HomeMy WebLinkAbout1315 GULL CT; ; CB970647; PermitI •
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FINAL APPROVAL
INSP. ,D c_ DATE.. ,7 · /7
CLEARANCE _____ _
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
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PERMIT APPLICATION • PLAN CHECK No .'77cl6'f7
CITY-OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad CA 92009
(619) 438-1161
-EST. VAL.---=-,,,,,.------
Plan Ck. Deposit z t~az>
Validated 8~&1
Date ~7
Busineu Name (at this eddraul
lot No. Subdivision Ntme/Numbar Unit No. PhaH No. Total I of units
Aasassor's Parcel I Existing Use
4A'5 LuVc 70 Description of Work SO. FT. lot Storia I of Bedrooms I of Bathrooms
N•ma City State/Zip Telephone I
(Sec. 7031.5 Business •nd Profauions Code: Any City or County which requira a permit to construct, eltw, improve, damollah or repair any structure, prior to Its
issuance, also requires the applicant for such permit to file a signed statement that he is lic-ed purau•nt to the proviliona of the Contractor's Ucense Law
[Chapter 9, commending with Section 7000 of Division 3 of the Business and Profauions Codal or that he is exempt therefrom, and the basis for the alleged
exemption. Any violation of Section 7031.5 by any applicant for• permit subjects the applicant to a civil lty of not more than five hundred dollars [t6001).
:C. 2'//£. / > Z-5
State License I -f 5 ¢;_5-3-,? Ucen•e Class C' -2-I City Busineu Ucense I ______ _
Designer Name Address City State/Zip Telephone
State License I ________ _
~QMPEN.$4~.;:::,~~~,n,, 11"~'~r::.:l~ffMilW\Wi&p1PfF'filOP'..J:r~~;l~.l'.· \"'
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
0 I have and will maintain • certificate of consent to Hlf-lnsure for workars' compensation •1 provided by Section 3700 of the Labor Code, for the performance
of the work for which this permit is issued.
0 I have and will maintain workers' compensation, as required by Section 3700 of th• Labor Code, for the performance of the work for :which this permit is
issued. My worker's compensation insurence carrier and policy number •re:
Insurance Company____________________ Policy No.____________ Expiration Data ______ _
!THIS ~N NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS)
~CERTIFICATE OF EXEMPTION: I certify thet in the performance of the work for which this permit is iseued, I shall not employ any parson in any manner so as
to become subject to the Workers' Co pensation Laws of California.
WARNING: Fallwa to sac:we• /. compensation cov is unlawful, and shall aubjact an employw to c:rtrnkllll panaltlu and civil fines up to -hundred
thousand dollars ($100,00 · to the cost of co naation, damages as providad for In Section 3706 of the Labq, c:oda, lnt-t and attorney's, ....
!;~~~::::..-BUILD DEC' ADAJI0"''"1/c·• }?',::;r::·i;:.:i;. :J:,,-,~';;;l: ,., .:•(-1:' · : · -~:,~ •• 1<> .. ,.,. -~:I-.. ~~,.i;~~~~~-· !it". , •. /::3~~' t,)l<!t,.,.--.V J!I'•~ ~-. ,~ .... ..,._ .• ~ ... -•••!;."'"· A • .,_ .... ·• -=~1.--...... ,_ ... _,.._._, ............. ~ ........... -.• -....... ,, .ii:,~~~ i '
I hereby affirm that I am exempt from the Contractor's License Law for the following reason: ·
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 Profeuions Code: The Contractor's License Law does not apply to an owner of property who builds or improva thereon, and who does
such work himself or through his own amployaa, provided that such improvaments ara not intended or offered for sale. If, however, tha building or improvement is
sold within one yaar of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpoee of aala).
0 I, •1-owner of the property, am exclusively contracting with licensed contractors to construct the project (Sac. 7044, Bueineu and Profeuions Coda: The
Contractor's License Law does not apply to an owner of property who builds or improva thereon, and contracta for euch projacta with contractorlsl Ucansed pursuant to the Contractor's Licansa 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 I 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 / addrau / phone number / contractors license number):
4. 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 / addreu I phone number I contractors license number): ____________________________________________ _
5. I will provide some of the work, but I have contrac.'ted (hired) the following persons to provide the work indicated (include name I addre11 / phone number / type of work):. ______________________________________________________ _
PROPERTY OWNER SIGNATURE _______________________ _
~!JeCDQN.l.OJrN.~llltQING-,~;;QNLtfi-i:1~
DATE _________ _
b tt,,. e;,:,li::::nt c, future buildan;i occupant req..;r..i ,,;i •..t.mlt • bu,;;....,.. pian, acutely hazardous materials registration form or rial( management and prevention
program under Sections 26605, 26633 or 26634 of the Praley-Tanner Hazardous Subatanca 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 ba constructed within 1,000 fNt of the outer boundary of a school site 7 D 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.
I hereby affirm that there is a construction lending agency for tha performance of the work for which this permit is issued (Sac. 3097(i) Civil Code).
LENDER'S NAME ______________ LENDER'S ADDRESS _______________________ _
i ;:itLAPPUCANtCERTIFICATI<>N-,. . ·":.:'I), : -~;:t'.'.'J;..r:·:;:;~~•,..;;.,i> <i-i '.~:~½:§ ,: .. 1f"'.:-;"J;1~:;r.5~4-i:4-'@i13.tl~~~~L~¼°".:.~,,t_... : ·'·
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 representativas of the City 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 ANO 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 6'0" deep and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every permit iuued by the Buil · Official undar the provisions of this Code shall axpire by limitation and become null and void if the building or
work authorized by such permit is not com within 366 da tom the date of such permit or if the building or work authorized by such permit is suspended
or abandoned at any time after the work · enced for a pari of 180 days (Section 106.4.4 Uniform Building Code).
DATE ~3~--......_2-+1=-,..-+Y-r7--
YELLOW: Applicant PINK: Finance
PERMIT# CB970647
DESCRIPTION: GAS LINE TO BBQ
TYPE: PLUM
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 03/27/97
STE:
INSPECTOR AREA DC
PLANCK# CB970647
OCC GRP
CONSTR. TYPE NEW
LOT: JOB ADDRESS: 1315 GULL CT
APPLICANT: DON REESE
CONTRACTOR:
PHONE: 619 728-9235
PHONE:
OWNER:
REMARKS: RS/DON/728-9235
SPECIAL INSTRUCT:
TOTAL TIME:
CD LVL DESCRIPTION
PHONE:
INSPECTORD ~------------
ACT COMMENTS
23 PL Gas/Test/Repairs ~)
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***** INSPECTION HISTORY*****
DATE DESCRIPTION
032597 Gas/Test/Repairs
ACT INSP
NR DC
COMMENTS
8:40