HomeMy WebLinkAbout2911 CANDIL PL; ; WM970007; PermitPermit No: WM970007
Project No: A9603435
Development No;
01/24/97 13:54 " BU ^ ^ I NG PERMIT
Page 1 of 1
Job Address: 2911 CANDIL PL s,Hi-«
Permit Type: WATER MPTFR OPPMTT ^uice.
Parcel No: 215-491-3^rlr] 2105 0l/24/77 *** Oi °2
Valuation. 0 L°t#: 6 C"PRHT 342°-°G
Occupancy Group: Referent* Construction Type: VN
Description: 3/4 INCH WATER METER ' Status: ISSUED
: Applied: 01/24/97
Apr/Issue r 01/24/97
Entered By: RMAAppl/Ownr ; CUSTOM DEVELOPMENT
7863 LA MESA BLVD.#201
LA MESA, CA. 91941
619 469-7987
*** Fees Required ***
3,420,
3,
Fee description
Enter #Units & Code
Fees :
Adjustments:
Total Feest
ected & Credits * **
. 00
.00
3,420.00
Ext fee Data
3420.00 D3/4
FINAL APPROVAL
IN!DATE,
CLEARANCE.
CITY Of CARLSBAD
2075 Us Pabnas Dr., Carlsbad, CA 92009 (619) 438-1161
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Patmas Dr., Carlsbad CA 92009
(619)438-1161
FOR OFFICE USE
PLAN CHECK
EST. VAL.
Plan Ck. Deposit
Date
T// C^Ajfa
Address (Include Bnkj/SuW Business NMM (it this address)
Legal Description Lot No.SuWhrfstan Name/Number LWtNo. Phase Ho. Total * of unfte
s Parcel.*Existing Use PropoMdUw
Description of Woric SQ.FT.f of Bedroom** of Bathrooms
Name Address City Stata/ZkC Telephone* Fax*
NMM Cfty Telephone*
Name Address Chy Telephone*
(Sec. 7031.6 Business and Professions Code: Any Chy or County which requires e permit to construct, after, improve, damoiah of repair any structure, prior to Its
Issuance, also requires the applicant for such permit to file a signed statement that ha is Heeneed punusnt to tha provisions of the Contrectpr'e License Law
[Chapter 8, commending with Section 7000 of Division 3 of the Business and Professions Code! or tint ha Is exempt therefrom, and the basis for the alleged
ii.' Any violation of Section 7031,5 by any appHcantfor a permit subject* the applicant to a dvft penalty of not mon,than five hundred doltaa JtBOOl).
Name ' / Address * # '
Stats Licence* fe'faft.f?? License Oast V
City ' 'State/Zip Telephone* '
Cltv Business License *
'"••:.'• ' i!-
DesignsrName Address
State License * . • , , . _.. . .. • .... ,- •• • , ;
Cfty State/Zip Telephone
Workers' Compensation Declaration: I hereby affirm under partany of perjury one of the following declarations:
PL I have and win maintain a certificate of consent to aetMnsure for workers' eernpensetion as provided by Section 3700 of tha Labor Code, for the performance
of the work for which this permit is Issued.
Q I have end wiB maintain workers' compenartoa as required by Section 3700 of the Labor Code, tar the performance of the work for which into permit to
issued. My worker's comaansation Ineurwce carrier and poHcy number are: _ .
Insurance Comoanv /-jTffig- /"VAff? ; Pottcy No. f ffitt Jr-? ** Expiration Date,
(THIS SECTION NEED NOT BE COMPLETED * THE PERMIT IS FOR ONE HUNDRED DOLLARS 1*100}OR USA)
Q CERmCATE OF EXEMPTION: I certify that In the performance of the work for which this permSlslsaiied, I shsfl not employ any person meny manner so as
to become subject to the Workers' Compenaation Laws of CaSfomia. ,
WARNING: Faaure to eecufe-wefhere' ngmpaneatien Boverajs Is unlewM, end ehsi subhiet en imaleyer IB criminal paneltiae endcMI fteee up to one hundfed
thousand doMars (•100,000), hi addrtion to the cost of eonwenotion, damaQM as provioed tw In Section 37CM of tiw
SIGNATURE I DATE
I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
Q 1, as owner of the property or my employees with wages as thetr sole compensation, wH do the work and the structure to npt Intended, or ottered tor sale
(Sec. 7044, Business end Professions Code: The Contract*'* License Lew does not «pph> to en owner of propeity who builoe M Improve
such work himself or through his own employees, provided that such improvements ere not Intended or offered for sele. If, however, the building or Improvement Is
sold within one year of completion, the owner-builder wM have the burden of proving that he dW not buHd or improve for the purpose of sale}.
Q I, es owner of the property, am sxduelvetY contracting with licensed contractors to constmct tha project «ec. 7044, •Justness and IWeealena Cade: The
Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects wtth contractor^ Kceneed
pursuant to the Contractor's License Law).
Q I am exempt under Section Bualneas and Professions Code for this reason;
1. I pereonsHy plan to provide the major labor end materials for construction of the proposed Property Improvement. Q YES QNO
2. I (have / have not) signed en appHeMlon for a buRdbx) permit for the proposed work. "
3. I have contracted with the following parson (firm) to provide the proposed construction Hnduda name / address / phone number /1 nreotors 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 Hcenss number): _. ; • _.... _...'.. . • ' ' _ : ....
5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (Include name I address / phone number / type
of work): : : - • •_ . '
PROPERTY OWNER SIGNATURE.DATE
to the applicant or future buiUmg occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention
program under Sections 26BOS, 26633 or 2BB34 of the Praelay Tanner Hazardous Substance Account Act? Q YES Q NO
to the eppecert or future btjikBfig occupem r^ Q YES O NO
to the feottty to be constructed within 1,000 feet of the outer boundary of • «nool »rt«7 D YU Q NO
ArWALCamiWATC
REOUMBHENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AM POLLUTION CONTROL DtSTMCT.
1 nerebv affirm that there is a construction tendino agency for the performance of the work for which tMa parmh Is issued (Sec. 3097H) Ovtt Coda).
LEMPER'S NAME __ ' LENDER'S ADDRESS
I certify that I neve read the application and state that the above Information is eoneet end that the Information with* ptana ta accurate. 1 agree to compty wtth all
City onOnancee and Sena laws relating w bidding construction. I hereby authoriu representatives of the CJty of Ceriebad to enter upon the ebove mentioned
property for inapection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLS1AD AGAINST All LIABILITIES,
JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY M CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA permit is required for excavations over S'O* deep end demolition or construction of structures over 3 stories HI height.
EXPIRATION: Every permit iaaued by tnelBuBoIng OfficM under the provisions of tNs Code aheH expire by Imitation and become nuB end void H the buMtag or
work authorized by such permit is not commenced within 386 deya from the datejf>euch pemft or If the DuUoTng or work authorized by «uch permit is auspendad
or abandoned at any time efterjne work)t commenced fore-period of
APPLICANT'S SIGNATURE DATE
PINK: Finance