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Home My WebLink About2347 TERRAZA GUITARA; ; CB983273; Permit·r PERMIT APPLICATION FOR OFFICE USE ONLY PL .i CHECK NO. -]f?Jt? '.> CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad (760) 438-1161 CA 92009 EST. VAL. ---------H-t± Plan Ck. Deposit =-ol.:::-----~~ Validated By, _-1.,.;,~:-1-::--::-:--f---;;;/- Q3l./7 Date, ______ __:;j._j.,;;~lil-l-,!:~--'-- 1. PRQjfCT INFORM~N :?1 P 2 -I e:r:ra7a Address (include Bldg/Suite #) Gu.,tatA Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Q Description of Work w # of Bedrooms # of Bathrooms 2. . cO~TACt PERSON Ui dltterflftt frOin ai,piJClinil Name Address City State/Zip Telephone# Fax# 3. APPLICANT :::tno R.. D. 621" Contractor □ Agent for Coi'ltr8d:or □ owner O Agent fOr Owne~ d - Emt:l-eaJ Seo i,J. (ir:srd M. *i:> f9:, , o CA 92D2.5 C1uo\:J?,8-9?:0I Name Address City State/Zip Telephone # 4. 5. CONTRACTOR. coNiPANV NAME (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 end Professions Code] or that he is exempt therefrom, end the basis for the alleged exemption. Anv 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 $5001). ,; -q ~-1 Name Address City State/Zip Telephone # State License # _.Q,=_1_,_L\-LI.B.=Y=lp=--License Cless _1...[,:.~_2...,.C~)c__ __ _ City Business License # / 20:J Of:>? Designer Name Address City State/Zip Telephone State license # _________ _ 8. WORKERS' COMPENSATION 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. ~ 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 ,ssued. My worker's compensation insurance carrier and policy number ere: lnsu,ance Company 5+,;::,-/e fiLOd Pol;cy No. /?;''>Q?'.J? -qe, Exp;,a,;on Oate IQ} 19'19 • !THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESSI O CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shell not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage Is unlawful, and shell subject an employer to crlmlnal penalties and civil fines up to one hundred thousand dollars ($100,000), In addition to the cost of compensation, damages ea provided for In Section 3706 of the Labor code, Interest and attorney'• fees. SIGNATURE.______________________________ DATE _________ _ 7. OWNER-BUILDER DECLARATION 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 sre not intended or offered for sale. If, however, the building or Improvement Is sold within one year of completion, the owner-bullder will have the burden of proving thet he did not build or Improve tor the purpose of aele). D I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business end 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). 0 1 am exempt under Section ______ Business and Professions Code for this reason: 1. I personally plan to provide the mejor 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 I address / phone number I contractors license number): ________________________________________________ _ 5, I wlll provide some of the work, but I have contracted (hired) the following persona to provide the work indicated (Include name I address / phone number I type of work):. ______________________________________________________ _ 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 s permit from the air pollution control district or air quallty management distrlct7 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D 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. :a. . CONSTRUCTION LENDING AGENCY ............ ' ' . I hereby affirm that there is a construction lending agency for the performance of the work for which this permit Is issued (Sec. 30971il Clvil Code). LENDER'S NAME _______________ _ LENDER'S ADDRESS. _______________________ _ ,9. APPLICANT CERTIFICATHiN 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 issued by the Bui ing Official u der the 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 need · · 365 da fr m 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 is 180 days {Section 106.4.4 Uniform Building Code). / APPLICANT'S SIGNATURE OATE 1, ffi/CJ!c WHITE: File YELLOW: Applicant PINK: Finance . , City of Carlsbad Inspection Request For: 5/11 /99 Permit# CB983273 Title: ADD CENTRAL AC,NEW CIRCUIT, Description: DISCONNECT Type:MECH Sub Type: Job Address: 2347 TERRAZA GUITARA Suite: Lot Location: I\PPLICANT : THOR O EMBLEM Owner: PARK SANG H&YUN OK Remarks: PM PLEASE Total Time: CD Description Act Comments Inspector Assignment: --LB Phone: 7609318719 Inspector: gJ3 Requested By: PAUL Entered By: CHRISTINE 43 AirCond/Furnace Set J!L...i... JUa fJ «c e. s .s -1-; I.[ ?e'l Inspection History Date Description Act lnsp Comments