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HomeMy WebLinkAbout1208 STRATFORD LN; ; CB910599; Permitr. B U I L D I N G P E R M I T Permit No : CB9 10599 Project No : A9100712 Development No: 04/09/91 15:51 Pag~ 1 of 1 Job Address: 1208 STRATFORD LN Str: Fl : Ste: Permit Type : RESIDENTAL ADD/ALT (UNDR $10K) Parcel No: 156-164-45-00 Valuation: 1,800 Construction mype: NEW Occupancy Group: Class Code: Description: 100 SF SUNROOM ADDITION Appl/Ownr : GILLINGHAM, ROBERT 1208 STRATFORD LN CARLSBAD, CA 92008 *** Fees Required Fees: Adjustments: Total Fees : Fee description Building Permit Plan Check Strong Motion Fee * BUILDING TOTAL CITY OF CARLSBAD u 04/ 7 2 Status: ISSUED Applied: 04/09/91 Apr/Issue: 04/09/91 Validated By: RS 619-434-1962 .00 .00 '"'9. 00 *** Ext fee Data 41.00 27.00 1.00 69.00 l,t__JDL,,-nP1PROVA~ INSP. ~--DATES·?· 7t C~EARANCE _____ , 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 PERMIT APPLICATION • City of Carlsbad Building Department EST. VAL _____________ _ 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 1. A B C PERMIT TYPE COMMERCIAL 0 INDUSTRIAL 0 RESIDENTIAL O APARTMENT □DUPLEX QoEMOLITION □MECHANICAL □POOL TENANT IMPROVEMENT QTENANT IMPROVEMENT QCONDO □SINGLE FAMILY DWELLING . ' 0 ADDITION/ALTERATION □RELOCATION QMOBILE HOME □ELECTRICAL □PLUMBING □SPA □RETAINING \.IALL QSOLAR QOTHER PLAN CK DEPOSIT ___________ _ VALID. BY ______________ _ DATE _______________ _ 2. PROJECT INFORMATION PLAN CHECK No. /I i~'ol S7KATFoleO Nearest Cross Streets LEGAL DESCIIPTION Lot No. sutxlivision Name/Nurber Un, t No. Phase No. CHECK BELOW IF Sl.llMITTED: 3. 4. 5. 6. 7. 8. Q2 Energy Cales 02 Structural Cales D 2 Soi ls Repart D 1 Addressed Envelope ROOM SCI FT. BLDG. SQ, FTG. # OF STORIES CONTACT PERSON ,.,. Role~r G-,i t./N6rHAM CITY ~//~{. S /3/9/) NAME CITY PROPERTY OWNER NAME CITY CONTRACTOR NAME $C)(,I Ttf STATE OWNER STATE EXISTING USE ADDRESS / 2 0 j' ZIP CODE 'j' 2..00 q' CONTRACTOR ADDRESS ZIP CODE ADDRESS ZIP COOE □OWNER CITY /...EMO /\I 13,4.y [,Utt.I)€~ 5 (}-,ft,f/5' STATE CJ'/., ADDRESS 3 7 J /, ZIP CODE Cf/ 'f:'/S SIGNATURE DESIGNER NAME CITY STATE LJC. # ~ 'l </7 7 3 STATE LICENSE CLASS _____ _ T JTLE ADDRESS ZIP COOE PROPOSED USE srlf/f-TFt>tfo -411. DAY TELEPHONE '{ 3 '{ /,; (,, z. 0 AGENT FOR OWNER DAY TELEPHONE 0 LESSEE □TENANT DAY TELEPHONE DAY TELEPHONE CITY BUSINESS LIC. # DATE DAY TELEPHONE STATE LIC. # WORKERS' COMPENSATION Workers' Coq:,ensat1on Declaration: hereby affirm that have a cert1f11:ate of consent to self-insure issued by the Director of Industrial Relations, or a certificate of Workers• C~nsation Insurance by an aa!litted 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 Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not eirploy any person in any 1118noer so as to become subject to the Workers' C~nsation laws of California, SIGNATURE DATE OWNER-BUILDER DECLARATION Owner·Bu1lder Declaration: I hereby affirm that I am exempt from the Contractor's License Law for the following reason: O 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 illl)roves thereon,, and who does such work himself or through his own employees, provided that such illl)rovements are not intended or offered for sale. If, however, the building or illl)rovement is sold within one year of c~letion, the owner-builder will have the burden of proving that he did not build or illl)rove for the purpose of sale.). D 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 illl)roves thereon, and contracts for such projects with contractorCs) licensed pursuant to the Contractor's License Law). D 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, illl)rove, demolish, or repair any structure, pr; or to its issuance, al so requires the appl i cant for such permit to f i le a signed statement that he is I i censed pursuant to the provisions of the contractor's License Law (Chapter 9, coomencing 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]). SIGNATURE 0ATE COMPLETE THIS SECTION FOR NON·RESIDENTIAL BUILDING PERMITS 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 0NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □YES ONO Is the facility to be cCN1structed within 1,0DO feet of the outer boundary of a school site? □YES If ANT OF Tllf ANSll:RS Mf TES, A FINAL CERTIFICATE Of OCDJPANCY NAY NOT BE ISSUEO A.HER .IULY 1, 1989 UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMEltTS OF THE OfFICE OF EMERGEltCT SERVICES ANO THE A.IR POLLUTION CONTROL DISTRICT. 9. CONSTRUCTION LENDING AGENCY hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(i) Civil Code). LENDER'S NAME LENDER'S ADDRESS 10. APPLICANT'S SIGNATURE I certify that I have read the application and state that the above information is correct. I agree to coo-p\y with all City ordinances and State laws relating to building construction. ! hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE JNOENIIFY AN) KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIABILITIES, JtDCHNTS, COSTS ANO EXPENSES WHICH NAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. Expiration. Every permit issued by the Building Official urder 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 coomenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abardoned at any time after the work is coomenced for a period of 180 days (Section 303(d) Uniform Building Code). APPL! CANT I S SIGNATURE □ OWNER □ CONTRACTOR □ BY PHONE WHITE: File YELLOW: Applicant PINK: Finance APPROVED BY t DATE: • PERMlT# CB910599 DESCRIPTION: 100 SF SUNROOM CITY OF CARLSBAD INSPECTION REQUEST FOR 05/02/91 ADDITION INSPECTOR AREA PD PLANCK# CB910599 OCC GRP TYPE~ RAD JOB ADDRESS: 1208 STRATFORD APPLICANT: GILLINGHAM, ROBERT CONTRACTOR: OWNER: REMARKS: MH/BRIAN/668-0081 LN SPECIAL INSTRUCT: 2ND STORY-LADDER 434-1962 TOTAL TIME: CD LVL DESCRIPTION 19 ST Final Structural 29 PL Final Plumbing 39 EL Final Electrical 49 ME Final Mechanical CONSTR. TYPE NEW STR: FL: STE: PHONE: 619-434-1962 PHONE: ////--.\ PHONE: 0ll INSPECTOR(!);;C:j-J, - WILL BE SET UP 1-3 ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS