HomeMy WebLinkAbout1021 GOLDENEYE VW; ; CB982665; Permit..... B U I L O I N G f'ERl1IT Permit No: CB982~u-
Project No= 89803491
Devel o~•ment No:
08/19/98 08:44
Paqe 1 of 1
Job Address: 1021 GOLDENEYE UW Suite=
Permit Type: ELECTRICAL
Parcel No: 211-090-03-00
Valuation: 0
Lot#:
Occupancu Group: Reference#=
Oescript\on: ADD CIRCUITS FOR BACK YARD
Appl/Ounr : MART JOE
3621 TRIESTE DRIVE
CARLSBAD CA 92008
*** Fees Required
Fee~.:
Ad iustment~.:
To ta 1 Fee-:,:
Fee description
Enter "Y" f o r Elect 1
Enter '1 Y11 for Rernod
**ti!
760
CITY OF CARLSBAD
Construction Tvpe:
Sta tu-=·:
Applied:
Apr/Issue=
Entered Bv=
434-8386
VN
ISSllEO
08/19/90
08/19/98
11DP
0239 00/19/98 0001 01
o l lected & Credi f;PRHT
02
.00
.00
20.00
20 .00 ·IH(·tl.·
Ext fee Data
10.00 Y
10.00 Y
--=--)VAL
2075 Las Palmas Dr., Carlsbad, CA 920()() (619) 438-1161
PERl'JIIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad CA 92009
(760) 438-1161
1. PROJECT INFORMATION
FOR OFFICE USE ONLY
PLAN CHECK No.f g ·Z'-Q
EST.VAL. ____ ~--~---
Plan Ck. Deposit ----------
Validated By __________ _
Date ______________ _
/C2/ G-c lD6,\I
Address (include Bldg/Suite #) Business Name (at this address)
Legal Description
3. APPLICANT ~ntnictor
Lot No. Subdivision Name/Number
Existing Use
SO. FT. #of Stories
City
0 Owner O Agent for Owner
Unit No. Phase No. Total # of units
Proposed Use
# of Bedrooms # of Bathrooms
Name Address City State/Zip Telephone#
4. PROPE~TY pWNER D f!V I~
Name Address City State/Zip Telephone I
6. CONTRACTOR • COMPANY NAME
(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 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 more than five hundred dollars ($500().
Name
State License I ..... ~-....... --~----
LU /l t 7
Address City State/Zip Telephone Designer Name
State License I----------
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 _______ _
ION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS)
ERTIFICATE 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.
HCUre worken' compensation coverage la unlawful, and shall aubjact an amployer to criminal penalties and civil finH up to one hundrad
thousand dollars ( ,0001, nution, damagu H provldad for In Section 3706 of the Labor code, intarHt and attomey·a faH.
SIGNATURE.~,_,,,_ ______ -=-----------------------DATE _________ _
7. OWNER~,ILUI~
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
(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 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, em 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(sl 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 ONO
2. I (have I 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 I address I phone number I contractors license number):
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 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 / phone number I type of work): __________________________________________________________ _
PROPERTY OWNER SIGNATURE-----------------------
COMPLETE THIS SECTION FOR NON-RESIDENT1AL BUILDING PERMITS ONLY
DATE _________ _
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 permit 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 7 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 CERTlflCATION
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 ls required for excavations ovar 5'0" deep and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every permit issu d 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 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 tima after e work · c to a pariod of 180 days (Section 106.4.4 Uniform Building Code).
DATE ----------------
PERMIT# CB982663
DESCRIPTION: ADD CIRCUITS FOR
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 10/27/98
BACK YARD
TYPE: ELEC
GOLDENEYE VW STE:
INSPECTOR AREA RB
PLANCK# CB982663
OCC GRP
CONSTR. TYPE VN
LOT: JOB ADDRESS: 1021
APPLICANT: MART JOE
CONTRACTOR:
PHONE: 760 434-8386
PHONE:
OWNER:
REMARKS: C/DAVIES/918-9536
SPECIAL INSTRUCT:
TOTAL TIME:
CD LVL DESCRIPTION
PHONE:
ACT COMMENTS
34 EL Rough Electric
39 EL Final Electrical /7? _J!Jf---=---~--,--,.......,....----
E IYlf.S' ~r...111"' fu wr ta?le .sP'4_ ~----~~~~~~~~~~~~~~-~----~~~~~~~~~~~~~~~----~~~~~~~~~~~~~~-
/ I l
***** INSPECTION HISTORY*****
DATE
102398
100298
082598
DESCRIPTION
Final Electrical
Final Electrical
Underground/Conduit-Wiring
ACT INSP
CO RB
CO RB
AP RB
COMMENTS
MORE THAN 211 UNDR FENCE FR SP
SEE NOTICE ATTACHED
FINAL BUILDING INSPECTION
DEPT: BUILDING ENGINEERING FIRE PLANNING CMWD ST LITE
• are PLAN CHECK#: CB972671
PERMIT#: CB972671
PROJECT NAME: 2392 SF+596 GAR+62 PORCH,PLN 1
PHASE 5,SEABRIGHT-MAR VISTA-UDC
ADDRESS: 1021 GOLDENEYE VW
DATE: 04/14/98
PERMIT TYPE: SFD
Lot# 15 1-:: ~ ~-,,
CONTACT PERSON/PHONE#: C/THAD/804-1581 . 1
SEWER DIST: CA WATER DIST: CA ~'--~~---
INSPECTED
BY:
INSPECTED
BY:
DATE
INSPECTED:
DATE
INSPECTED:
APPROVED
APPROVED
r.AR!.SBAO
DISAPPROVED
DISAPPROVED
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COMMENTS: