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Home My WebLink About1052 SEAHORSE CT; ; CB971687; Permit.. p , ,. .,. .-.. ,. !\,. ,.... ~-, .,... n M T ,,., APPRO /AL INSP.~·--I-JI.::;__-DATE 7 ,, 1✓'17 CLEARANCE _____ _ CITY OF CARLSBAD 2075 Las Palrnas Dr., Carlsbad, CA 92009 (619) 438-1161 .., 7 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 Validated By~i---"'n'..,..,r=-r-,:::,,r,::-::--- Date _____ --r.:ir1¥-+-1,ri'--"'"""-'--- 1. PROJECT INFORMATION //J,:[2- Address CinClude Bldg/Suite II ~ ?-- ;-•~Rt~l •::,a1i'1'!"'""' :~~-:-•,' ,· -:5' £4_1/0,/L'2 £.. C 6 ?I /2-c Business Name lat this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total I of units Assessor's Parcel I Existing Use Proposed Use car 1 ;y/.3:. &'O /Z..Z-/f/3?/4. Description of Work sa. FT. lot Stories I of Bedrooms II of Bathrooms f2. CONTACT PERSON ilf dlff.,.,.itrom appllc■ntl ..,_,, ,., "'· ~-:,,•-'"~"' r•. • .-·~• r * .,.,, · ·, ·'"° ... ._. .. V /7/JA./,A_/ .c<.££5 £ 77(/ & ,@,,(>/t1A( r,1//drro/L ('."ft fz ozj 7 Z'if -f 2-35 Name Address City State/Zip Telephone II Name Address '4. ~ PROPERTY dWNEil" ' -,, .; """'~~t"'?"'!,..,.., .. ,.. $/4 4:,?2//. Val/2« S: /0 5"Z- Name Address 6. 'cciNTRACTOR'! coMPANY'NAMi.-_ __,,,_,. City ",:-:.,..'Vr-1r•-,'!r.rr·, -i r.,..,, -!'f • ..... ~ State/Zip r· . .;y . ..;J CA-(UJ14o State/Zip "'" Telephone II 1 f!'°'"":..er l lt I w: ~ Telephone I Fax II -•-'- ISec. 7031.5 Business and Professions Code: Any City or County which requires• permit to construct, alter, Improve, demolish or repair any structure, prior to Its l11uance, also requires the applicant for such permit to file a aigned 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 1nd Professions Code) or that he Is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by 1ny applicant for a permit subjects the applicant to I civil penalty of not more than five hundred dollars (t50011. t3 ,t ¢5? C:-A/V'()"f'C1:Jll '2'7// £. 1211 [£(6,,.,_/ rA-(/Or /fO IL, /,e. '7 2-2' 5 '.2, 3 s:: Name ' Address City State/Zip Telephone I State License II !-/2±23.e-f License Class C · "2.. 7 City Business License I _______ _ Designer Name Address City State/Zip Telephone State License I _________ _ 8. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 I have and will maintain I certificate of consent to self-insure for workers' compensation ■s 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 _______ _ ITHIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FDR ONE HUNDRED DOLLARS lt100J OR LESS) EJ-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 Hcure wor -;--~tlon cov1n1v, la unlawful, end Iha.I subject an employer to crtmlnal penllltlea and clvU flnH up to one hundred thousand dollars 1$100,0001, ln1i<kllitl<,n to the coat of co tlon, damegH u provided for In Section 3708 of the Labor code. lnterHI and attorney'• f••· SIGNATURE ___ ~~.,d.~~Z::::.L-_ __.C,e::::::::::::~~='--------DATE & • /'9 ,.. o/ 7 7. OWNER-BUILDER DECLARATION ..,. .. -:: r' • I hereby affirm that I am exempt from the Contractor's License Law for the following reason: )" . ' 0 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 ISec. 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 thll 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 salel. 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 1n owner of property who builds or Improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Lewi. 0 I am exempt under Section ______ Business and Professions Coda for this r.iason: 1. I personally plan to provide the major labor and materials for construction of the proposed property Improvement. 0 YES ONO 2. I I have / have not> signed an application for a building permit for the proposed work. 3. I have contracted with the following person lfirml 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 aome of the work, but I have contracted lhiredl the following persons to provide the work Indicated !include name / address / phone number / type of work): _________________________________________________________ _ PROPERTY OWNER SIGNATURE _____________________ _ ICOMPL.ETE THIS SECTION FOIi Ni>N-RESioENffAi.'llulf:biNci t>ERMrrs"oNL • lii('l',.,,,.;-.,,w01 •~·r::i1~ii"r'ft:;~ Is the applicant or future building occupant required to submit a business plan, acutely hazardous mllerials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of th• Presley-Tanner Hazardous Substance Account Act? 0 YES O NO Is the applicant or future building occupant required to obtain • permit from the air pollution control district or air quality management district? 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of I school site7 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 POUUTION CONTROL DISTRICT. , ..... , ; • ...... =\., I hereby affirm that there is I construction lending agency for the performance of the work for which this permit Is Issued !Sec. 3097(1) Civil Code). LENDER'S NAME ______________ _ LENDER'S ADDRESS _______________________ _ I certify thlt I hive re■d the application ■nd state thlt the above Information Is correct and that the lnfo,m1tion on the plans Is accurate. I 1grH to comply with all City ordinances and State laws relating to building construction. I hereby authorize representllivu of the Cltt 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 AU 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 s•o• deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit Issued by the Building work authorized by such permit Is not commen or abandoned 11 any time after the work Is APPLICANT'S SIGNATURE DATE WHITE: File YELLOW: Applicant PINK: Finance PERMIT# CB971687 DESCRIPTION: GAS LINE TO TYPE: PLUM CITY OF CARLSBAD INSPECTION REQUEST FOR 07/07/97 P[ORTABLE BBQ JOB ADDRESS: 1052 SEAHORSE CT APPLICANT: REESE LANDSCAPE CONTRACTOR: PHONE: PHONE: OWNER: PHONE: STE: INSPECTOR AREA PLANCK# CB971687 OCC GRP CONSTR. TYPE NEW LOT: 760 728-9235 REMARKS: R/728-9235 SPECIAL INSTRUCT: ✓,, ?y INSPECTOR ----i•---,4/f.__ _____ _ (P TOTAL TIME: CD LVL DESCRIPTION ACT COMMENTS _2_3 __ P_L _G_a_s_f_T_e_s_t_f_R_e_p_a_i_r_s _____ _.__,/f{: ------------------------------------ ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS