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Home My WebLink About1229 BELLEFLOWER RD; ; CB973787; Permit, FIM'L APPROVAL CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 * PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1 161 1 FOR OFFICE USE ONLY ,;;L.;~~EcK NO. Plan Ck. Deposit Validated By Legal Description Lot No. Subdivision NamdNwnbor Unit No. Phase No. Total X of units Assessor's Parcel X Existing Use Proposed Use X of Bedrooms X of Bathrooms ISec. 7031.6 Business and Professions Code: Any City or County which requires e permit to construct, alter, improve, demolish or repair any structure, prior to In issuance, also requires the applicant for such permit to file a signed statement thst he is licensed punuant to the provisions of the Contractor's License Law [Chapter 9, commending with Section 7000 of Division 3 of the Business end Professions Codel or that he is exempt therefrom, end the bests for the alleged exemption. Any violation of Section 7031.6 by any applicant for a permit rubjects the applicant to a civil penalty of not more than five hundred dollars 185001). Name Address city StateNp Telephone X State License X ucwe Ctau city Budnru UceM. I Designer Name Address Cltv SWtelZip Telephone State License I 6. WORKERS' COMPENSATION Workers' Compenaation Declaration: 1 hemby affirm under pensky of perjury one of the following doclaretlone: 0 of the work for which this permit is issued. 0 issued. My worker's compensation insurence carrier end policy number ere: Insurance Company Policy No. Explration Date ITHIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOUARS 1$1001 OR LESS) @ CERTIFICATE OF EXEMPTION I cdfy that in the performonce of the work for which this permit k issued, I rhrl not employ any person in any IIUIWIM so as to become subject to the Workm' Compensation Lows of California. WARNINQ: FaPue to secure workers' compon8Mbn cowfago b UJmM, nd rhJl- II empbyw to crknlnd pemltlu and dvN flnr ug to ono hmdd I have end will maintain e certificate of consent to self-insure for workm' 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 Cod., for the performance of the work for which this permit is co~,dunrgu.rpmvkkdforh5.ctknS ctor's License Law for the following resson: I. as owner of the property or my employees with wages as thdr 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 dm not apply to an owner of pmperty who builds or improves them, end who doas such work himseif or through his own employees, provided that such improvements ere not intended or offered foI sale. if, however, the building w Improwmmt is soid within one yew of compietlon, the owner-builder will have the burden of proving that he did not Wd or improve tor the purpose of ula). 0 1, as owner of the property, em exclusively contracting with licensed contractors to construct the project (Sac. 7044, Busineee and Profwionr Cod.: The Contractor's License Low does not apply to en owner of property who build8 or improves thereon, and contracts for such projects with contrector(s) Ikonad pursuant to the Contractor's Lice~e Law). 0 t em exempt under Section B- md iwesdons code ror thh MOM: 1. 2. 3. 1 personally plan to provide the major iebor and meterisls for construction of the proposed propay improvement. 0 YES ON0 I (have I have not) signed an application for e building permit for the proposed work. f have contracted with the following person (firm) to provide the proposed constnralon (lnclu& name I iddress I phone number I contraaors lice- numborl: 4. number I contractors Iicme number): 6. of work): n I I plan to provide portions of the work, but I have hired the following person to coordinate, auparvb and provide th major work fincluds name I address I phone I will provide some of the work, but I have contracted (hired) the following persona to provide the work indicated Ilncluda nema I address I phnm number I type AI PROPERTY OWNER SIGNATURE b0MMWrs sMioi9 FOR Is the applicant or future buildingoccupant required to submit a busiu plan, acutely haurdous matoriela mgistr8tbn form or risk management and pmvmtion program under Sectiona 26506,26533 or 25534 of the Pre~Ioy-Tenn~ Hazardous Substance Account Act? 0 YES 0 NO Is the applicant or future building occupant required to obtain a permit from the sir pollution control district or air quellty management district? 0 YES 0 NO Is the facility to be constructed within 1,OOO feet of tha outer boundary of a school rite? 0 YES 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 MEmNQ THE REQUIREMENTS OF THE OFFICE OF EMERQMCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I hereby affirm that there is e construction iending agency for the performance of the work for which this permit Is issued ISec. 3097fi) Civil Code). ER'S NAME APPLICANT I certify that I have read the application and stste that the abow Information is correct end that the informetlon on the pb~ is accurate. 1 egree to comply with dl City ordinsnces and State laws relating to building construction. I hereby authorize representatives of the Cm of Carlsbed to enter upon the sbove mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AQAINST AU LIABILITIES, JUDGMENTS. COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE QRANTINQ 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 Offidel under the provisions of this Coda shaH expire by limitation end become null end void if the building or work authorized by such permit date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after t ys ISection 106.4.4 Uniform Buiiding Code). APPLICANT'S SIGNATURE DATE /?- /6-? 7 CITY OF -BAD INSPECTION REQUEST PERMIT# CB973787 FOR 12/17/97 INSPECTOR AREA PD DESCRIPTION: INSTALL GAS LINE FOR BAR-B-QUE PLANCKX CB973787 TYPE: PLUM JOB ADDRESS: 1229 BELLEFIXlWER RD APPLICANT: SONNENBERG, JOHN CONTRACTOR: OWNER: REMARKS: C/804-3885 SPECIAL INSTRUCT: TOTAL TIME: CD LVL DESCRIPTION 23 PL Gas/Test/Repairs OCC GRP CONSTR. TYPB VN STE: IMf: PHONE: 760 804-3885 INSPECM) ACT COMMENTS 4 DATE DESCRIPTION ~ ~~ ***** INSPECTION HISTORY ***** ACT INSP COMMENTS CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB973787 FOR 12/16/97 INSPECTOR AREA DESCRIPTION: INSTALL GAS LINE FOR BAR-B-QUE PLANCK# CB973787 TYPE: PLUM CONSTR. TYPE VN JOB ADDRESS: 1229 BELLEFLOWER RD STE : LOT: APPLICANT: SONNENBERG, JOHN PHONE: 760 804-3885 CONTRACTOR: PHONE : OWNER: REMARKS: C/JOHN/752-1011 occ GRP SPECIAL INSTRUCT: TOTAL TIME: CD LVL DESCRIPTION ACT COMMENTS ***** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP COMMENTS