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Home My WebLink About1235 GOLD FLOWER RD; ; CB970839; PermitCh:t=t /Lf ~ 1 er r l .-. • I J l l.... ' i.vr A 1 l t .. ' I } +k¥\,--V • I + t # .,. !I r A. HJ. • l .L i A, A FINAL APPROVAL INS?.~ DATE S'~i{fl CL~ARANCE 5&-:?112 ----------- CITY OF CARLSBAD 2075 Las Palma D s r., Carlsbad, CA 92009 (619) 438-J 161 ,t PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 \ '2AZ. G,CA,..17 ~ ,?01 CAM, 1.10 'OEL-A"' CNo,-.s ~CT.1NB>RMAl10N~~~f ~-i,~L0~~£=i,a';f-i;T&1.:~:t-~:-,~ 1,t (o 7 ~~ ?OWl->-Or.1-A-121 D CAM 1>1'0 O\:i" ~ 6-1~ FOR OFFICE USE ON½-t PLAN CHECK NO. 'iLOBf? EST. VAL. ------::1...-.:.,,-...--,.,~--~ Addrus (include Bldg/Suite I) Business Nama (at thia addrua) C'T 9 \-17- l.agal Description lot No. Subdivision Name/Number Unit No. Phase No. Total I of units Assessor's Parcel I Existlng Use Proposed UH c.U:::.c::T' r2-1 c. ~ 1..-'PE Dl ":;rf ,0...1....~ Description of Work sa. FT. I/of Stories I of Bedrooms II of Bathrooms i!T CONTACT PERSON (If dlffanint"tioi;i;appicaiiilP~~:,;:',"]'~T~"T";<":I>[~, (~;'.:, • ,' ' -J~t:.1:-S ~-'; ,-~,~~~'ffl'.?12\;JIH-~G §,:Y "· ·:~r · .. 4-a, I - ., cilM U'2-0r tJ ,._. '2-~3? 'ki"'t>''cA~· -~~,~~ , LA-C..)~,C:::, -~,:_~o4 Oo(q Name Address City I State/Zip Telephone II Fax II ~~~ .. -· wt,· . Gl.~n~i:tor.~~ CJi4g,frii;Jpf,;cQ/lii..9.iiii~~C1.oriiiill~}tl&Ali~ toaiiitM1Z~~·:";[~t.~~ .. '<: :'. · .. :. r2f!'r' cLE.A LLC.. ?~E ,A-o.:,, f+e?O-.JE Name Address City State/Zip Telephone I ~~O.WNPi.5lfitt : e,~~\._E,¢,.... \_\...C._ Name Add, ... City State/Zip Telephone I ~~riJ,ce>M (Sec. 7031.5 Business and Profuaions Code: Any City or County which ,,•quires • permit to construct, •her, Improve, damollah or repair any atructura, prior to Its iuuance, also requires the applicant for 1uch permit to file • signed statement that ha Is licensed pursuant to the provisions of the Contractor's UcenH L•w (Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Codel or that ha Is axempt therefrom, and the b•1i1 for the alleged exemption. Any violation of Section 7031.5 by eny applicant for a permit subjects the applicant to a civil pan•hy of not more thin five hundred doll•rs U50011. Name Address City State/Zip Telephone I State License II _________ _ License Class _________ _ City Bulin ... License I _______ _ Designer Name Address City State/Zip Telephone State License II _________ _ L ~!~~..QRKE.lis; .. coMPEN_SA TJON.i&;.,~{~~?2.lli"~:~!~i:.Qr:~t~ ;~ .. ~,l~~~~~;~1r~.:J;:.r.~.:J.Jt~Ttt,~:9. Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D I hive and will maintain a certificate of consent to self-Insure for workers' compensation II provided by Section 3700 of the l•bor Code, for the performance of the work for which this permit is issued. 0 I hive and will maintain workers' compensation, 11 required by Section 3700 of the Labor Coda, tor the performance of the work for :which this permit ii 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) 0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit 11 issued, I ehlll not employ any parson in any manner so •a to become subject to the Workers' Compensation Laws of California. WARNING: Failure to aecu,a•worllars' companution coverage Is unlawful, and shall subject an employer to crimkNil pan•1tJu and civil tines up to one hundred thousand doU•ra ($100,000), In •ddltlon to the cost of compensation, damages as provided tor In Section 3706 of the~ coda, lntarut and •ttomay'a fN1. SIGNATURE _____________________________ DATE""""." _________ _ :]. ,~ ,0:WNER-BUILDER DECLARATION ;,r;-; . . , , , ;._ .