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Home My WebLink About1844 HIGH RIDGE AVE; ; CB971635; Permit59 IE!'~Flr~~I~ rtt:. , I\Q~T [6,~tr···b L, _ _y u ~ J\i~LJ PER\J.1 · -11-\$ tXPiRED IN, ,CCORDANCE WITH U.B.C. SECTION 106.4.4 DATE ____ $JGN.I\TURE ~-Ptt CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO. fZ/t:, 3_7 CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 , . Legal Description Lot No. Unit No. Phase No. Total I of units co Proposed Use #of Stories I of Bedrooms I of Bathrooms Telephone I Fax I "'· PROPERTY dWNEII -·. "":'",~~l"'?~P.;'"':""" .. ., •':/~~ '~,.....,. .. ":~;l'T."":'lr""':<m·, •·r.~11~ .. 'Yi/) Name Address State/Zip Telephone I rg;-""Y(:citlfttAcToR-:·coMJiANY'NAM~~•-.,.,.,~""-"_,_ .... ....,._..,. ~ p, '"".-,1r,.• I (Sec. 7031.5 Business end Professions Code: Any City or County which requires• permit to construct, alter, Improve, demolish or repair any structure, prior to Its Issuance, also requires the applicant for such permit to file • 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. Any violation of Section 7031.6 by any applicant for a permit subjects the applicant to a civil penalty of not more then live hundred dollars 1$6001). Name Address City State/Zip Telephone I State License I _________ _ License Class _________ _ City Business License I _______ _ Designer Nsme Address City State/Zip Telephone State License I _________ _ 8. WORKERS' COMPENSATION 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•insura 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, IS 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 end policy number are: Insurance Company _____________________ Polley No._____________ E><piration Data _______ _ (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 is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to Hcure workera' compenutlon coverage Is unlawful, and shd aubject en employer to criminal penllltlea and civil finH up to one hundred thousand dollars ($100,000), In addition to the cost of compensation, damages a provided for In Section 3708 of the Labor code, Interest end attorney·• fus. SIGNATURE______________________________ DATE _________ _ 7. OWNER-BUILDER DECLARATION · • • • ~ .; I hereby affirm that I am exempt from the Contractor's License Law for the following reason: · ~ 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 '='tree. 7044, Business and Professions Code: The Contractor'• 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 Is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). f5;i1 I, IS owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Coda: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(sl licensed pursuant to the Contractor's License Law). O I am exempt under Section ______ Business end Professions Code for this ra1Son: 1. 2. 3. I personally plan to provide the major labor and materials for construction of the proposed property Improvement. 0 YES ~O (9 / have notl signed en application for a building permit for the proposed work. I ~ave c tree ed with the following person (firm) to provide the proposed construction (in I e _name / address i hone number / contractor, license number!: 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervisa 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 workl: _________ ...,..+-___.,...._+----'l------------------------------------------ .,IIUILDiNoPERMit1roNL . !1f"l'~-...1:;o:•~"f•PF.,,.~~E T"'~(}~.{fik,,,"'f., . ,rr--•, .,,.."''1"~ • PROPERTY OWNER SIGNATURE 'COMPLETE THIS SECTION FOR 1¥0 DN-11'.1;~ Is the applicant or future bulldin ccupa t required to aubmit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 2!i605, 2553 or 26534 of the Presley-Tanner 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? 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site 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 POLLUTION CONTROL DISTRICT. is . ...., CONSTilUCTiONltNDING'AGENcV:111"i"":~•:"'":! '._:.;,::.:-~;-:'!;:';"~'"~-,....,.~7 r•: :.':T'.: •.,..~~~· ~ ..... ~-.,,_ ~ ':'-. ~ I hereby affirm that there Is a construction lending agency for the performance of the work for which this permit Is Issued ISec. 3097111 Civil Coda). LENDER'S NAME ______________ _ LENDER'S ADDRESS _______________________ _ I certify that I have read the application end state that the above Information is correct and that the Information on the plans is accurate. I agree to comply with ell City ordinances and State laws relating to building construction. I hereby authorize representatives of the Cltt 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 !i'0" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit Issued by the Building Official under the provisions of this Code shall expire by limitation end become null and void if the building or work authorized by such permit is no mme ithin 366 days from the date of such permit or If the building or work authorized by such permit is suspended or abandoned at any time after e ork s.c for • period of 180 days (Section 108.4.4 Uniform Building Code). 1 APPLICANT'S SIGNATURE _..,a;~~it,_+--~='--------------DATE -=(.,"-+·-"lb""-+/_q...,1_._ _____ _ I YELLOW: Applicant PINK: Finance CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB971635 FOR 06/25/97 DESCRIPTION: DRYWALL, CHANGING LIGHTS MOVING 220 IN KIT TO NEW LOCATION IN KIT TYPE: ELEC RIDGE AV STE: INSPECTOR AREA PLANCK# CB971635 OCC GRP CONSTR. TYPE NEW LOT: JOB ADDRESS: 1844 HIGH APPLICANT: BAKER, JULIE CONTRACTOR: PHONE: 760 72 -068 OWNER: REMARKS: B/JAMES/789-2120 OR 729-4068 SPECIAL INSTRUCT: 729-4068 TOTAL TIME: PHONE: PHONE: INSPECTOR -I/ -+'----------- CD 16 18 34 LVL DESCRIPTION ST Insulation ~COMMENTS ST Exterior Lath/Drywall EL Rough Electric ------------------------------------------'------------- ~--- ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS