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HomeMy WebLinkAbout1089 BEACON BAY DR; ; CB972129; Permitc I c J BUILDING PERMIT Permit No: 07/31/97 13:14 Project No: Page 1 of 1 Development No: Job Address: 1089 BEACON BAY DR Suite : Permit Type: PLUMBING Parcel No: 214-530-20-00 Lot#: Valuation: 0 Construction Type: Occupancy Group: Reference#: Status : Description: ELECTRICAL AND GAS LINE TO FP Applied : Apr/Issue: Appl/Ownr : KERIAN MARY 1089 BEACON BAY DRIVE CB9 7 2 1 2 9 A9702686 NEW ISSUED 07/31/97 07/31/97 jm Y- - 3- *R* Fees Required x** llected & Credits .......................... ------------------- Fees : Adjustments: .oo Total Fees: .oo 47.00 Fee description Ext fee Enter "Y" for P1 20.00 Gas Piping Syste 7.00 Other 20.00 * PLUMBING TOTAL 47.00 *** ----- ELECTRICA CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 YB-310[ JE~MIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1 161 FOR OFFICE USE ONLY PLAN CHECK NO. $) 7 -- EST. VAL. I Plan Ck. Depos3 %zd2) Validated Byc /- 1 / I Date Addre& (include BldglSuite #I Buric#rr Name (at this address) N I (Sec. 7031.6 Business and Rofessionn Code: Any Ci or Cow which requires a permit to comtwct, alter, improw, demolish or repair any structu~. prior to itr issuance, ab requires tha applicant for such permit to file e signad stetemant that ha is licensed pursumnt to the provision8 of the Contractor's License Law [Chapter 9, commending with Sectlon 7000 of Division 3 of the BuJmu mnd Rof~~on8 Codel or that ha b exempt therefrom. end the basis for the ellegad exemption. Any violation of Section 7031.6 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred ddlars 1$500)). Name . Address Citv StatelZip Tdaphane X State Ucen8e x Licenaa Class Ctty Burirwrr ucnre x Designer Name Address CRY State/Zip Telephone Stste License I 6. WOR& Workers' Com 0 of the work for which this permit is issued. 0 issued. My worker's compensation insurance carrier and poky number we: Insursnce Company Policy No. Expiration Date (THE SECTION NEED NOT BE COMPLETED IF THE PERM1 I FOR ONE HUNDRED DOLLARS 1~1001 OR LESS) 0 CERTIFICATE OF EXEMPTION I certify that in the performance of tha work for which this mit is issued, I ahall not employ any person in any maw M as to become subject to the Workers' Compan8ation Laws of California. WARNING: F.ik*u to..eur. wdom' COmOnutkn cOvUaga b urbwfil. md rhJl WqiKtm~u to aMnr)pww)tkr md dvl Rwo up to OIY hudnd thousand ddkn lSlOO,OOOL In .wtkn to tha coat of Eomp.N.tkn. dnug.r .I prwldd for h Section 3706 dth. L.bor eod.. Intamat md mttanmfs baa. I have and will maintain a certificate of consent to self-insure for workers' compamtion as provided by Section 3700 of the Labor Code, for tha performance I have and will msintaln workers' cornpansation, as rcquired by Saction 3700 of the Labor Code, for the performance of the work for which this permit b GNATURE OWNERSUItbirrr DhARATIO by affirm that I am exempt from tho Contractor's Licmso Law for the fdlowing rum: I, as owner of the property or my emplops with waw u thdr sde compensation, wHI do the work and the structure b not intandad or offd for sale (Sec. 7044, Business and Rofertiom Code: The Contnctor's License Law dm not apply to an owner of pmpartv who builds or improves theman, and who doen such work himself or through his own employees, provided that such improvements are not intandad or offered for sale. if, however, the building or Lmpmwrnent is s? I. as owner of the property, am exclusively contracting with licensed contractom to construct the project Ism. 7044, Burh#u and Rof.uknr C- Tho Contractor's License Law does not apply to an owrm of prop.rty who builds or improves therm, and contncts for ouch woi.ctr with contnctor(s) Hcan8ed pursusnt to the Contractor's Ucrue Law). 