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Home My WebLink About2708 VIA JUANITA; ; CB970381; PermitFOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO. (( 71) 58'/ j CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 EST. VAL. _________ _ Plan Ck. Deposit ------....--- Validat B 'i-r'""!-=~-;:;::-----,~"---- Date,-,i~7"1~..::.....~i---;;f-+---- Address (include Bldg/Suite #) Busineas Name lat this address) Z70B VJJ4-.)c.Jp,-.J/n+- Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total I of units :$t,-J~Ly f~IC....':::( (Q.,000 Assessor's Parcel # Existing Use Proposed Use Description of Work SQ. FT. lot Stories # of Bedrooms II of Bathrooms 2s.=.-PUl\·C:.<5' U/V D~<tcDu-it:. 4'~.S. LIN<!> F(t.Cu-.) G-v\-~s,o ie...es,Oc::s><-JC..cs-- "" ~ CONTACT PEJUfON (If dlffarenffrom applicantli.": .:_:·;: --;'..:.;_: ll'. :. -...,,::,;.:;· -L-;'._;;:-.,'f'",.. ' Vc=...qy~ ~cs-t ~E ~ ,,P(.v/P?6/,,-i/4 ~ Name Address City State/Zip Telephone II ~,_,'!!.~CAt:lT : .. ny~ '• • llf~lPLC@irulet:d:CL.9.rintr..2;,:!3.~g~nt f9!.'.9~J'18 .. .r'kt~~ffl'iil.~;1;?£~~,.:;.~ ~ ~ /,Pee=:, ~ ',l,¢,7~/1.4 'S, Name Address City State/Zip Telephone I Fax# ~Q~~m;;~-r&~~~~u:m-• • -,.,.~\\-~"'.~, .. , . ~B~<Zffi... t/lf\G U::'.1 < .,0 p,wp, W! ~ . ,.__ uNU,, 1zs;e. d:C:> Name Address City State/Zip Telephone# (Sec. 7031.5 Business and Professions Code: Any City or County which requires ■ permit to construct, altar, 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 purauant 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 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)). ~6S Rv,n-6//l/~ $'783~~ pL d'~/OcE 1?0C?B: ~..&~? Name Address City State/Zip Telephone II • -~,,.. I 1t"l..ar, ~?-State License 11 _e~5~'7_5_8_c::>~--License Class ---''\,,.}.,=-_..:-::,re.::;...____ City Business License # _. __ \,_-i_~_..:......) _ _.2""""_ Designer Name Address City State/Zip Telephone State License I _________ _ ~ ~1:)w..oJU(EBS:~cOMPENSA TION..,~~:~."""~~? • .3~J.r~::~:-tr~~~--~-~ ~~::;.~,.~~-:·~ ... i.....~;:i..P~il:~~~~er~r, ~ t:~~;:;~ '":.~~~;:i:.~ ... ~ -::.~~2-~-'~- 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. ~e and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for ·which this permit is issued. My worker's compensation insurance carrier and policy number are: Insurance Company ~ F t:1/.,.U/) Policy No. fs?{e 907 Expiration Date 7b/9~ (THIS SECTION NEED NOT BE C~MPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$1001 OR LESS) /7 0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit Is isaued, 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• worker■' compensation coverage is unlawful, and shall subject an employer to criminal peneltlu and civil fines up to one hundred thousand dollars ($1 0,0001. in Oil to cost of compensation, damages H provided for in Section 3706 of the code, tereat and ■ttomey•s f■-s. SIGNATURE_::(2~,::;::x:'-1.Z..~~~~~~:________________ DATE 2,. z_ r >(.' .. OWNER-BUILDER DECLARATION ~-;' . • , .. _ • ;\ .. : ~J:':'.:.~::l:~£:~~f!.¥~tf~[i';_'.~j,~.,,";].h:, I herebv affirm !hat 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, 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). 0 I. as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Businesa and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contract■ for auch projects with contr■ctor(sl licenHd pursuant to the Contr■ctor•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. 0 YES ONO 2. I (have / have notl 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 / addreu / phone number / contractors license number I: 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 numberl: ______________________________________________ _ 5. I will provide some of the work, but I have contracted (hiredl the following persons to provide the work indicated (include name / address / phone number / type of workl: _________________________________________________________ _ PROPERTY OWNER SIGNATURE DATE ~Mtl!.n,E..:n,(1$ 'SECTION.:.l'OR fl_O~o,~µlll)!NQ,~I1$.J)~l,;Y~: ... iLW~:::.·,l,I Is !h~ a;,:,lic::it or future buildir,,1 occupant requor•<I ,o •ubmit a butiine"" µIan, acutely hazardous materiala registration torm or risk management and prevention program under Sections 25505, 25533 or 26534 of the Pr■slev-Tanner Hazardous Substance Account Act? 0 YES O NO Is the applicant or future building occupant required to obtain • permit from the air pollution control district or air quality management district? 0 YES O NO Is the tecilltv to be constructed within 1,000 fHt of the outer boundary of • school site 7 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 ANO THE AIR POUUTI0N CONTROL DISTRICT. ~-CO_NSJ'RUCTION LENOING'AGENcv""•? --,~~'.{iZ.t~Z~' ,,.,,~11;f,t;";;, ·-~ :;;-:-.~i~~~~~ji,f,,?;;.~-·: I hereby affirm that there is a construction lending ■gencv for the performance of the work for which this permit ia issued (Sac. 3097(0 Civil Code). LENDER'S NAME ______________ _ f9.· 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. 1 agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize repreaentatives of the City 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 structur■s over 3 stories in height. EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation end 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 ork is comme ed for• • ays (Section 106.4.4 Uniform Building Code). /_ APPLICANT"S SIGNATURE ~~~.£....4~~~:!2!;1~~;:;:::=.-.;..__________ DATE ___ z_,_/2_7/7_~/?-'-_"7;..._ __ _ I / • WHITE: File YELLOW: Applicant PINK: Finance CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB970381 FOR 03/03/97 DESCRIPTION: GAS LINE REPLACE-GARAGE TO RESIDENCE TYPE: PLUM STE: INSPECTOR AREA PLANCK# CB970381 OCC GRP CONSTR. TYPE NEW LOT: JOB ADDRESS: 2708 VIA JUANITA APPLICANT: PIPES PLUMBING CONTRACTOR: PHONE: 619 434-3067 PHONE: OWNER: REMARKS: BJN/434-3067 SPECIAL INSTRUCT: TOTAL TIME: CD 23 LVL DESCRIPTION PL Gas/Test/Repairs ----------------------------------- -------------------- PHONE: INSPECTOR .J.2~----------- ACT COMMENTS #-~N✓L ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS