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Home My WebLink About1069 GOLDENEYE VW; ; CB984354; Permit.,.. B U I L D I N G P E R M I T Permit No: ca9a43;4 Project No: A9805b31 Development No: 12/1.4/98 08: 52 Page 1 of 1 Job Adclresf:: 1069 GOLDENEYE VW Permit Tvpe: PATIO/DECK Parcel N<: ,i:.12-180-19-00 Valuation: 2,0 8 Suite : Lot#: Construction Type: Occupancy Group: Reference#: Status: NEW ISSUED 12/14/913 12/14/98 RMA Description: ~88 SF PATIO-PER CITY SPECS Applied: Appl/Ownr : BUTZ , JIM 1069 GOLDENEYE VIEW CARLSBAD CA 92009 Fees Required Fees : Adjustments: Total Fees: Fee description Building Permit Plan Check Strong Motion FPe * BUILDING TOTAL 760 Apr/Issue: Entered By: 918-9439 ~ CO 11 e C t 4377 ~f.:1'41?9Bi 0001 01 02 * * w--_.,._._.,,......._~ .• ~-.--------------e-PRM~-----~7-00 ,00 .00 87.00 Ext fee Data 52.00 34.00 1. 00 87.00 FINAL APPROVAL INSP ____ )<_is_ DATE. ) ~? 5-;_ V Cl f\J:E _____ __ 1--.........,.------------------.-.-....... ~-------- CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 PERMIT APPLICATION FOR OFFICE USE ONLtf}] l 5 PLAN CHEClO. J ~ Lf EST. VAL. of? ClrY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 Plan Ck. Deposit 1)--: Val;dated •z 1 ~ , I Date / (I ( 1 f 1. PROJECT INFORMATION I t}t, q G (JG (K..J er~ Address (include Bldg/Suite #) Business Nama lat this 1ddress) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Totel I of units Proposed Use Description of Work I of Bedrooms I of Bathrooms '2. ·coNTACt PERSbN llf dlfferendroin mi,puunil N1me Address '.3. APPLICANT O Contractor O Agent for Contrector Name .;{111 KJ uTL Address 4. PROPERTY OWNER ~//1 tJu72 Name s. CONTRACTOR -COMP.ANY NAME .. -· City ~wiier · O Agent tor Owner City C/,ltU-SIJIJ() City State/Zip Telephone I Fax I State/Zip Telephone I State/Zip Telephone I (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 pur1u1nt to the provisions of the Contractor's License Law (Chapter 9, commending with Section 7000 of Division 3 of the Business end Professions Code) or that he Is exempt therefrom, and the basis for the alleged exemption. Anv violation of Section 7031.5 by any applicant for a permit subjects the 1pplicent to I civil pen1lty of not more than five hundred dollars ($5001). Name Address City State/Zip Telephone I State license I----------License Class----------City BusineH license I-------- D~signer Name Address City State/Zip Telephone State License I---------- 6. WORKERS' COMPENSATION -··-. ~r..., .... r.. _._ --r , ., ., rr~· -~t.,. -·..,..-··,i. ... , .. a.·--. r .. ...;, Workers' Compensation Declaration: I hereby 1ffirm under penalty of perjury one of the following decler1tions: 0 I have and will maintain a certificate of consent to self-Insure for workers' compen11tion 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, IS required by Section 3700 of the L1bor Code, for the performance of the work for which this permit is issued. My worker's compensation insurence carrier and policy number ere: Insurance Company Policy No. Expiration 0111 _______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1•1001 OR LESSI 0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I 1h1II not employ any person in any manner so 11 to become subject to the Workers' Compensation laws of California. WARNING: Failure to secure worken' COmpenMtlon covermge 11 unlawful, 811d shall subject en employer to crtmnal peneltlu end dvU fines up to -hundred thousand doUer• ($100,000), In eddltlon to the co•t of compenutlon, dllmege• u provided for In Section 3706 of the Labor code, lnt-•t end ett--,·• fNI, SIGNATURE DATE _________ _ ·1. OWNER-BUILDER DECLARATION • ' • •.•. .., .... ·r"I····· ~- • ~by affirm that I em exempt from the Contractor's License L1w for the following reason: tit' I, IS owner of the property or my employees with wag11 as their sole compensation, will do the work and the structure 11 not intended or offered for aele (Sec. 7044, Busine11 ind Professions Code: The Contr1ctor'1 Licenae 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 ire not Intended or offered for aale. If, however, the building or Improvement 11 sold within one yesr of completion, the owner-builder wlll hive the burden of proving th1t he did not build or Improve for the purpoae of 11111. 0 I, as owner of the property, 1m exclusively contracting with licensed contr1ctors to construct the project (Sec. 7044, Business snd Profe1alon1 Code: The Contractor's License Law do11 not apply to 1n owner of property who builds or improves thereon, and contrect, for such projects with contrector(a) licensed pursuant to the Contractor's Licen11 L1w). · rJI' I am exempt under Section Business and Professions Code for this resson: 1. I personally plan to provide the m1jor l1bor and materials for construction of the propo11d property Improvement. e1'Es ONO 2. I (have I hive not) signed en applic1tion for a building permit for the proposed work. 3. I have contracted with the following person lfirm) to provide the proposed construction Onclude name I address I phone number I contractors license numberl: 4. I plan to provide portions of the work, but I have hired the following person to coordin1te, supervise 1nd provide the m1jor work (include n1me / eddrns I phone number I contractors license number):---------------------------------------------- 5. I will provide some of the work, but I hive contracted (hired) the following persons to provide the work lndiceted (Include nem1 / 1ddrns I phone number I type ofwork): _________ __,,,::;;;;::::>r--------------------------------,,---"r"-r------------- PROPERTY OWNER SIGNATURE DATE _:..;/~:=+~y...L,(..J."----- :coMPL.ETE THIS SECTION FOR rl' i OM. y ":'. ';":-s;-"'.'"""·T:'!t...._, •. ,., ,lr"t''""f'f':";'"'---,.~ Is the applicant or future building occupant required to aubmit • business pl1n, •cutely haz:erdous meteriel9 registr1tion form or risk m1n1gement snd prevention program under Sections 25505, 25533 or 25534 of the Prnley-Tsnner H111rdoUI Substence Account Act? 0 YES O NO Is the applicant or future building occup1nt required to obtain • permit from the 1ir pollution control dlstri_ct or air quality m1n1g1m1nt district? 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer bound1ry of• 1chool 1it1? 0 YES O NO IF ANY OF THE ANSWERS ARE YES, A ANAL CERTIF1CATE 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. rs.·· CONSTRUCTIONLENDINGAGENCY ,'"· .... -·n·•··-· ~-~--~~~-~~;;' .. 7•·-·,,~-,., ~--·~····•-r;·:-·-,---... ~ ~ .. -- 1 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 Codel. LENDER'S ADDRESS------------------------ I certify that I have read the application snd state that the 1bov1 Information is correct and that the Information on the plans is 1ccur1te. I egree to comply with •II City ordinances and State laws relating to building construction. I hereby 1uthorize r1pr1aentativn of the Citt of Carlsbad to enter upon the 1bov1 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 ind demolition or construction of structures over 3 1tori11 in height. EXPIRATION: Every permit issued by the Building Official under the provisions of this Code ahall expire by limitation ind 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 efter thew ·s commenced for• period of 180 days (Section 106.4.4 Uniform Building Codel. APPLICANT'S SIGNATURE (1:7 DATE /cJ-.P~~ WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Inspection Request For: 2/23/99 Permit# CB984354 Title: 288 SF PATIO-PER CITY SPECS Description: Type:PATIO Sub Type: Job Address: Suite: 1069 GOLDENEYE VW Lot Location: ~PPLICANT : BUTZ, JIM Owner: UDC HOMES INC Remarks: CORRECTIONS HAVE BEEN MADE Total Time: CD Description Act Comments 19 Final Structural f}f Inspection History Date Description Act lnsp Comments Inspector Assignment: RB Phone: 7609189439 Inspector: Requested By: JIM Entered By: CHRISTINE 2/1/99 19 Final Structural CO RB SEE NOTICE ATTACHED