HomeMy WebLinkAbout1053 GOLDENEYE VW; ; CB983429; PermitB U I L D I N G P E R M I T
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1Job A0iress: 10S3 GOLDENEYE VW
i?ermi t. Type: PLUMBING
Parcel No: 212-180-15-00
Valuation: 0
te::
Lot#:
Occupancy Group: Reference#:
Description: INSTALL GAS LINE TO FUTURE
: POOL
Permit No: CB983429
Proiect No: A9804471
[lev.el No:
Construction Type: NEW
Status: ISSUED
Applied: 10/07/98
Apr/Issue: 1 07/98
Entered By: BT
LARRY TANG 603-8234
1053 GOLDENEYE VIEW
CARLSBAD CA 92009
Fees ReqLdred
Fees:
Adjustments:
1Totc1l F1ees:
Fee descri ion
Enter uy" for Plumbir
Gas Pipin.:;1 stem
----FINAL APP ,~~.OVAL
1 I I 1NSP. fQtJ(M
I I
! CLEARANCE ____ -------·
DATE ...J}?doz
CITY OF CARLSBAD
***
1995 10/07/98 0001 01 1)2
C-·:'ff:J'lJ 27 "00
.00
27.00
Ext fee Data
20.00 Y
7.00
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
FOR OFFICE USE ONLY
PERMIT. APPLICATION PLAN CHECK NO. Cl K/3¥:J/)
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad CA 92009
(760) 438-1161
EST. VAL. ------4'-t-,7,--. -
Plan Ck. Deposit __ ...,.,,, __ ...:d::;_-+--
Validated By __ i);,f'::;::;....;....-+·.,,..-~--·--
Date __ __..:;.t.a:::D-f./.....:7~/i..-11....lf"----
Addre;s hnclude Bldg/Suite I)
1. PROJECT INFORMATION
1 o 5 :Z {Qi'J l,r{l(qJW{.c: Business Name let this address)
Legal Description Lot No. Subdivision Name/Number Unit No. Phesa No. Total I ot umts
, of Bathrooms
2. . CONTACT PERSON Cit different troin ..,.,ilantl
Address City
D Agent tor Contractor . ~r -"O Agimt for Owner
State/Zip Telephone I Fax II Name
'3. APPLICANT O Contractor
Name Address City State/Zip Telephone II
4.
Name
5. 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 tor such permit to tile • signed statement that he is licensed pursuant to the provisions of the Contractor's License Law
(Chapter 9, commending witi, Section 7000 of Division 3 of the Business and Professions CodeJ or thet he is exempt therefrom, and the basis for the alleged
exemption. Anv violation of Section 7031.5 by any epplicant for a permit subjects the applicant to• civil penalty of not more then five hundrad dollars 1$500JJ.
Name Address City State/Zip Telephone I
State License I ----------Licensa Class----------City Business License I --------
Designer Name Address City State/Zip Telephone
State License # ----------
6. WORKERS' COMPENSATION
Workers' Compensation Declaration: I hara~y affirm under penalty of perjury one of the following decteretions:
O I have and will maintain a certificate of consent to self-insure for workers' compens1tion es provided by Section 3700 of the Labor Code, for the performance
of the work for which this permit is issued.
O I have and will maintain workers' compensation, es required by Section 3700 of the Labor Code, tor the performance of the work for which this permit is
issued. My worker's compensation insurance carrier end policy number ere:
Insurance Company Policy No. ____________ _ Expiration Date _______ _
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$1001 OR LESS)
O CERTIFICATE OF EXEMPTION: I certify that in the performance of the work ·tor which this permit is issued, I 1hell not employ any person in any manner so es
to become subject to the Workers' Compensation Laws of California.
WARNING: Failure to sacura workers' compensetlon cove1111J8 Is unlawful, end lhllll subject lffl employer to crllNnel peneltlu end civil fines up to -hundred
thousand dollars 1$100.0001, In addition to the coat of compenutlon, dllmegu u provided far In Section 3706 of the ubor codtl, lnt.,.,t end attorney's fees.
SIGNATURE DATE----------
7. OWNER-BUILDER DECLARATION . ~I·., ••• •;,,.-,. ·" · •71·;,: ,·
I hereby affirm that I am exempt from the Contractor's License Lew for the following reeson:
[§-.. ·· ,. as owner of the property or my 1mploy11s with wages es their sole compensation, will do the work and the structure is not intended or ottered tor Hie
(Sec. 7044, Business and Professions Coda: The Contractor's License Lew does not epply to en owner of property who builds or Improves thereon, and who does
such work himself or through his own employeas, provided that such improvements 1re not Intended or ottered tor Nie. If, however, the building or Improvement Is
sold within one year of completion, the owner-builder will heve the burden of proving that he did not build or Improve tor the purpoH of Hie).
· O I, as owner of the property, em exclusively contracting with licensed contrectors to construct the project (Sec. 7044, Buainns and Profe11ions Code: The
Contractor's License Lew does not apply to en owner of propeny who builds or improves thereon, and contracts for euch projects with contrectorlsl licensed
, pursuant to the Contractor's License Lew).
D I am exempt under Section Business end Professions Coda for this reeson:
)
1 I personally plan to provide the mejor labor and meteriels for construction of the proposed property improvement. ~ ONO
2 I (have I have not) signed an apphcat1on for • building p1<rmit for the proposed work.
3 I have contracted with the following parson lfirmt to provi he proposed construction !Include name I addrlllS I phone number I contractors license number):
t4 I plan to provide portions of the work, but I hev rad the following person to cocird1nete, supennae end provide the major work bncluda name I address I phone
number I contractors license numbarl: ____ ..L..;:;...;r.;;;;..~---------------------------------------
5. I will provide soma of the work, but l1hev1 contracted lh1redl the following persons to provide the work indicated llnclude name/ address Ip~ number I type
of work): '.\ ~ .•
.. /:?W DATE ~~.,.__..,...."---+-""'----
COMPLETE THIS SECTION FOR N~,f,,n,a L 1u11.1>1No · ··• ·•··· ·• ·
ts the 1pplic1nt or future buil~irii'occupent required to submit iness plan, acutely heurdous metttriels registration form _gr risk management and prevention
program under Sections 255®; 25533 or 25534 of the Presley-Tenner Heurdous Substance Account Act? 0 YES i;a::::..o
Is the applicant or future building occupent required to obtain• permit from the air pollution control district or air quality menegamant district? D YES O NO
Is the facility to be constructed within 1,000 feet of the outer boundary of• 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.
,s. CONSTRUCTION LENDING AGENCY . --·· , ~-._ .... , .. '"'..-_ ........ ~r.:r-.. ·"' ....... -· .. .
I hereby affirm that there is a construction lending.agency tor the performance of the work for which this permit is issued (Sac. 3097!0 Civil Code).
LENDER'S NAME ---~---~----~-~-LENDER'S ADDRESS __ .;....---------------------
• 9. APPLICANT CERTIFICATION -.···~. ·-· .. -·.-·:,...·-.:.-·,,:o,e·.,..r:·· ... · .. · .• ' ..... ,, > ., ..... ,~··, •. ll··· .. --:· _.~·'f•,,.,,.'l(··r···
I certify that I have read the application and state that the 1bov1 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
propeny 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 shell 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 commancec;I for• period of 180 days (Section 106.4.4 Uniform Building Code).
APPLICANT'S SIGNATURE DATE -------------
WHITE: File YELLOW: Applicant PINK: Finance
PERMIT# CB983429
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 10/28/98
FUTURE DESCRIPTION: INSTALL GAS LINE TO
POOL
TYPE: PLUM vw STE:
INSPECTOR AREA PD
PLANCK# CB983429
OCC GRP
CONSTR. TYPE NEW
LOT: JOB ADDRESS: 1053 GOLDENEYE
APPLICANT: LARRY TANG
CONTRACTOR:
PHONE: 603-8234 ,
OWNER:
REMARKS: C/TANY/431-9966 EXT 1128
SPECIAL INSTRUCT:
TOTAL TIME:
--RELATED PERMITS--
CD LVL DESCRIPTION
PERMIT# TYPE
CB983510 ELEC
PHONE: /J #_:_ · PHONE: ~
INSPECTO~~~ .
STATUS
ISSUED
ACT COMMENTS
_2 3-_PL _G_a_sf_T_e_s_t_f_R_e_p_a_i_r_s ______ t_ _N'-----'t'--'/t,!)=---.;;....s_..L.A:..:...-_L-l""'-<.,;'tfl;._l,C.....;;v _ _,_,r_,_¥-+--c_
---~-------------~
--------------------
***** INSPECTION HISTORY*****
DATE
102698
102698
100898
100898
DESCRIPTION
Underground/Under Floor
Gas/Test/Repairs
Gas/Test/Repairs
Underground/Under Floor
ACT INSP
CO PD
CO PD
CO PD
CO PD
COMMENTS
ON CARD
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