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Home My WebLink About1004 WHIMBREL CT; ; CB972700; Permit✓ /500 B U I L D I N G P E R M I T Permit No: CB972700 ProJect No: A97U3449 Development No: 09/23/97 10:07 Page 1 of 1 Job Address: 1004 WHIMBREL CT Permit Type: PATIO/DECK Parcel No: 215-720-20-00 Valuation: 810 Occupancy Group: Suite : Lot#: Reference#: 9414 09/23/97 0001 01 C-PRMT Construction Type: Status: 02 59 -00 Description : 120 SF : GROUND PATIO & ELECT FOR ABOVE SPA-SELF CONTAINED Applied: Apr/Issue: NEW ISSUED 09/23/97 09/23/97 RMA Appl/Ownr : SKUMLIEN, GLEN 1004 WHIMBREL CT 760 Entered By : 431-7749 CARLSBAD CA 92009 --------Fees Required Fees : Adjustments : Total Fees : Fee description Building Permit Plan Check Strong Motion Fee Other * BUILDING TOTAL *** *** Fe s Collected & Credits *** edi s: Tota Payme f).ts: Ba ance Due : Unit~ ee/Unit .00 .00 59.00 Ext fee Data 23.00 15 .00 1.00 20.00 ELEC FEE 59 .00 -~EARANCE ____ _ CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 'ERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 I C04 I 0:H: IM' S((foL FOR OFFICE USE ONLY PLAN CHECK NO. q7 bi lJQ EST. VAL. _g....._t 1) _____ _ Plan Ck. Deposit fl Validated f\Y wk Date t.1\,-\ 0---i \ Ql :1 ~ojECT INFORMATION Address (include Bldg/Suite I) Business Name (1t this address) legal Description lot No. Subdivision Name/Number Unit No. Phase No. Total I of units lof Stories State/Zip Telephone II !""tl;'t•~ !t"'"""i-'f''!""r. . ~:-r-,-...... ,r-::;zrr. • ~ --~ !f{"""l."'t ! ••• c '° • n= 'f c 1<oo) 414 .,., 11'1' }c/!>4 1r4t/,.;..~ q-. Name Address City State/Zip Telephone II 6. CONTRACTOR -COMPANY NAME,....,_...,.....,.,.. ____ __,..,....__,..._.,..,._.., ' ·· (Sec. 7031.5 Business and Professions Code: Any City or County which requires I 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 b11i1 for the alleged exemption. Any violation of Section 7031. 5 by any applicant for a permit subject■ the applicant to a civil penalty of not more than five hundred dollars I$ 5001). Name Address City State/Zip Telephone I State license II _________ _ license Class _________ _ City Business license II _______ _ Designer Name Address City State/Zip Telephone State license II _________ _ 6. WORKERS' COMPENSATION Workers' ompensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 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 compensation insurance carrier and policy number are: Insurance Company _____________________ Policy No. ____________ _ Expiration D-te _______ _ CTHIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR 0~l!: !!U~:C~!:D C·vLLAHS ($ 100) OR LESS) O CERTIFICATE OF EXEMPTION: ,·certify that in the performance of the work for which this permit Is Issued, I shall not employ any person in any manner ao 11 to become subject to the Workers' Compensation laws of California. WARNING: Fallure to aecura worllar■" companaatlon coverage 19 unlawful, and ahall eut,Jact ., employer to c:rimklal panaltlas and civil fines up to one hundfad thousend do~ll■r 10~0001. In addition to the coat of companaatlon, damagaa ea provided for In Section 3706 of the labor c:oda. lntarut and 1ttomay'1 f-. SIGNATURE~~ 0---::-------DATE 5:-2 5"-'Z ') ..--.. ,.. -" .... ..,. "" • .-.,.,_ -• __ ,.... ~ ~ • op: -...,-·'!rt ._. .l'lt •~,..