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Home My WebLink About1043 SEAHORSE CT; ; CB970124; PermitQ_JZ ·# (.Q l D l " p Wll ~UlL 3 Enter Y ,a A L L E M V ~ 1 l 5 t#: n ru f 1 en f A B E 3 CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92()()() (619) 438-1161 Ext 2 . 7. 7. A D td y FOR OFFICE USE ONLY PERMl;J" APPLICATION PLAN CHECK NO. C/7-J 2-~ CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 EST. VAL. _________ _ Plan Ck. Deposit ________ _ Validated By __________ _ Date _____________ _ uite #I Business Name (at this address) Legel Description Lot No. Subdivision N1m1/Number Unit No. Phase No. Total II of units Assessor's Parcel # Existing Use Proposed Use II of Bedrooms II of Bathrooms Name Address City State/Zip Telephone # Fax II [;l~ii,~UCANT . □. Contr~ctor ~,:~ □~J>.gen.i'.lP[c(iriii'a.Qtp_r.fi':_O,pwbtf~tO:~iiei,HQtP.~-~ej~."QimflGl!i!\%'{~.~g_· s.m·;\: .' Name Address City State/Zip Telephone# ~-. . .. 'z~S~-W:\~t- Nam Telephone II ~oN"t:Mc:fi>R~CoMP~Y.JiiAM (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair Iny structure, prior to Its issuance, also requires the applicant for such permit to file a signed 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 and Professions Code) or that he Is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($5001). /2d¥A/IU£SL 2,7// /4 .M;::«/o/✓ ,E-4/m/oOI< Cc4q z.ozr 728 '9z:;s- Name Address City State/Zip Telephone II State License # ~5' C/: 2 3 .cf License Class C" -2 7 City Business License II /2.D / 3 5 0 Designer Name Address City State/Zip Telephone State License II _________ _ :a;~ ~Y(ORKE.Fis!;COMPEN~ TION..c.~J.v.{~ .. .,~. ~~~::':, . .:..:.f:-,::~:i~L~ .· .: .:~~~~~~;;:\.: .. _> ~·-~~ ~~,_,:;~ .. ~~ct.~1)~-JZ~'~!Villl?ifi(f-ltrf~!l·:~ :~.!;~;:&~. ~1·: ~-., Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 I have and will maintain a certificate of consent to salt-insure for workers' compensation as 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 performence of the work for which this permit is issued. My worker's compensation insurance carrier and policy number are: Insurance Company_____________________ Policy No._____________ Expiration Oete _______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$100) OR LESS) 0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shill not employ any parson in any manner so as to become subject to the Workers' ompansation Law of California. WARNING: Failure to secure• era' compensa · n coverage 11 unlawful, end •!!all subject an employer to crlmlnll peneltiH ilnd civU fi1111 up to one hundred thousand dollar, ($100,0 ltion to the t of compensation, damages as provided for In Section 3706 of the , In rHt end 1nomey'1 fN1. SIGNATURE. ___ -,,L-J.;....c..,,-,.....,-..=.-4,,,---,s<,,...,;b"r'"7-<::...--------------DATE 7. 0WNER·BUILD iE • • ~~=~::~,::Litcir.E- 1 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 that such improvements are not Intended or offered for sale. If, however, the building or improvement is sold within one year of completion, tha owner-builder will have the burden of proving that ha did not build or improve for the purpose of ■■le). 0 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business ind Profe11ions Coda: The Contractor's License Law does not apply to en owner of property who builds or improves thereon, ind contracta for such projects with contractor(&) licensed pursuant to the Contractor's License Law). 0 I am exempt under Section ______ Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ONO 2. I (have / have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name / address / pho111 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 some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name/ address / phone number / type of work): _________________________________________________________ _ PROPERTY OWNER SIGNATURE DATE ff:;.Q~Ji:i!s 'SECTION.,FQIJ NON:RESIP.~J'JAi.iilUIIJ>ING PW.,IJ.S:0.N,~i£r[1!~~. · .. Is the applicant or future building occupant required to submit a business plan, acutely hazardous material• registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES O NO Is the applicant or future building occupant required to obtain I permit from tha air pollution control district or 1ir quality mInIg1mInt district? O YES O NO Is the facility to be coMtructed within 1,000 feet of the outer boundary of 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. rev:"!, coNsrRuCTioN LENDING AGENCY , ·,.:~t:;r,:r)~.:; ~:'.T · ; ,.. ~-~,,;;~-.;_ · · ~;,;,~;:1~;,.-~:,;;mg~,E[~~f.'~t:S d :) T·;.~ · I hereby affirm that there is a construction lending agency for the performance of the work for which this permit 11 i11ued (Sec. 3097(1) Civil Code). LENDER'S NAME ______________ _ LENDER'S ADDRESS _______________________ _ f;;:,, APPLICANT CERTIFICATION I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY ANO KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS ANO 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 axcav~ over 5'0" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the J.ui ilinQrOfficial un the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not co manced within 3 days from the data of such permit or If the building or work authorized by such permit is suspended or abandoned at any time after the wo , is c mencad fo period of 180 days (Section 106.4.4 Uniform Building Code). DATE____,,,,__/ -_li_t --i~7- WHITE: File YELLOW: Applicant PINK: Finance 11/17/98 DATE 02/06/97 INSPECTION HISTORY LISTING FOR PERMIT# CB970124 INSPECTION TYPE Gas/Test/Repairs INSP ACT COMMENTS PY AP HIT <RETURN> TO CONTINUE ...