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Home My WebLink About1064 SEAHORSE CT; ; CB970125; Permitup: ·A LINE A BA -Ql Appl wr • .r : REE E, 2711 E. FALLBR F e .... F e AdJU tment ... : ot F e : Fe oe En qu1r i E L N G #: EL 9 2. R M V t#: 19 FINAL N N Cr 11 t Ex 7. 2 . 41. PRO\l y 1 :t: INS~~~ DATE_,,.._~~ CLEARANCE ____ _ CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 t-UH Ot-H<.;f USE ONLY PERMIT APPLICATION PLAN CHECK NO ••____,;f__,7,_--'-/_Z...__;C--:,__ CITY OF CARLSBAD BUILDING DEPARTMENT r 20.75 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 EST. VAL _________ _ Plan Ck. Deposit ________ _ Validated By _________ _ Date. _____________ _ Business Name (at this address) Legal Dess9t,.:::::g Lot No. Subdivision Name/Number Unit No. Phase No. Total I of units Assessor's Parcel I Existing Use Proposed Use Name Address City State/Zip Telephone I Fax I ;jf:-:i';A&ucANT • □. Contr~ctor:c□~Ag11nt:m;co~iia_~pr:ft:□,.o,w"pvj,~:JO:~genFfiiE~w.nar~~~1~~~-'~;;z{,~f,;f!.· Name Address City State/Zip Telephone I ~.mno,· .:.e-iJA11$~t~,_ Name l "!HcorffiiAd'i>Fi~:cOMP.Mff'JiiAM (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, Improve, demolish or repair any 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 ($500)). t)t!1.A/A/&£S£ 2,Zd L A?;:'.«/0/✓ ,,CA//yoe11< C,4gz.o z £ 7-Z8 9z ,s- Name Address City State/Zip Telephone I State License I d:5'" C/2 ·:3 4 License Class C ~ -Z 7 City Business License I /Zo / 3 5 0 Designer Name Address City State/Zip Telephone State License I _________ _ lel *'lV.O.R.K.EFist ,coMPENS~TION'i.~J.~.-3.,,.: .. ~~-u~:~:'L~4,~~~c~J .. :i~l:~ :: .. :v.r~;..M-t~(~:.~:t~~-~~-~~-;~!{Jj.=~),;.'~f~~~.m~~tHm~l;~~~:~:u,;ttt&t:-.:,:· ~., .. ' Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: O I have and will maintain a certificate of consent to self-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. O I have and will maintain workers' compensation, es 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 _______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) 0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is isaued, I shall not employ any person in any manner so as to become subject to the Workers' C ensation laws California. WARNING: Failure to secure• age is unlawful, and shaU subject an employer to criminal penaltlea ilnd civil finaa up to one hundred thousand dollars ($100,000 n ion, damages as provided for In Section 3706 of the attorney's fus. SIGNATURE. ___ __,;L.1,_..:i~:.....:.-'---.L4_~;;.::..:::::....,=...&...:::___________ DATE 1. . .. _~!~ .~:~ :!:.t:}::::1itR~-.,~ 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 (Sec. 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, the owner-builder will have the burden of proving that he did not build or Improve for the purpose of 1■11). 0 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Buainesa and Profe11lona Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contract■ for auch projects with contractor(al licen1■d pursuant to the Contractor's Ucenae Lewi. O I em 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 Uirm) to provide the proposed construction (include name / address / phone number I 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 numberl:. _______________________________________________ _ 5. I will provide some of the work, but I have contracted (hiredl the following persons to provide the work indicated (include name / address / phone number / type of workl:. _________________________________________________________ _ PROPERTY OWNER SIGNATURE _______________________ _ DATE _________ _ lc;Q~Jiils,sEcuoRFOR W/HlES/PEmMt:,-u1w1No pw.1u::o.rJcv;1,;7~~~ Is the applicant or future building occupant required to submit a business plan, acutely hazardoua materials 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 • 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 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. f&;j;~·co~STRUCTION LENDING AGENCY •; . "':'.~,:·.~;~ ~";r""' .• ·:~".:;C ':'. '. '"!":-~;'~;.~T~~~~':iV't';;.i';. ;/r~_r,:· I hereby affirm that there is a construction lending agency for the performance of the work for which this permit Is iasued (Sec, 3097(1) Civil Codel. LENDER'S NAME ______________ _ LENDER'S ADDRESS _________________________ _ f9: .· • 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 law, 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 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 6'0" deep and demolition or construction of 1tructures over 3 stories In height. EXPIRATION: Every permit issued by the Buil · g fficial unde e provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not comm ce within 366 'vs from the date of such permit or If the building or work authorized by such permit is suspended or abandoned at any time after the work · enced for a of 180 days (Section 106.4.4 Uniform Building Code). 1 .,, !: f_ 2_ APPLICANT'S SIGNATURE ----,.q...-,.l,,;::;.~~--,,~~:::...;::_+--,------------DATE _ Lb-,-__ l 7 WHITE: File YELLOW: Applicant PINK: Finance .. PERMIT# CB970125 DESCRIPTION: GAS LINE AND BAR-B-QUE TYPE: PLUM CITY OF CARLSBAD INSPECTION REQUEST FOR 06/10/97 ELECTRIC FOR JOB ADDRESS: 1064 SEAHORSE CT APPLICANT: REESE, DONN CONTRACTOR: PHONE: PHONE: OWNER: PHONE: INSPECTOR AREA PY PLANCK# CB970125 OCC GRP CONSTR. TYPE VN STE: LOT: 619 728-9235 REMARKS: R/TRISH/929-0930 SPECIAL INSTRUCT: INSPECTOR TOTAL TIME: CD LVL DESCRIPTION ACT COMMENTS /} 23 PL Gas/Test/Repairs ~ /':"' _ ~ -----=-,b;~~ -~----.4c : ~ ***** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP COMMENTS 060397 Final Plumbing co PY CORR SAME/PAY REINSP FEE 060397 Final Electrical co PY CORR SAME/PAY REINSP FEE 053097 Gas/Test/Repairs NR PY DOG IN YARD/NO ONE HOME 053097 Final Electrical NR PY 042997 Gas/Test/Repairs NR PY NO ONE HOME/DOG IN YARD 042997 Final Electrical NR PY NO ONE HOME/DOG IN YARD 020697 Gas/Test/Repairs AP PY 020697 Electric/Conduit/Wiring AP PY 020597 Gas/Test/Repairs AP PY 53 020597 Electric/Conduit/Wiring AP PY 020497 Gas/Test/Repairs AP PY