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Home My WebLink About1262 PLUM TREE RD; ; CB980666; PermitB U I L D I N G P E R M I T 03/04/98 09:27 Permit No: CB98066o Project No: A9800860 Development No: Page 1 of 1 Job Address: 1262 PLUM TREE RD Suite: Permit Type: PLUMBING Parcel No: 214-540-27-00 Valuation: 0 Lot#: Occupancy Group: Reference#: Description: INSTALL GAS LINE FOR FIRE RING : NOT UNDER COVERED PATIO Appl/Ownr : PATIOS PLUS OF CARLSBAD 2588 EL CAMINO REAL #255 CARLSBAD CA 92008 760 Construction Type: 4625 03/04/~tool).¥t1 Api;:0:-~: Apr/Issue: Entered By: 724-2400 NEW I~UED 03/0U'~ 03/04/98 RMA *** Fees Required *** Fe~ Collected & Credits *** Fees: Adjustments: Total Fees: Fee description Enter "Y" for Plu Gas Piping System .00 .00 27.00 Ext fee Data 20.00 Y 7.00 r ·r'lVAL 7 .-;:;3 -ft. t::~RA~CE~~~~77J.:;1'--- CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION FOR OFFICE USE ONn?o / / f PLAN CHECK NO .. _~...,L,ljL.-~b'--4~.,...."2~ CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 EST. VAL. _________ _ Plan Ck. Deposit -::i--------{l+: 1. PROJECT INFORMATION {ZC;,Z-PLu.-vi~ ~- Address Cinclude Bldg/Suite II BusinHs Nam■ let this ■dck-1 Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Assessor's Parcel # Cz~ bccil: "-Existing Use EsQ Fz/2£ 12-t~GL Description of Work PropoHd Use SO. FT. lof Stories I of Bedrooms .2. . CONT ACT PERSON llf dltf■rw1t fnNn ai,,,ilanti --... ~---·· .. -__,,,...-,. ..... ~,..._....,. .. ,·-•~-~ ...... "_..:--·-•· --~·~.-----•·--_. ,,. Name Addr■ss City ,3. APPLICANT ~ontr1ctor O Agent for Contractor . 0 Owner"" 0 Agent to; Owner --·, Total # of umts # of Bathrooms f¢it> r"'1· @t>uz£S, z..~«o £LCAYn,,,..:0 ?€;.A<-.:il-e~r Name Address City State/Zip Telephone II ~p Adilr■H -~-~~" • _ .... ,--... -~ .• ,. .• .,:-¥ ... ····~ , .. ' C~i!✓-'b State/Zip -,~ qz_q -8fc7 Telephone# 6. CONTRACTOR • COMPANY NAME (Sec. 7031.5 Business and Professions Code: Any City or County which r■Qulrn a permit to construct, alter, improve, d■moli1h or repair 1ny structure, prior to Its issuance, also requires the 1pplicant for such permit to file • signed 1t■tement that he ii lice111ed purIu■nt to the provilions of the Contractor's License Law (Chapter 9, commending with Section 7000 of Division 3 of the Butinets end Profassions Code) or that he ii exempt therefrom, end the basis for the alleged exemption. Any violation of Section 7031 .5 by any applicant for• permit 1ubjects the eppllc■nt,,.to • civil penalty of not more then five hundred dollars 19500)1. ~ 0 a,,C--Z. ~ £.. 1..JU -$2~ ~(~-0 Cfi . '?OC Name City State/Zip Telephone :l'f> 7 State License I , 51»9: Cs,< C;, License Class ~ City Busineu Uc-• I ...!.f ~ "fl', (A« J Designer Name Address City State/Zip Telephone State License II ________ _ 6. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following d■cler■tions: 0 I have ind will maintain a certificate of conHnt to Hlf•lnsure for workert' compent■tion H provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. O I have and will maintain workers' compensation, ■s r■Quired by Section 3700 of the Labor Code, for the performance of the work for which this permit Is issued. My worker's compensation insurance c■rriar end policy number ■r■: Insurance Company____________________ Policy No .. ____________ Expiration Date _______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1•1001 OR LESS) I!:(" CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit ia la1ued, I shell not employ any person in •nv manner so ■s to become subject to the Workers' Compensation L■w1 of 'fomia. WARNING: Failure to ncur■ ~fflllierlOIPldfi" Is unlawful, and ltlell lUbject ■n employer to alnlk'9I peneltla and dvll fine• up to one hundred thousand dollar• ($ O.O , d■fflllllN • provided tor In Section 3708 of the labor ~lnt-t and ■norMY'• f••· SIGNATU ,_:::.1-~~~~~$~~~~==---------------DATE ~-~ -~ 7. OW ~--.. .. . . ._. . ;.~:-t :,--:"~ ... ~--.. ~:, ... : .. -:rt:ir.-~;;~,..,~: ... t:: ._,,.~ i·•· l't'm' ~-, • ~· I hereby af m that I am exempt from the Contractor's License Lew for th■ following reason: 0 I, IS owner of the property or my employees with wages H their Iole compena■tion, will do the work end the ■tructure Is not Intended or offered for .... (Sec. 7044, Business and Professions Cod■: The Contractor'■ Uc.we Lew dOM not apply to In o-of property who buildl or lmprovn thereon, and who does such work himHlf or through l'lis own employees, provided that Iuch lmprov■mentl ■r• not Intended or offered for NII. If, however, the building or Improvement II sold within one year of completion, the owner-builder wlH have the burden of proving that he did not build or Improve for the ~ of .... ,. 0 I, ■s owner of the property, ■m exclusively contracting with lice111■d contractors to construct the project (Sec. 7044, Buainns end Prof■---Code: The Contractor's License Lew does not apply to ■n owner of property who builda or improvn thereon, end contract■ for ■uch project• with contr■ctorl1I llc:Mwed pursuant to the Contractor'• License L■wJ. 0 I am exempt under Section ______ Bu■inetl ind Profe11lons Code for this rN1on: 1 . I personally plan to provide th■ major labor Ind m■teri■I• for construction of the proposed property lm!"ovement. 0 YES ONO 2 . I (hava / have notl 1igned ■n application for • building permit for the proposed work. 3. I have contracted with the following person lfirml to provide the propoHd construction (Include name / ■ddr-/ phone number / contractors lie.-• number): 4. l pl1n to provide portions of the work, bUI I nave hired the following penson to coordineta, superviH end provide the major w«lt (Include name / eddr•• / phone number / contractors license number!:. ____________________________________________ _ 5. I will provide ■ome of the work, bvt I have contracted (hired) the following per11ons to provide the work Indicated (Include name/ ■ddrNI / phone number/ type of work):. ______________________________________________________ _ PROPERTY OWNER SIGNATURE ______________________ _ 'COMPLETE THIS SECTION FOR NON4in/DEN1W. iuai>ii'cci PEJiMita ONi. y;';~~.'t'=-~•, ,,,...,..;":'r~:<•~~-"'~~l•:"jr~ij?.'"F''"'"' • .. ~ -. ,,,,,...-:·· ........ ... DATE _________ _ Is the applicant or future building occupant required to 1ubmlt • buai,-s plan, acutely hazardous materi■le regi■tr■tlon form or risk m■neg■ment end praverttion program under Sections 25505, 26533 or 26634 of the Prnley•T■nner H■zerdoul Sublt■nc■ Account Act? 0 YES O NO Is the applicant or future building occupant required to obtain • permit from the ■Ir pollution control distri_ct or air qu■Hty management district? 0 YES O NO Is the facility to be constructed within 1,000 fNt of the outer boundary of • school 11te7 0 YES O NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICAT£ OF OCCUPANCY MAY NOT BE ISSUED UNWS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POUUTION CONTROL DISTRICT. !8, ·· CONSTRUCTION i.ENDING AGENCY '' -. ,.,,, ~., .. ,--~• •--~· -f ';--:--:--;•'.·':,:,7.-~~•'""~...,r-..,,.,,. ~-,·••·•,::-;--,,-·,'."-·:-o,••·•r, •·~·--.-,.,-· I hereby affirm that there is a construction lending agency for the performance of the work for which this permit I■ ilsu■d (Sec. 3097111 Clvil CodaJ. LENDER'S ADDRESS _______________________ _ I certify that I have read the application and 1t■te that th• above information Is correct and that the Information on the pl■111 11 accurate. I agree to comply with ■11 City ordinances end State laws relating to building conttruction. I hereby authorize reprnent■tivw of the Cltt of C■rl1b■d 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" dNp end demolition or construction of structures over 3 stories in height. under the provisions of this Code shell elll)ire by limitation end become null end void if the building or 65 d he date of such permit or If the building or work authorized by such permit is suspended 0 days !Section 106.4.4 Uniform Building CodeJ. _ / APPLICANT'S SIGNAT'.!Jftl~::;2S~==::::'.!~~~::!:::;~~==-------------DATE 3 ~-$8 EXPIRATION: Every permit issued work authorized by such permit i or abandoned at any time aft YELLOW: Applicant PINK: Finance CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB980666 FOR 03/06/98 DESCRIPTION: INSTALL GAS LINE FOR FIRE RING NOT UNDER COVERED PATIO TYPE: PLUM JOB ADDRESS: 1262 PLUM TREE RD APPLICANT: PATIOS PLUS OF CARLSBAD CONTRACTOR: OWNER: REMARKS: C/FRED/724-2400 SPECIAL INSTRUCT: TOTAL TIME: LVL DESCRIPTION PHONE: PHONE: PHONE: ACT COMMENTS INSPECTOR AREA PD PLANCK# CB980666 OCC GRP CONSTR. TYPE NEW LOT: CD 21 23 PL Underground/Under Floor PL Gas/Test/Repairs £:-1---- ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS