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HomeMy WebLinkAbout1317 GULL CT; ; CB970284; PermitI • i l<J i ,l A,, i" l'l.l'l.t . ) r l . .. 4 Y[ •t t T . . A'' ✓, 1'K • ,.. t "'.I . t ~ ~ r 1 i l\ ) ' , < 4 4 l. ( LI ,u, i' . J l t ' VL. U' : A'. L •• f, I A.N'1~ 'Af'E -, • • • Ml. t 1-, r ~ F J-<: •• ' [ r JC I' , r. A ,,•"jlllLEd l<~k E ,_ A,, '"'-•·trr. r.t •·. ' c t A. • f 'E· A ( .. 6. f Bt. .d ... nr FfcLt1.t Pic1.n rLPC. I, ~»+ ~ ,>H r Mc l r n t f,{' / ) .J I f f PtP[l A . [ • 1 - , . ' . ,!:_,. ~t- I l I • ,l .. -.~cQ ,,,,'""'/o-, ,I ""')-I 1~' t t Art I T fn•~r,. O< I r (. ~ '. . . ' LXt f P , . • • y FINAL APPROVAL '· ' . . ' ' INS~J 5 DATE ~ / s::-: -9;:z Y CLEARANCE ____ _ CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 207.5 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 FOR OFFICE USE ONLY PLAN CHECK NO. Cj?OZ8'{ EST. VAL. /'If// Plan Ck. Deposit=-------- Validated By/ JJv-., Date 7:{t{fJ Business Name tat this address) Lot No. Subdivision Name/Number Unit No. Phase No. Tota I II of units Assessor's Parcel II Existing Use Proposed Un II of Bedrooms II of Bathrooms Telephone II ft&iriti¥~(~~~-... Name ' Address City 403 r Zz'S--3 State/Zip Telephone II ~-~COl8P. (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair •ny 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 Code) or that he is exempt therefrom, and the basis for the alleged exemption. iolation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalt of not more than five hundred dollars ($500)). ~/77/ /t, Name St ate License II --'%-r-~f .... ~_..__,,3""""-ff---License Class -~(!~_-_2-_? ___ _ City State/Zip Telephone II City Business License II /2-Z> 4o 2--/ Designer Name Address City State/Zip Telephone State License II _________ _ iit:,1;:,w.QBKEAS;;.coMPEN.$41lON.i_w'..~,•:~'...:~:~.=:~.:::~~1'-:ii1.~. _.:., .. ,,1~:;.~:,;_;.;~.,:.:...~~;:.,/,w-~~q.~,{l~:ffi!cf!!MT:ivnlt;Zw~~~-;;;<;~~~ ~ .~t::::~ ....... 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 ·self-insure for workers' compensation •s provided by Section 3700 of the ubor Code, for the performance of the work for which this permit is issued. D I have and will maintain workers' compensation, as required by Section 3700 of the ubor 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 Dita. _______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1*100) OR LESS) e----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 any manner so as to become subject to the Workers' C pansation Laws of California. WARNING: Failure to secure• ' compensation verage is unlawful, end shall subject en employer to criminal penaltlea end civil fines up to one hundred thousand dollata ($100,00 , f compensation, damages as provided for in Section 3706 of the L•bclr code, Interest end ettomey'a fN1. DATE k -/ P -97 SIGNATURE ___ ..4.::,_..::~~:Z,~-~~==:::;;;.,.;::::::::::;;;.::=:._~----------.:--: :7. '~'OWNER-BUILDER DECLARATION :£,;· . , ,L,. ,, ;:z:::i;.,:,~~;;:fi.,~~~"'-~~'\':.::~'l1?'!U,7.£:> 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 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 nle. If, however, the building or improvement is sold within one year of completion, the owner-buJlder will have the burden of proving that ha did not build or improve for the purpose of nle). D I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Profnalons Code: The Contractor's Ucense uw does not apply to an owner of property who builds or improves thereon, and contracts for 1uch projacts with contr•ctorta) licen•ed pursuant to the Contractor's Weens• Law). D I em exempt under Section ______ Business and Professions Coda 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 a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number): 4. I plan to provide portions of the work, but I have hired the following parson to coordinate, supervise and provide the 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 / address / phone number / type of work):. _________________________________________________________ _ PROPERTY OWNER SIGNATURE________________________ DATE _________ _ ~@~JliJS,sEcnorti=oa·N..o~~ ... ultQINo~•1.$..'.QtJLY~l~.:W~'¼l'fi8:l!IP.,..,•w-~~~1'7l~-t>~;,~,}]ff~~---, Is the, a;:,plic:nt or future buildir.,; occupant req..,;r,w rn ""bmit • busine..s plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Prnley-Tanner Hazardous Substance Account Act? 0 YES O NO Is the applicant or future building occupant required to obtain I permit from the •ir pollution control district or air quality management district? 0 YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D 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 POLLUTION CONTROL DISTRICT. -~co· .,;;;..,.,,uCTI· ON LENDING"AGENCY ,,;y,,~::,,'l!f'.~,ll,~f ~~("'Ji"''•' '·'"'17-l",i::"ir". ,,. "• ,,,9-,.,~~1"~:~1~-=/;;li'qr-l:,, '''i." ,; ...... "' !Of..?::.c:: ~ ...... ,n . · · . ..ii.~~~~-,f,j,"L..i;,.+. -~ • .c.:.:..~/r.,;J.0J1;•,': ·'°'l:·"''t'l;•::t7~1,~-~~l~1-'-~-•~e~~:_i,.' ·,-•;,. I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is iaaued (Sec. 3097(i) Civil Code). LENDER'S NAME ______________ _ i,:. APPLICANT CERTIFICATION ""' .... ·•· • .. ~~... • .• '1' , LENDER'S ADDRESS. _______________________ _ 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 o 6'0" deep and demolition or construction of structures over 3 stories in height. 0 1cial under t provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not comm ced lthin 365 da from the date of such permit or if the building or work euthorized by such permit is suspended or abandoned at any time after the work is cad for a od of 80 days (Section 106.4.4 Uniform Building Code). DATE ---,p.,-&...__r_~1/_5...._·-+7-7....._ __ _ PINK: Finance PERMIT# CB970284 DESCRIPTION: COVERED PATIO 288 TYPE: PATIO JOB ADDRESS: 1317 GULL CT APPLICANT: REESE LANDSCAPE CONTRACTOR: OWNER: REMARKS: RS/728-9235 SPECIAL INSTRUCT: TOTAL TIME: CD 19 LVL DESCRIPTION ST Final Structural CITY OF CARLSBAD INSPECTION REQUEST FOR 04/15/97 SF PHONE: PHONE: PHONE: INSPECTOR AREA DC PLANCK# CB970284 OCC GRP CONSTR. TYPE NEW STE: LOT: 619 728-9235 INSPECTOR-~--------- ACT COMMENTS ;t! f, ,Jjl- ------------------ ------------------------------------ ***** INSPECTION HISTORY***** DATE 041197 040797 DESCRIPTION Final Structural Final Structural ACT INSP CO DC CO DC COMMENTS NO PLANS NO PLANS/CARD