HomeMy WebLinkAbout1028 SEAHORSE CT; ; CB973506; Permit1
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CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
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"ERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad CA 92009
(760) 438-1161
1. PROjECT INFORMATION
lo 2 8 .s.F"-t:Vfo"'t.sffe c..T,
FOR OFFICE USE O Y
PLAN CHECK N &k
EST. VAL. __ -h~~..a..,~,...a...~"""."
Plan Ck. Deposit __ ..,:;..-..t...1o..u=:..a.::L...o~
Validated By __ ......,,,p,,,:"""'"i,,.,.--.._....,..~=-
Date ________ u......__..,~......,~
Address (include Bldg/Suite I)
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Business Name (It this •
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Legal Description
2J'/5lo3 300
Let Ne. Subdivision N■ma/Number
f3 1i.s10/i..,-.>c.n...
Unit Ne.
Existing Use Proposed Use
c...
SO. FT. lot Stories I of Bedrooms I of Bathrooms
:,i. CONT ACT PERSON (If dlff-.nt from ii:iiilicairtl -~-••.
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Name Address City State/Zip Telephone I Fax I
6:-'' APPLICANT . )(conimi r r _ .. gent or □~ foi' 0wner---"""lr"'"""'~-.. --~------:h·· I • :--I .
Name Address City State/Zip Telephone I
'4. PROPERtv b"'MIIEII "'-;'. 'T •'1'"'t:! ''rPt) l l"""'.11"'1 '"""",...,~.....,,,..,,.......,~_....-~ , llf; "'T..'"!. ~• ' .• '
~ M2 9'JO 099 Y Gop IIU/'tfl..O /02.. % SB-Affo,e..s,'{i:.
Name Address City State/Zip Telephone I
(Sec. 7031.5 Business and Professions Cede: Any City or County which requires• permit to construct, alter, improve, demolish er repair any structure, prier to Its
issuance, else requires the applicant fer such permit to file a signed statement that he is licensed pursuant to the previsions cf the Contractor's License Law
(Chapter 9, commending with Section 7000 cf Division 3 cf th■ Business and Professions Cede) er that he is exempt therefrom, and the b■sis fer the alleged
exemption. Any violation cf Section 7031.6 by any applicant fer a permit subjects.the 1ppfic1nt to• civil penalty cf net mer■ than five hundred dcllers 1$600)).
5/4.J VI" /./4r~5;c./'fl"'/C lb2 M J/uLGA.,../ A?A. s;-c..,~1r'1J CA: 9L0 J..Y 7"'9 91/YL/S<-
Name Address City State/Zip Telephone I
State License I -$IS-9q / L License Class ~ -2. 7 City Business License I ______ _
Designer Name Address City State/Zip Telephone
State License I ________ _
6. WORKERS' COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalty cf perjury one cf the fellowing declarations:
0 I have and will maintain a certificate cf consent to self-Insure fer workers' compensation II provided by Section 3700 cf the Laber Cede, fer the performance
cf the work fer which this permit is Issued.
I have and will maintain workers' compensation, as required by Section 3700 cf the Laber Cede, fer the performance cf the work fer which this permit is
ed .• My worker's cc n tio insurance arrier and policy number are: 00 O / () -7' S ,
ranee Ccmpany~"""~&"i!~::..:.......si.-=7-~,l,d¼("'e------:-Policy Nc,d'l0 -q "7 lctz ,f Expiration Date ± / ~ {f8
. (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1•1001 OR LESS)
O CERTIFICATE OF EXEMPTION: I certify that in the performance cf the work fer which this permit is lasued, I shall net employ any person In any manner sc ■1
to become subject to the Workers' Compensation Laws cf California.
WARNING: Failure to aecure w0rhn1' compensation coverage II unlawful, and ahall aubject ., employer to crimk1a1 penaltlea and civil fines up to -hundred
thcuaand dollar• ($100,000), In addition to the coat of ccmpena1tlon, clamagu u provided for In Section 3706 of the Labor code, lnter■st and 1ttomey'1 fNa.
SIGNATURE ______________________________ DATE _________ _
7. OWNER-BUILDER DECLARATION
I hereby affirm that I em exempt from the Contractor's License Law fer the fellowing re110n:
0 I, as owner cf the property er my employees with wages as their sole compensation, will de th■ work and th■ structure Is net Intended er offered fer sale
(Sec. 7044, Business and Pr0fes1icns Cede: The C0ntr1ct0r'1 License Llw does net apply to an owner cf property who builds er Improves thereon, and who does
such work himself er through his own employees, provided that such Improvements are net Intended er offered fer sale. If, however, the building er Improvement Is
sold within one year cf completion, the owner-builder will hive the burden cf proving that he did net build er Improve fer the purpose cf 1ale).
