HomeMy WebLinkAbout1053 GOLDENEYE VW; ; CB983510; PermitB U I L D I N G P E R M I T Permit No: CB 8351
Project No: A9804566
Development No:
10 13/98 12:17
1 of 1
1Job Address: 1053 GOLDENEYE VW
Permit : ELECTRICAL
Parcel No: 212-180-15-00
Valuation: 0
Occupancy Group:
Description: ELEC TO FUTURE SPA
/Ownr : LARRY TANG
1053 GOLDENEYE VIEW
CARLSBAD CA 92009
Requir,:>d.
Fees:
Adjustrnents:
Total Fet=;;s:
Fee description
Enter "Y" for Electrj
r=-
Suib?:
Lot#: 2161 10/13/98 0001 01. 02
Construct:ion Typ§·?Rf'l\TEW 1(LOO
603-82.34
Status: ISSUED
Applied: 10/13/98
Apr/Issue: 10/13/98
Entered By: BT
.00
,00
10.00
Ext fee Data
10.00 Y
ORDANCE WITH U.B.C.
----SIGNATURE_t;p__,.~ ----=
......
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CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
PERMIT APPLICATION
FOR OFFICE USE \ONL ((?
PLAN CHECK NO. :fcJ 357 [)
EST. VAL. IQ/
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad CA 92009
(760) 438-1161
I
Plan Ck. Deposit ---.Pr--+r-----~:~::d By __ ~~""-lt-:it~) t-:-1 r"21'-t!5J7r.q;"'f?i
Business Name lat this address)
2~tt,·6rHr
Subdivision Name/Number Unit No. Phase No. Total, of unns Legal Description f~ -(l';?
Assessor's Parcel I . Existing Use Proposed Use
t-LIU<VZ<wtt, ?f,v Mr ftlrZ--Pv Vl¥Ec
Description of Work SQ, FT. #of Stories # of Bedrooms I of Bathrooms
2. CONTACT PERSON Cit dlfferenftiom mppiii:.nii -··-~· ~--,---·~~~-,·--·---~~.,---·-... _, ___ ......... -.
Name
;3. APPLICANT 0 Contractor
Address
D Agent for Contric:tor
.-/, GJ1)wner
State/Zip Telephone I Fax#
Name Address City
4. PROPERTY OWNER
"'·:··,. ,...,M"!••'
L..AfZ-¢-Y
Name Telephone I
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 reouires the applicant tor such permit to file a signed statement that he is licensed Pllflluant to the provisions of the Contractor's License Law
[Chapter 9, commending witl\ Section 7000 of Division 3 of the Business and Professions Code) or that hll is exempt thllrafrom, and the basis for the alleged
exemption. Anv violation of Section 7031.5 by any applicant tor a permit subjects thll applicant to a civil penalty of not more than five hundred dollars 19500)).
Name Address City State/Zip Telephone I
State License # ----------License Class----------City Business License#--------
Designer Name Address City State/Zip Telephone
State License # ----------
6. WORKERS' COMPENSATION
Workers' Compensation Declaration: I hereb_y affirm under penalty of perjury one of the following declarations:
O I have end will maintein a certificate of consent to self-insure for workers' compenution as provided by Section 3700 of the Labor Code, for thll performance
of the work for which this permit is issued.
O I have end will maintain workers' compensation, as reouired by Section 3700 of the Labor Code, tor the performance of the work for which this permit is
issued. My worker's compensation insurance cerriar and policy number are:
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 thll work ·tor which this permit is issued. I ahall not employ eny person in any manner so as
to become subject to the Workers' Compensation Laws of California.
WARNING: Failure to aecure workers' compenaatlon coverage 18 unlawful. and ahall aubject an employer to crtmlnal peneltlea and clvll fines up to -hundred
thousand dollars 1n 00.0001, In addition to the cost of compensation, damages es provided for In Section 3706 of the Labor code, Interest and anomey'a tee1.
SIGNATURE DATE _________ _
7. OWNER-BUILDER DECLARATION .. , ... ,··. ···:~~-~·1··••··"J't1;-::, ., .. • ~ ····•··71"?~ •·
I her~ affirm that I am exempt from the Contractor's License Law for the following resson:
[J;(" I, as owner of the property or my employees with wages as their sola compensation, will do the work and thll structure is not intended or offered for sele
(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 th1t such improvements are not Intended or offered tor ule. If, however, the building or Improvement la
sold within one year of completion, the owner-builder will hive the burden of proving that he did not build or Improve for the purpoae of aate).
0 I, es owner of the property, am exclusively contr1cting with licensed contractors to construct thll project ISac. 7044, Business and Professions Code: Thll
Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contract, for such projects with contractorlsl licenaed
pursuant to the Contractor's License law).
D I em exempt under Section Business and Professions Code for this reeson:
I personally plan to provide the major labor and metarials for construction of the proposed property Improvement. ~ ONO
I (have I have not) signed an application for a building permit for the proposed work. -1.
2.
3. I have contracted wit the following person lfirml 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): __ /\l'i....,._..'.A....;.. _________________________________________ _
5. I will provide some of the work, b I h contracted lhiredl the following persons to provide the work indicated !Include name/ address Ip~ number I type
of work): ___________ ..... ~~_.;:.,_ ___ -""-,,,~.,,Jf-,-------------------------------------
. '·i•f ~ ............ '
' Is the applicant or future building ,occupant re ·red to submit a ss plan, acutely hanrdoua materials registration form or risk management and prevention
program under Sections 2550~533 or 25534 of the Presley-Tenner 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 quellty management district? 0 YES O NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a 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.
'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 CSec. 30971i) Civil Code).
LENDER'S NAME -------~----------LENDER'S ADDRESS------------------------
• 9. APPLICANT CERTIFICATION -... -··--·-·.-·:,-,..-·.-., .. --.,'fr:·· · · . .-·. '· .. • '· · •,: · ... ,~ ... ·.:· .. ,¥.!! ··. ".:· :'" .•<~'iri•·'"
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 Cltt 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 1uthoriz11d 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).
APPLICANT'S SIGNATURE DATE
WHITE: File YELLOW: Applicant PINK: Finance
CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT# CB983510 FOR 10/15/98
DESCRIPTION: ELEC TO FUTURE SPA
TYPE: ELEC
JOB ADDRESS: 1053 GOLDENEYE VW STE:
APPLICANT: LARRY TANG 603-8234
CONTRACTOR:
OWNER:
REMARKS: R/LARRY/603-8234
SPECIAL INSTRUCT:
TOTAL TIME:
--RELATED PERMITS--
CD LVL DESCRIPTION
PERMIT# TYPE
CB983429 PLUM
STATUS
ISSUED
ACT COMMENTS
INSPECTOR AREA
PLANCK# CB983510
OCC GRP
CONSTR. TYPE NEW
LOT:
23
31
PL Gas/Test/Repairs
EL Underground/Conduit-Wiring If_ ---
***** INSPECTION HISTORY*****
DATE DESCRIPTION ACT INSP COMMENTS
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