HomeMy WebLinkAbout1085 SEAHORSE CT; ; CB980745; PermitB U I L D I N G
03112/98 09:05
Page 1 of 1
Job Address: 1085 SEAHORSE CT
Permit Type: ELECTRICAL
Parcel No: 214-530-43-0U
Valuation: o
P E R M I T
Suite:
Lot#:
Permit No: CB980745
ProJect No: A9800981
Development No:
Occupancy Group: Reference#:
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St@-~:
No¥
ISSU!U)OO
03/12/98
03/12/98
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Description: PULL ELECTRIC 220 TO EXISTING Applied:
: CONDUIT . HOOKUP TO ABOVE GRND SPA Apr/Issue:
Appl/Ownr : LUTY BROCK
1085 SEAHORSE CT
CARLSBAD CA 92009
*** Fees Required ***
Fees:
Adjustments:
Total Fees :
760
Entered By:
431-5421
Fees Collected & Credits
.00
,00
20.00
***
Fee description Ext fee Data
Enter "Y" for I
Enter "Y" for Rem d
10.00 Y
10.00 Y
APPROVAL
, IN"-'\'~~-D." 1 : tf-2-?t
JcLEARANCE __ -=---=--=-====
CITY OF CARLSBAD
2075 Las Palrnas Dr., Carlsbad, CA 9200CJ (6 I 9) 438-1 I 6 I
FOR OFFICE USE ONLY • P.ERMIT APPLICATION PLAN CHECK NO. f!j:)?f)-
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad CA 92009
(760) 438-1161
EST. VAL. -----.....,.,-~~r--1
Plan Ck. Deposit --;:::;::.-,J,,:J~~~~
Validated By""""!~.c:J.;_;_~~,,-----
Date ___ -'--f-'....L-'--'f--..k.b'-~----
1. PROJECT INFORMATION
/-efl:5 :5e.llttofc..S.E Q,T
Address hnclude Bldg/Suite II
Jo 47 s .SE-A ttoits£ c r
Business Nam• Cat this address)
Legal Description Lot No. Subdivision N■me/Number Unit No. Ph■se No. Totel # of units
....P. ➔ 'I 5 30 9 8 "-'60 C-,-fL~Y>:row::; Gout;.
Assessor's Parcel II Existing Use Propo■ed Use
;i, 1 <-/ s:::Jo :I 3 P&1J/1trc 1-tcmc sAm c, .
Description of Work SQ. FT. lof Stones ~I of ~ooms I-II of Bat~roo7 ~
>f. :r.r1~ iAu...#,. DO r--J .. OF . /:l/3 pu.£.___(r../f-R_.L./JJJ-fL ~.L.tJ_ .. _-· _ .· ·. ·--. ) ~-·~' j .. (i;;;hC!at· t -:2. CONTACT PERSON llf clff■rent from appllc:antl -· .
Name Address City St■t■/Zip Telephone, Fax,
. 3. APPLICANT 0 Contractor D Agent for c:oni,ic:ior . @<€wn■r·-"D Agfflt for OWner -~·-· -----= . ,.. .... -·-.
,S r::::i 19 lll/U !,.dT i !O f::2$' ,SE.AtJ.ot:,L,£ C..7 C. ,4 ,i!.L .,s,,_.g 6£J (_0/JII-~(.)o/ 7(.pO <I :?I S'-1 .zi
Name Address City State/Zip Telephone II
4. PROPERTY OWNER •-1• • ':""": ..... , ......... ~ ••.. ~1➔• .
'1?1Zoc K fl , ur, 'i L '::fl :z:'
Name Address
18~5" 5 EIIH-r>R,$£C T
City
C A rf Ls.15,,¢ r &:
State/Zip
9 .2.00 9 7410 --I 3 I ~-y 2 I
Telephone #
&. CONTRACTOR · COMPANY NAME
(Sec. 7031.5 Business and Professions Code: Any City or County which r■quiru a permit to construct, ■her, improve. demolish or repair ■nv structure, prior to Its
issuance, also requires the applicant for such permit to fife a signed st■tem■nt that he Is licensed pursuant to the provisions of the Contractor's License Lew
(Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Cod■I or that he Is exempt therefrom, and the basis for the alleged
exemption. Anv violation of Section 7031.5 by any applicant for a permit sub;■c:ts the epptlcant to a civil penalty of not more than five hundred dollars ($5001).
Name Address City State/Zip Telephone#
State License # ________ _ License Class ________ _ City Busin■11 Uc-. I _______ _
Designer Name Address City State/Zip Telephone
State License I ________ _
6. WORKERS' COMPENSATION ~: ,....... . -.. ~-~--.. . ...
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
0 I have end will maintain • certificate of consent to self-Insure for worker■' 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 end will maintain workers' compensation, ■s required by Section 3700 of the Labor Code, for the perlormance of the work for which this permit is
issued. My worker's compensation insurance c■rri■r ■nd policy number ■re:
Insurance Company____________________ Policy No. Expiration Date. _______ _
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS lt100J OR LESSI
0 CERTIFICATE OF EXEMPTION: I certify thet in the performance of the work for which this permit is issued, I ■hell not employ ■ny person in any mannar so ■1
to become subject to the Workers' Compensation Lews of Californi■.
WARNING: Failure to s■cure worker■' c:omp■nHtlon coverage Is IA'llawful, and ■hall IUbj■ct ■n employer to crlrNnal p■n■ltlu ■ncl clvll fines up to -hundred
thousand dollars (t100.000I, In ■ddltlon to the cost of comp■nutlon. damagu • provided fo, In s■ctlon 3706 of Iha labor i:od■, lnt-t and ■nom■y'a fNa.