O I, as owner cf the property, am exclusively contracting with licensed contractors to construct th■ project (Sec. 7044, Buainess ind Professions Cede: The
Contractor's License Law does net apply to In owner cf property who builds er improves thereon, Ind contracts fer such projects with ccntractcr(s) licensed
pursuant to the Contractor's Llctr11e Law).
0 I am exempt under Section ______ Business ind Professions Cede fer this reason:
1. I personally plan to prcvid• the major labor and materials fer construction cf th■ proposed property improvement. 0 YES ONO
2. I (have / have natl signed ■n 1pplicIticn fer I building permit fer the proposed work.
3. I have contracted with the fellowing person (firm) to provide th■ prcpcs■d construction (Include name / address / phone number / contractors license number):
4 . I plan to provide portions cf th■ work, but I have hired the fellowing person to cccrdinIte, supervise ind provide th■ major work (include name / address / phone
number / contractors license number): ____________________________________________ _
5. I will provide some cf tile work, but I have contracted (hired) the following persona to provide th■ work Indicated (include name / address / phone number / type cf work): ______________________________________________________ _
Is the applicant er future building occupant required to 1ubmit I buslness pf1n, acutely hazardcut m■teri1is registration form er ri1k management ind prevention
program under Sections 25505, 26633 er 26634 cf th■ Presley-Tanner Hezardcua Sub1tInce Account Act? 0 YES O NO
Is the applicant er future b\>ildlng occupant requlred 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 cf the cuter boundary cf 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.
!a • ., CONSTRUCTiOifllNDlr.lOIAGalci:.,.."'•:-r,,-r::-;:o:-7r. ~~~"';'.'~.--~"'..'"i.:::"'~-".:Z"!" -'''T."' ,. "'~:·~ : ''l ;
I hereby affirm that there is I construction lending agency fer the performance cf the work fer which this permit Is isaued (Sec. 3097111 Civil Cede).
LENDER'S NAME ______________ _ LENDER'S ADDRESS _______________________ _
19. APPLICANT CERTIFICA tiorfl: ... r,o:-n:~·1lfl,c;'.'.::r";:f.'IJ:l!:~:""~~~~'l',.'',·°Z.1.\l!'/;:.l'·W~;:'.'i',::~.f..~~~rrn-·~z ;:r-·:t'';"7:':;'':""i'! ~ 1 --n,·:.•·
I certify thlt I hive read the 1ppficati0n ind state thlt the above lnfCffll■ticn Is correct ind that the information en the plans la accurate. I ag,N to comply with ell
City ordinances and St•t• l1wa relating to building construction. I hefeby authorize rapresent1tives cf the Cltt cf C1rtabad to enter upon the above mentioned
property for Inspection purpcsea. 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 AOAINST SAID CITY IN CONSEQUENCE OF THE ORANTINO OF THIS PERMIT.
OSHA: An OSHA permit is required fer excavations ever 6'0" deep ind demolition or construction cf structurH ever 3 stories In height.
EXPIRATION: Every permit Issued by t e Buil Ing Official under the previsions cf this Cede shall expire by limitetlcn and become null and veld If the building er
work authorized by such permit Is net mm ed within 365 days from the date cf such permit er If the building er work authorized by such permit is suspended
er abandoned at any time after thew 11 menced fer period cf 180 days (Section 106.4.4 Uniform Building Cede I.
APPLICANT'S SIGNATURE DATE _____________ _
CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT# CB973506 FOR 01/26/98
DESCRIPTION: COVERED PATIO 160 SF
TYPE: PATIO
INSPECTOR AREA PY
PLANCK# CB973506
OCC GRP
CONSTR. TYPE NEW
JOB ADDRESS: 1028 SEAHORSE CT
APPLICANT: SUN UP LANDSCAPE
CONTRACTOR:
STE: LOT:
OWNER:
REMARKS: C/STAN/944-1152
SPECIAL INSTRUCT:
TOTAL TIME:
CD
19
LVL DESCRIPTION
ST Final Structural
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PHONE: 760 944-1152
PHONE:
PHONE:
INSPECTOR/
ACT COMMENTS 4£ ____ _
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DATE
112197
112197
112197
112197
***** INSPECTION HISTORY*****
DESCRIPTION
Gas/Test/Repairs
Underground/Under Floor
Ftg/Foundation/Piers
Underground/Conduit-Wiring
ACT INSP
AP PY
AP PY
AP PY
AP PY
COMMENTS