeMy WebLinkAbout1270 STRATFORD LN; ; CB960180; PermitB U I L D I N G 02/01/90 15:17 Page 1 of 1 1Job Address: 1270 STRATFORD Permit Type : MISCELLANEOUS Parcel No: 156-164-38-00 Valuation: 0 LN P E R M I T Suite: Lot#: Permit No: CB96018U Project No : A9o00283 Development No : " .. I> 9t . 1 Construction Type: Occupancy Group: Reference#: Status: Applied: NEW ISSUED 02/01/96 02/01/96 RMA Description : MOVE TOILET,SINK & BATHTUB+ : MISC ELECTRICAL Appl/Ownr : B.A. WORTHINGTON, INC P.O.BOX 1041 CARL SBAD , CA *** Fees Required Fees: Adjustments: Total Fees : Fee description Miscellaneous Fee #1 Miscellaneous Fee #2 * MISCELLANEOUS TOTAL *** 61 .po .00 61 .00 92018 Apr/Issue: Entered By: 619-729-3965 Total Credits: .00 Total Payment,.s; .00 Balance nue: 61 .00 Units Fee/llnit Ext fee 41.0 U 41.00 20.00 20.00 61.00 FINAL APPROVAL *** Data PLUM ELEC INSP. p DATE 1 ·1/· I J PERMT PERMI CLEARANCE _____ , CITY OF CARLSBAD 2075 Las Palrnas Dr., Carlsbad, CA 92009 (619) 438-1161 PEIIMIT APPLICATION PLAN CHECK NO. City of carlsbad Building Department 2075 Las Palaas Dr .. , tarlsbad, CA 92009 (619) 438·1161 I. PFJtMI I NPE From Llst l (see back) give code of Permit-Type: _ _;R:..c..A_D ________ _ For Residential Projects Only: From List 2 (see back) give Code of Structure-Type: ___ _,:S:.,Fc;D:::.._ _____________ _ Net Loss/Gain of Dwelling Units 0 2. PROJECT INFORMATION FOR OFFICE USE ONLY Address l 2 70 Stratford Ln Budding or Suite No. Nearest Cross Street Carlsbad, CA LEGAL DESCRiP I ION Lot No. Sutxl.1V1s1on Name/Number 0mt No. Phase No. CHECK BEWW IF S0BMII IED: □ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report D 1 Addressed Envelope ASSESSOR'S PARCEi. EXJSJJNG USE PBOP9SFP USE DESCRIPTIONOFWORK Move toilet, tub, SQ. FT. # OF STORIES sink in bathroom, # OF BEDROOMS miscellaneous electrical # OF BAIBROOMS 3. WN IACI PERSON (tf dlIIerent from appJJcanf) NAME (last_ name first) ADDRESS CI1Y STATE ZIP CODE 4. APPlJLANf ,£JCUNJHACJUH. UAGENI FORWNIRACIOR NAME (last name first) WORTHING, B. A. ADDRESS DAY TELEPHONE UUWNU{ DAGEN I FOR OWNER BOX 1041 CI1Y CARLSBAD STATE CA ZIP CODE P.O. 92018 DAY TELEPHONE 7 2 9-2 9 6 5 S. PROP£kli OWNEit NAME (last name first) CJ1Y Carlsbad BRYTT/STUART STATE CA 1270 STRATFORD JACKAlJ!lllESS ZIPCODE 92008 DAY TELEPHONE ( 6 l 9 ) LN 434-7746 • NAME (last name first) WORTHING, INC. B. A. ADDRESS P • 0 • BOX 1 0 4 1 CI1Y CARLSBAD STATE CA ZIP CODE 92018 DAY TELEPHONE 729-3965 STATE UC. # 3 9 8 7 6 4 UCENSE CLASS B-1 CI1Y BUSINESS UC. # 5 4 9 2 0 0 DESIGNER NAME (last name hrst) WORTHING, B. A. AJJut<,»p. 0. BOX 104 1 Cl1Y CARLSBAD STATE CA ZIP CODE 9 2 0 1 8 DAY TELEPHONE 7 2 9 3 9 6 5 STATE UC.# 13-1 392894 7. WORKERS' WMPENSAJ ION Workers1 Compensation Declarat1on: I hereby affirm 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). INSURANCECOMPANY STATE FUND POUCYNO. 