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Home My WebLink About2287 PLAZUELA ST; ; CB984397; Permit• PERMIT APPLICATION , CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 EST. VAL. _ __,_i;...:;..~"--'~~-+--:- Plan Ck. Deposit -..,.-."'.=:,,,r-...:j_7J7'=--"-"7 Validated By __ ....J...,_~4-~:.......,rl.::,,,;- Date ________ ...J......wq....1--1,r-1---"-"'-...-' 1. PROACT JWORM~~ON X L.1, ~1 l LA2UGLA: Address (include Bldg/Suite I ) Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total I of units Propo11d Use lot Stories I of Bedrooms I of Bathrooms Name Address City State/Zip Telephone I Fax , ,3. APPLICANT O Contractor □ Agent ior Contractor · □-6~,--'.:O Agitnfioi Owner Name Address City State/Zip Telephone I ~ 4 -Atw'A&.n AND.J"e.ANN e---c,·,· o.eL -~zz.8i·~·p~--·cw. CALIF 763 D3to7 Name Addrest City State/Zip Telephone I S. CONTRACTOR • COMPANY NAME .. -· -,. --·--··-----~---.. ~: •--:--~....,...:·:--=-~::~_,.,.,._":'.":'~·-:·~ ·::-::, --·-. (Sec. 7031.5 Business and Professions Code: Any City or County which require■ a permit to construct, altar, improve, demoliIh or repair any structure, prior to Its issuance, also requires the applicant for such permit to Ille • signed lt■tement that he 11 licenIed pur■uant to the provilions of the Contractor's License Law (Chapter 9, commending with Section 7000 of Division 3 of the Business and Prof■ssions Code( or that he Is exempt therefrom, and the basis for the alleged exemption. Anv violation of Section 7031.5 by any applicant for• permit Iubjects th■ applicant to a civil penalty of not more than live hundred dollars 195001). Name Address City State/Zip Telephone I State License I _________ _ License Class _________ _ City Business Uc■n11e I _______ _ D~signer Name Address City Steta/Zip Telephone State License I _________ _ 6 . WORKERS' COMPENSATION .. -··-··· -·•-·-· -,• • T""'-. -·-·,··· ··•·. Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following dectar■tions: 0 I have and will maintain a certificate of con11nt to 1elf-ln1ure tor worker■' compen11ation ■s provided by Section 3700 of the Lebo, Code, for the p1rform1nce of the work for which this permit is Issued. 0 I have and will maintain workers' compensation, H 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 Dete. _______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS (UOOJ OR LESS) 0 CERTIFICATE OF EXEMPTION: I certify that in the performance of t►,e work for which thi1 permit ii illued, I ■hall not emplov ■nv oerson in any manner •o 11s to become subject to the Workers' Compensation L■w■ of California. WARNING: Failure to Heure worker■' compenaatlon connge II unlawful, ■nd eh■II IUbject an employer to crtmklal penalties ■nd clYII fine■ up to -hwlclred thousand dollar■ It 100,0001, In llddltlon to the colt of compen■atlon, dllm■ge■ N provided for In Section 3708 of the Labor code, Int-st ■nd attorney'■ fN1. SIGNATURE._______________________________ DATE _________ _ 7. OWNER-BUILDER DECLARATION -, ·;·:··:;-t -·····, .. "'"':~.;-,',;,;,--,. ·•,:: ..... ,.,~.,,, •-•' ,. I hereby affirm that I em exempt from the Contractor's License Lew for the following r1■1on: t;i(" I, ■s owner of the property or my ■mployNs with wages as their 1ole compensation, will do the work and the structure 11 not intended or offered for ■■le (Sec. 7044, BuIine11 ■nd Protes1ion11 Code: The Contractor's Ucen11■ Law doe■ not apply to ■n o-of property who build■ or Improve■ thereon, ■nd who doe■ auch work hima■II or through his own ■mployees, provided that ■uch lmprov1m1nt1 ■re not Intended or offered for ■■le. If, however, the building or Improvement ii sold within one year of complation, the owner-builder will hive the burdan of proving that he did not build or Improve for the purpose of Hi■). D I, as owner of the property, am exclusively contracting with licensed contractor■ to con■truct the project (Sec. 7044, Bueineas and Prof111l0n11 Code: The Contractor's License Law does not apply to an owner of property who build■ or improves thereon, and contract■ for such project■ with contractor(■) lie-ad pursuant to the Contractor's pc■nH Law). · D I am exempt under Section ______ Business and Prote11ions Codi for this reason: ./ I ~~•IIY plan to provide the major labor ■nd material■ for con■truction of the propo■ed property Improvement. [!f"' YES ONO I~/ have not) signed ■n application for • building permit for the proposed work. 1' 2. 