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Home My WebLink About12 GREENVIEW DR; ; CB960413; PermitPl!R.MIT APPLICATION City of Carlsbad Buildi~ Oeptrtaent 2075 las Pal-Dr., tarlsbad, CA 92009 (619) 438-1161 Pl.AN CHECK NO. 0 l/(J t. PERMt't IYPE From List 1 (see back) give code of Permit-Type: ____________ _ ........................................................................................... For Residential Projects Only: From List 2 (see back) give Code of Structure-Type: ____________________ _ Net loss/Gain of Dwelling Units ____________ _;. _____ _ 2. PROJF.CT INFORMATION FOR OFFICE USE ONLY Address Building or Suite No. /Z.. mt o. • 2 Energy Cales • 2 Structural Cales • 2 Soils Repon D I Addressed Envelope ASSESSOR'S PARCEL EXISTING USE PROPOSED USE DESCRIPTION OF WORK SQ.IT. #OFSTORl~ 3. WN IACI PERSON (u dir(erent from applicant) NAME (last name first) r) '1v/ ADDRESS # OF BEDROOMS # OF BATIIROOMS 6 t:? ? 5 t? v T ,,/ c. -e c/ ,R tl.5 ,4 v --L- 7. NAME (last name first) ADDR~S CI'TY STATE ZIP CODE DAY TELEPHONE s. PROPERTI OWNER 7 -e, ,u;, t..,, 7< A $ 5 ~ ff ' /J .L NAME (last name first) ,~r-/ J/ ,,r ADDRESS / 2-(r Jt-,,e,~ /z.--1/1 ..._ .,._/ Cl'IY C J?.. d STATE e., /.J,-ZIP CODE 9-z-oc> DAY TELEPHONE ";,Yt) _3 NAME (last name first) Co /l<; / 1/v -'?I J-,,~ ff? ADDRESS sc1 ;J 5°'&JP / _,f C ..,;,c/,,1? p.S A;, ..e.- CI'TY STATE ZIP CODE q~crrs/DAYTELEPHONE Lf-3 0-4 S6 7 STATE UC. # Z.'f'.tNZ '5 LICENSE Cl.ASS C 3 t. Cl'TY BUSIN~S UC.# l'1"7 ZtJO ast name 1rst Cl'TY STATE ZIP CODE DAY TELEPHONE STATE UC.# 1. WoRKEJts WMPENSAlioN Workers' Compensauon beclarauon: I hereby alhrm that I have a ceruhcate of consent to sell-insure issued by ihe Director ol lndustnal Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified by the Director of !£e $s~1s,iP,e~fji~l_.,w)J2, ~Building Inspection Depanment (Section 3800, Lab. C). -INSURANCE COMPANY . l -l, /. --~ 'EXPIRATION DATE I& Cl/- SIGNATURE DATE • s. oWNER-B0llDEJt 0F.Cl.Alt(l10N Owner-Builder Declaration: I hereby alhrm that I am exempt from the Contractor's License Law for the following reason: • I, as owner of the property or my employees 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 I.aw 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 are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale.). • I, as owner of the property,' am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License I.aw does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). • I am exempt under Section _______ Business and Professions Code for this reason: (Sec. 7031.S 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 pursuant to the provisions of the Contractor's License I.aw (Chapter 9, commencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.S by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500]). SJGNATIJRE DATE COMPLE tE ruts SECllON FOR NON-RESIDEN 11Al BUILDING PERMITs ONLY: Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? • YES • NO Is the applicant or future building occupant required to obtain a permit from the air pollution conirol"district or air quality management district? • YES • NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? • ~ •NO IF ANY OF nm ANSWERS ARE YFS, A FINAL CER11FICATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS MET OR IS MEETING nm REQUIR£MENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POlllJ110N CDNTilOL DISl'RJCT. 9. CDNSl1t0CIION Lf'.NDINC ACERCV I hereby all1rm Oiat Oiere IS a construction lending agency for ihe performance of Oie work for which Oi1s permit 1s ISSUed (Sec 3097{1) CIVIi Code). LENDER'S NAME LENDER'S ADD~S 10. XPPUCAN I C£kl1FICAIION I certify ihat I have read ihe apphcauon and state that 1he above inlormauon 1s correct. I agree to comply with all C1ty ordinances and Slate laws relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLES.5 TI-IE QTY OF CARlSBAD AGAINST ALL UABILlllES, JUDGMENTS, CDSTS AND EXPENSES WIOQ{ MAY IN ANY WAY ACXJUJE AGAINST SAID QTY IN CDNSF.QUENCE OF THE GRANTING OF nos PERMIT. OSHA: An OSHA permit is required for excavations over S'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 authorized by such it is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code). AP rs s RE DATE: ----~ 5.9 WHITE: File YEllOW: Applicant PINK: Finance \ PERMIT# CB960413 DESCRIPTION: REPLACE GAS LINE TYPE: PLUM CITY OF CARLSBAD INSPECTION REQUEST FOR 03/15/96 TO FIREPLACE JOB ADDRESS: 12 GREENVIEW DR STE: INSPECTOR AREA PLANCK# CB960413 OCC GRP CONSTR. TYPE NEW LOT: APPLICANT: COAST PLUMBING CONTRACTOR: PHONE: 619-436-4567 PHONE: OWNER: REMARKS: MW/J.W.744-1331 SPECIAL INSTRUCT: TOTAL TIME: CD 23 LVL DESCRIPTION PL Gas/Test/Repairs ------------------ ------------------------------------ PHONE: INSPECTOR ------'1/ ___ / _____ _ ACT COMMENTS IJ:{:_ ________ _ ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS I