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Home My WebLink About2065 WESTWOOD DR; ; CB982928; PermitB U I L D I N G P E R M I T 09/01/98 11 :07 Permit No: CB982928 Project No : A9803795 Development No: Page 1 o f 1 J ob Address : 2065 WESTWOOD DR Su ite : Permit Type : PLUMBING Parcel No : 167-130-34-00 Valuation : 0 Lot#: Construct ion Type: VN Occupancy Grou p : Reference#: Status : ISSUED 09/01/98 09/01/98 MDP Description: RELOCATE EXISTING WASTELINES Appl ied: Appl/Ownr : VILLAG E PLUMBING 1 359 KNOLL DRIVE OCEANSIDE CA 92024 *** Fees Required Fees: Adjustments : Total Fees : Fee description Enter "Y" for Plu Each Plumbing Fix Each Install/Repa r *** s sue Fee > Trap ) Line > Apr/Issu e : Entered By : 760 434-9058 0677 09/01/98 0001 01 Fees Collect ed & Credil:f~T Total Cre its: Total Payments: Balance Du,e : Un its Fe e /Un it ... 7 .00 7.00 .00 .00 34.00 Ext fee Data 20.00 Y 7.00 7 .00 PEIIMITHAS EXPtREED PERMIT SEcTION 106.4.4 DIN ACCORDANCE WITH U.8.C. DATE -------SIGNATURE --,... ___ __ --•-.-- FINAL APF HOVAf_=--- INSP. I r-• CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION FOR OFFICE USE ON~ LJ PLAN c HEcK No. f<:j-ZCfZ,o CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 EST. VAL. _________ _ Plan Ck. Deposit _________ _ (760) 438-11 61 V alidated By ___________ _ Date ______________ _ 1. PROJECT l~RMATION nn ~6~ l,lft:?'{u/Oa::;:,, Yrv Address (include Bldg/Suite #) Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total II of units Proposed Use I/of Stories II of Bedrooms II of athrooms 2. CONTACT PERSON (If dlffwent from applicant) Name 3. 4. Name &. CONTRACTOR • COMPANY NAME Address City State/Zip Telephone I/ Fax II State/Zip Telephone I/ (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 stalernent 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, an~ the basis for the alleged ny violatio of Section 7031.5 by anv!!flicary7f~r a permit ~ut•jects the applicant to a civil penalt:t,o_f not more than five hundred dol\a~j$500J). ~/3 4 / 0 ~ ~ t:..,vPl,L-~ft,,, '51~ ~ $'; -Y~I' Z... Name r Jc -,,,.-;::;. Address City State/Zip State License I/ -£.-'L'--"~'--::_rfr_~_""2--__ _ License Class --~-_--_s_h ____ _ City Business License II _______ _ Designer Name Address City State/Zip Telephone State License II _________ _ 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. 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 Date _______ _ (THl~ECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100) OR LESS) (O""' 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 to aecure workers' compenutlon coverage la. unlawful, and ahall subject an employer to criminal penahlea and civil fines up to one hundred thouaand doll•T ($100,000), addition to the c f com aation, damages aa provided for in Section 3706 of the Labor code, Interest and attomey's faaa. SIGNATURE DATE _________ _ 7. 0 R-U I hereby affirm that I a exempt from the Contractor's License Law for the following reason: (E""' 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 Contract or'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, es 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 contractor(s) 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. 0 YES O NO 2. 3. I (have/ have not) signed an application for a building permit for the proposed work. I ha ~on (fir ,:So 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 __________ _ COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDINO 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 Act? 0 YES O NO Is the applicant or future building occupant required to obtain a Aermit from the air pollution control district 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 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(i) 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 Citt 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 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 permi 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 the work i ommenced for a riod of 1 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATUR DATE PINK: Finance PERMIT# CB982928 DESCRIPTION: RE LOCATE TYPE: PLUM CITY OF CARLSBAD INSPECTION REQUEST FOR 09/11/98 EXISTING WASTELINES STE: INSPECTOR AREA PD PLANCK# CB982928 OCC GRP CONSTR. TYPE VN LOT: JOB ADDRESS: 2065 APPLICANT: VILLAGE CONTRACTOR: WESTWOOD DR PLUMBING PHONE: 760 434-9058 PHONE: OWNER: REMARKS: C/MIKE/ PM PLEASE SPECIAL INSTRUCT: TOTAL TIME: CD 22 LVL DESCRIPTION PL Sewer/Water Service PHONE: INSPECTOR ----'-&-=./3=------- ACT COMMENTS G/l _______ _ ***** INSPECTION HISTORY***** DATE DESCRIPTION 090298 Sewer/Water Service ACT INSP AP PD COMMENTS PARTIAL