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Home My WebLink About1611 WARBLER CT; TP; CB970247; Permitt Lt#: p: E. E R 9 4 F pt n Ext y FINAL INSP __ {_ ..u.,.;;.__ DATE ~ I 'i 11 CE ;I/4/,2 k;J CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICA'TION FOR OFFICE USE ONLY 7 PLAN CHECK NO. 1'7 ~ 2)-{ CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 EST. VAL. _________ _ Plan Ck. Deposit __,,,..,..=. _____ _ Validated By "/", ¥~ Date Zf/44- Address "luje B!d~/Suite I ) /8 I ~ // W& ,A e,12. Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total II of units Assessor's Parcel Ye., Existing Use Proposed Use Description of Work SO. FT. llof Stories I of Bedrooms II of Bathrooms ~ CONTACT PERSON (if different from applicant). ~ ..... ~ ... : .. "l._-.. ... :,,,w.~ • ~ ..... Name Address City State/Zip f;l,._ .;a:~CANT . O J::onuactQr...:. t{.~t.nJ f9TI:QllV.l.9lOi:i:□J>y.,'!iL:....:O.A.g~nt (QJ 9~..M • ~~ ,..,,. Telephone I Fax# Name Address .,.-City State/Zip Telephone II ~-r¼"'J:·~{:.1£.:-.: .. Name Address City Stata/Zlp Telephone I (Sec. 7031.5 Business and Professions Code: Any City or County which requires e permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, elso requires the applicant for such permit to file e 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 exemption. Any v·olation of Section 7031. by any applicant for a permit subjects the IPPjf•nt t a civil penalty of not more 1197five hundred oilers ($5001). c::::::IM. c:>u..J .5 ~ • 7 -C,' c.AcJ!.c.J \ 1:t ,di, -~ I 9 '.3 Name State License II /./ g:::} J./3 _j Address City State/Zip Telephone II License Class C -/ 0 City Business License I / 2 CJ I~ 5-"2 • Designer Name Address City State/Zip Telephone State License II __________ _ Wj)_R1Wt$' COMPEHSA TION.J,.:. ~-•. Ur.-, _:._. •:-:' __ , --~ ~ ...... _;:.,_,:,..~~ ~ 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. 0 I have 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 compe tion ins'j■nce carrier and policy number are: Insurance Company • 1.vhw.,u~ Policy No. p~ a '-I 21 '7; 0 ,6 Expiration Date /tJ-/ -'? ? BE ~OMPLETED IF TH PERMIT IS FOR ONE HUNDRED DOLLARS 1•1001 OR LESS) CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is iuued, I ■hall not amploy any person in any manner so as to become subject to the Workers' Compensation Laws of Calif nia. WARNING: e to aecure•workan' compensation c va g is unlawful, and shall subject an employer to criminal penaltlu and civil fines up to one hundred thousand do 100,000), • o p sation, damages as provided for In Section 3706 of the l.abQ, ~t■rNt and attorney's feu. SIGNATURE.fL.~~~~~':=/:.+~~~.f::::::.____________ DATE // i/-~..i:_ 77 ·1. , OWNER-BUILDER DECLARATI ,., 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, Business and Professions Code: The Contractor's License Law does not apply to an ownar of property who builds or improves thereon, and who do■s such work himself or through his own amployees, provided that such improvements are not intanded or offered for sale. If, however, the building or improvement is sold within one yHr of completion, the owner-builder will have the burden of proving that he did not build or lmprova for the purpoH of ••la), 0 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sac. 7044, Buaineu and Professions Code: Th■ Contractor's License Law does not apply to an owner of property who builds or improves tharaon, and conuacu for auch project■ with contractor(■) licensed pursuant to the Contrector'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 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 j:()~-THIS 'SECTION._FOR N.,0N-IIESIDUJJML:~l,JIU,fN0 f'ERMlll.QN~ y~--:..._;-3:·. b th~ applic:::,t or future builclin;i occupant requ.red to 6ubmit • bu~in••• µIan, acutaly nazerdous materials registration torm or risk managemant and prevention p,ogram under Sections 26505, 25533 or 25634 of the Pr■sley-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 facility to be constructed within 1,000 fHt of the outer boundary of• 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 ANO THE AIR POLLUTION CONTROL DISTRICT. {8_.,, °':,CONSTRUCTION LENDING AGENCY I hereby affirm that there 1s e construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME ______________ _ [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 City 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 nstruction of structures over 3 stories in height. EXPIRATION: Every per • • ued by the Building Official under the provisions o • Code shall expire by limitation and become null and void if the building or work authorized by such rmit 's not commenced within 3 s from t da o such permit or if the building or work authorized by such permit is suspended or abandoned at any time a t for. of 1 8 ay ( ction 106.4.4 Uniform Building Code I. , ,I APPLICANT'S SIGNATURE ~~,n:.~~~C......~,t::..,t..J.~rL...!:.;f=.~=:'.J.---------DATE /tf -f,e_g,.., '1'7 PINK: Finance PERMIT# CB970247 DESCRIPTION: TEMP. POWER FOR TYPE: ELEC CITY OF CARLSBAD INSPECTION REQUEST FOR 02/19/97 SANDERLING STE: INSPECTOR AREA PLANCK# CB970247 OCC GRP CONSTR. TYPE VN LOT: JOB ADDRESS: 1611 WARBLER CT APPLICANT: POWER SYSTEMS CONTRACTOR: PHONE: 619 439-1999 PHONE: OWNER: REMARKS: MW/ SPECIAL INSTRUCT: TOTAL TIME: CD 32 LVL DESCRIPTION EL Const. Service/Agricultural PHONE: INSPECTOR -~'{--¥--7--,.-------- ACT COMMENTS ¥:---- ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS