HomeMy WebLinkAbout1028 BEWICKS CT; ; CB981588; PermitBUILDING PERMIT Permit No: CB981588
05/22/98 10: 39 Project No: A9802112 Page 1 of 1 Development No :
Job Address: 1028 EEWICKS CT Suite: Perrrii t Type : PLUMBING
Valuation: 0 Construction Type: NEW
Occupancy Group : Reference# : Description: GAS AND ELECTRICAL LINE TO
I
Parcel No: 215-800-08-00 Lot#:
7324 Os/$ f# : O$ss&" APP Wbi T05/22/@&0
: BBQ Apr/Issue: U5/22/98
Entered By: JM
Appl/Ownr : CA5A DEL SOL LANDSCAPE 629 258-9844 11309 PEGEEN PLACE
EL CAJON CA 92021
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Data
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CITY OF CARLSBAO
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad CA 92009
(760) 438-1 161
FOR OFFICE USE ONLY
PLAN CHECK NO. ?g (588
EST. VAL. )r, -
Plan Ck. Deposit L m
Total # of units Legal Description Lot No. Subdivision NameINumber Unit No. Phase No.
Assessor's Parcel # Existing Use Proposed Use
Desedption of Work
2.
Name Address Fax #
4n 5 r\mt SerYtLC so n cw but[+ 14 bwbC2ue \\m sa. FT. #of Stories 0 # of Bedrooms # of Bathrooms *
CONTACT PERSON Ot dmerent from rpPecMt)
3. APPLICANT 0 Contractor 17 Agent for Contractor ow fcK
Name Address City StateIZip Telephone #
PROPERTY OWNER
ONTRACTOR - 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 l55001).
Name
o,\ cdt 9bU brS tSf ,'test
city a Statelzip Te phone 3oc1 Pes* 41 Elh ' Address h5A &e\ so\ hAdSCaC \\
State License # 5-R 4 86 6 License Class C- 27 City Business License # r +&&ii
Designer Name Address City Statelzip Telephone
State License #
6. WORKERS' COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
0 of the work for which this permit is issued.
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 thjp pertpit is
issued. My worker's compensation insurance carrier and policy number are:
Insurance Company CQ mp. \,wJ,rw,t Fnd Policy NO. 1 &q Sbz4-q7 Expiration Date
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ISIOOI 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 coverage is unlawful, and shall subject en employer to criminal penalties and Civil fines up to one hundrad
thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for m Section 3706 of the Labor code. Interest and attorney's fees. .. *SIGNATURE $ - DATE r/Z2-/4%
7. OWNER-BUILDER DECLARATION
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 riot 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.
number I contractors license number):
5.
of work):
PROPERTY OWNER SIGNATURE DATE
COMPLETE MIS SECTION FOR
Is the applicant or future buildi
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?
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETtNG THE
REQUIREMENTS OF THE OFFICE OF EMERGENCY SER
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 (Sac. 30971i) Civil Code).
LENDER'S NAME
9. APPLICANT
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 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 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 after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code).
I am exempt under Section
I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ON0
I (have I have not) signed an application for a building permit for the proposed work.
I have contractad with the following person (firm) to provide the proposed construction (include name I address I phone number I contractors license number):
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 I address I phone
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
Business and Professions Code for this reason:
0 YES NO
0 YES 0 NO
APPLICANT'S SIGNATURE DATE e/z2/9$
WHITE: File YELLOW: Applicant PINK: Finance
CITY OF CARLSEAD INSPECTION REQUEST
PERMIT# CB981588 FOR 05/26/98 INSPECTOR AREA
DESCRIPTION: GAS AND ELECTRICAL LINE TO PWCK# CB981588
TYPE: PLUM CONSTR. TYPE NEW
JOB ADDRESS: 1028 BEWICKS CT STE : LOT:
APPLICANT: CASA DEL SOL LANDSCAPE PHONE: 619 258-9844
CONTRACTOR : PHONE:
OWNER: PHONE :
BBQ OCC GRP
REMARKS: C/619/258-9844
SPECIAL INSTRUCT:
INSPECTOR
TOTAL TIME:
CD LVL DESCRIPTION ACT COMMENTS
21 PL Underground/Under Floor &L
23 PL Gas/Test/Repairs
31 EL Underground/Conduit-Wiring &
DATE DESCRIPTION
***** INSPECTION HISTORY *****
ACT INSP COMMENTS