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Home My WebLink About1066 TURNSTONE RD; ; CB971936; PermitB U I L D I N G P E R M I T Permit No: CB971936 Project No : A9702462 Development No: 08/15/97 12:00 Page 1 of 1 Job Address: 1066 TURNSTONE RD Suite: Permit Type : RETAINING WALL 8129 ~/ 15/97 0001 01 02 Parcel No: 212-180-25-00 Lot#: C-PRtfT 268-00 Valuation: 26,499 Construction Type: Occupancy Group: Reference#: Status: NEW ISSUED 07/17/97 08/15/97 JM Description: RETAIN WALLS LOTS 54,56,60,61 ~-r CJ</-! ( Applied: Appl/Ownr : DICK MILLER INC 930 BOARDWALK STE G SAN MARCOS, CA 92069 *** Fees Required *** Fees: Adjustments : Total Fees: 440.00 .00 440.00 *** Apr/Issue: 760 Entered By: 471-6842 Fees Collected & Credits Total Credi ts: Total Payments: Balance Due: .00 172 .00 268.00 *** Fee description Units Fee/Unit Ext fee Data Building Permit Plan Check Strong Motion Fee * BUILDING TOTAL FINAL APPROVAL 265.00 72.00 3.00 440.00 r~P. ____ DATE __ _ ~EARANCE ____ _ CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 ~ IC/33d-FOR OFFICE USE ONLY PLAN CHECK NO. q7;93c; PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 EST. VAL. 2Cf·99 • Plan Ck. Deposit DZ, 0() (760) 438-1161 Validated By ~ Date 7,_7 Legal Description Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use # of Bedrooms # of Bathrooms Name Address State/Zip Telephone # Fax # for Co 5. CONTRACTOR • COMPANY NAME (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, commending with Section 7000 of Division 3 of the Business and Professions Code] or that he is exempt therefrom, and the basis for the alleged State License # _.,_~..:c.:=.....;::="-+--I -Z..., City Business License # lffi:3 3/J Designer Name Address City State/Zip Telephone State License # _________ _ 6. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. rJ! I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for whi h this permit is (s";ued. My worker's compensatiori jn~urance carrier and policy number are: Insurance Company &~Yl ~I/\ Policy No.____________ Expiration Date_\_\~ .... ..,___, __ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) D CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,000), In addition to the cost of compensation, damages as provided for In Section 3706 of the Labor coda, Interest and attorney's fees. SIGNATURE. _____________________________ DATE_-========-:: 7. OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: D 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). 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 improves thereon, and contracts for such projects with contractor(s) licensed pursuant t o the Contractor's License Law). D I am exempt under Section ______ Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. D YES ONO 2. I (have / have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone number/ contractors license number):. ______________________________________________ _ 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type of work): ________________________________________________________ _ PROPERTY OWNER SIGNATURE _______________________ _ DATE __________ _ 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? D YES O NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES O NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 8. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(1) Civil Code). LENDER'S NAME ______________ _ LENDER'S ADDRESS ________________________ _ 9. APPLICANT CERTIFICATION I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the Citt of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS 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 t or~s com~e1ced for period o~ 180 days (Section 106.4.4 Uniform BuildinDgACToEde). '-t ( I :::> ( C 7 APPLICANT'S SIGNATURE _.LL~~~~~~-~~~~~,C:::..-----------I _ -f _ t- ELLOW: Applicant PINK: Finance CITY OF CARLSBAD REQUEST FOR REFUND Account No. 001 -810-00-00-8220 Vendor No. ~rAmount of Refund $287, 00 Fee Paid For: Building Permit # CB971936 j Date Fee Pa;d _8 _/_lS_/_9_7 ____ _ , Facts Supporting Request: Applicant applied and paid twice for same work. Fee Paid By: Dick Miller Inc. Refund reflects 80% of allowable base permit cost plus a deduction for 1 inspection ($30.00) plus $201.00 that was over-charged for permit. Name of Applicant: Dick Miller Inc. Address: 930 Boardwalk Street Ste G San Marcos City State CA Zip 92069 (760) 471-6842 Telephone Signature of Applicant: _______________________ Date Dept. Justification: ' Rec: tft1-1 Approve D Disapprove Date Finance Investigation: Rec: D Approve D Disapprove Dept. Head Signature Date City Manager's Action: D Approve D Disapprove City Manager Signature Date ~ le.> =1N :;;:l<D I'" -<ii (..)~ (D 00)(00,~ (0 0 a. (D ...... 5= ~ ...... En ~ En (D 3 0 N N -, 00 00 0 cc· -...J 0) ...... s· Ill '< C/) 0 ;;;:r Ill ::, a. ~ 5= (D -, (D -C ::, a. Ill (/) I&? M r T q.v'f jJ on r r ;,_ o / /'1-c le-J€' 1M if / .,.~ S. , YA I j /J-f /2_t,1A I/ f-/,1-j ;0 0 f r lo,,"" 1\...,, l-l f,.e ✓ Cn ~ I "' s µ C I' ~ Lic.#380204 • ':Dick c/lt1..iffvr., [Ina. ~ Masonry and Grading PauJ._Seelt;~ 930 Boardwalk. Suite G San Marcos, CA 92069 (760) 471-6842 Fax (760) 471-6178