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Home My WebLink About2637 GARFIELD ST; ; CB971439; PermitCITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 FOR OFFICE USE ON Y PERMIT APPLICATION PLAN CH ECK NO -~-7.a..-/ Cf-'-t_]-----"'- EST. VAL. _L____.____;7'----"-_____,..-'i----T""<="""-CITY QF CARLSBAD BUILDING DEPARTMENT 2075 Las Pal mas Dr., Carlsbad CA 92009 (760) 438-1161 1. .sr T ~ ..... ••r;\!,. ,.., • • ., 'r • C! /) !!Jjsiness Name (at this address) <-f~oo9 Name Address City State/Zip F.t ~-APPL.IC.ANT • 0 Contracicir ..-cr Agenffd~ contricior'ltawnir ~0 Agent fcir Ownlr ' ~-:r:o-""' -.-r, n Name Address City State/Zip 4. r PROPE!tTY Owt.iEfl :·. -:•. j~ 7i>~•.1r•-g}~, ·a~~ Name City r5:-, CONTRACTOR~ COMPANY NAME""'-,""·"""',_,..,_.,._..,. ,,.,,.;,:~ ...... ~ ·• Telephone II Fax# Telephone# (Sec. 7031.6 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, commending with Section 7000 of Division 3 of the Business and Professions Code! or thet 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 I civil penalty of not more than five hundred dollars ($6001). Name Address City State/Zip Telephone II State License # _________ _ License Cless _________ _ City Business License II _______ _ Designer Name Address City State/Zip Telephone State License II _________ _ 6. 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-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 ere: Insurance Company_____________________ Policy No._____________ Expiration Date _______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$1001 OR LESSI .'RI 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 ;f become subject to the Workers' Compensation Laws of California. WARNING: Failure to HCUfe workers' compenHtlon coverage 11 unlawful, 1111d ah•N aubject an employer to criminal pen•ltle1 end civil fines up to one hundred thou11nd dollars ($100,0001, In addition to the coat of compenaetlon, damages as provided for In Sactlon 3708 of the Labor code, Interest end attorney·• IHI. r,S.!GNATURE.______________________________ DATE l1) OWNER-BUILDER DECLARATION · · · 1 • I hereby affirm that I am exempt from the Contractor's License Law for the following reason: )8( 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 end 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 ere not intended or offered for sale. If, however, the building or Improvement Is sold within one veer of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale I. 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 Lawl. D I am exempt under Section ______ Business and Professions Code for this reason: I ~nallv plan to provide the major labor and materials for construction of the proposed property improvement. rJ YES ONO I ~/ have notl signed an applicatlon for • building permit for the proposed work. T 1. 2. 3. I have contracted with the following person (firm I 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 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 (hiredl the following persons to provide the work indicated (include name / address / phone number / type of work): ___________ ..,...==;~---~-----i'-,-------------------,---------------- Is the applicant or future building occ ant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 26605, 2563 or 26634 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 ~NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES ~O IF ANY OF THE ANSWERS ARE YES. A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED ~~ss THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. la • ..., c6NstiltJCTi6M'l.ENDING AGEMcv:1'1-n·;>J'l·-:"~;~;~!"!t'!-.~.!·~'f':-...... ~-:'..""'--,~r.,.Y'.:'~~~ :·. -· " '. •. .,..,... ., •=-·· -l• I I hereby affirm that there Is I construction lending agency for the performance of the work for which this permit Is Issued (Sec. 3097(il Civil Codel. LENDER'S NAME _____________ _ LENDER'S ADDRESS _______________________ _ I certify that I h•va read the application and atate that the above Information is correct and that the Information on the plane is accurate. I agrN to comply with all 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 s•o• 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 and become null and void if the building or work authorized by such permit is not commenced within 365 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 th co men d.{or a peri f 180 days (Section 108.4.4 Uniform Building Code). DATE 6-:i--rz J Dft,,IV • r:;r,~nrn PERMIT# CB971439 DESCRIPTION: 2ND STORY BALCONY TYPE: PATIO CITY OF CARLSBAD INSPECTION REQUEST FOR 11/17/97 225 SF tb INSPECTOR AREA J)C PLANCK# CB971439 OCC GRP CONSTR. TYPE NEW STE: LOT: JOB ADDRESS: 2637 GARFIELD ST APPLICANT: BROWN, PAULINE CONTRACTOR: OWNER: REMARKS: C/PAULINE/619/440-0827 SPECIAL INSTRUCT: ::~::: 76a0 44~0-0827 __ [ PHONE: / / y INSPECTO ~~ tz<!:::_ TOTAL TIME: CD LVL DESCRIPTION ACT COMMENTS ,,,.,. _1_9 __ s_T _F_i_n_a_1_s_t_ru_c_t_u_r_a_1 _______ f _...,h'----1'--'J_/I<--;..._ _________ _ ------------------------------------ ***** INSPECTION HISTORY***** DATE 060697 060697 DESCRIPTION Ftg/Foundation/Piers Ftg/Foundation/Piers ACT INSP CO DC AP DC COMMENTS NO PLANS/CARD 11:00 1:15