229-6537 EXPIRATION DATE 1/96 Cert1hcate of Exempt10n: I certify that m the performance of the work for which this permit 1s issued, I shall not employ any person many manner so as to become subject to the Workers' Compensation laws of California. SIGNATURE DATE 8. OWNPJt-BUIWIM DFLOOlAIWN D D D Owner-Builder Declaration: I hereby afhrm that I am exempt from the Contractors license Law for the foiiowmg 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 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 pennit 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 pennit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]). SIGNATIJRE DATI! COMPQ:IE IHIS SECIION FOR NON-RESIDEN IIAL BUILDING PERMI IS ONLY: Is 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 of the Presley-Tanner Hazardous Substance Account Act? □ YES ONO Is the applicant or future building occupant required to obtain a pennic from the air pollution control district or air quality management district? □YES ONO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □YES ONO IF ANY OF 1111! ANSWERS ARE YES, A FINAL CERTIFICATI! OF DCX:UPANCY MAY NOT BE lliSlffiD AFrER JULY 1, 1989 UNLESS 1111! APPIJCANT HAS MET OR IS MEETING 1111! REQUIREMENTS OF 1111! OFFICE OF EMERGENCY SERVICES AND 1111! AIR POLLlfl10N ffiNTROL DISTIUCT. 9. OONS'IROCIIUN LENDING AGENCY I hereby aihrm that ihere JS a construction lendmg agency for the performance of the work for which ihJS penntt 1s 1SSued (Sec 3097(1) CIVIi Code). LENDER'S NAME LENDER'S ADDRESS JO. XPPilCANi CElliFJCAIION I certUY that I have read the apphcat1on and state that the above mlormauon 1s 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 AISO AGREE TD SAVE INDEMNIFY AND KEEP HARMLESS 1111! Cl1Y OF CARISBAD AGAINST AIL IJABIIITIES, JUDGMENTS, CDSTS AND EXPENSES WIIlCH MAY IN ANY WAY ACXJUJE AGAINST SAID Cl1Y IN OONSEQUENCE OF 1111! GRANTING OF TIIIS 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 by such pennit is not commenced within 365 days from the date of such permit or if the building or work authorized by such pennit is suspended or abandoned t any ti after the work is commenced for a period of 180 days (Section 303(d) Unifonn Buildin e . APPLlCANl"S SIGNATURE DATE: YEllOW: Applicant PINK: Finance 0 PERMIT# CB960180 DESCRIPTION: MOVE MISC TYPE: MISC CITY OF CARLSBAD INSPECTION REQUEST FOR 03/11/96 TOILET,SINK & BATHTUB+ ELECTRICAL JOB ADDRESS: 1270 STRATFORD LN APPLICANT: B.A. WORTHINGTON, INC CONTRACTOR: PHONE: PHONE: OWNER: PHONE: INSPECTOR AREA DC PLANCK# CB960180 OCC GRP CONSTR. TYPE NEW STE: LOT: 619-729-3965 REMARKS: RS/KATHY/729-3965 SPECIAL INSTRUCT: INSPECTO~----------- TOTAL TIME: CD 19 29 39 49 LVL DESCRIPTION ST Final structural PL Final Plumbing EL Final Electrical ME Final Mechanical ------------------------------------------------------ COMMENTS ***** INSPECTION HISTORY***** DATE 021496 020896 020596 DESCRIPTION Interior Lath/Drywall Rough Electric Rough/Topout ACT INSP AP DC AP DC AP DC COMMENTS