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HomeMy WebLinkAbout1017 BEWICKS CT; ; CB981638; Permit" I I I ! I I BUILDING PERMIT Permit No: CB981638 05/28/98 15:17 Project No: A9802185 Page 1 of 1 Development No: Job Address: 1017 BEWICKS CT Suite: Permit Type: ELECTRICAL VAUWrn 74s5 Parcel No: 215-801-02-00 Lot#: 5 l2o/4o Valuation: 0 Construction Type: NEW Occupancy Group: Reference#: Status: ISSUED Description: 120V ELECT OUTLETS,220V ELECT Applied: 05/28/98 : FOR SPA,GAS LINE FOR BBQ Apr/Issue: 05/28/98 Entered By: BT Appl/Ownr : SIERRA MESA 619-530-6211 6840 DRAPER AVE LA JOLLA CA 92037 Credits *** ---------------- 10.00 Y .25 10.00 Y 27.00 GAS PERMIT CxryoF CARL80AD 2075 b~ prrlmas Dr., carisbsd, CA 92009 (619) 438-1161 PERMIT APPLICATION CITY OF CARLSBAD BU1LDIP.S DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1 161 FOR OFFICE USE ONLY - PLAN CHECK NO. cz (i'I[. 3 f 'I I *. 1 Address (include Bldg/Suite I) Legal Description Lot No. Subdivision NamdNumber Unit No. Business Name (at this address) 'I LKb COJ'Q$T, lor3 EiCd Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use (See. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Codel or that he is exempt therefrom, and the basis for the alleged Name Address city State License # ST o 2 Sq License Class 6- 27 City Business License # Designer Nam'e Address City Statelzip Telephone State License # S 3 Workers' Compensatio 0 of the work for which this permit is issued. ss ed. My worker's compensation insurance carrier and policy number are: e,? 9JrYdi7 Policy No. 12 5 b Expiration Date c 01 d 3 1. Insurance Company ar, (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS I$lOOl OR LESS) 0 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' compensation coverage is unlawful. and shall subject an employer to crlminal penalties end civil fines up to one hundred thousand dollars ($100,000). in addition to-the cost of compensation, damages as provided for in Section 3706 of the Labor code, inte-mt and attorney's fees. '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 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 Rl I hereby affirm that Ih&empt from the Contractor's License Law for the following reason: 0 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). 0 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). 0 1. 2. 3. I am exempt under Section I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ON0 I (have / have not) signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction (include name I address I phone number / contractors license number): Business and Professions Code for this reason: 4. number / contractors license number): 5. of work): PROPERTY OWNER SIGNATURE DATE FIUltD3N 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 I phone 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 I type 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? 0 YES 0 NO Is tne applicant or future building occupant required to obtain a permit trom the air pOllUtiOn control district or air quality management district? Is the facility to be constructed within 1 ,OOO feet of the outer boundary of a school site? 0 YES 0 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. u YES NO 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). LENDERS NAME LENDER'S ADDRESS 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 City 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 Building Official under 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 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 w APPLICANT'S SIGNATURE DATE M& 2 180 days (Section 106.4.4 Uniform Building Code). r le YELLOW: Applicant PINK: Finance CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB981638 FOR 10/02/98 INSPECTOR AREA NF DESCRIPTION: 12OV ELECT OUTLETS,220V ELECT PLANCK# CB981638 TYPE: ELEC CONSTR. TYPE NEW JOB ADDRESS: 1017 BEWICKS CT STE : LOT: APPLICANT: SIERRA MESA PHONE: 619-530-6211 CONTRACTOR: OWNER: SPECIAL INSTRUCT: FOR SPA,GAS LINE FOR BBQ OCC GRP PHONE : PHONE : REMARKS : C/ 6 19/ 53 0-62 11 INSPECTOR TOTAL TIME: CD LVL DESCRIPTION ACT COMMENTS 29 PL Final Plumbing 39 EL Final Electrical 14-p” ***** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP COMMENTS 060198 Underground Plumbing AP NF 060198 Electric/Conduit/Wiring AP NF 060198 Gas/Test/Repairs AP NF STA7-E COMPENSATION INSURANCE LFUNP i HOME OFFICE SAN FRANCISCO ANNUAL RATING ENDORSEMENT IT IS AGREED THAT THE CLASSIFICATIONS AND RATES PER $100 OF REMUNERATION APPEARING IN THE CONTlNUOUS POLICY ISSUED TO THIS EMPLOYER ARE AMENDED AS SHOWN BELOW. 1 j PACIFIC STANDARD TIME '"IS Is A *ILL IMPORTANT SEND NO MONEY UNLESS STATEMENT IS ENCLOSED SIERRA-MESA CONSTRUCTION RATING PERIOD 10-01-97 TO 10-01-98 6840 DRAPER AVE. UNIT 1256 LA JOLLA, CALIF 92037 DEPOSIT PREMIUM $753.00 MINIMUM PREMIUM $520.00 PREMIUM ADJUSTMENT PERIOD SEMI -ANNUAL R SD CONTINUOUS POLICY 35-97 BUILDING INDUSTRY ASSOCIATION OF sm DIEGO COUNTY NAME OF EMPLOYER- HUNTER, JEFF RAY (AN INDIVIDUAL EMPLOYER AND NOT JOINTLY WITH ANY OTHER EMPLOYER) CODE NO. PRINCIPAL WORK AND RATES EFFECTIVE TO 10-01-98 INTERIM BASE B ILL ING RATE RATE* BUILDING CONSTRUCTION :' '. 5027 5028 - 5201 - 5201 5205 8 MASONRY SPLIT RATES APPLY 10-01-97 TO 5-06-98 5-06-98 TO 10-01-98 MASONRY SPLIT RATES APPLY 10-01-97 TO 5-06-98 5-06-98 TO 10-01-98 CONCRETE OR CEMENT WORK--POURING OR FINISHING OF CONCRETE SIDEWALKS SPLIT RATES APPLY 10-01-97 TO 5-06-98 5-06-98 TO 10-01-98 CONCRETE OR CEMENT WORK--POURING OR FINISHING OF CONCRETE FLOOR SLABS SPLIT RATES APPLY 10-01-97 TO 5-06-98 5-06-98 TO 10-01-98 CONCRETE OR CEMENT WORK--POURING OR FINISHING OF CONCRETE SIDEWALKS SPLIT RATES APPLY 10-0 1-9 7 TO 5-06-98 * 5-06-98 TO 10-01-98 25.50 21.23 14.95 16.13 16.13 8.37 12.45 13.43 13.43 6.97 COUNTERSIGNED AND ISSUED AT SAN FRANCISCO SEPTEMBER 16, 1997 POLICY FORM L 1