~ ;',\':''; : · ,; . • , . . . , l" ;: .' ·}~.s;i',t:i{~~;;r~~t~~~~i~~~~i1:,;;;~,:;lt;·. I hereby affirm that I am exempt from the Contractor's License Law for the following reason: D I, as owner of the property or my amployHs 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 Ucense Law does not apply to an owner of property who builds or lmprovu 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 11 sold within one yHr of completion, the owner-builder will hive the burden of proving that he did not build or Improve for the purpose of aelel, 0 I, •1 owner of the property, am exclusively contracting with licensed contractor• to construct the projac:t (Sac. 7044, Bueinea• and Professions Coda: The Contractor's Ucanae L•w dou not apply to an owner of property who builds or improves thereon, and contracts tor auch projects with contractor(s) licanaed pur1uant to the Contractor's Ucanaa L•w). D I am exempt under Section ______ Business and Professions Coda for this rasson: 1 . I personally plan to provide the major labor and materials for construction of the propoHd property Improvement. 0 YES ONO 2. I (have / have not) signed an application for • building permit for the proposed work. 3. I have contracted with the following person lfirml to provide the proposed construction (include name / addrua / phone number / contractors license numbarl: 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide th• major work (include name / address / phone number / contractors license number):. _______________________________________________ _ 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / 1ddrass / phone number / type of workl: _________________________________________________________ _ ;::::~~~~::EN-.~----. --~-. -... -,JI-U_I_L.P __ IH-. -Q-,P,£RM-•• --IIl_l_iQ_. -~-i;-y~--,",t.--;lm-,·-;;,-~-~--~-, .--,w-~i-j,j. iwi~PlllM1°!!!~1TIEB· i•ii.-ii,ii, .j;i,...~i.ii· ~iiiii~i-~·':.ii•1r.;~t:Y:f}}i~~i~~- b th~ a;:-plic::n or future buil<lir,il oecup•nt reqi.rotd \>l •ubmit a bwiineM 11ian, •cutely hazardous m1teri1ll registration torm or risk management and prevention l)l'ogram under Sections 25505, 25533 or 25534 ot the Pra1lav•T1nner Hazardous Substance Account Act? 0 YES O NO ls the applicant or future building occupant required to obtain I permit from the air pollution control district or •Ir quality management district? O YES O NO ls the facility to be constructed within 1,000 fNt of the outer boundary of I school alt• 7 0 YES O 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 POUUTION CONTROL DISTRICT. ti~~ec,_NmuCTION LENDING\AGENCY·~/?-•~ti;1~~=~i~1l ~!t~~t :; ~~f~~)t?:::'!.7~t~1~r1~~~:, ---~ · -, ·~ ( # t ~~:Jf;~4~:J\ -~,: ?'~~~:: · I hereby affirm that there is a construction lending agency for the performance of the work for which this permit 11 issued (Sac. 3097(11 Civil Codal. 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 1nd that the lnform•tlon on the plans 11 accurate. I •grH to comply with all City ordinances and State laws relating to building construction. I hereby authorize raprHantativH of the City of Carlsbad to enter upon ttie 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" dHp and demolition or construction of structuru over 3 atoriH in height. EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall alll)ire by llmlt1tlon and become null and void if the building or work authorized by such permit is not commenced whhin 365 days from the date of such permit or If the building or work authorized by such permit is suspended or abandoned 1t any time attar th~~is commenced for• ~eriod of 180 days (Section 106.4.4 Uniform Building Coda). APPLICANT'S SIGNATURE ~ ~ ' DATE 4 /, D I ~7 WHITE: File YELLOW: Applicant PINK: Finance , .r •- • CITY OF CARLSBAD INSPECTION REQUEST , PERMIT# CB970839 FOR 05/21/97 DESCRIPTION: ELECTRICAL PEDISTALS LENNAR HOMES TYPE: ELEC JOB ADDRESS: 1235 GOLD FLOWER RD APPLICANT: LENNAR HOMES CONTRACTOR: OWNER: PHONE: PHONE: PHONE: INSPECTOR AREA PLANCK# CB970839 OCC GRP CONSTR. TYPE NEW STE: LOT: 714 431-0604 REMARKS: R/JIM/431-0604 SPECIAL INSTRUCT: INSPECTOR _ _.,7~. _v'-------- TOTAL TIME: CD 39 LVL DESCRIPTION EL Final Electrical ------------------------------------ ------------------ ***** INSPECTION HISTORY***** DATE DESCRIPTION 050697 Final Electrical ACT INSP NR PK COMMENTS INCORR ADRS PEDESTAL(1235)