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Home My WebLink About2419 SACADA CIR; ; CB971730; Permit.., 7 .., I FINAL APFRO'AL .1 )~P. ;J}?d !;z DATE ___...-'-I> CLEARANCE ------ CITY OF CARLSBAD 2075 Las Palrnas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 lid\PJIOJ.EC~f.QJIIMtlQt{~~ 24)9 Sacada Circle Addre11 Clnclude Bldg/Suite II ., FOR OFFICE USE ONLY PLAN CHECK NO. 9 ]f7.)l2 EST. VAL. _________ _ Plan Ck. Deposit ________ _ Validated By __________ _ Date _____________ _ 8usln• .. N■me (It th11 ■ddre .. l legal Oucrtptlon lot No, SFR Subdtvlalon N■m■/NUf!lber Unit No, PhHa No. Total I of unit• Asn11or's Parcel I Exl1tlng U11 Propo1ed UH Name AddrHI City State/Zip Telephone I Fax I ~;:,"~) ....... 'CAUT.).:l, r,,:c .• 1.. i' ·••i.u·r.,n,·,·..;.;r =-1'1-Wn'l'.•;; 'r.:n1r;:,,~--· '1l'iH,,A .... ' 'lifckii5irii~.,~~i!;E,;~io:/i".'.'1Pn'I~ •.. . . . ,.,!Y..r.'"! ':".' ,-.e1• L:.1,. P.ll.H,.'-\Of ... 'il!<WltlG."n"',Q/lll'o"'18a9.,P!~.w ~ ,.,_ 1:n,!MIEr:;-'C&JON",~··:rzuz:r--~:!l'ZJ'lf'f'f"IAl.:itJ.~.: ... SHF'f U JOHNSON/KBJ$TY FOSTER 13706-B HWY BU · , · --.r.ima Address City State/Zip Telephone I ~f~fUaY'4P.WH~ll.\~~DIIFliiRiRflfWWP!ffifffitth9h 8F '~~'\iii~~• Geo-r:~ ~~oe l l g 24) 9 Sacada Circle CARLSBAD • ~LUU~ --m 4 Addre11 City State/Zip hlephone I li.~ffiM®li'i:tQMeM Ji " (Sec. 7031.6 8uslna11 and Prole■-lons Coda: Any City or County which require• • permit to construct, alter, Improve, demolish or repair any 1tructure, prior to It, IHu1nca, also requires the 1ppllc1nt for 1uch permit to Ill• • signed 1t1tam1nt that ha Is licensed pur1u■nt to the provisions of the Contractor'• Ucen11 Lew (Chapter 9, commending with Section 7000 of Division 3 of the Buslnass and Profa11lon1 Codal or that he Is exempt therefrom, and the basis for the alleged exemption. Any vlol■tlon of Section 7031.6 by any applicant for• permit 1ubjact1 th1 ■ppllc1nt to• civil penalty of not mor2yi■n flv~~~~r4t~•11 l•6oot1. A jij f0S':PSR PW4£1IN:; J 37Q6 B HWY 8 BUS, EL CAJON CA. 920 & m Addrlls City St■f~354 Telephone I X Stat, llcens~~QJ 20 llcen11 f1'8r36 .City Bu1ln■11 llc1n11-V-vv D11igner N1m1 Address City State/Zip Telephone Stat, UCIOI■ ~ IA · · . · -. 1t:i·;,"i)•(oRKW't-.coMPENM.'n6N..imJllll.:'.riiiJ.Nf-.i~!t&VM;~~~~'\' :~D Worker•' Compan1■tlon Oecl■r■tlon: I her1by alllrm undar p1nalty of perjury on, of th1 lonowlng .d,cl■r■tlons: 0 I hlva and win m1lnt1ln • c■rtlllc•t• of consent to 1■il-ln1ur1 for worker,• comp1n1■tlon H provided by Section 3700 of the labor Code, for the performance of the work for which this permit 11 l11u1d. 0 I hlva and wlll maintain worker•' compensation, H required by Sactlon 3700 of the Labor Code, for the performance of th■ work for which this permit Is Issued. My worker'■ compensation Insurance carrier and policy number ar1: rON'T'INUOUS lnaur■nceCom~ :INSURANCE PollcyN~00?-56-51 _ Explr■tlol\Vi(i _____ _ (THIS SECTION NEED NOT IE C(?MPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS IUOOJ OR LESS) 0 CERTIFICATE OF EXEMPTION: I certify that In the performance of the work for which thl1 permit 11 la1u■d, I ■hall not employ any parson In eny manner 10 u · to become 1ubj1ct to tha Workers' Compensation l■wa of C■lllornl1. WARNING: F■llur■ to 11cur■•work11■• compenntlon COYlf■g■ 11 unlawful, and 1h1H subject ■n employer to crlmktll p■n■ltl11 and civil llnH up to on■ hllfldr■d thou1■nd doll■rs 1•100,000J, In addition to th■ co,t of compensation, d■m■gH H provided for In Section 3708 of the LalM¥' code, lnter■1t and attorney's f■H. SIGNATURE. ________________________________ DATE _________ _ 7, ':'"OWNER-BUILDER DECLARATIO,.({ .t1WV1 ~i ~t~itfif~~f-~~}g-l}l'ffl~~ll!..k-~ltlf:r.