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Home My WebLink About1021 BEWICKS CT; ; CB981986; Permit< 1 '* BUILDING PERMIT Permit No: CB981986 06/24/98 09:59 Project No: A9802629 Page I of 1 Development No: Job Address: 1021 BEWICKS CT Suite: Permit Type: ELECTRICAL Parcel No: 215-801-01-00 Lot#: Valuation: 0 Cons Em Occupancy Group: Reference#: SSUEDje,# Description: ADD 15 AMP CIRCUIT W/TIMER,l Applied: 06/24/98 : OUTLET,l20 SF PATIO& EXTRA CONDUIT Apr/Issue: 06/24/98 Entered By: RMA Appl/Ownr : SIERRA MESA 619 530-6211 6840 DRAPER AV *** ------ Adjus Tota Fee Enter Enter Other ------ Fee Fe tmen 1 Fe des I# Y I' 'I Y I' ---- ---- LA JOL 5 Require es: .t s : es : --------- cr ipt ion --------- for Elec for Rem0 ,edits *** .oo moo 58.00 Ext fee Data 10.00 Y 10.00 Y 38.00 PATIO -------------- m0CcARLI)EIAD 2075 JAS Palmas Dr., Carlsbad, CA 92009 FEE PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 FOR OFFICE USE ON PLAN CHECK NO. EST. VAL. Plan Ck. Deposit Total X of units Legal Description Lot No. Subdivision NameINumber Unit No. Phase No. Address City StateIZtp Telephone X Fax # Name I (Sac. 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 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 Codel 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 more than five hundred dollars [$5001). Name Address City StateIZip Telephone X State License x S 90~q 6 Ci Business License t /67 0393c/ Designer Name Address City Statelzip Telephone (J17-ri CI Mat&. Lr4 53o-b~l~ License class C- '77 State License X RKZRS' COWENSAWN Workers' Compensation Declaratlon: I hereby affirm under penalty of perjury one of the following declarations: & of the work for which this permit is issued. 0 issued. My worker's compensation insurance carrier and policy number are: Insurance Company 3~iii FUJ~ Policy ~0.3s - ) Zr b Expiration Date bd MU& (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 131001 OR LESS) 0 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 secure workers' compensation coveraga Is unlawful, and shall aubject an employer to crlminal penalties and civll fines up to one hundred thousand dollars (8100,000), in addition to the cost of compensation, damages aa provided for in Section 3706 of the Labor code, Interest and attomey'a fees. 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 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 DATE 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 ISec. 7044, Business and 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 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, as 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 1 : 2. 3. 4. am exempt under Section personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ON0 (have 1 have not) signed an application for a building permit for the proposed work. have contracted with the following person (firm) to provide the proposed construction (include name I address I phone number I contractors license number): plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name I address I phone Business and Professions Code for this reason: number I 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 I address I phone number I type PROPERTY OWNER SIGNATURE DATE Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials ragistration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES 0 NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES 0 NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school stte? 0 YES 0 NO IF ANY OF THE ANSWERS ARE YES, A RNAL 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. ON &ENDIN affirm that there is a c ich this p LENDER'S NAME LENDER'S ADDRESS 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 Cit). 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 commenced withd 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 a APPLtCANT'S SIGNATURE DATE Jhd8 9 6: (Section 106.4.4 Uniform Building Code). W WHITE: File YELLOW: Applicant PINK: Finance CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB981986 FOR 11/17/98 INSPECTOR AREA RB DESCRIPTION: ADD 15 AMP CIRCUIT W/TIMER,l PLANCK# CB981986 TYPE: ELEC CONSTR. TYPE NEW JOB ADDRESS: 1021 BEWICKS CT STE : LOT: APPLICANT: SIERRA MESA PHONE: 619 530-6211 CONTRACTOR: PHONE : OWNER: PHONE : OUTLET,120 SF PATIO& EXTRA CONDUIT OCC GRP REMARKS: C/619/530-6211 SPECIAL INSTRUCT: TOTAL TIME: INSPECTOR I CD LVL DESCRIPTION ACT COMMENTS -- - I 1 ***** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP COMMENTS 082198 Ftg/Foundation/Piers AP RB 070198 Underground/Conduit-Wiring AP RB WILL ND GFCI BRKER 12" DEPTH ¶- 1 F STATE FUND COMPENSATION INSURANCE ~ ~ ~~ -~ ~~ - HERE ARE YOUR NEW RATES FOR THE PERIOD INDICATED. IF YOUR NAME OR ADDRESS SHOULD BE CORRECTED OR IF INSURANCE IS NOT NEEDED FOR NEXT YEAR, PLEASE TELL US. HOME OFFICE SAN FRANCISCO ANNUAL RATING ENDORSEMENT i IT IS AGREED THAT THE CLASSIFICATIONS AND RATES PER $100 OF REMUNERATION APPEARING 1 IN THE CONTlNUOUS POLICY ISSUED TO THIS EMPLOYER ARE AMENDED AS SHOWN BELOW. , Is A IMPORTANT SEND NO MONEY UNLESS STATEMENT IS ENCLOSED PACIFIC STANDARD TIME CONTINUOUS POLICY 35-97 BUILDING INDUSTRY ASSOCIATION OF SAN DIEGO COUNTY SIERRA-MESA CONSTRUCTION 6840 DRAPER AVE. LA JOLLA, CALIF 92037 RATING PERIOD 10-01-97 TO 10-01-98 1256 DEPOSIT PREMIUM $753.00 MINIMUM PREMIUM $520.00 PREMIUM ADJUSTMENT PERIOD SEMI-ANNUAL R SD UNIT NAME OF EMPLOYER- HUNTER, JEFF RAY (AN INDIVIDUAL EMPLOYER AND NOT JOINTLY WITH ANY OTHER EMPLOYER) CODE NO. PRINCIPAL WORK AND RATES EFFECTIVE TO 10-01-98 INTERIM BASE BILLING RATE RATE* BUILDING CONSTRUCTION 5027 MASONRY SPLIT RATES APPLY 10-01-97 TO 5-06-98 5-06-98 TO 10-01-98 5028 MASONRY - SPLIT RATES APPLY 10-01-97 TO 5-06-98 5-06-98 TO 10-01-98 5201 CONCRETE OR CEMENT WORK--POURING OR FINISHING OF CONCRETE SIDEWALKS - SPLIT RATES APPLY 10-01-97 TO 5-06-98 5-06-98 TO 10-01-98 5201 CONCRETE OR CEMENT WORK--POURING OR FINISHING OF CONCRETE FLOOR SLABS SPLIT RATES APPLY 10-01-97 TO 5-06-98 5-06-98 TO 10-01-98 5205 CONCRETE OR CEMENT WORK--POURING OR I FINISHING OF CONCRETE SIDEWALKS SPLIT RATES APPLY 10-01-97 TO 5-06-98 5-06-98 TO 10-01-98 25.50 14.95 16.13 16.13 8.37 21.23 12.45 13.43 13.43 6.97 COUNTERSIGNED AND ISSUED AT SAN FRANCISCO SEPTEMBER 16, 1997 POLICY FORM L 1 In\IEQ DI EACEI