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Home My WebLink About1317 GULL CT; ; CB970252; Permit. . ' ' t . I . I r f ' f ,t I t (. tf r r t C\TY Of CARLSBA~ (619) 438-\ \61 \ 1...~d CA 92 Dr ear Suo ' 207 5 l.,aS pa\fnllS . ' CITY OF CARLSBAD , INSPECTION REQUEST PERMIT# CB970252 FOR 02/19/97 DESCRIPTION: RUN GAS LINE TO BBQ-NOT UNDER CEMENT SLAB/PATIO TYPE: PLUM JOB ADDRESS: 1317 GULL CT APPLICANT: REESE, DON CONTRACTOR: OWNER: PHONE: PHONE: PHONE: INSPECTOR AREA DC PLANCK# CB970252 OCC GRP CONSTR. TYPE NEW STE: LOT: 619 728-9235 REMARKS: MW/DON/728-9235 SPECIAL INSTRUCT: INSPECTOR /~~~----4:<---------- TOTAL TIME: --RELATED PERMITS--PERMIT# TYPE CB970284 PATIO STATUS ISSUED CD 23 LVL DESCRIPTION ACT COMME~ /J PL Gas/Test/Repairs .M ~,e,:;f '9U L ---------------~ ---------'-/ ________ _ ------------------------------------ ***** INSPECTION HISTORY***** DATE DESCRIPTION 021397 Gas/Test/Repairs ACT INSP AP PY COMMENTS FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK No.97025 J_ CiTv'OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 EST. VAL. _________ _ Plan Ck. Deposit ------,'1,--,,-...-- Validated By __ ...,..1 _ 0 _ _,.f~t++;-t---- Date_...,..G2__,_l -1,-{ _.( 1 _-t_1---- Address (inclue ldg/Suite ,, Business Name (at this address) /3 I 7 ,SUL COVl<T Legal DescriptJoh Lot No. ~ Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use # of Bedrooms I of Bathrooms Name Address City State/Zip Telephone # Fax # ~~-~CANT: ,1~11J@ctor..::-: CE~,11.ttP.U:Mi'm*i:Pi .G.Q,Y:.ji£~0:~.11"ntt9LQ\¥M1~~~~.;-..-~~~., .~ '::,. · State/Zip T alephone # Name Address Ctty flfzf"IWj\~~~·~~,',. a A-t:o3-7YS"3 State/Zip Telephone # ~4cotAe (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 provision• 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 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 ($5001). ,Q?J/✓ 4 d t;,?5£ 27// ?@c2<-:'/cM./ 4'A'l(2 /,q;/ t,?..@2(-< CA-?2°Z6 72 8 r 'tZ 3 6 Name ~ ! Address City State/Zip Telephone # State License # d.54-5' 3, .t:.t_ License Class C · 2 7 City Business License # _______ _ Designer Name Address City State/Zip Telephone State License # _________ _ i;:1~..QRXEBS;J,CoMPEN.SATJOtti~:=~,~-~~~7~~u~~::~-~:ll-'!1I.9.J....·.~-i~~.:::.!~~i.~~1r!~~~,1w.·~f'~~~w;e11wr;ft.-t~~;r~~·~~;:i·~~·:_;,.:;~~-~-•L 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 aelf-lnsure for workers' compensation as 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, •s 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 ($100] OR LESS) -a--cERTIFICATE OF EXEMPTION: I certify ~hat in the performance of the work for which this permit Is issued, I shall not employ any peraon in eny manner so as to become subject to the Workers' Co ensation Laws of California. WARNING: Failure to secure• age ia unlawful, and shall aubjact an employer to criminal penaltlea and civil fines up to one hundred thousand dollars ($100,000, m mpensation, damages aa provided for in Section 3706 of the Labcar code, lnterut and attorney's fen. SIGNATURE. __ ~::::::,--::.=~""--:--~:::::lr--'""':"""='---------~ DATE ;7---d ~ 'f z [7,. '.,;,O)VNER0BUILDER DECLARATION•·•\-;'° . ; .• ;';'.;.:::~a~:~'-~~~,.£f.~.,;1~~.i-)'t_,;;,!_4i.':;,. I hereby attirm that I am exempt from the Contractor's License Law for the following reason: D 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 la sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the PWJ>OH of eale). D I, as.owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Businua and Prof-Ions Code: The Contractor's License Law does not apply to an owner of property who build• or improves thereon, and contracts for auch proJ1ct1 with contractor(a) licenaed pursuant to the Contractor's License Law). 0 I em 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 • building permit for the proposed work. 3. I have contracted with the following person (firml to provide the proposed construction (include name / addreu I 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 I 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 / address / phone number / type of work): _________________________________________________________ _ PROPERTY OWNER SIGNATURE DA TE ~~:JJqS,SECTION...:,QR· N.OIHIESI/J.£1/.1Wa~lt.QWO.;~lil$;Qf:i!.Y~~il!~~ffllW®'IF~1'1'~.....C"~J.m~~~~~'.-·~. _ b t'>,i a:,plic::it or future l:uilC:ir.;i occupant req,..;,..:1 to •ubmlt • butii°""" plan, acutely haz•rdoua m•t•riala registration form or risk management •nd prevention program under Sections 25505, 25533 or 25534 of the Prealey-Tannar 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? O YES O NO b the facility to be constructed within 1,000 feet of the outer boundary of a achool 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. !lfil"f~O_NSTRUCTION LENDING-~GENCY"',,..~,~~~!~~.:.:;,j,~·• "\"'.'.':Rf,;3;;;./ :::.:;t:·'.;,t~O~~i:•:r;i~~\ 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). .'"1''.'••· r '{.: LENDER'S NAME _______________ LENDER'S ADDRESS. _________________________ _ fl> .. APPUCANT-CERTIFICA TION ,b, . · .; + ·. .-,'. ;-.'. ;1il.if'.;!,..,(:};:ilfl£,ii,:!:>:~~~:f•;;;\:ct£, .~, 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 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 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 atructuru over 3 stories in height. EXPIRATION: Every permit issued by the Bu' lflg OHicial 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 co en within 365 ays from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the wor · co menced for a riod of 180 days (Section 106.4.4 Uniform Building Code)'l::-- APPLICANT'S SIGNATURE ---,4~~~:t._-~~::;,.~~~----------DATE k ~ I/-Y 7 WHITE: File YELLOW: Applicant PINK: Finance