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HomeMy WebLinkAbout1120 CAPE AIRE LN; ; CB982082; PermitBUILDING PERMIT 07/06/98 16:45 Page 1 of 1 Job Address: 1120 CAPE AIRE LN Permit Type: RESIDENTAL ADD/ALT Parcel No: 206-140-22-00 Valuation: ° Reference*: ^MODEL KIT,«DSHDEB RECESS : LITES,RE-ROUTE GAS LINE Appl/Ownr : MICHAEL GORE 1120 CAPE AIRE LN CARLSBAD CA 92008 *** Fees Required *** Permit No: CB982082 Project No: A9802751 Development No: Suite Lot#:Construction Type: NEW Status: ISSUED Applied: 06/30/98 XT/Issue: 07/06/98 729-8706 77-00 ollected & Credits Fees: Adjustments : Total Fees: Fee description 77 Other '* BUILDING TOTAL * * * .00 .00 77.00 Ext fee Data 77.00 PERMIT FEE 77 .00 FINALAPPROVAL INSP. CLEARANCE, CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760)438-1161 FOR OFFICE USE (WSILY PLAN CHECK NO. [ h tt 10 EST. VAL. Plan Ck. Deposit. Validated By/-. Business Name (at this address)Address (include Bldg/Suite *) Lot N.O. Subdivision Name/Number ExistngUse Address State/Zip Telephone #Fax* (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 and Professions Code] or that he is exempt therefrom, and the basis for the alleged exemption. Any 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). Name State License # Address License Class City State/Zip City Business License # Telephone * Designer Name State License * Address City State/Zip Telephone "**" * Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: Q 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. Q 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 NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) Q 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 la unlawful, and that subject an employer to criminal penalties and 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. Interest and attorney's fees. SIGNATURE DATE I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 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). ff 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 contractors) licensed pursuant to the Contractor's License Law). C3 I am exempt under Section Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. Q YES QNO 2. I (have / have not) signed an application for a building permit for the proposed work. 3. I have_cgntracted wjth/fhe following person (fkrn) to provide the proposed construction (include name iaddress / phone number /eontractonJicense number): 4. I plan to provide portions of fhe work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / 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 of work): PROPERTY OWNER SIGNATURE Is the applicant or future building occupant required to submit a business plan, acutely hezardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tenner Hazardous Substance Account Act? Q YES Q NO Is the applicant or future building occupant required to obtain a pefrnit from the air pollution control district or air quality management district? O YES Q NO Is the facHity to be constructed within 1,000 feet of the outer boundary of a school site? D YES Q 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. I hereby affirm that there is a construction tending agency for the performance of the work for which this permit is issued (Sec. 3097Q) Civil Code). LENDER'S 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 385 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 tty^work '^commenced foj^ a period pf 180 days (Section 106.4.4 Uniform Building Code). jC&f*tjU2A) \| YEKO' APPLICANT'S SIGNATURE WHITE: File COW: Applicant PINK: Finance \ DATE \\° City of Carlsbad Inspection Request For: 4/16/99 Permit# CB982082 Title: REMODEL KIT,ADD SLIDER.RECESS Description: LITES.RE-ROUTE GAS LINE Inspector Assignment: DH 1 1 20 CAPE AIRE LN Lot Type: RAD Sub Type: Job Address: Suite: Location: <\PPLICANT : MICHAEL GORE Owner: RODRIGUES ARTHUR&MEIKO Remarks: Phone: Inspector:/I I }: ///)/ Total Time: CD Description 19 Final Structural 29 Final Plumbing 39 Final Electrical 49 Final Mechanical Requested By: ARTHUR Entered By: CHRISTINE Act Comments Inspection History Date Description 4/6/99 89 Final Combo 3/29/99 89 Final Combo 9/22/98 89 Final Combo 7/24/98 18 Exterior Lath/Drywall 7/9/98 17 Interior Lath/Drywall 7/8/98 14 Frame/Steel/Bolting/Welding Act Insp Comments CO DH ADD GFCI S IN KIT & SMOKE DETECTORS @ BEDRM NO ONE HOME - RECALL SEE NOTICE ON JOB CARD CO DH CO DH DH DH DH AP AP AP City of Carlsbad Inspection Request For: 3/29/99 Permit# CB982082 Inspector Assignment: DH Title: REMODEL KIT.ADD SLIDER.RECESS Description: LITES.RE-ROUTE GAS LINE Type: RAD Sub Type: Phone: Job Address: 1120 CAPE AIRE LN Suite: Lot Location: Inspector: APPLICANT : MICHAEL GORE Owner: RODRIGUES ARTHUR&MEIKO Remarks: PM PLEASE - AFTER 1PM Total Time: _ Requested By: HOMEOWNER Entered By: CHRISTINE CD Description Act Comments 19 Final Structural Co —29 Final Plumbing 39 Final Electrical 49 Final Mechanical Inspection History Date Description Act Insp Comments 9/22/98 89 Final Combo CO DH SEE NOTICE ON JOB CARD 7/24/98 18 Exterior Lath/Drywall AP DH 7/9/98 17 Interior Lath/Drywall AP DH 7/8/98 14 Frame/Steel/Bolting/Welding AP DH CITY OF CARLSBAD BUILDING DEPARTMEI DATE. LOCATION NOTICE (760)43^3550 2075 LAS PALMAS DRIVE TIME_ PERMIT NO.. FOR INSPECTION CALL (760) 438-3101. RE-INSPECTION,REE DUE? FOR FURTHER iri^OitffATION, CONTACT Xw/V/ /JtSfir YES CODE ENFORCEMENT OFFICER PLANNING/ENGINEERING APPROVALS PERMIT NUMBER \ I d DATE RESIDENTIAL ADDITION MINOR « $10,000.00) TENANT IMPROVEMENT PLAZA CAMINO REAL CARLSBAD COMPANY STORES VILLAGE FAIRE COMPLETE OFFICE BUILDING OTHER DATE DATE Kir n f>C /.of