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HomeMy WebLinkAbout1053 GOLDENEYE VW; ; CB983429; PermitB U I L D I N G P E R M I T 1 of 1 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 ® ' ' -\\ - ----- ------------ r L 12.9' i~ / I I ! I I I I I I I ----/ 45