HomeMy WebLinkAbout1485 WINDROSE CR; TP; CB970356; Permit14 W
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CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
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PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad CA 92009
(619) 438-1161
Watt H omes
FOR OFFICE USE ONLY
PLAN CHECK NO.q--z·) ~~
EST. VAL. _________ _
Plan Ck. Deposit _________ _
Validated By __________ _
Date ______________ _
(_, Business Name (at this address)
Assessor's Parcel I
Temporary Power
Description of Work
Subdivision Name/Number
Existing Use
SQ. FT. lot Stories
~ .. CONTACT PERSON Uf dtffereni.trOffl appajcant)~· • .---..-. • ,;"' .. ;,.r· • "-:;.~
Watt Residential Partners 27ii'O Jetf;rsort'A~e,
Namedba, Watt Homes Address City
~=--~CANT .U _cpny,ai:w ..... : □~P.!9!£1.tjgr'.cQQJ[!tgpr::£0~wniL:..L0.~g~ {9.r,Q.~.M[~
Unit No. Phase No. Total I of units
Proposed U..
I of Bedrooms II of Bathrooms
Telephone I Fax ,
~·,;:.,..}_ . --
Watt Residentia l Construction 27720 Jefferson Ave, #200, --'-'-'--"----------"-".C::::i-ty ___ .._ __ "-".S="t-a-te-/Zj=-·p----=T-el:-e-p:--ho_n_e-,,I ______ _ 909-694-0870
Name
~o
Addmss
Kaiza Poinsettia Corp. 23172 Plaza Pointe
~;!
Dr~is§; L aguna
Name Address
~~l ~COlftlf
City Staterz:.p Telephone I
(Sec. 7031.5 Business and Professions Code: An\' 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 iile a sioned statemf,nt 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, end the basis for the alleged
exemption. Anv. violatio'l of Section 7031.5 by ~ny applic;iiQVSl.r,ll Ptrmu Jubjects theApplicantJQ.'-~vil PM\lllty of nqt more than fill&-hullduld dalla14i ['6QOJJ..:o 870 Watt Residential Construction, Z//ZU Jetrer son ve, uzuu, iemecuia, cA ~ZJ~U ~u~-0~4
Name Addross City State/Zjp Telephone I
State License I ___ 6=8_,_7-=5'-'9"-"-6 __ _ License Class ____ B _____ _ City Business License I _______ _
Designer Name Address City Staterz:.p Telephone
State License I _________ _
~QRKERS'~OMPENSATIO ~=.~~:.,3 ·~C -~~':i.#t ~1£.".. ~·-.~~;:.,_♦;L!'-f_.r·.,. ~:<t'·1 • ~ ~
Workers' Compensation Declaration: I hereby I f firm under ,:ltmalty of perjury one of the following declarations:
0 I have and will maintain a certificate of ccnsent to ,elf-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance
pf the work for which this permit is issued.
bd' I have and will maintain w:ork~rs' compans~tion, as required by Section 3700 of the Labor Code, for the performance of the work for ·which this permit is
~d. My worker's compe~tIon Insufance e3r,,er and pt,hcy number are: C 8066809 2 3 / 23 / 9 7
Insurance Company Fireman s Fund ____ Policy No. W Expiration Date _______ _
(THIS SECTION NEED NOT BE COMPLETED IF _)"HE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS)
0 CERTIFICATE OF EXEMPTION: I certify thllt in the performanca of the work for which this permit is issued, I shall not employ any peraon in any manner so as
to become subject to the Workers' Compensaticn Laws of California.
WARNING: Failure to aecure•worketa' comptlf>llltion coverage iJJ unlawful, and shall subject an employer to criminal penaltiu and civil fines up to one hundred
thousand doUars ($100,000), in eddltion to tho cost of compensa~ion, d:-imagea as provided for in Section 3706 of the l.abq, code, intarNt and anomey'a f841s.
SIGNATURE.__________________ ___________ DATE _________ _
'7. ~OWNER-BUILDER DECLARATION ,., ~"'.".~~~ -·, '. ~~5-.~.~';.~;':~~<t:~~.,~ .;;l.I_,
I hereby attirm that I am exempt from the Contractor's License Law for the following reason:
0 I, as owner of the property or my rimp!oyees 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 Lic,mse 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 c:ich improvements are not intended or offered for ule. 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 improve for the putpON of ulal.
0 I, as owner of the property, am u.cluaivaly contracting with licensed contrectors to construct the project (Sec. 7044, Buaineaa and Profe11lona Code: The
Contractor's Licenae Law does not apply to an owner of proix., :y who builds or improves thereon, and contracts for auch projecu with contractor(a) licenaed
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 propo■ed 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 oerson (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 tne fo!lowing 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 !hirec) the following persons to provide the work indicated (include name / address / phone number / type
of work):. ____________________ -------------------------------------
PROPERTY OWNER SIGNATURE DATE
[@.~ ·seCTION....fOR N.Olt,RESIO£tll.W.AUIU>INO.f'.;RMlll.:QN!,.'
I!! t..~ a;:,::,lic::,t or future builC::lr,;; c;ccupant raq..,;,;o,:1 ,o •ubmit • bu•i"""" µIan, acutely hau,doua materiala registration form or risk management and prevention
program under Sections 25505, 25533 or 25534 of the Prealey-Tanner Hazardous Substance Account Act? 0 YES O NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? O YES O NO
ls the facility to be constructed within 1,000 feet of the outer boundary of a school sit a 7 0 YES O NO
IF ANY OF THE ANSWERS ARE YES, A ANAL CERTIACATE 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.
[aC';,CO_NSTIIUCTION 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. 30970) Civil Code).
LENDER'S NAME ______________ _
i,: APPLICANT CERTIFICATION
LENDER'S ADDRESS _________________________ _
4~_,--;:~ --~~ ~-.... --=·
I certify that I have read the application and state that the above information is correct and that the information on the P,lans is accurate. I agree to comply w ith 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 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 permit is not comm~nced w· In 365 days om the date of such permit or if the building or work authorized b~su h permit is suspended
or abandoned at any ti llafter the work is~en d for a 'od 18>' ~7 (Section 106.4.4 Uniform Building Code). _, /.. ~
APPLICANT'S SIGNATURE y")(. c:;ei;, DATE c5?/ cR 'f'Z
PINK: Finance
PERMI'!-1 # CB970356
DESCRIPTION: TEMP. POWER FOR
TYPE: ELEC
>
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 04/03/97
WATT HOMES
CR STE:
INSPECTOR AREA PD
PLANCK# CB970356
OCC GRP
CONSTR. TYPE VN
LOT: JOB ADDRESS: 1485 WINDROSE
APPLICANT: WATT RESIDENTIAL
CONTRACTOR:
PHONE: 909 694-0870
OWNER:
REMARKS: RS/STEPHANIE/5 96-4622
SPECIAL INSTRUCT:
TOTAL TIME:
LVL DESCRIPTION
PHONE: iLL PHONE: /J L
INSPECTO~~ ~
ACT COMMENTS CD
32 EL _c_o_n_s_t_._s_e_rv_i_c_e_f_A_g_r_1_·c_u_1_t _u_r_a_1_f __ J.i-'--.~~--~/J_. __________ _
DATE
033197
032797
032797
032597
***** INSPECTION HISTORY*****
DESCRIPTION
Underground/Conduit-Wiring
Underground/Conduit-Wiring
Const. Service/Agricultural
Underground/Conduit-Wiring
ACT co
co co co
INSP
PD
PD
PD
PD
COMMENTS