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HomeMy WebLinkAbout1747 SORREL CT; ; CB921041; PermitPERMIT APPLICATION City of Carlsbad Building Department 2075 Las Pal..,. De., taelsbad, CA 92009 (619) 438-1161 I. PmMII I YPE A -U Commercial U New Blllidmg LI I enant Improvement B -D Industrial O New Building D Tenant Improvement C -)CResidential □ Apartment D Condo }ICSingle Family Dwelling □Addition/Alteration □ Duplex □ Demolition LI Relocation LI Mobile Home □ Electrical □ Plumbing □ Mechanical □ Pool □ Spa □ Retaining Wall □ Solar C Other 2. PROJECf INFORMATION FOR OFFICE USE ONLY Address .t""f5 /") '{? ,So<Ye.. \ C ,f BuUdmg or Smte No. Nearest Cross Street mt o. □ 2 Energy Cales a 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope ASSESSOR'S PARCEi, EXISTING USE PRO~P USE -J-1 ~,~+ . ..:.., UJ 11'\d .. I DESCRIPTION OF WORK • ~ CI'IY NAME ADDRESS / ') '( ? cI'!Y CA-.-fs b ,..e,( sTATE S. PROPFJllY UWNIM C/rzIP CODE q 7,-{)t) 1 DAY TELEPHONE NAME s~ AA 'f ADDRESS ZIP CODE CI'IY STATE DAY TELEPHONE 6. OON IRACIOR NAME HI-It G/4ss ADDRESS ZIP CODE ") 2.{J r<f LICENSE CIASS CI'IY ocee..---s i,;L. STATE C/:t STATE I.IC.# DAY TELEPHONE CI'IY BUSINESS I.IC. # CI'IY ZIP CODE DAY TELEPHONE STATE I.IC.# 7. WORkERSWMPF.NSAIION Workers' Compensation Declarat1on: I hereby afhrm that I have a certificate 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 POLICY NO. EXPIRATION DATE Certificate of Exemptmn: I certllY that m the performance of the work for which this penmt 1s issued, I shall not employ any person m any manner so as to become subject to the Workers' Compensation Laws of c.alifomia. SIGNATURE DATE 8. OWNEK-H0llDE!k DECL\RXIIDN Owner-Hu1lder Oeciaratlon: I hereby afhrm that I am exempt from the c.Zntractoi's Llcense Law for the foiiowmg reason: □ l( 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 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 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 applican o a civil penalty of not m re than five hundred dollars [$500]). SIGNATURE DATE -z_.. 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 TI!EANSWERS ARI! YES, A FINAL CERTIFICATE OFOCDJPANCY MAY NOT BE IS.WED AFrnRJULY 1, 1989 llNlJlSS TIIEAPPIJCANT HAS MET OR IS Ml!IITING TilE REQUIREMENTS OP TilE OPFICE OP EMERGENCY SERVICES AND TilE AIR POLl.lmON CDNTitOL DISTRICT. 9. WNSIRUCIIOR LENDING AGENCY I hereby afhrm that there ts a construction lendmg agency for the performance of the work for which this permit 1s issued (Sec 3097 llJ Civil CooeJ. LENDER'S NAME LENDER'S ADDRESS I 0. APPLiCXN I CPR I filiCA I iuN I certify that I have read the apphcat1on and state that the above mformat1on 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 c.arlsbad to enter upon the above mentioned property for inspection purposes. I AISO AGREE ID SAVE INDEMNIFY AND KEEP HARMIBSS TilE QTY OP CARISIIAD AGAINST All. IJAIIIUl1P.S, JUDGMENTS, <DSTS AND EXPENSES WHICH MAY IN ANY WAY A£Ill.UE AGAINST SAID QTY IN CDNSEQUENCE OP TilE GRANTING OP 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) Uniform Building Code). APPLICANTS SIGNATURE ~ )1,,i L DATE: 'l-3d -9 <--- ~TE: Fil7YELLOW: Applicant PINK: Finance CITY OF CARLSBAD INSPECTION REQUEST , PERMIT# CB921041 FOR 11/17/92 DESCRIPTION: REPLACE 2 EXIST DOORS, 7 EXIST WINDOWS, ONE SMALLER ONE LARGER TYPE: MISC JOB ADDRESS: 1747 SORREL CT APPLICANT: MAPLES, ROGER CONTRACTOR: OWNER: REMARKS: MH/ROGER/929-4381 SPECIAL INSTRUCT: TOTAL TIME: PHONE: PHONE: PHONE: INSPECTOR AREA TP PLANCK# CB921041 ~s;:: TYPE VN STR: : STE: 9294381 CD LVL DESCRIPTION ACT COMMENTS 19 ST Final Structural 29 PL Final Plumbing 39 EL Final Electrical 49 ME Final Mechanical ------------------------------------------------------ ***** INSPECTION HISTORY***** DATE 102792 102792 100592 100192 DESCRIPTION Interior Lath/Drywall Exterior Lath/Drywall Frame/Steel/Bolting/Welding Frame/Steel/Bolting/Welding ACT INSP AP TP AP TP AP PD CO TP COMMENTS SEE JOB CARD • 6 "'-r""')e.- A .B w'"' r 61t5f- ,--.l,er,ho:>"" J,uJ. r oo v---. ......_ FAW\.,}'1 u ito-S t' ~ p,,.:t>-. 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