0 1. 2. 3. 4. number / contrmctora licerue number): 5. 6L d hin one year of completion, the owner-bullder wiH hmve the burden of proving thmt ho did not build or improve for the purpose of de). d I am exempt under Section I personally plan to providr the major labor end mst&Is for CoMtrUction of tha PIOpDHd property hnprw.nnnt. I (hsve / have not) signod an application for a building pmnit for the proporrd work. I hav conpcted wit tho fdbwing parson (firm) to provide tha propoaod corptruction ~lncluda name / addross I pho~ number I contractors lkanm numbrrl: I plan to provide pottionn of the work, but I ha; hired &following person to coordinate, supervise and provide the majw work tindude MW I addreas I photm I will provide Mme of tks work, but I have contracted (hired) the fdlowing pwtm to provide the work indiwted linduck name I addrem / phone number I type Business and Rofruknr Coda for thh reuon: YES ON0 8, CCI)L/Y?~~ /SEC &'hIwest\xq A \ IM D .c . YW- 7Y/Y LfCr ccI73/9 Is the applicant or future building occupmt r.quh.d to submit a bushess plan, acutely hurdoua matwioh nOi.mtbn form or risk management and program under Sections 26606,26633 or 25634 of the R.d~y-Tam Haardora Subrtmnce Accwnt Act? Is the applicant or future bdlding occupant requked to obtain e permit from the ak pdlutim control dWct or air qurllty management dimiCt? Is the facility to be constructed wlthin 1 ,OOO feet of the outer boundwy 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 APPUCANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERaLNCY SERVICES AND THE AIR P0UUTK)N CONTROL DISTRICT. 0 YES 0 NO 0 YES 0 NO I hareby off irm that there is I conmum 'on landing egomy tor the performance of the work for which this permit b bawd (Sac. 3097ti1 Civil Code). LENDER'S ADDRESS i I certify that I have rood the application and stat. that the above htomUt&m is cowoct and that tho infomutkn on the pknr b accumta. I awn to comply with .# cityordinrncu mnd State kmrWng to buildhg cwhlctkn. I humby.uthaire of the crt) of Carbbod to mtw upon the abw mmticmd property for In8pmctbn pnposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMUESS THE CITY OF CARLSBAO AQAINST AU UABIUTIES, JUDQMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE Awl SAD CITY H CONSEQUENCE OF THE ORANTINO OF TIUS PERMIT. OSHA: An OSHA permit is required for excavationn over 6'0' deep and dsmdkion or mnstruction of structures over 3 stories in height. EXPIRATION: Every permit issued by the Building Official under tho ptovbi~nr of this Code shd) expin by Iimltetlon and become null and vdd if the building or work authorized by such permit is not commenced within 365, days from the date of such wrmit or if the buildlnm or work euthorized bv such wrmit Is suswnded .~ ~- .- or abandoned at any tim riad of 180 am 6oction 166.4.4 Uniform Buildini Code). . APPLICANT'S SIGNATU DATE y--s/ - 9.57 CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB972129 FOR 08/01/97 INSPECTOR AREA DESCRIPTION: ELECTRICAL AND GAS LINE TO FP PLANCK# CB972129 TYPE: PLUM CONSTR. TYPE NEW JOB ADDRESS: 1089 BEACON BAY DR STE: LOT: APPLICANT: KERIAN MARY PHONE: 760 804-9803 CONTRACTOR : PHONE : OWNER: PHONE : OCC GRP REMARKS: C/MARY KERRIGAN AM PLEASE SPECIAL INSTRUCT: m INSPECTOR TOTAL TIME: CD LVL DESCRIPTION 21 PL Underground/Under Floor 31 EL Underground/Conduit-Wiring -- ***** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP COMMENTS