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HomeMy WebLinkAbout1037 SEAHORSE CT; ; CB973270; Permit10/29/97 10 :32 Page 1 of 1 B U I L D l N G P E R M I T J ob Address: 1037 SEAHORSE CT Suite: Permit Type: PATIO/DECK Permit No : CB97 3270 Project No : A9704210 Development No: Parcel No: 214-530-51-00 Lot#: Valuation : 1 ,134 Occupancy Group: Reference#: Description : COVERED PATIO 168 SF Construction Type : NEW Status: TSSUFD Applied: 10/29/97 Apr/Issue : 10/2 9/97 Entered By : JM Appl/Ownr : PARROTT TIM 1037 SEAHORSE COURT CARSLBAD , CA 92009 *** Fees Required *** ---------------------------- Fees : Ad1ustments : Total Fees: Fee description Building Permit Plan Check Strong Motion Fee 11: BUILDING TOTAL 760 Fees Collected & Credits t .00 .00 49.00 Ext fee Data 29.00 19.00 1.00 49.00 0816 10/29/97 0001 01 02 C-PRHT 49-00 FINAL APPROVAL INSP.i,JL DATE 11 (1 j,n CLEARANCE _____ _ CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO. q73z_,7 Q CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palm as Dr., Carlsbad CA 92009 (760) 438-1161 EST. VAL. ----+-i~6'ie--r-,-.._- Plan Ck. Deposnit_,,,.L:..:._....s......!:c..!::"'-.=....- Validated Bv....,,;t.4.c::.=,~~"'7'.ri,.....,-.- Date, ______ ....1,.~µr.a::.~..J--+- Legal Oescnption Lot No. Subdivilion Name/Number Unit No. Phase No. Total I ot unns Pn,pond u .. lof Stories , ot hdrooms ti of Bathrooms 2. 9-</<. • 1.%, ?2 T~ephon• # Fax I C,o ~.J.~? (7r:!;].q ~ -<o08.f' • _._ ... •-··--~--. •,t._4•-;-•·;, ~~ Cf. C,g_ ~-'cr<o9 J City S. CONTRACTOR. COMPANY NAME !Sec. 7031.5 Business and Professions Code: Any City or County which requires• permit to construct, ahe,, Improve, demolllh or repair any structure, prior to Its issuance, also requires the applicant for such permit to file • signed statement that ht is lk:enald pursuant to the proYi:aions of the Contractor's Ucense Law (Chapter 9, commending with Section 7000 of Division 3 of the Businnl and Professions Code) or that he ts exempt therefrom, end the basis tor the alleged exemption. Anv violation of Section 7031.5 by any applicant for a permit 1ubtect, the eppHcent to a cMI penetty of not mare than five hundred doU1rs 1$5001). Name Addreu City St■to/Zip Telephone I State License II _________ _ Licen11 Cla11 _________ _ Ctty B-Uc... I ______ _ Designer Name Addrn1 Ctty St,te/Zlp Tetephone State License I _________ _ 6. WORKERS' COMPENSATION Workers' Compen11tion Declaration: I hereby affirm under penalty of perjury one of the following dedaratlons: 0 I have and will maintain a certificate of consent to Hlf•lnsure fOf worktr1' contp9nHtion •• provided by SecttDn 3700 of the Lllbor Code, for the performance of the work for which this permit is issued. 0 I have and will maintain workers' compensation, es required by Section 3700 of the Lebor Code, for the performance of the work for which this permit 11 issued. My worker's compensattOn insurance carrier and policy number era: Insurance Company____________________ Policy No. Expiration Date. _______ _ !THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS lt1001 OR LESS) 0 CERTIFICATE OF EXEMPTION: I certify thlt in the performance of the work tor which this permtt is luued, I ■hlN not employ any person In any manner ■o as to become subject to the Workers' Compensation Laws of California. WARNING: F■lture to ■ecure woril:■n' compenutton COVlf■III ll unlawful, end ■hell aubject en ......,. to crlminal penaltlu end d'III flne■ up to ene hundred thouHnd dollar■ 1$·100.000), In eddition to the colt of compenutlon, damllgn • provided for In Section 3708 of the Labor coda, lnllfNt end attarMy'1 ..... SIGNATURE.____________________________ DATE ________ _ 7. OWNER•BUILDER DECLARATION · -· · ··-:.:-;,·.;~-.-,<r:,t,·":• .. '.;".::'. ·• ,,-,.-,.