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Home My WebLink About1205 GOLD FLOWER RD; ; CB981855; PermitB l, I L D I N S P E R M I m PE"'t·mit N~,: 1 h •I-! .,. Ubll:i;98 14::5j E-aqe 1 cf 1 Pro--ect No: AlltlO 4S'l ::.>e-ve :op::r,t>n t No: Job Address: 120~ GOLD FLOWER RD Suite: F'e:rMi t-Typ,•: PA"'IO/DECK Parcel No: 214 5b0-41-00 Lot#: Valuation: 3,132 occupanc-y Grc)up: Reference#: Con~truct 10n 'l'vpt•: 1"EW Status: rs SUED Applied: Oo/1 ~.; jl-( Aor/Issue: Oo/1S/9 Entered By: JM Description: COVERJ:;D PATIO 4J2 SF Ap~l/Ownr : JC HILLY 134 PALA VISTA CA 92083 Fees R/"\guired F(.:<.':J: AdJu::.tments: Total Fees: Fee lesc-ription Building Permit Plan Chec-k Strong Motion Fee * BUILDING ~OTAL *** "/60 72':i 1444 Cred!.tS .oa .00 102.00 *** Ext f('p Dat,, 61.DO 4:J.UD 1.00 102.llO .-----~~A-=-=P\ . ,VAL OAH:. r 1 •.:..;.I)~,' --- IN~t..----- rLEARANCE -------· CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 '> \) PERMIT APPLICATION PLAN CHECK CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Pal mas Dr., Carlsbad CA 92009 (760) 438-1161 EST. VAL. __ ......:::...1....JL;::..."""?~,__, _ Plan Ck. Deposit _ _:_-/-'ft,r+L-L:.:...;~ Validated By, ____ _:-,<~,-,,~l,,.,"7, Date, _______ _.~4---,/..F-¥-:L 1. PROJECT INFORMi TION _ ).( ~.,_,\-Z.;,,,:D=,....=':>:...,.,.,....,;:.o,o<..:=::::..=:D,c__-=f<..---'--==.c,.::tu=-:E!?,::.c..:::. ____ --::--,----::,-:'."'.""7""7.,,..,..---:-=-,--------- Address (include Bldg/Suite #) Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units -Z. I 'f "S l-0 'I: I Assessor's Parcel~ I Proposed Use ~'4770 Description of Work #of Stories # of Bedrooms # of Bathrooms 2. CONTACT PERSON (If different from appHcant) Name Address 3. APPLICANT 0 Contractor 0 Agent for Contractor O Owner Name Address \._ .,4. PROPERTY OWNER i'f.. Dw CoA: N Name Address 6. CONTRACTOR ~ COMPANY NAME City 0 Agent for.Owner State/Zip City State/Zip City State/Zip Telephone# Fax# Telephone# {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 pursuant to the provisions of the Contractor's License law (Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code] or that he is exempt therefrom, and the basis for the alleged exeJtion. Any io ation of Section 031 . 5 by any applica or a perm~t sLf>jects the applicant to a civil penalty of no;... m9re than fiv undred dollars I$ 500]) . . c. lLc.. 0 I ::.aLA VtS'TA l I l"A 1..:A.'7 Designer Name Address City State/Zip Telephone State license # _________ _ 6. WORKERS" COMPENSATION Workers'. Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 I have and will maintain a certificate of consent to self-insure for workers' compensation as 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, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My worker's compensation insurance carrier and policy number are: Insurance Company______________________ Policy No._____________ Expiration Date. _______ _ !THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) -g 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. 7. I her 0 , as o er of the property or my employees with wages eir sole compensation, will do the work and the structure is not intended or offered for sale (Sec. , 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 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). D 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 Law 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). 0 I am exempt under Section ______ Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ONO 2. I (have/ have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person {firm) to provide the proposed construction (include name/ address/ phone number/ contractors license number): 4. I plan to provide portions of the work, b~t I have hired the following person to coordinate, supervise and provide the major work (include name / address I phone number/ contractors license number): ________________________________________________ _ 5. I will provide some of the work, but I have contracted lhiredl the following persons to provide the work indicated (include name/ address/ phone number/ type of work):. ___________________________________________________________ _ PROPERTY OWNER SIGNATURE ______________________ _ DATE ________ _ COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDIN0 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? 0 YES O NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality 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 D 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. B, 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 (Sec. 3097(i) Civil Code). LENDER'S NAME _____________ _ LENDER'S ADDRESS, ________________________ _ 9. APPLICANT CERTIFICATION 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 Citt 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 authorized by such permit is suspended or abandoned at any time after th ark is cnmenc to a ·o f s (Section 106.4.4 Uniform Building Code). '--;:) ~APPLICANT'S SIGNATURE ~ \.... -DATE (;;,-I'-; -c; ~ PINK: Finance PERMIT# CB981855 DESCRIPTION: COVERED PATIO CITY OF CARLSBAD INSPECTION REQUEST FOR 07/10/98 432 SF TYPE: PATIO JOB ADDRESS: GOLD FLOWER RD STE: INSPECTOR AREA PD PLANCK# CB981855 OCC GRP CONSTR. TYPE NEW LOT: APPLICANT: JC CONTRACTOR: 1205 HILLY PHONE: 760 725-1444 OWNER: REMARKS: C/ SPECIAL INSTRUCT: TOTAL TIME: CD LVL DESCRIPTION PHONE: PHONE: ///7' INSPECTOR~,:::_.,_;:i~e:...:::....:..~2~:...:..::._..::::. ___ _ ACT COMMENTS _19 __ s_T _F_i_n_a_1_s_t_r_u_c_t_u_r_a_1 _______ ~ ______________ _ ------------------ ------------------ ***** INSPECTION HISTORY***** DATE DESCRIPTION 061998 Ftg/Foundation/Piers ACT INSP AP PY COMMENTS