~ l 7. OWNE -B ILDER DECLARATION -• • ' • • ' ·• • -•• '"" ..... ~ •• • • ' • •• ,.. -• I hereby affirm that I am exempt from the Contractor's license Law for the following reason: O 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 end 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 11le. If. however, the building or Improvement Is sold~hin one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of 11le). ~ I, as owner of the property, em exclusively contracting with licensed contractors to construct the project (Sac. 7044, Bu1lness and Professions Code: The Contractor's license law does not apply to an owner of property who builds or improv11 thereon, ind contr1ct1 for 1uch projects with contractor(s) licen1ed pursuant to the Contractor's license Law). O I am exempt under Section ______ Business end 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 I building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (Include name / addr111 / phone number / contractor• license number): @ I plan to provide portions of the w number / contractors license number): 5. I will provide some of the work, but I have contracted (hired) the following per■ons to provide the work indicated (include name / address / phone number / type of work): _________ --::,:;,,---::r/'----:::::::-..,....----------------------:::::---:::-::----:=-::-:---------- Is the applicant or future building occupant required to submit a bualness plan, acutely hanrdous m1t1rial1 regiatr■tlon form or riak management and prevention program under Sections 26505. 25533 or 25534 of the Pruley•Tanner H■z■rdoua Substance Account Act? 0 YES O NO Is the applicant or future b1.,llding occupant required to obtain a permit from the air pollution control diatrict or air quality management district? 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a achoo! 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. la. CONSTRUCTiOilLENDINOAGENcV-:"'~"r,-,•'7"':.:;: '!, ... !.!~~ ·T':> . I ·' •• ~""!.k"", -e~--= ... "'"''T~-- 1 hereby affirm that there is I construction lending agency for the performance of the work for which this permit 19 issued (Sec. 3097111 Civil Code). LENDER'S NAME --;::-:;-----:;::-;::::;--::;::::;=====;:;;:;;:;::::;:._LE:,:.,N..:.DER'S ADDRESS;:;;:;:;:;:;;::;;;:;;::;;:;:;,;;;;:;;:;;,;;;:;;;;::::;:;;;;::;::;;::;;:::::;::::;;::::;:::;;::;;,;;;::;::::=;;;:;;,;-::;;~ !9", APPLICANT CERTIFlc.l'hotfll,fl~lll"i?~C..l'.""~:vi; ::-~-·~:'l"~lli:rf~..li"i'.t.-:.f~~2',:lj~~~Jp" ••• l";';."~";':jr1t::r-~:;7~Pr:.J' ~,-::. I certify that I hive read the 1pplic1tion and state that tha 1bova Information la correct and that tha information on tha pl1na 19 1ccur1te. I 1grH to comply with all City ordinances and State l1w1 relating to building constructlon. I haraby authorize rapruantltivas of the Citt of Cartabad 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 1xc1v1tiona over 5'0" dNp 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 ahall 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 aft~=mmenced for I period of 1 80 days (Section 106.4.4 Uniform Building Code). ..._ APPLICANT'S SIGNATURE ~ ~.,.,c...-------DATE 9 ~2 s-t:7 PERMIT# CB972700 DESCRIPTION: 120 SF GROUND TYPE: PATIO JOB ADDRESS: CITY OF CARLSBAD INSPECTION REQUEST FOR 11/04/97 PATIO & ELECT FOR ABOVE SPA-SELF CONTAINED STE: INSPECTOR AREA PD PLANCK# CB972700 OCC GRP CONSTR. TYPE NEW LOT: APPLICANT: 1004 WHIMBREL CT SKUMLIEN, GLEN PHONE: 760 431-7749 CONTRACTOR: OWNER: REMARKS: C/MATT/619/406-8689 SPECIAL INSTRUCT: TOTAL TIME: CD 19 59 LVL DESCRIPTION ST Final structural SW Final Pool ::g::~ /:J L~ INSPECT~___.._~~--/f-'1------- ACT COMMENTS ------------------- DATE 102897 102897 092497 092497 ***** INSPECTION HISTORY***** DESCRIPTION Final Electrical Final Structural Ftg/Foundation/Piers Underground/Conduit-Wiring ACT co co AP AP INSP PD PD PD PD COMMENTS