~-n ,··., .. I hereby affirm that I am e,iempt from the Contrsctor'■ License Law for the following reason: 0 I, as owner of the property or my employees with w1gu as their sole compensation, wHI do the work and the structure II not intended or offered tor Hie !Sec. 7044, Busin ... end Prof ... kffls Code: The Contractor'• Ucenu Lew dou not apply to en owner of property who bullda or lmprovu ther.an, end who do-■ such work himself or through his own employH1, provided that such lmprovementt are not lntended or offered tor ..... tr, how■vlf, the bulldlng or lrnprov■m■nt I■ sold wit one .,.ar of completion, the ownttt-builder will hive the burd■n of proytng that he did not build or Improve tor the purpoae of ulel. I, as owner of the property, em excluslvlly contrecttng whh licensed contracton to construct the protect (Sec. 7044, Bu■lneu and Profeniona Code: The Contractor's Ucanse Lew doas not 1pply to 1n owner of property who build■ Of Improves thereon, end contracta tor ■uch protect, wtth contractof'ta, llcenHd pursuant to the com,ector's License Lewi. D I 1m exempt under Section ______ Bwlneu and Protnslona Code for thlt rnson: , . 2. 3. I personally plan to provide the major labor 1nd materials for conatruction of the propo■ed property Improvement. D YES ONO I !have/ have notl signed an application tor I building permtt for the proposed work. I have contracted Ith r kle the propos ''r s;<f 4. I plan to provide ponions of the work. but I hive hired the foHowlng peraon to coordinlte, supervise ind provtdl the major wo,k Ctnctude name/ eddreu I phone number I contractors license numberr!'i----'=l>-~--------------------------------------- 6. I will provide some of the wor of workl=---------,d,j,,.--/:..,{."!i-"'!1,/i,,---=:::::.... ________________ 'T"_/-.:--,r,.,...,,----------- PROPERTY OWNER SIGNATU 'COMPLETE THIS SECTION FOR DATE . BUILDING PDMITi ONi.f::P'~~,..!·~-!."•·"'1~..,..~,1~~~ -:'-'!:·~-1.,"i" Is the applicant or future building occupa requir.cl to submit • business plan, ecutety hazardous materiala registration form or rilk management end prevention program under Sections 25505. 25533 or 25534 of the Prnley~Tsnner Hazardous Substance Account Act? D YES O NO Is the applicent or future building occupant required to obtain a permit from the 11, pollution control district or air quality man■oement dl1trlct7 D YES O NO Is the facility to be constructed wh:hin 1,000 feet of the out■r boundary of I school 1ttel D YES O NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT IE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POUUTION CONTROL DISTRICT. la.. CONSTRUCTION LENDtNci AGENCY--,-,--, .. ,.,., ............. : ....... _ . .,_.,. ... , ... ,. _,-~,-~-;~~~t.:'•'.'~""''·"""",_,,. .... ,.,. : ... ,r .... , ... ,,.,, , ... -..... ,. ---,..,,.., ., .• I hereby affirm thet there is• construction lending agency tor the performance of the WOfk tor which this permh Is issued (Sec. 3097(i) Civil Code). LENDER'S ADDRESS, _______________________ _ I certify that I have reed the application end 1t1te thst the ebov1 Information ls correct and thllt the Information on the plan■ Is accurate. I agru to comply with all City ordinances and State l1ws relating to building construction. I hereby authonze rsp,enntatives of the Cltt of C1rl1b1d to enter upon the above mentioned property for inspection purpo1n. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CrrY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY .. CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is reQuired for excavations over 5•0• dHp and demolition or construction of structures over 3 storin in height. EXPIRATIO~: Every permit i•~u.■d 6y the Building Offl~•• under the provisions of thtl Codi 1hlll expire by llmttation and become null ind void If the building or work authorized by such permit ts not commenced n 385 d■'(ll from the date of such permtt or It the building Of work authorized by I ch permtt is suspended or abandoned at any time after the work ·s t pedod of 180 days !Section 108.4.4 Uniform Building Code). APPLICANT'S SIGNATURE --,~~~~~~t,~~~;::::===~~;=~====== DATE -<'-"~-=:...'-+--'------- YELLOW: Applicent PINK: Finance , CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB973270 FOR 11/13/97 DESCRIPTION: COVERED PATIO 168 SF TYPE: PATIO JOB ADDRESS: 1037 SEAHORSE CT APPLICANT: PARROTT TIM CONTRACTOR: OWNER: REMARKS: C/MATT/619/406-8689 SPECIAL INSTRUCT: TOTAL TIME: PHONE: PHONE: PHONE: STE: 760 CD LVL DESCRIPTION ACT COMMENTS INSPECTOR AREA PY PLANCK# CB973270 OCC GRP CONSTR. TYPE NEW LOT: ~-------______________ ___;_ 19 ST Final structural ------------------------------------ ***** INSPECTION HISTORY***** DATE DESCRIPTION 103097 Ftg/Foundation/Piers ACT INSP AP PY COMMENTS