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HomeMy WebLinkAbout1053 GOLDENEYE VW; ; CB983510; PermitB U I L D I N G P E R M I T Permit No: CB 8351 Project No: A9804566 Development No: 10 13/98 12:17 1 of 1 1Job Address: 1053 GOLDENEYE VW Permit : ELECTRICAL Parcel No: 212-180-15-00 Valuation: 0 Occupancy Group: Description: ELEC TO FUTURE SPA /Ownr : LARRY TANG 1053 GOLDENEYE VIEW CARLSBAD CA 92009 Requir,:>d. Fees: Adjustrnents: Total Fet=;;s: Fee description Enter "Y" for Electrj r=- Suib?: Lot#: 2161 10/13/98 0001 01. 02 Construct:ion Typ§·?Rf'l\TEW 1(LOO 603-82.34 Status: ISSUED Applied: 10/13/98 Apr/Issue: 10/13/98 Entered By: BT .00 ,00 10.00 Ext fee Data 10.00 Y ORDANCE WITH U.B.C. ----SIGNATURE_t;p__,.~ ----= ...... <: CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION FOR OFFICE USE \ONL ((? PLAN CHECK NO. :fcJ 357 [) EST. VAL. IQ/ CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 I Plan Ck. Deposit ---.Pr--+r-----~:~::d By __ ~~""-lt-:it~) t-:-1 r"21'-t!5J7r.q;"'f?i Business Name lat this address) 2~tt,·6rHr Subdivision Name/Number Unit No. Phase No. Total, of unns Legal Description f~ -(l';? Assessor's Parcel I . Existing Use Proposed Use t-LIU<VZ<wtt, ?f,v Mr ftlrZ--Pv Vl¥Ec Description of Work SQ, FT. #of Stories # of Bedrooms I of Bathrooms 2. CONTACT PERSON Cit dlfferenftiom mppiii:.nii -··-~· ~--,---·~~~-,·--·---~~.,---·-... _, ___ ......... -. Name ;3. APPLICANT 0 Contractor Address D Agent for Contric:tor .-/, GJ1)wner State/Zip Telephone I Fax# Name Address City 4. PROPERTY OWNER "'·:··,. ,...,M"!••' L..AfZ-¢-Y Name Telephone I 5. CONTRACTOR -COMPANY 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 reouires the applicant tor such permit to file a signed statement that he is licensed Pllflluant to the provisions of the Contractor's License Law [Chapter 9, commending witl\ Section 7000 of Division 3 of the Business and Professions Code) or that hll is exempt thllrafrom, and the basis for the alleged exemption. Anv violation of Section 7031.5 by any applicant tor a permit subjects thll applicant to a civil penalty of not more than five hundred dollars 19500)). Name Address City State/Zip Telephone I State License # ----------License Class----------City Business License#-------- Designer Name Address City State/Zip Telephone State License # ---------- 6. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereb_y affirm under penalty of perjury one of the following declarations: O I have end will maintein a certificate of consent to self-insure for workers' compenution as provided by Section 3700 of the Labor Code, for thll performance of the work for which this permit is issued. O I have end will maintain workers' compensation, as reouired by Section 3700 of the Labor Code, tor the performance of the work for which this permit is issued. My worker's compensation insurance cerriar and policy number are: Insurance Company Policy No. Expiration Date _______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$1001 OR LESS) O CERTIFICATE OF EXEMPTION: I certify that in the performance of thll work ·tor which this permit is issued. I ahall not employ eny person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to aecure workers' compenaatlon coverage 18 unlawful. and ahall aubject an employer to crtmlnal peneltlea and clvll fines up to -hundred thousand dollars 1n 00.0001, In addition to the cost of compensation, damages es provided for In Section 3706 of the Labor code, Interest and anomey'a tee1. SIGNATURE DATE _________ _ 7. OWNER-BUILDER DECLARATION .. , ... ,··. ···:~~-~·1··••··"J't1;-::, ., .. • ~ ····•··71"?~ •· I her~ affirm that I am exempt from the Contractor's License Law for the following resson: [J;(" I, as owner of the property or my employees with wages as their sola compensation, will do the work and thll structure is not intended or offered for sele (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 th1t such improvements are not Intended or offered tor ule. If, however, the building or Improvement la sold within one year of completion, the owner-builder will hive the burden of proving that he did not build or Improve for the purpoae of aate). 0 I, es owner of the property, am exclusively contr1cting with licensed contractors to construct thll project ISac. 7044, Business and Professions Code: Thll Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contract, for such projects with contractorlsl licenaed pursuant to the Contractor's License law). D I em exempt under Section Business and Professions Code for this reeson: I personally plan to provide the major labor and metarials for construction of the proposed property Improvement. ~ ONO I (have I have not) signed an application for a building permit for the proposed work. -1. 2. 3. I have contracted wit the following person lfirml to provide the proposed construction !Include name I address 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/ address/ phone number I contractors license number): __ /\l'i....,._..'.A....;.. _________________________________________ _ 5. I will provide some of the work, b I h contracted lhiredl the following persons to provide the work indicated !Include name/ address Ip~ number I type of work): ___________ ..... ~~_.;:.,_ ___ -""-,,,~.,,Jf-,------------------------------------- . '·i•f ~ ............ ' ' Is the applicant or future building ,occupant re ·red to submit a ss plan, acutely hanrdoua materials registration form or risk management and prevention program under Sections 2550~533 or 25534 of the Presley-Tenner Hazardous Substance Account Act? 0 YES O NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quellty 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. '8 .. 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 CSec. 30971i) Civil Code). LENDER'S NAME -------~----------LENDER'S ADDRESS------------------------ • 9. APPLICANT CERTIFICATION -... -··--·-·.-·:,-,..-·.-., .. --.,'fr:·· · · . .-·. '· .. • '· · •,: · ... ,~ ... ·.:· .. ,¥.!! ··. ".:· :'" .•<~'iri•·'" 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 Cltt 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 1uthoriz11d by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE WHITE: File YELLOW: Applicant PINK: Finance CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB983510 FOR 10/15/98 DESCRIPTION: ELEC TO FUTURE SPA TYPE: ELEC JOB ADDRESS: 1053 GOLDENEYE VW STE: APPLICANT: LARRY TANG 603-8234 CONTRACTOR: OWNER: REMARKS: R/LARRY/603-8234 SPECIAL INSTRUCT: TOTAL TIME: --RELATED PERMITS-- CD LVL DESCRIPTION PERMIT# TYPE CB983429 PLUM STATUS ISSUED ACT COMMENTS INSPECTOR AREA PLANCK# CB983510 OCC GRP CONSTR. TYPE NEW LOT: 23 31 PL Gas/Test/Repairs EL Underground/Conduit-Wiring If_ --- ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS \ I I 00 ~ I I I . I ,_ -- ------------____ ...... _____ ____. r1.o' --/ I I I I I I I I I I I I I I I ( \ ' I ) L 12.9' \ 45 -----_.,. -