SIGNATURE._____________________________ DATE ________ _
7. OWNER-BUILDER DECLARATION . ·. ·: .' :•:,·::<"·~'.-".:. ··:·:rr.;1'"•·\'r~-•i:' .,.,,.·,·'Jtrr. ~~ .. ·.
I hereby affirm that I am exempt from the Contractor's License Law for the following r■■son:
~ I, ■s owner of the property or my employees with wages ■s their sol■ compensation, will do the work and the atructur■ la not Intended or offered for nle
(Sec. 7044, Business and Prof■ssions Cod■: The Contractor'■ Uc.we Law don not apply to an owner of prop■ny who builde or Improves thereon, end who does
such work hlm■elf or through l'lis own ■mploy■n, provided thet such lmprov■m■ntl ara not Intended or off■r■d for NI■. If, ho-var. the building· or lmprov■m■nt la
sold within one ye■r of completion, the own■r•builder wlH have the burden of proving that he did not build or Improve for the purpo■■ of ■■t■).
0 I, ■s owner of the property, ■m exclusively contracting with licensed contractors to construct the project IS■c:. 7044, Businna end Profuliona Cod■: The
Contractor's License Law don not apply to an owner of property who builds or improves thereon, end contrec:ta for ■uct, proj■c:ts with contr■ctorl1) U-ed
pursuant to the Contractor's License Law).
0 I em exempt under Section ______ Buslnus and Professions Cod■ for this ruson:
1. I personally plan to provide the major labor end metarials for construction of the proposed property lr:nprov■m■nt. 0 YES ONO
2. I (have / have not) signed ■n application for • building permit for the propo■ed work.
3. I have contracted with the following person (firm) to provide the proposed construction Clnclud■ name / eddr■11 / phone number / contractors ~-• number):
4. I plan to provide ponions of the work, but I have hired the following p■raon to coordinate, sup■rvin ■nd provide the major -k Clnclud■ n■m■ / eddr■11 / phone number/ contractors licen■e number):. ____________________________________________ _
5. I will provide ■om■ of the work, but I heve contracted (hired) the following per■on■ to provide the -k Indicated Clnclud■ name/ ■ddrNI / phone number/ type
of work):. ________ ---:,'+-----:~-+------.,-=.P..--+-------------------------------
Is the •pplic•nt or future building occupant required to aubmlt • businna • cutely h■zerdoua m■tari■I■ r■gietratio,, form or rillk management end p,eVllntion
program under Sections 25505, 25533 or 25534 of the Prnley•T1nner H■zardoul Substance Account Act? D YES O NO
Is the applicant or future building occup■nt required to obt■in • permit from the air pollution control dist~ct or air quaHtv management district? O YES O NO
Is the facility to be constructed within 1,000 fHt of the outer boundary of a school 1ite7 0 YES O NO
IF ANY OF THE ANSWERS ARE YES. A RNAL 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.
~ ... CONSTRUCTION l£NDINQ AGENCY ·,'" ··'V ,.., ·••·~•· s·----~ ''"'"''C"."":•:;~;:"'.".'''""''-<"-~':-·•·-•·""••·• :••-_ .. ,. :--·c-,--, " -,_.,. .... ,._.
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit Is lasued (Sec. 3097(il Civil Code).
LENDER'S NAME______________ LENDER'S ADDRESS. ________________________ _
i9. APPLICANT CERTIFICATiON ,. . -·-·,-·-'1··---,~=•-•-:t7•-,,,.,,,.. ... '.:",-,,-.. ,-.·,,....,.,,7.c••·.':-;:,w;i_•·•·.,,.,.,.,:;,;_,.,'.~'...,...,.,,~,.,.t
I certify that I have reed the application and stat■ that the ebov■ Information 11 correct and th■t the Information on the pl■ns Is accurate. I agree to comply with 111
City ordinances and State laws relating to building construction. I hereby authorize r■present■tivn of the Cltt of Cerl1b■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" deep and demolition or construction of structures over 3 ■tories in height.
EXPIRATION: Every permit issued by the Building Official under the provisions of this Cod■ shall expire by limitation end become null and void if the building or
work authorized by such permit is not commenced within 385 days from the d■te of such permit or If the building or work authorized by such permit is suspended
or abandoned at any time ef he wor · commenced for ■ riod f 180 days (Section 108.4.4 Uniform Building Code).
DATE _3_-_I .2.._-_9_8 ___ _
YELLOW: Applicent PINK: Finence
CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT# CB980745 FOR 03/31/98
DESCRIPTION: PULL ELECTRIC 220 TO EXISTING
CONDUIT. HOOKUP TO ABOVE GRND SPA
TYPE: ELEC
STE:
INSPECTOR AREA PD
PLANCK# CB980745
OCC GRP
CONSTR. TYPE NEW
LOT: JOB ADDRESS: 1085 SEAHORSE CT
APPLICANT: LUTY BROCK
CONTRACTOR:
PHONE: 760 431-5421
OWNER:
REMARKS: C/JOANNE/431-5421
SPECIAL INSTRUCT:
TOTAL TIME:
CD LVL DESCRIPTION
~:g:~: /J / '-4/1
INSPECTO~~
ACT COMMENTS
31 EL ~ground/Conduit-Wiring (/Jl,,, ~ -,BF":,,,,,,..., µ-,-l"r,a~,..,,..---------f/_-----------
***** INSPECTION HISTORY*****
DATE DESCRIPTION
032098 Underground/Conduit-Wiring
ACT INSP
CO PD
COMMENTS
ON CARD
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