HomeMy WebLinkAbout1073 SEAHORSE CT; ; CB972902; PermitB U I L D I N G
10/03/97 11:22
Page 1 of 1
Job Address: 1073 SEAHORSE CT
Permit Type : PATIO/DECK
Parcel No: 214-530-45-00
Valuation : 1,985
P E R M I T
Suite:
Lot#:
Permit No: CB972902
Project No: A9703687
Development No:
Occupancy Group: Reference#:
9833 10/03/97 0001 01 02
Construction Tvr,ffitt)NEW 75-00
Status: ISSUED
Applied. 10/03/97
Apr/Issue: 10/03/97
Entered By: JM
487-8639
Description: COVERED PATIO 294 SF
Appl/Ownr : BELLE TERRE LANDSCAPES
16776 BERNARDO TERRACE
SAN DIEGO, CA 92128
619
Fees Required *** *** Eees Collected & Credits ***
Fees :
Adjustments :
Total Fees :
Fee description
Building Permit
Plan Check
Strong Motion Fee
* BUILDING TOTAL
--------------~-----------------------------
75.0
Tot al ere ·ts:
ota l Pa y s:
Ba1. ·
n it
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
.00
.00
75.00
Ext fee Data
45 .00
29.00
1 .00
75 .00
•
FOR OFFICE USE ONLY
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad CA 92009
(760) 438-1161
EST. VAL. _--f.--l,.WL~---:::,..,..,,,..:::::..c-=~
Plan Ck. Deposit -c::::,,r-------=:......<...,_.,.....,""--
Validated By_....;;,:._;_;:;,....;.._ _____ _
Date ~
1. PROJECT INFORMATION
,013> 5£Ahcx:Se
Address (include sd.f ite #) Business Name (at this address)
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
Assessor's Parcel # Existing UseZ,,, 9 q" Proposed Use
Description of Work SQ. FT. # of Bedrooms # of Bathrooms
State/Zip Telephone# Fax#
Name
4 . PROPERTY OWNER
3i1o,a
Name
J)j£-<N<,,. .MAS<-r\ \ol':> ~h~ Ccu& ~~~ ~
Address City State/Zip Telephone #
6. CONTRACTOR • COMPANY NAME
Any City or County which requires a permit to construct, alter, improve, demolish or repaiCn~t~r!, ~!~s (Sec. 7031.5 Business and Professions Code:
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 S ct ion 7031 . 5 by any applicant for a ermit subjects the applicant to a civil penalty of not more han five hundr d dollars I$ 5001) :.+ ti) -~ · . -u llu-,->
Name
State License # _'7....:.._'l._~_;;:_...:....:..._ __ _ License Class __ c_-_L-__ /~----City. . . State/Z[Z0'£7:ne # //~ / 'il j>Cl
City Business License # /J '/') 7, 1 f
I
Designer Name Address City State/Zip Telephon
State License # _________ _
6. WORKERS' COMPEr,ISATION •
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
~ve 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, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued. My worker's c~nsation insurance~ policy number are: ~ !o r,
Insurance Company ¼~ ~'°'"" lL < Policy No. 9~ -g's-~ Sp Expiration Date ___ I{_'_-... , _ _,~.__ __ _
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) f
O CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as
to become subject to the Workers' Compensation Laws of California.
WARNING: Failure to secure workers' compenaat n coverege ia unlawful, ■nd ah■n subject ■n employer to crimlnal penehlea ■nd civil fines up to one hundred
thousand dollar• ($100,000), In ■ddhlon to compensation, damagea as provided for In Section 3706 of the Labor code, Interest and attorney's fees.
DATE __ 1 ..... o·_t../:...__·1._l.f--SIGNATURE __________ t+-\-....._"""-t_..-o,:::;. ___________ _
7. OWNER-BUILDER DECl:ARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
O 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 sale).
O I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (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 contracts for such projects with contractor(s) licensed
pursuant to the Contractor's License Law).
O 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 / phone 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 _________ _
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention
program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act7 0 YES O NO
Is the applicant or future building occupant required to obtain a 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.
fa. CONSTRUCTION LENDJNO AGENCY.
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code).
LENDER'S NAME ______________ _ LENDER'S ADDRESS ________________________ _
rs:· 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 Citt 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 5'0" deep and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every permit issu_ed by the Building Offi~ial under the provisions of this Code shall expire by limitation and become null and void if the building or
work authorized by s~ch permit 1s not co_mmenced w1th1n 3 days 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 ts commenc riod of 180 days ction 106.4.4 Uniform Building Code).
DATE -----1\t-"'0'-'-+4-· q..._J.,__ __
YELLOW: Applicant PINK: Finance
CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT# CB972902 FOR 01/29/98
DESCRIPTION: COVERED PATIO 294 SF
TYPE: PATIO
JOB ADDRESS: 1073 SEAHORSE CT
APPLICANT: BELLE TERRE LANDSCAPES
CONTRACTOR:
OWNER:
PHONE:
PHONE:
PHONE:
INSPECTOR AREA PY
PLANCK# CB972902
OCC GRP
CONSTR. TYPE NEW
STE: LOT:
619 487-8639
REMARKS: C/JOHN/619/279-5801
SPECIAL INSTRUCT:
INSPECTOR ~/
TOTAL TIME:
LVL DESCRIPTION ACT COMMENTS CD
19 ST Final Structural JXl_ _____ _
--------------------------------------
--------------------
***** INSPECTION HISTORY*****
DATE DESCRIPTION
100697 Ftg/Foundation/Piers
ACT INSP
AP PY
COMMENTS