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Home My WebLink About2612 OBELISCO PL; ; CB973200; PermitHl OiU^ 'daU V-OO PERMITBUILDING 10/24/97 14:41 Page 1 of 1 Job Address: 2612 OBELXSCO PL Suite: Permit Type: RETAINING WALL Parcel No: 215-460-28-00 Lot#: Valuation: 13,365 Occupancy Group: Reference#: Description: RESTRAINING WALL 990 SF Permit No: CB973200 Project No: A9702081 Development No: Appl/Ownr : HYATT DAVID 2604 OBELISCO PL CARLSBAD CA 92009 *** Fees Required *** Fees : Adjustments: Total Fees: Fee description Building Permit Plan Check Strong Motion Fee * BUILDING TOTAL 0663 10/24/97 0001 01 02 Construction TQt^f^ NEW 253-00 Status: ISSUED " Applied: 10/24/97 Apr/Issue: 10/24/97 Entered By: JM 760 431-5064 jFeesi,-.Collected & Credits Totai : To^al Pa^ertfei^ . 00 , 00 253.00 Ext fee Data 153.00 99,00 n 1 . 00 253.00 • »• 4. \i » CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Paimas Dr., Carlsbad CA 92009 (760) 438-1161 1. PROJECT INFORMATION Address (include BIdg/Suite #) FOR OFFICE USE ONLY PLAN CHECK NO. ^77^ EST. VAL. Plan Ck. Deposit ' Validated Bv BusiriMs Name let this sddress) Legal Description Lot No.Subdivision Name/Number Unit No.Pttasa No.Total f ot units Assessor's Parcel #Existing Use Proposed Use of Work WyDescription 2. CONTACT PERSON (H dltfar^ from *ef St f of Bedrooms # of Batfvoems Name Address Citv 3. APniCANT O Contractor Q Agent for Contnctor Q Owner '□ Agam for Owner State/Z^Telaphone f Fax $ Name 4. . PROPERTY OWNERrnwrcniT vrwivEn Address City y■ohsA./ri.iCx^ Neme 6. CONTRACTOR • COMPANY NAME Address State/Zip Teiephone f City State/Zip Telephone # ' (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, elter. improve, demolieh or repeir any structure, prior to itsissuance, also requires the applicant for such permit to file a signed etstemem that he ie heeneed pursuant to the provteiens of the Contractor's License LewIChspter 9. commending with Section 7000 of Division 3 of the Bueinees end Profeseione Cede) or that he is exempt therefrom, end the basis for the allegedexemption. Any violation of Section 7031.5 bv any appllcent for a permit eubiectt the eppiicent to e civil peneity of not more then five hurKfrad dollars IISOOI). Neme State License # Address License Claes City Sute/Zip City Bueinees License t Telephone « Address City State/Zip TelephoneDesigner Name State License t 6. WORKERS'COMPENSATION ~ .Workers' Compensation Oecleratien: I hereby effirm under peneity of perjury one of the following decleratione;O I have end will msintsin a certificate of consent to self-Insure for workers' eompensetion ea provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. □ I have and will maintain workers' compensation, as required by Secticm 3700 of the Labor Code, for the performance of the work for which tttis 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 l«100I OR LESS)□ CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit ie ieeued, I shell not emptey any person in sny msnrwr so as to become subject to the Workers' Compensation Lews of California. WARNING: Failure to eeeure worfcere' compeneatlon eeverage It unlewfiil, and ehal subject an empiover to ofmirwl ponelUee end dvH finee up to one hundredthousand doUers l«100.000). In addition to the coat of compeneetion. demegee as previdad for In Saction 3706 of tha LMwr coda, bitafaet and attomay a fees. SIGNATURE DATE 7. OWNER-BUILDER DECLARATION ^ - •' ■■ ... .,Tr,7t - .. -I hereby affirm that I am exempt from the Contrector'i Ucenee Lew for the following reason: □ I. as owner of the propeny or my employees with wages as their sole compeneetion, will do the work end the structure ie not intended or offered for sate(Sec. 7044, Business end Professions Code: The Contrector'i License Lew does not apply to an owner of property who buHda or improves thereon, end who doessuch work himself or through his own employees, provided that euch improvsmenti ere not Intended or offered for eels. If, however, the building or improvement Iesold within one year of compleilon. the owner-builder will have the burden of proving that he did not build or Improve for the purpoee of eelej.□ I, as owner of the property, em axclueively cemrecting with licensed contrecton to eonetruct the project (Sec. 7044, Bueinees end Profeaeione Code: TheContractor's License Lew does not apply to en owrter of property who builds or Improves thereon, end contracta for such projects with contrsetorle) Hcented pursuant to tha Contrector'e Licertee Law). Q I em exempt under Section . Busirteet end Professions Code for this reaeen: 1. I personally plan to provide the major labor end materieie for construction of the proposed property (mprovement. □ YES Qno 2. I (have I have not) eigned an eppiicstion for a building permit for the propeeed worlc.3. I have contracted with the following pereon (firm) to provide the proposed conetruction (Include neme / address / phone number / contractors license number): 4. ( plan to provide portions of the work, but I have hired the following pereon to coordinste. euperviee er>d provide the major work (Include neme I address / phonenumber / contractors license number): of workT" competed Ihirsd) the foUowing persons to provide the work Indiceted (Include name / address / phone number / type PROPERTY OWNER SIGNATURE DATECOMPLETE THIS SECTION FOR /tO/MfSmBnTAL RUHpiNq PERMITe ONLY'.y-. r ....b the epplicent or future building occupant raqwrad to tubmit e business plan, acutelv hazardous matertate ragietiation form or riak managamant and prevMtionprogram under Sectiorts 25505, 25533 or 25534 of tha Praelay-Tanrwr Hazardous Subetanca Account Act? O YES Q NO Is the applicant or future building occupant raquirad to obtain e permit from the sir potlution control dietrtct or sir quality management district? □ YES D NO Is tha facility to be constructed within 1,000 feat of the outer boundary of a school site? □ YES □ NO IF ANY OF THE ANSWERS ARE YES. A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETINQ THEREQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POUUTION CONTROL OISTrSt. B. CONSTRUCTION LENDING AQEM(:Y ' , . . .I hereby affirm that there is a construction lendirtg agency for tha performance of the work for which this permit is issued (Sec. 3097(J| Civil Code). LENDER'S NAME LENDER'S ADDRESS is. APPLICANT CERTIFICATION ~ ^I certifv that I have read tha application and state that tha above information is correct and that tha information on tha plans Is sccurate. I agree to comply with ail n,'nn.« 7"®" '•ws relating to building construction. 1 hereby authorize representatives of the City of Certsbed to enter upon the above mentionedagree to save, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST Aa LIABILITIESJUDGMENTS, 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 excsvetions over 6'0- deep and demolition or construction of structures over 3 etories in height. ^oriTulISnzed rvL7h7im^^^^ *7 provision, of tM. Coda shall axpira by limitation end become null end void if the building orrabandoneral Snv7ima aftT 7 authorized by such permit is suspendedor abandoned at any time after^ wq^iS^jpme^ced for ■ penod of 180 days (Section 106.4.4 Uniform Building Code). DATE /O ~ WHITE: File YELLOW: Applicant PINK: Rnence APPLICANT'S SIGNATURE UNSCHEDULED BUILDTNG INSPFrTTON DATE INSPECTOR AJ'U PERMIT # PLAN CHECK # JOB ADDRESS ^ (p I X DESCRIPTION CODE DESCRIPTION ACT COMMENTS il CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB973200 FOR 10/05/98 DESCRIPTION; RESTRAINING WALL 990 SF TYPE: RETAIN JOB ADDRESS: 2612 OBELISCO APPLICANT: HYATT DAVID CONTRACTOR: OWNER: REMARKS: C/JUDY/ SPECIAL INSTRUCT: PL PHONE: PHONE: PHONE: INSPECTOR AREA NF PLANCK# CB973200 OCC GRP CONSTR. TYPE NEW STE: LOT: 760 431-5064 INSPECTOR TOTAL TIME: —RELATED PERMITS—PERMIT# CB971257 CB971632 GR970039 CB973718 CB980806 TYPE RETAIN SFD GRADING POOL POOL STATUS ISSUED ISSUED ISSUED ISSUED ISSUED CD LVL DESCRIPTION 69 MA Final Masonry 19 ST Final Structural 29 PL Final Plumbing 39 EL Final Electrical 49 ME Final Mechanical ACT COMMENTS ***** INSPECTION HISTORY ***** DATE DESCRIPTION 010898 Retaining Walls 010598 Grout 121297 Grout 120397 Ftg/Foundation/Piers ACT INSP AP NF AP NF AP NF AP PS COMMENTS WATER PROOFN&WALL BRACN N PRO FIRST 4 FOOT LIFT