-W\i;;~'.' i I ha11by affirm that I 1m exempt from th• Contr1ctor'1 llcen111 law for th• following reHon: 0 I, H owner of the property or my employees with wages H their 1ole compensation, win do the work and the 1tructur1 11 not Intended or offered for 111a (Sac. 7044, 8u1inaa1 and Prole11lon1 Code: The Contr1ctor'1 llcen11 law doH not 1pply to 1n owner of property who bulld1 or Improves thereon, and who does such work hlm1■II or through his own employees, provided that auch Improvement• ar, not Intended or offered for 111■• II, however, the bulldlng or Improvement la sold within on■ yHr of completion, the own■r•bulld1r wlN h■v, the burden of proving that h■ did not build or Improve for the purpo11 of ■11,1. O I, 11 owner of the property, ■m ·1Xclu1lvaly contracting with Hc,n■ad contractor• to construct'the project (Sec. 7044, Bualn■H and Prol■■alons Code: The Cont11ctor'1 Ucen11 law does not apply to an owner of prop1rty who builds or lmproYH ther1on, and contract■ for •uch proJ■cll with contr■ator(al Hc,nsed pursuant to th■ Contractor's Uc1n11 law). · 0 I am u1rnpt under Saetlon _____ Bu1ln111 and Prol111lon1 Cod■ for this r111on: 1. I per1on1lly plan to provide the major labor end m■terlel1 for construction of th• propo11d property lmprov■m■nt, 0 YES ONO 2. I (hlv• / h1v1 notl 1lgn1d en appllc■tlon for • building permit for the proposed work: 3. I h1v1 contr1cted with th• following person (firml l!) provide the proposed construction llnclud, name / addrHI / phone number / contractors license numberl 4. I plan to provide portions of the wOfk, but I hive hired the following person to coordinate, 1upervl11 and provide the major WOfk (Include n■ma / ■ddre11 / phon, number/ contractors license numberl: _________________________________________ _ 5. I wlll provide 1omt of the work, but I have contracted lhiredl th• following parsons to provide the WOfk Indicated (Include n■ma / add1es1 / phone number / typ of work): __________________________________________________ _ PROPERTY OWNER SIGNATURE _____________ -,-________ DATE _________ _ ~O~..JffiliSECTJOMJ;QR.il.Olt-i.tl$./P.$~~P,ft~llffiHi:YWV:fUl:Ml ~~;~[ti~t!i~Jl. la thl eppllcant or lutur, building occupant 11qul11d to submit • bu1lnan plan, ■cutely huardoua materl■I• registration form or risk management ,nd prevention program under Sections 26506, 25633 or 26634 of the Presley-Tenner H11■rdou1 Substance Account Act7 0 YES O NO Is the 1ppllc1nt or future building occupant required to obtain • permit from tht air pollutlon control district or alt queNty management dl1trlct 1 □ YES O NO 11 the lacllity to be constructed within 1,000 fHt of the outer boundary of ■ school 11ta7 0 YES O NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT IIE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 111:-~: coNsrRucTioN LENDING' AGENcv,;p;·~l t1m~vti~~··,~w'..'ttffltt,r;s,t;~w.rm~~~~!t1i-iri,titk} ~~T; I hereby affirm that 1ha11 11 a construction lending agency for th• perlorm,ne• of th• work for which thl• p11mlt 11 laaued (Sae. 3097111 Clvll Codel. LENDER'S NAME ________ ,.... ____ _ LENDER'S ADDRESS ______________________ _ I certify that I hlvt r11d the 1pplic1tlon and 11111 that the above lnlorm1tlon Is correct and that the Information on the plans Is accUfate. I agree to comply with all City ordinances and St1t1 law, 11l■tlng to building construction. I hereby authorlH repre11nt■tlvH of th• City of C•rl1bed to enter upon the above mentioned property for lns1N1ctlon p\lfposas. I ALSO AGREE TO SAVE. INDEMNIFY ANO KEEP .HARMLESS THE CITY OF CARLSBAD AG/\INST All llABlllTIES, 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 11quired tor 1Xc■v1tlons over 5'0" d11p and dtmolltlon or construction of llructures over 3 1torl11 In height. EXPIRATION: Every permit l11ued by the Building Offlclal undM the provl1lon1 of 1h11 Code 1h1II e,cplre by llmlt1tlon and become null and void II the building 01 work authorized by such plfmlt Is not commenced within 366 d■ya from the d■t• uch permit or If th■ building or work authorized by such permit Is suspendec °' abandoned II any time after'· work Is ca menced for ■ p rlod of 180 days IS I 106.4.4 Uniform BulldlnOgACToEde).(o~d/J~ APPLICANT'S SIGNATURE -.!1..£.l.AU..~ll!llt:~t...l.-~,..4'::=i::...::;.l,...L,i....>...:::.....:,,......._______ ~-... ~!d="--..,Qf"'-''--~.,_l_~----- WHITE: FIie YEllOW: Applicant PINK: Finance CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB971730 FOR 07/01/97 DESCRIPTION: WATER HEATER REPLACMENT TYPE: PLUM INSPECTOR AREA PLANCK# CB971730 OCC GRP CONSTR. TYPE NEW STE: LOT: JOB ADDRESS: 2419 SACADA CR APPLICANT: GEORGE, NOELLE CONTRACTOR: PHONE: 760 753-5798 OWNER: REMARKS: R/NOEL/753-5798 SPECIAL INSTRUCT: TOTAL TIME: CD 25 LVL DESCRIPTION PL water Heater/Vents ---------------------------------------------------------- PHONE: PHONE: INSPECTOR 7 ,.._ _________ _ ACT COMMENTS 4J/v.<JU ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS