HomeMy WebLinkAbout1080 BEACON BAY DR; ; CB972101; PermitBUILDING PERMIT Permit No: CB972101
07/30/97 11: 46 Project No: A9702658
Page 1 of 1 Development No:
Job Address: 1080 BEACON BAY DR Suite:
Permit Type: PLUMBING Parcel No: 214-530-19-00 Lot#:
Valuation: 0 Construction Type: NEW
Occupancy Group: Reference#: Status: ISSUED
Description: GAS LINE TO FUTURE BBQ Applied : 0 7/ 3 0 /9 7
Apr/Issue: 07/30/97
I
Entered By: JM
Appl/Ownr : BELL TERRE LANDSCAPES 619 487-8639
16776 BERNARD0 CENTER DRIVE
SAN DIEGO, CA 92129
x** Fees Required *** ollected & Credits ***
Adjustments: .oo
_------------_______------- ___________--________-----
Fees :
Total Fees: .oo
27.00
Fee description Ext fee Data ____________-______---
Enter "Y" for Plumbing Issue Fee 2 20.00 Y
Gas Piping System 7.00 * PLUMBING TOTAL 27.00
I ,- t
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
'ERMIT. APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad CA 92009
(760) 438-1 161
Assessor's Parcel # Existing Use Proposed Use
Description of Work sa. FT. #of stories I of Bedrooms X of Bathrooms
FOR OFFICE USE ONLY
PLAN CHECK NO. vudf
EST. VAL.
Plan Ck. Deposit 7/7c &I
Validated By ,@-J
Date 7/7&f7
(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 epplicant 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 Codal or that he is exempt tharefrom, and the basis for the alleged
- Name
State License I 7 ZZO q/ 4 License Class - Cky Business Licanse #
Designer Name Address city StateRip Telephone
State License #
6. WORKERS
0 I have and will maintain a certificate of consent to self-insure for workers' compcNlsation as provided by Section 3700 of the Labor Code, for the performance
of the work for which this permit is issued.
Ig(/have and wili maintain workers' compensation, as required by Section 3700 of ths Labor Code, for the performance of the work for which this permit is
issued. My worker's compe
Insurance Company Policy No.
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [*lo01 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: FaUure to secure workom' compmsmtion coy1.0. b unkwful, and shml- an enrPl0y.r to crlmlnd p.Cultk. and dvl Rrns up to one hundnd
thousand dollars I$ 100,0001, In addlt&n to the cost of comp.nullon. damps u pr0vld.d for h s.etlon 3706 of the Labor Coa, Interest 8nd attonmy'a has.
SIGNATURE DATE
I hereby affirm that I am exempt from the Contractor's Licensa Law for the following raaaon:
0 I, as owner of the property or my employws 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 not apply to an owner of property who builds or improves therm, and who does
such work himself or through his own employ-s, provided that such improvements are not intended or offered for sale. If, however, tha building or improvement ia
sold within one year of completion, the owner-builder will hava tha burden of proving that he did not build or improve for the purpose of sale).
0 1, as owner of the property, am exclusively contracting with licansed 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 improvas thereon, and contracts for such projects with contractor(s) licensed
Expiration Date 4Q-
7. OWNER-BUILDER DECLARATION
pursi
0
1.
2.
3.
4.
nt to the Contractor's Licmae Low).
am exempt under Section
personally plan to provirh the major labor and materials for construction of tha proposed property improvement. 0 YES ON0
(have / have not) signed an application for a building permit for the propoaed work.
have contracted with the following person [firm) to provide the proposed construction tinclude name / address / phone number I contractors license number):
Business and Professions Code for this reason:
plan to provide portions of the work, but I have hired tha following parson to coordinate, supervise and provide the major work (include name I address / phone
number I contractors license number):
5. I will provide some of tk work, but I have contracted (hired) the following persons to provide the work indicated linclude name / address I phone number I type
PROPERTY OWNER SIGNATURE DATE
COMPLETETHIS SECfiOM FOR AfOm&f#&&f&ikd
Is the applicant or futura building occupant requirad to submit e business plan, acutely hazardous matarials registration form or risk management and prwention
program under Sections 25605, 25533 or 25534 of the Prasley-Tanner Hazardous Substance Account Act?
Is the applicant or future bdlding occupant required to obtain a permlt from the air pollution control district or air quality management district? 0 YES 0 NO
Is the facility to be constructed within 1,OOO feet of the outer boundary of a school site? 0 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.
0 YES 0 NO
0 YES
I hereby affirm that thera is e construction landing agency for the performance of the work for which this permit is issued ISec. 3097(i) Civil Code).
LENDER'S NAME LENDER'S ADDRESS
APPUCANT ~.#TI#C%TiON
I certify that I have reed the application end stata that the ebove infornution is correct and that tha informetion on the plans is occurate. I egrw to comply with dl
City ordinmms end State laws dating to building cofwtmcth. I heroby authorize mpm?.mtnives of the tit) Of Catlabad to mer upon the above mentioned
property for Inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST AU LIABILITIES. JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEOUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA permit is required for excavations over 5'0' dwp and demolition or construction of structures over 3 stories in haight.
EXPIRATION: Every parmit issued by the Building Official under the provisions of thia Code shall expire by limitation and become null and void if the building or work authorized by such permit is not com date of such permit or if the building or work authorired by such permit is suspended
or abandoned at any time after tha work is ys (Section 108.4.4 Uniform Building Code).
APPLICANT'S SIGNATURE DATE 7- 30b 41
CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB972101 FOR 08/06/97
DESCRIPTION: GAS LINE TO FUTURE BBQ
TYPE: PLUM
JOB ADDRESS: 1080 BEACON BAY DR
APPLICANT: BELL TERRE LANDSCAPES
CONTRACTOR:
OWNER:
REMARKS : C/RICH/ 4 8 7 -8 6 3 9
SPECIAL INSTRUCT:
TOTAL TIME:
CD LVL DESCRIPTION
23 PL Gas/Test/Repairs
INSPECTOR AREA PLANCK# CB972101
OCC GRP
CONSTR. TYPE NEW
STE: LOT: PHONE: 619 487-8639
PHONE :
PHONE :
INSPECT0
ACT COMMENTS
DATE DESCRIPTION
***** INSPECTION HISTORY *****
ACT INSP COMMENTS