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Home My WebLink About1000 WHIMBREL CT; ; CB970528; PermitL A L Ref .t nc #: , EL u n t.., Ex IN~'.#;L~:~~~~fZ CL ~ARA NCE _____ _ CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 D FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO. C/7o52 fJ CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 152--a EST. VAL.-----,--,-------- Plan Ck. Deposit IO Z.., CiV Validated By ✓/.k-Date -:3/a,,...-/ez'T"z ______ _ A ess (include Bldg/Suite 6) legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total , of units Assessor's Parcel , Existing Use Proposed u.. , of Bedrooms , of Bathrooms Telephone, Fax II Name Addreas City State/Zip Telephone, City State/Zip Telephone, (Sec. 7031.5 Business and Profauiona Code: Any City or County which requires a permit to construct, alter, improve, demolish Of repair any structure, prior to Its issuance, also requires the epplicant 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 exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not mOfe than five hundred dollars t•500H. ~ev I,.__ 4--b &'/(r ;..,.,., .s:; I.... '" _u( ;:> .s; [4 £,,,j.,~A C, 1 -'t'b{ Name State License II --~-:-/)_O __ b_S ___ _ &-l A:y: Address {! City State/Zip T~ephone, License Cless _________ City Business License 6 ,.QhJ/·W °'6J/' Designer Name Address City State/Zip Telephone State License II _________ _ ~OMPEN.$&1l0Jti..;:;., ........ -~ "',u, .. ,,..._ "' ... ""'~~ "~'.:!·.;r~,;~:..:.,i-l.:l.l>. 'oo"'Y' .. J;~......: ·- Workers' Compensation Declaration: I hereby affirm under penalty of perjury ona of tha following declarations: 0 I hava and will maintain a certificate of consent to self-insure for workers' compensation II provided by Section 3700 of the Labor Code, for the perform,nce of the woric for which this permit is issued. 0 I have and will maintain workers' compensation, u required by Section 3700 of the Labor Code, fOf the parfOfmance of the work fOf.'which this permit is issued. My wOfkar's compensation insurance carrier and policy number are: Insurance Comp,ny _____________________ Policy No .. _____________ Expiration Date _______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS (UOOI OR LESS) (ii'._ CERTIFICATE OF EXEMPTION: I certify that in the perform,nce 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 aecure•worilars' compensation coverage is unlawful, and shall subject an employer to crlmnil peneltias end dvll fines up to one hundred thouaand dollara ($100 0001, in eddition to the t of compensetion. damages u provided for In Section 3706 of tha LabQ, c:oda. lnt-t and attorney's f-. SIGNATURE. __ ""--'-==-i"'--i,.o:::'---------------------DATE .J-/~ r 7 2 i:z.:_oyvNER,BUILDER DEC TION ··°h' .. j ----•;c.) ;"~~ ..:· ~:~_J;~~ .'... :.r.~ I hereby ■ttirm that I am exempt from the Contractor's License Law for the following reason: 0 I. as owner of the property or my employHs with wages ,s 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 Of lmprovu thereon, and who does such work himself or through his own employees, provided that such improvements are not Intended or offerad fDf sela. If, however. the building Of improvement is sold within ona year of completion, the owner-builder will have the burden of proving that he did not build Of Improve fOf the purpoaa of salel. 0 I, 11 .ownar of the property, em axclusivaly contracting with licensad contractors to construct the project (Sac. 7044, Bueiness and Profaulons Coda: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts fDf such projecta with contr■ctor(sl licensed pursuant to the Contractor's Ucansa Law). 0 I am exempt under Section ______ Business and Professions Code for this reason: 1. I personally plan to provide the major labor end 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 / addrass / phone number / contr■ctOfs license numberl: 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 / eddress / 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 fJ;.o~,JECT.ION1:QllR~tuiw~IEiNLY@ ·'~'f~@t)f,7fltl Mitla2\:"UilPZ\'f~F~'3~ b ~~ a::,;::lie:::,t c, futura buil-1,n;;i occupant r~uir~ l.:> .... t.mit a bw.i"""" µian, ■cutely hua,dous materials ragostratJon tDfm Of risk management and prevention program under Sections 26505, 25533 or 26534 of the Pr■sley-TaMar Hu1rd01JS Subat■nca Account Act? 0 YES O NO Is the applicant or future building occupen, raquirad to obtain • permit from the air pollution control district Of air quality managamem district? 0 YES O NO Is the facility to be constructed within 1 .000 faat of the outer boundary of a school sit a 7 0 YES O NO IF ANY OF THE ANSWERS ARE YES, A ANAL CERTIRCATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPUCANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFRCE OF EMERGENCY SERVICES ANO THE AIR POLLUTION CONTROL DISTRICT. ~~CTION LEND_ING-A,GENC\' ,,. ~~ • ~" ·:lo~. , ~ii~~~ I hereby affirm that there is • construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(1) Civil Codel. LENDER'S NAME ______________ _ -~~: APPLICANT CERTIFICATION ° .. ~~,, • ~ ... . ·"'!.: I certify that I have read the 1pplic1tion and state that the above information is correct and that the information on the plans is accurate. I agree to comply with ,11 City ordinances and State laws relating to building construction. I hereby authorize repr11entatives 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 6'0"·deep and demolition or construction of structures over 3 stOfHIS in height. EXPIRATION: Every permit issued by the Building Offici1l under the provisions of this Code shall expire by limitation and become null and void if the building or work 1uthoriZed by such permit is not commenced within 365 days from the date of such permit or if the building Of work authorized by such permit is suspended or abandoned 1t any time 1f1er the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Codal. APPLICANT'S SIGNATURE ~ ~ --------------= DATE 3-/ 0 -5 J WHITE: File YELLOW: Applicant PINK: Finance PERMIT# CB970528 DESCRIPTION: DECK 120 SF, GAS TYPE: PATIO CITY OF CARLSBAD INSPECTION REQUEST FOR 06/09/97 LINE, ELEC STE: INSPECTOR AREA PD PLANCK# CB970528 OCC GRP CONSTR. TYPE NEW LOT: JOB ADDRESS: 1000 WHIMBREL CT APPLICANT: DERBY LANDSCAPE CONTRACTOR: PHONE: 619 999-4062 OWNER: REMARKS: R/KEVIN/431-8480 SPECIAL INSTRUCT: TOTAL TIME: CD 19 29 39 LVL DESCRIPTION ST Final Structural PL Final Plumbing EL Final Electrical PHONE: /],£_ PHONE: ~ INSPECT~-'"----""'-"".,_;:_--==---- ACT COMMENTS ***** INSPECTION HISTORY***** DATE 051497 051497 051497 031197 031197 031197 DESCRIPTION Final Structural Final Plumbing Final Electrical Ftg/Foundation/Piers Underground/Under Floor Underground/Conduit-Wiring ACT co co co AP AP AP INSP PD PD PD PD PD PD COMMENTS NO PLANS