3. I have contracted with the following person llirml to provide th■ proposed construction !Include n■m■ / ■ddr11I / phone number / contractors lie-• number): 4. I plan to provide portions of the work, bu1 I have hired the following per■on to coordinata, supervise end provide the number / contrectora license numberl: ___________________________ lr_~ili•I"'.\,,:.~"rii .. 'll-'1~c1F-=:::::::.--------------- 5. I will provide ■ome of the work, but I h1v1 contrected (hir■dl the following per10n11 to provide the w ork (Include name / ■ddrns / phone I work):, __________ --=~-----...--,-,i---7""74---:-""7'!r--.,;,.i,--::--:,rcllJlll1i~:..lo~-.,..,r---,--r---...-,,...------- PROPERTY OWNER SIGNATURE 'COMPLETE THIS SECTION FOR N'oN-REsiDEll'TIAi. iull.biNo PERMits ONi.:v:-;-,~:"· . . . ,, •--,•-.... ~. ~ ..... Is the applicant or future building occupant required to 1ubmit • businna plan, acutely ha dous m■teriele regi■tratlon form or ri■k management and prevention program under Sections 25505, 25533 or 25534 of the Prnley•T■nner H■z■rdoul Sublt■nce Account Act7 0 YES O NO Is the applicant or future building occupant required to obtain • permit from the air pollution control dlstri_ct or ■Ir quality menagement district? D YES D NO Is the facility to be constructed within 1,000 INt of the outer boundary of a Ichool 11te7 0 YES D 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 ANO THE AIR POLLUTION CONTROL DISTRICT. !8. -CONSTIIUCTION LENDING AGENCY ; ' • ,,, •. ~-~.-, .. .,,.~-"...,.,,;·r-~·-:-~·r .. :•'·""y..,,._,..,_,_ ---··,···· ··•-·r•,.c:,-· -,~ ... -' . ., ...... -- 1 hereby affirm that there is • construction landing agency for the performance of the work for which thiI permit Is l11ued (Sec. 30971il Civil Code). LENDER'S NAME_______________ LENDER'S ADDRESS _________________________ _ :9, APPLICANT CERTIFICATION . .,. ..... ,. ; . .,. ---:-_;--•·---.. ,-'""'1•"~-~~=--.-,-:.""1·1~--~--.-:r,:•••::,a ,,.,,.....,..,.,,,.,~ .. ,., . ..,-,rn"7'= .. r ,,,.,.,.t '. ·, I certily that I have read the applicetion and state thet the above Information is corr■ct ■nd that the Information on the pl1n11 iI ■ccurete. I agree to comply with 111 City ordinances and State laws relating to building construction. I hereby authorize r■prnent■tive■ of the Cftt 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 con■truction of ltructures over 3 ■torie■ in height. EXPIRATION: Every permit issued by the Building Olfici■I under the provi■ions of this Code ■hall expire by limitation and become null and void ii the building or work authorized by such permit is not commenced within 385 days from the date of ■uch permit or II the building or work authorized by such permit is suspended or abandoned at any time titer th~ is co~me~c•d;or •nod d• (Section 108.4.4 Uniform Building Codel. /.' "'-~a ·9B t APPLICANT'S SIGNATURE ~~-.-DATE _ _,;...,:,:..__1_ '--·------ WHITE: File YELLOW: Applicant PINK: ~iuence City of Carlsbad Inspection Request For: 12/23/1999 Permit# CB984397 Title: PATIO COVERS (2) 372 SF Description: Type:PATIO Sub Type: Job Address: Suite: Location: 2287 PLAZUELA ST Lot APPLICANT CLARK HOWARD Owner: CLARK FAMILY TRUST 12-02-92 Remarks: Total Time: Act Comments Inspector Assignment: __fJ£_ Phone: 7607530367 Inspector: /JF 7 Requested By: MS. CLARKE Entered By: CHRISTINE CD Description 19 Final Structural /4£------ Associated PCRs Inspection History Date Description Act lnsp Comments I l.J:J 'I/Erl- tD X 14' - 'A2.ofbSS5-u ?A-TIO CbVS2.. 6 'X 3~' th~ 1.2g-/ Pl.Ali.Jet.A ~ , P/L. To Pit.. .9o' ' . ~ -' -