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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