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Home My WebLink About1836 HIGH RIDGE AVE; ; CB970311; Permitll<#~10 , .. 1 , L • '\ ! 1. ... r t r il .1. \ , ( f v • ' [ u~ !,• l 1,r l It h, l ' \I •• ' ' ;. E H,J,·tr•rl .. E t • t:. Cl ( 'L [l I-l ' t • l • p l r1r E V t Cl ' ., . t 4 kN > I l ,1., C ... r f , A r I.ltit•. r e1, r , J 'Ar. l '. + ,l ! • # 25 L 0 ~ · .£ ~ 1 ~ u ~ ~r"T r. • "'l ,. , E ' , 1.\l .a. I t ('>tt,• f"r: ♦ ii " ?\fcr'' 11 . ' t' \ . ., • l :-1t T !\_ , i C 1ft1 A' A ~ ~ . L > ' I- ·~. r I I r .. ,) FINAL APPROVAL INSP. ))p/2 ,5 DATE J,. vi•? J CLEARANCE _____ _ CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 9 '1--390 PERMIT APPLICATION FOR OFFICE USE ONLY <. PLAN CHECK NO. q:1Q -1\ ... CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 EST. VAL. _________ _ Plan Ck. Deposit ____ ...,,,.~1---- d Business Name (1t this address) legal Description Unit No. Phase No. Total I ol units Assessor's Parcel I Proposed Use Description of Work #of Stories I of Bedrooms II of Bathrooms (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 I 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 Any violati n of Section 7031.5 by any applicant tor a permit · cts the appllca t to a civil nal of n t than · e undre do rs [$5001). --c:;.~~~h • Name State License II ---""'::::'.>-~---- Designer Name Address City State/Zip Telephone State License II _________ _ ~WARKEBS;~OMPEN~SATJ.oN:i&~::.!.~13~~:t;J:IS:~~~-~,-i-.~.~-=~:t~~~-,~:~~~~r;W,~~};~,«aeffiSi:lMAii#iJ?1r~~~rtt;~~~-··~-.. :,::.;Ji.~.,4 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 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, as required by Section 3700 of the Labor Code, for the performance of the work for _'which this permit is issued. My worker's co rier nd policy umber are: . ~ /) -/{£; { -QD-1 J ~-fl I { /J /-/-QV Insurance Company ~,£,--f.l-"-'L..'-l<lu..f-..L.......:......LJ'"'-U...U.A.-""""'.,____ Pohcy No.~~~~~~----_......,;21_..._ __ \..'[ ~th,,,/oaY{ -~ (THIS SECTION NEED NOT BE COMP 0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is iuued, I ehall not employ eny person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to aec ' compenaation coverage ia unlawful, and shall subject an employer to criminal penaltiea civil inea up to one hundred thousand doUara ( 100,0 t the coat of compensation, demagea aa provided for in Section 3706 of the Ull'!W-f:',0,, inter SIGNATURE. __ ~._,J"-/;L-/---ft7-..!!..c~~==--,--------:---------:::-;:: DATE ?, \ .. ,OWNER-BUILDER ;-. .-: •...•.• , . .i:,t-;;,i~~~~~• ;-;;:.;.;i;}i~;.';,;;"/;;~;;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 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 aale. It, however, the building or improvement i1 sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpon of nle). 0 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Busineu and Profeuiona Code: The Contractor's License Law does not apply to an owner of property who build• or improves thereon, and contr■cta for euch projects with contractor(s) licenaad pu,suant to the Contractor's License Law). 0 I am exempt under Section ______ Business and Professions Code tor this reason: 1 . I personally plan to provide the major labor end 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 (firml to provide the proposed construction (include name / addrHI / 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 / 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 _________ _ ~MeW:E,Jl.s 'SEClJOtU:Qfl lt~~.IUlt.PIN.G1~IJ'lltill.Y~ ~~½J:~~·-~~~~~fil~~~--~ .. b the •~pHc::nt or future buildinw occupant raquiritd to aobmit • but1,ineas plan, acutely hazardous materiala registration form or riak management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES O NO Is the applicant or future building occupant rt.quired to obtain ■ permit from the air nollution contrnl dh!trlct or air qu~lity manegement district? 0 YES O NO Is the facility to be constructed within 1,000 fNt of the outer boundary of a school site 7 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 ANO THE AIR POUUTION CONTROL DISTRICT. iif -,)t'lfco.NmuCT10N·LEN01NG.MENcv•,'-=v---;r~~.::~Jb;z~,:~ .,:'.:""~~.;.~ '.:.~;s;~~~~~i~~~~~~~~F~,~r: I hereby affirm that there is a construction lending agency tor the performance of the work for which thi1 permit la issued (Sec. 3097(i) Civil Code). LENDER'S NAME ______________ _ [$; APPLICANT CERTIFICATION ~ -"' 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 representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY ANO 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 ov 5'0" ep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the Build' ffi · und r the provisions of this Code shall expire by limitation and become ull and oid if the building or work authorized by such permit is n with' 365 ays from the date of such permit or if the building or work authori d by s h permit is suspended or abandoned at any time after the •nee for a of 80 days (Section 106.4.4 Uniform Buildin 0 gACToEde). 0-,--: / 7 / V"iJ APPLICANT'S SIGNATURE __ ___,__7 ......;. ___ -i,-----------------c::7 f '-f J '--1 7"- YELLOW: Applicant PINK: Finance • PERMIT# CB970311 DESCRIPTION: COPPER RE-PIPE TYPE: PLUM CITY OF CARLSBAD INSPECTION REQUEST FOR 02/24/97 INSPECTOR AREA PLANCK# CB970311 OCC GRP CONSTR. TYPE NEW JOB ADDRESS: 1836 HIGH RIDGE AV APPLICANT: TORREY PINES PLUMBING CONTRACTOR: STE: LOT: OWNER: REMARKS: MW/KATHY SPECIAL INSTRUCT: TOTAL TIME: CD 29 LVL DESCRIPTION PL Final Plumbing ------------------------------------ ------------------ PHONE: 619 566-4533 PHONE: PHONE: INSPECTOR ACT COMMENTS 4 ? w // ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS