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Home My WebLink About2613 SUTTER ST; ; CB971339; Permitt (:. R l> f 4f 1 (,_ I d-~ l.o oo I Au.~k..::tf q ~lo<-od---,. PA O .-F R M D V # 7 7 0 ·7q P~OVAL /J;l,1-.. __ DATE ~«/21 CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO. 771))? CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 EST. VAL. ----~-,--=-- Business Name (at this addrQ&) Subdivision Name/Number Unit No. Phase No. Total II of units Tl/f;_ $u o2 m tT Existing Use Proposed Uae #of Stories I of Bedrooms # of Bathrooms Name Address City State/Zip Telephone # Fax# b;;f~~CANT Gl Conqactor;,;; QAa.ni'f9t:i:9'll!!ll!!P!:.~M9JVIJ§L.dJ.8g~ t<ii:.qwM!'·. ·•wF!WAAi'2lP'tl!f/l:Ir'ii:i?:'T'W: '.~~:b, .•. Address ;]. (-/ ' City · State/Zip Name Address City State/Zip Telephone I ~e (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, atter, improve, demolish or repair any ■tructura, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the proviltons 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, end the basis for the alleged exam tion. A y violation of Section 7031.5 by any applicant f r 81-9ermit subje the applicant ~-a st'fil penalty of t more than five hundred dollars ($5001}. . pu) · r;-,"", "l? 0 s #I' 'le..> qtfo-1 err; N Address City State/Zip Telephone , State License # ~,,,._-""=--"~C...S"----License Class r.@, t Citv Business License I _______ _ Designer Name Address City State/Zip Telephone State License# _________ _ LL;J,.WQRK.ERS!·.coMPENSATioN:iii.t,;'."~~:""'.: .-!.in~·:... ··--'--~·-.""'~:f~"-~-L ---'~•-. ~--, •-'--'-,....,..:-iJ~·s·~::;.~~ .. ~ .. ;\·:i-~-.i_ · . ·~; ... :' .. --~ 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 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. 0 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 compensation insurance carrier and policy number are: Insurance Company______________________ Policy No._____________ Expiration Date _______ _ !THIS SECTION NEEO NOT BE COMPL.fno IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$1001 OR LESS! 0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which thia permit is iNued, I shall not employ any person in any manner ao as to become subject to the Workers' Compensation Laws of California. WARNING: F.Uure to aecwe•wortcers' compenution coverage is uruawful, and shall subject an e~oyer to criminal ptnatdea and civil fines up to one hundred thousand doUars 1$100,000J, in addition to the cost of compensation, damages as provided for In Section 3706 of the L■bqr code, interest and ■ttomey's teas. SIGNATURE DATE '1. OWNER-BUILDER DECLARATION , I hereby affirm that I am exempt from the Contractor's License Law for the following reason: D I, as owner of the property or my employees with wages es their sole compensation, will do the work and the atructure 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 pu,pON of sale). Jil I, as owner of the property, am exclusivaJy contracting with licensed contractors to construct the project (Sac. 7044, Buainua and Profeulona Code: The Contractor's License Law does not apply to an owner of property who build■ 01 improves thereon, and contnlcta for auch project■: with comractorls) licennd pursuant to the Contractor's License Law). 0 I em exempt under Section ______ Buaineas and Professions Coda for this reason: 1. I personally plan to provide the major labor end materials for construction of the proposed prope,ty improvement. 0 YES ONO 2. I (have/ have not) signed an application for a building permit for the proposed work. e I . . 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/ addren / 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 ot workl: ___________ --:;,,---r---r)7'~-:'ir~----------------------------------------- PROPERTY OWNER SIGNATURE Ll @.td DATE s--:-,) :::i 9'. 7 ~MPJ.D£Jl11$-$ECTION..f.OR N.~ENlMLJIUlLDWQ ;ff,RMIJ.J~ONLY~ic~~:::~2+:~~'~;i;xumm: ,,,w:1,m!'IE!:~~~~~:~i~;.)~"£:~·~' !~ !h~ n~~lk·~~t or f:..1:urs l:.uildini, occu?Ant 1,;,qu.ir,i,J "i.u 1i>1.1l..mit III bw.in11-pien, acutely h&uraoua materiala reg1strat1on form or risk management and prevention p,og,am under Sections 26505, 25533 or 26534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES O NO b the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality managemem distrlct7 O YES D NO ls the facility to be constructed within 1,000 feet of the outer boundary of • school site? 0 YES O NO IF ANY OF THE ANSWERS ARE YES, A ANAL CERTIACATE 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. ill&':'.<:O.NSTRUCTION LENDING.AGENCY. :,:\;'.";;,?~ec,C'r '..:':.';.:Ti~~,,.~J f '~/7TIIT7~~1;Fj I hereby affirm that there is a construction lending agency for the performance of the work for which this permit ia iuued (Sec. 3097(il Civil Code). LENDER'S NAME______________ LENDER'S ADDRESS ________________________ _ i9'; APPUCANT CERTIFICATION . ',,;~" -:~f"":~J½:<'., J 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 Cariabad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST AU 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 s•o• deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null end void if the building or work authorized 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 is suspended or abandoned at any time after the~o: is co:7n.9!d for a period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE ~ &l_~ DATE S--.J.) o/7 WHITE: File YELLOW: Applicant PINK: Finance PERMIT# CB971339 DESCRIPTION: COVERED PATIO CITY OF CARLSBAD INSPECTION REQUEST FOR 08/04/97 336 SF TYPE: PATIO JOB ADDRESS: 2613 ALOE, ED SUTTER ST APPLICANT: PHONE: CONTRACTOR: PHONE: OWNER: PHONE: STE: INSPECTOR AREA TP PLANCK# CB971339 ace GRP CONSTR. TYPE NEW LOT: 760 720-1798 /) REMARKS: C/ED/720-1798 SPECIAL INSTRUCT: //! INSPECTOR--~~--------- TOTAL TIME: LVL DESCRIPTION ACT COMMENTS CD 19 ST Final structural ,4/J ;[<~ 4m;-,¢ /Uv. ------------------------------------------------------ ***** INSPECTION HISTORY***** DATE 072997 071897 DESCRIPTION Roof/Reroof Ftg/Foundation/Piers ACT INSP CO TP AP TP COMMENTS NOT COMPLETE PLN REV REQ r o .r\A ~ c:.. ,t 3 s-1r,;r.,,fi o,<..;;, ,rr 1-1, I;) r fl Jt (;,. ~ ;). t/ /(}.{.. ;Tr d X <; /A f 7£:, ~I 2.!--~ "el/A,./ Ir t,(} ,o ._,a X tp 1<11 ( w • ,I ~I C)I D -\ I -:J-1.? .-,- --------l 1/.L°"'' I . //LO~/ I \J tJOJ_ OIi [,J ::,r n1f/·1 1 V (