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Home My WebLink About1600 STARLING CT; ; CB921186; PermitPERMIT APPUCATION PLAN CHECK NO. Oity of &arlsbad Building Departaent 2075 Las Pal-Dr., Carlsbad, CA 92009 (619) 438-1161 EST.VAL"::--::::-::=:--------- PIAN CK DEPOSIT VAIID.BY -------- I. PFJtMII hPE DATE A. U Commercial Li New Bu1tamg O lenant Improvement B -D Industrial □ New Building D Tenant Improvement C -□ Residential D Apartment D Condo □ Single Family Dwelling □ Addition/ Alteration □ Duplex □ Demolition □ Relocation □ Mobile Home □ Electrical □ Plumbing U Mechanical D Pool D Spa □ Retaining Wall U Solar U Other FOR OFFICE USE ONLY mt o. CHECK BEWW IF SOBMII IED: □ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report D 1 Addressed Envelope ASSESSOR'S fABCEL DE~OFWORK (/Jbri} EXISTING USE PROPOSED USE --so. IT. (:7'/$ L1A1r. # OF SIDRIES ..:; ,att: .. 3. WN IACI PFJ&JN (II amereni from applicant) NAME ADDRESS ZIP CODE CITY STATE DAY TELEPHONE 4. APPIJCANI NAME □WNIRACIOR UAGENI FORWNIRACIOR DOWNER □AGENI FOR OWNER ADDRESS CllY STATE ZIP CODE DAY TELEPHONE STATE &IL ADDRESS /'i{Cb ZIP CODE 7Jt(.; S '> f/f /Zll JJJ tc, C: T DAY TELEPHONE 3/ 3 I-6' (l 1 c, NAME CilY STATE STATE UC.# ADDRESS ZIP CODE LICENSE CLASS DAY TELEPHONE CllY BUSINESS UC. # CilY STATE ZIP CODE DAY TELEPHONE STATE UC.# 7. WOkkEkS' WMPENSAIIUN Workers• Compensation Declaration: I hereby affirm that I have a cert1hcate of consent to self-insure issued by the Director of lndustnal Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C). INSURANCE COMPANY POLICY NO. EXPIRATION DATE Cerahcafe of Exemption: I certify that m the performance of the work for which tbls permit 1s issued, I shall not employ any person m any manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE 8. OWNEk-B0llDEk Dfl!LARAIION Owner-Builder beclarat1on: I hereby affmn that I am exempt from the Contracto?s Llcense Law for the followmg reason: D 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.). D 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). □ I am exempt under Section ________ Business and Prof~ions Code for this reason: (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, commencing 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]). SIGNATURE DATE COMPLEIE IHIS S£CIION FOR NON-RESIDEN IIAL BOIIDING PERMil'S 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 Act? □YES □NO ls the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □YES □NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □YES □NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY Nill BE lSSUEll AFrnR JULY 1, 1989 UNlJlSS THE APPUCANT HAS MET OR IS MEETING THE REQ\llREMENTS OF TIii! omCE OF EMERGENCY SERVICES AND THE AIR POLLIJ11ON <X>NTitOL DISTIUCT. 9. WNSIROCIION IP.NDJNG AGErR;Y I hereby afhrm that there 1s a construction lend mg agency ior the performance of the work ior which tbls penmt 1s issued (Sec 3097 (I) Civil Code). LENDER'S NAME LENDER'S ADDRESS lb. XPPUCAfd CFltlfiJICAIION I certify that I have read the apphcat1on and state that the above mformauon 1s correct. 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 ID SAVE INDEMNIFY AND KEEP IIARMIJlSS THE CfIY OF CARISBAD AGAINST ALL IJABllIJ1F.S, JUDGMENTS, <DSTS AND EXPENSFS W>IlCH MAY IN ANY WAY AlilUJE AGAINST SAID CfIY IN <X>NSEQUENCE OF THE GRANTING OF TIIlS 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. Eve pe~t issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or wo au tho 'zed by such permit is not commenced within 365 days from the date of such permit or if the building or work authorized by such permit· suspen or abandoned at any time after the work is commenced for a period of 180 days (Section 303(d) Unifonn B ')di Code). . J r.T" JG DATE: // 6 I.<'--' WHITE: File YEIJ.OW: Applicant PINK: Finance PERMIT# CB921186 DESCRIPTION: GAS FOR BBQ+ TYPE: PLUM CITY OF CARLSBAD INSPECTION REQUEST FOR 11/09/92 ELECTRIC CIRCUIT INSPECTOR AREA PY PLANCK# CB921186 OCC GRP CONSTR. TYPE NEW JOB ADDRESS: 1800 STARLING CT APPLICANT : YOUNG , NICHOLAS CONTRACTOR: STR: FL: STE: OWNER: REMARKS: MH SPECIAL INSTRUCT: 93 1-8090 TOTAL TIME: CD 23 52 52 LVL DESCRIPTION PL Gas/Test/Repairs SW Underground Plumbing SW Underground Plumbing {/t,L?b,t~,h'-'J d-c--r 7 PHONE: 619 431-8090 PHONE: PHONE: ACT COMMENTS A p (:;;-z.1<:,. f.../NC.. ---'----'----------- /fie,_--------------- A--¥' ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS