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Home My WebLink About1274 VERONICA CT; ; CB981175; PermitB U I L D I N G P E R M I T Pernnt No: C'B981175 Project No : A980154b Development No : U4/l2/9tl 14:IJO Page 1 of 1 Job Aadress: 1274 VERONICA CT Permit Type: PLUMBING Parcel No: 214-551-15-00 Valuation: 0 Suite : Lot#: Construction Type : Occupancy Group: Reference#: Status: NEW ISSUED 04/22./9!:S 04/22/91:1 JM Description : GAS AND ELEC LINE TO BBQ Applied: Appl/Ownr : GREEN LAND CO 1270 PLUM STREET CARLSBAD CA 92009 A A I< Fees Required Fees: Adjustments : Total Fees : Fee description Enter Y" for Plumb'ng Gas Piping System Other 760 Apr/Issue: Entered By: 432-9999 F ~ollected & Credits ~k* --0325 047227 98 0001 01 -02-- C-PRMT 47-00 .00 .00 47.00 Ext fee Data .... , :s 20 .00 Y 7.00 20.00 ELEC EXPIRED PERMIT PERMIT HAS EXPIRED IN ACCORDANCE W\1'11 u.e.c. SECllON 106.4.4 - S\GN~TURE ~~~-DAlE---- CLEARANCE ___ _ CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION FOR OFFICE USE ON½v-( ! / PLAN CHECK NO. 7.J.4_I 75 CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 EST. VAL. ------+-r-,.........,r-::r.:- Plan Ck. Deposit --+--1~-....><...-5-=-"""--- Validated By __ ->.J.....:...~.-,-1-----;~~ Date ________ ....J<,,_..w:.:...i.::f-,--4.L 1. PROJECT INFORMATION l'J,.71/ \(£&-Dr-JI C/9 ~t9cJ/e-r Address (include Bldg/Suite #) Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use <::;:;..,5 j,.4.--~c...EC7'& C::,... ZP B~£t=ub Description of Work SO. FT. #of Stories # of Bedrooms # of Bathrooms 2. CONTACT PERSON (If different from applicant} C: .e..e:e;v l&nL"> Co-/,2. 7o Name Address 3. APPLICANT ~ Contractor D Agent for Contractor O Owner Name Address 4. PROPERTY OWNER IV /4. 1'111<£ EetfrL Name Address ')f 5. CONTRACTOR -COMPANY NAME City D Agent for Owner City City State/Zip State/Zip State/Zip Telephone# Fax# Telephone# Telephone# (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 exem tion. Any violation of Section z.231.5 by any applicant for a permit subjects the applicant to a civil penalty of not mor han five hundred dollars [$500)) . .....:::i:' :!::/f!-G:::!::-:::Q.!.:../V-----'-..,,,a,.l!::!....,;::,'...__~=:E_·___!_l~~=..!7~0-_,c.~~~;L.,_~· L.fdii:.-~~==--L.!:::z::.P'...__.:::::C+,==£P--~e.,::::.!....__!=.=:::..,e,c.__~?_!:'7~o___z:,-=.:3=-2--__,9~9!,_L._9 Name State License# _&~I-C~f_2:_7',__ __ Address City State/Zip Telephone # License Class C?. 2 7 -~--....... -----City Business license # , /2. o G 2-/ ,b 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: 0 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. txJ I have and will maintain workers' compensation, as required by Section issued. My worker's compensation insurance carrier and policy number are: Insurance Company ft l. 7 ,d .Jr 5 'T ,A / A/,X,J/lJ1tl!ce; 3700 of the Labor Code, for the performance of the work for w hich this permit is Policy No. Al 4,):::. 3 7 78:Z £ .....()j Expiration Date ~ 9' (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS} 0 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 t thousand dollars ( $1 overage is unlawful, and shall subject an employer to criminal pen ies and civil fines up to one hundred ompensation, damages as provided for in Section 3706 of the L b code, I SIGNATURE ___ 1,-..p.~~:::::,.&..-r---.~idA,A,,,=.._ ____________ _ DATE E)..2- 7. OWNER-BUILD I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 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. 7044,1 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. II, 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}. 0 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 contrector(sl licensed pursuant to the Contractor's License Law). 0 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. O 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 I: ____________________________________________________________ _ 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 Act7 0 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 district7 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 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(il 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 Cit\' of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY ANO 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 co enced in 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 ork i fo a riod of 180 days (Section 106.4.4 Uniform Building Code). DATE -----------------WHITE: File YELLOW: Applicant PINK: Finance I PERMIT# CB981175 DESCRIPTION: GAS AND ELEC LINE TYPE: PLUM CITY OF CARLSBAD INSPECTION REQUEST FOR 05/22/98 TO BBQ STE: INSPECTOR AREA PY PLANCK# CB981175 OCC GRP CONSTR. TYPE NEW LOT: JOB ADDRESS: 1274 VERONICA CT APPLICANT: GREEN LAND CO CONTRACTOR: PHONE: 760 432-9999 PHONE: OWNER: PHONE: REMARKS: C/MIKE/603-8221 SPECIAL INSTRUCT: INSPECTOR (p TOTAL TIME: --RELATED PERMITS-- CD LVL DESCRIPTION PERMIT# TYPE CB980363 POOL STATUS ISSUED ACT COMMENTS 21 PL /V f-------------Underground/Under Floor 31 EL Underground/Conduit-Wiring , ~ ~ ~-f4_U--=~::_=============== fV4iJZ ~ tJ.-? VA/? ------------------ ***** INSPECTION HISTORY***** DATE 042498 042498 042398 042398 042398 DESCRIPTION Underground/Conduit-Wiring Gas/Test/Repairs Underground/Under Floor Underground/Conduit-Wiring Gas/Test/Repairs ACT INSP AP PY AP PY NR PY AP PY CO PY COMMENTS CONDUIT ONLY NEED PRESSURE TEST