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Home My WebLink About1221 BELLEFLOWER RD; ; CB973915; Permit?? EiUILDING PERMIT Permit No: CB973915 12/3U/Y7 08:43 Project No: A9705050 Paqe 1 of 1 Development No: Permit Type: PATIO/DECK Parcel No: 214-542-08-00 Lot#: 2590 12/3/97 oo0101 02 Valuation: 1,694 Construction m: NEW W=W Occupancy Group: Reference#: Status: ISSUED Description: 154 SF 2ND STRY DECK OFF MASTR Applied: 12/30/97 : BEDROOM WITH SLIDING WINDOW Apr/Issue: 12/30/97 , Job Address: 1221 BELLEFLOWER RD Suite: Entered By: RMA Appl/Ownr : BUDNER, THOMAS 804-3933 1221 BELLEFLOWER RD CARLSBAD CA 92009 *** Fees Required *** Collected & Credits *** Adjustments: moo ----_--------_-_---------- .......................... Fees : Total Fees: so0 90.00 Fee description Ext fee Data ----_-------------- ------------------ Building Permit 39.00 Plan Check 25.00 Other 25.00 WINDOW * BUILDING TOTAL 90.00 Strong Motion Fee 1.00 CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 --_I- PERMIT CITY OF APPLlCATlO N PLAN CHECK NO. CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-11 61 s,d- t of Bathrooms &g m- s,~ Proposed Use Description of Work #of Stones # of Bedrooms Name Address city Statel7ip Telephone t (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 Codel or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars 1$50011. Name ' Address City StateRip Telaphone t State License # License Class City Business License # Designer Name Address City StateRip Telephone 0 of the work for which this permit is issued. 0 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 lSlO0l OR LESS) 0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issuad. I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to nocure workers' compensation coverage b unlawful. and shall subject an employer to dmkd pan&iaa and dvll fines up to om hundred thousand dollan (9100,000~. In addition to the cost of compmaation. damages tu provided for in Section 3706 of tha Labor code. interest and attomay's fees. SIGNATURE DATE 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 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 0 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 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). I, as owner of the property. am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Gntractor'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 1. 2. 3. a I am exempt undar Section I personally plan to provide the major labor and materials for construction of tho proposed property improvement. 0 YES ON0 I (have I have not) signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction (include name I address I phone number I contractors license number): Business and Professions Code for this reason: ~ 4. number I contractors license number): 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 I address I phone program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hezardous Substance Account Act? 0 YES 0 NO Is the applicant or future buildtng occupant required to obtain a permit from the air pollution control district or air quality management district? Is the facility to be constructed within 1,000 feet of the outer boundary of a school site7 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 0 YES 0 NO 0 YES 0 NO I hereby affirm that there IS a construction lending agency for the performance of the work for which this permit is issued (Sac. 3097(i) Civil Code). LENDER'S NAME LENDER'S ADDRESS I certify that I have read the application and state that the above information is correct end that the information on the plans is accurate. I agree to comply with a11 City ordinances and State laws relating to building construction. I hereby authorize representatives of the Cit) of Cadsbad 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 buildingor 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 tim APPLICANT'S SIGNATU DATE 22 -m 9 7 WHITE: File YELLOW: Applicant PINK: Finance CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB973915 FOR 07/20/98 INSPECTOR AREA PD DESCRIPTION: 154 SF 2ND STRY DECK OFF MASTR PUCK# CB973915 TYPE: PATIO CONSTR. TYPE NEW JOB ADDRESS: 1221 BELLEFLOWER RD STE : LOT: APPLICANT: BUDNER, THOMAS PHONE: 804-3933 BEDROOM WITH SLIDING WINDOW OCC GRP CONTRACTOR : OWNER: REMARKS : B/TOM/ 8 04 - 3 9 3 3 SPECIAL INSTRUCT: TOTAL TIME: CD LVL DESCRIPTION 19 ST Final Structural PHONE : PHONE : INSPECT0 I V ACT COMMENTS ***** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP COMMENTS 010598 Ftg/Foundation/Piers AP PD 0 102 98 Ftg/Foundation/Piers CO PD NO ANSWER J 1 +-- OFllONAL D@N Q :. .. .. - . :. .! .. . .- - FIRST FLOOR - 1 .- I 1 ---7 ~. 7 1 I -J