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Home My WebLink About2378 OUTLOOK CT; ; CB012471; PermitJob Address: 2378 OUTLOOK CT Permit Type: RETAIN Citv of Carlsbad Retaining Wall Status: Applied: Permit No: CB012471 ABANDOND 7/23/2001 Parcel No: Lot#: 0 Approved: Reference No: Issued: PC#: Inspect Area: Project Title: SPYGLASS/CONCORDIA-WALLS 143SF KEYSTONE RETAINING WALL LOT 6 Applicant: Owner: GEOGRID INC 1295 DISTRIBUTION WY VISTA CA 76509-0079 Fees: $76.55 Additional Fees: $0.00 Total Fees: $76.55 Balance: $76.55 V?CJ/W FOR OFFICE USE ONL V PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 PLAN CHECK NC C.!3t) J 2-c:/7 / EST. VAL. _-?. d-Sd-' J-S-- Plan Ck. Deposit_ d 9, 7~ Validated By___,{._...,'~='-------- Date c;'.;-q-C) I ' Business Name (at this address) .$PY6Lii$"S' S..,\,4,~;>,~"" 1097 06/04/01 0002 01 02 Legal Description 141-0'Y)-kt1 Lot No. Subdivision Name/Number Unit No. Phase No,CGft-tal # of unitf12 .15 ft ""-'!ISSOr' s Parcel II . · l!f YS:fovf.. " "!escriptionJJ.f I/jerk,. Existing Use _. I J _iJ._ ~ f4.r tt:11l••C-Wll\U; _ W CU,,,(-fl-(I . • .1. FT_ -.... ,.<,,.. / 3 ,_/,,. Propr,c•rlfUse....1-/ 4 _ 'f' --L-(JL-'-'CL'------• it nf Bedrooms # of Bathrooms &:>,j U,o 04:lQ Name · · Address City State/Zip Telephone # Fax # _ I:J II a • ~'Qtl.ll!J~ . e~ . /....A""1 QMf>te~ f-N' Co UOS° c.c,.,,"'·oa 8€' Rio so• # 3'2.-J 5'4-vO,fUJ CA '72.IJ!!i Name Address City State/Zip Telephone# ' bl 2 ZbD11-f-2.o .. 0~ (_0~1)-,i\ ··,4q~~J;;_;zj~~f =7'f~~~20 · (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 provisions of the Contractor's License Law [Chapter 9, commanding 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 vioJltio: of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($5001). C,'c:Q&;r'iO Jnc {2-4$ J),s:r;..,b"1l~.A h"1r-V;£1)3 Ci\: q7Qf!i< 7/dJ, 5o'J~of/71 Name Address City State/Zip Telephone # Statellcense# {p(oJSriJ LicenseClass /\ 6 C-8 .fi,(. CityBusinessLicense# IZOC:Jt72 Lane::\:fh4rr: 'c.(\5 (cl ?/40{ (4m,ou 'Dck f..tO ,to, 1t'32.I >4!'\ DI qs> Ul Cjuot: G:,t'7 -4D-O'fU:, Designer Name T Address City State/Zip Telephone State License II 'gl:,2.. CJ'?,_ {it I. .• ·-~ 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 compensation Insurance carrier and policy.number are: .1' q / , f J0 t/?r.,n"'J Insurance Company ,S--ra::t, L.o!"'\~$4:::Fs>"-,~s ~Policy No. !..ft,_ (P Z.40 I Expiration Date / ( c.,uu '- (THIS SECTION NEED NOT BE COMPLETED IF fHet>eRMIT IS FOR ONE HUNDRED DOLLARS ($100I OR LESS) --+,--ti~-- □ CERTIFICATE OF EXEMPTION: I certify that in the performanc~ 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: Fallure to secure workeni' compensation coverage la unlawful, and •hall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars [$100,000), In addition to the co•t of compensation, damages as provided for In Section 3706 of the Labor coda, interest and attorney's fees. SIGNATURE DA TE I hereby affirm that I am exempt from the Contractor's License Law for the following reason: O 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 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). O i, as owner of the property, am exclusively contracting with licensed contractors to construct the project (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 contracts for such projects with contractor(s) licensed pursuant to the Contractor's License 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 / have not) signed an application for a building permit for the proposed work. 3. 4. 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!:. _________________________________________________________ _ Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES O NO la 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? 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 Tl1E REQUIREMENTS OF THE 01:flCE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I hereby affirm that there Is a construction lending agency for the perfo)mance of the work f-Or which this permit is issued (Sec. 3097(i) Civil Code). LENr;>ER'S NAME 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 Citt 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 structures over 3 stories in height. EXPIRATION: Every pem,it Issued by the building Official under lhe provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such pem,it is not commenced within 180 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 the work Is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE -----1-.G".o. .... Lc....wli-..-___,( _______________ _ DATE WHITE: file YELLOW: Applicant PINK: Finance