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Home My WebLink About1218 PLUM TREE RD; ; CB982344; PermitU I ~ D I N G P E R M I P rm1t N): CB982J4~ o,.-,,,=,,c-t-N ,: A O C •9 07/ " '-' .._j:()6 PlgP 1 of 1 Job A1dress: 1218 PLUM TREE RD Permit Type: _ ii"'BING P ~eel No: 214-543-33-00 Suite: Lot#: J• ~ . 7299 07 /Z2/98 0001 01 02 C-PRHT 27 • 00 Valuation: Occupancy Group: Reference#: Desc11ption: GAS LINE TO FUTURE BBQ 0 Construction ~ype: NEW Status: ISSUED Applied: 07/22/98 Apr/[ssue: 07/22/98 Entered By: BT Appl/Ownr : JAMES, STEVE 1218 PLUM TREE RD CARLSBAD CA 92009 Fees Required ----------------------------Fees: Adjustments: Total Fees: Fee description -------------------- E!1ter "Y" for Plumb t Gas P1p1ng System 804-3990 ------------------------- FI NAL APr INSP. _____ D/ _ CLEARANCE .00 .00 27.00 Ext fee Data ----------------- 20.00 Y 7.00 -----1OVAL ------- CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO. °I Zt.~t./f CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 EST. VAL. ---------,,r7""t~ Plan Ck. Deposit ____ .._,..."'-"'u,_;._ Validated By ______ J<.....:...,..~......,...,,1-;,, Date ___________ .....,.fL-J<-+-& 1. PROJECT INFORMATION 12..1e P\v.W\T(u.. RJ. Address (include Bldg/Suite #) Business Name (at this address) ~\\e(_,-t\OY") Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Proposed Use #of Stories # of Bedrooms # of Bathrooms 2. CONTACT PERSON (If different from eppllcent) hvc.. d°o.W"le 1-1 Name Address City 3. APPLICANT O Comractor O Agent for Contractor ~wner . 0 A.gent for Owner Fax# Name 5 e,J~ ~W'le-S r''-,\ I..,~~ SA .,,.....-e City State/Zip 4. PROPERTY OWNER Telephone# ~--Name Address City State/Zip Telephone# 6. CONTRACTOR • COMPANY NAME (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, commending 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 violation 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). Name Address City State/Zip Telephone# State License # _________ _ License Class _________ _ City Business License # _______ _ Designer Name Address City State/Zip Telephone State License # _________ _ 6, WORKERS' COMPENSA TlON 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: Insurance Company ____________________ _ Policy No. ___________ _ Expiration Date _______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100) OR LESS) 0 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 to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure worker•' compenaatlon coverage I• unlawful, and ahall aubjact an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,000), In addition to the cost of compensation, damages ea provided for In Section 3706 of the Labor code, Interest and attorney's fees. SIGNATURE______________________________ DATE---------- ,. OWNER-BUILDER DEClARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: Ji;( 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). 0 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.~ YES ONO 2. I~ / have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) 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 (hired) the following persons to provide the work indicated (include name / address / phone number / type of work): _________ -;-----,1---;,..-::.=r--;::r-------------------------------------- DATE -----------NLY ts 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 Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? O 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 THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 8. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME ______________ _ LENDER'S ADDRESS ________________________ _ 9. APPLICANT CERTIFICATION 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 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 thew rk is commenced f r a period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE _'--7_C:::::...-....I..L:_....,J.:::::::::::::::::::,.,,...-=-----------DATE __ 1_·_'.2-__._?-_·_~...,.B"------ YELLOW: Applicant PINK: Finance CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB982344 FOR 07/30/98 DESCRIPTION: GAS LINE TO FUTURE BBQ TYPE: PLUM TREE RD INSPECTOR AREA PD PLANCK# CB982344 OCC GRP CONSTR. TYPE NEW STE: LOT: JOB ADDRESS: 1218 PLUM APPLICANT: JAMES, STEVE CONTRACTOR: OWNER: REMARKS: C/743-1582 EXT 105 SPECIAL INSTRUCT: PHONE: PHONE: 804-3990 RL PHONE: @; INSPECTO ~ µ TOTAL TIME: CD LVL DESCRIPTION ACT COMMENTS _2_J __ P_L _G_a_s_f_T_e_s_t_f_R_e_p_a_i_r_s _______ ~ ______________ _ -----------------~ ------------------ ***** INSPECTION HISTORY***** DATE 072898 072898 DESCRIPTION Gas/Test/Repairs Underground/Under Floor ACT INSP CO PD CO PD COMMENTS SEE NOTICE ATTACHED