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HomeMy WebLinkAbout1135 HARBOR VIEW LN; ; CB972452; PermitI 11 <Z3 B U I L D I N G 09/02/97 12:14 P E R M I T Permit No: CB972452 Project No: A9703108 Development No: Page 1 of 1 Job Address: 1135 HARBOR VIEW LN Permit Type: PATIO/DECK Parcel No: 206-140-07-00 Valuation: 3 ,850 Suite: Lot#: Occupancy Group : Reference#: Description : 350 SF 2ND STORY DECK,PER ENG : CALCS Appl/Ownr : CHRISTIAN BUILDERS 4656 BRIAN RIDGE OCEANSIDE CA 92056 760 8672 09/02/97 0001 01 C-PRHT Construction Type: Status: Applied: Apr/Issue: Entered By : 941-9599 02 105-00 NEW ISSUED 09/02/97 09/02/97 RMA * ** Fees Required *** Fees Collected & Credits le"" Fees : Adjustments : Total Fees : Fee description Building Permit Plan Check Strong Motion Fee :A BUILDING TOTAL 1'otal a r edits : .00 .00 105.00 Ext fee Data 63.00 41.00 1.00 105.00 r'"'/\L rir'""~ ,,rq 11.,. Via • • i .J \ H .• .. "" "" .... CITY OF CARLSBAD 2075 Las Palrnas Dr., Carlsbad, CA 92009 (6 19) 438-1161 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 1. FOR OFFICE USE ONLY PLAN CHECK ~o_{{];) Lf._)'2.___ EST. VAL. 3¥SO Plan Ck. Deposit ~b Validated By t'~ Date q ~{'4+---7 ~- Business Name (at this address) Legal Description D scription of Work 2. Name 3. APPLICANT Name 4. Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units # of Bathrooms Name Address City State/Zip Telephone# 5. CONTRACTOR -COMPANY NAME esigner Name / State License II~ s. 5 z'; 6. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 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. 0 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 [$100) OR LESS) 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 come subject to the Workers' Com ns · Laws of California. NING: Failure to secure ,,,,.....,,..,,,.,ompen tjlln coverage la unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,00 on to the ost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE DATE --===;;::::;;:::;::::;;:;;:;:;:=~ .... -~-----. 7. 0 R•BUI 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 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. 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 / 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 ______________________ _ DATE _________ _ COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY 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 O NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality 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 (Sec. 3097(1) Civil Code). LENDER'S NAME ______________ _ LENDER'S ADDRESS ________________________ _ 9. APPLICANT CERTIFICATION 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 Building O · und th isions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not comm enc ,n th&, date of such permit or if the building or work author' y such permit is suspended or abandoned at any time after the work is co e ed f a days (Section 106.4.4 Uniform Building Code). PINK: Finance Cify of C1x/~b~d f3ui/d,-~d Dept jO wA6;r, if my ConceVf\ : :r wis/.. -fo car,ee/ ~ bui/Ji':J pe.Rmif #1?Jlf5-;)_ ( wh,Ch Wa~ exfehded +o 1j3/1rJ, . 1/2;.s fe'<"f'lllf Wa.~ foy-u\. deck wlvcA we-were 301hJ f o ha. 1k bu[ I+ oV<J( oLtY ba.cl<:1ard pa.fio . fl_oweveR-1 vk ~~Vt,, du,Jed fo eXf.ind our/Y'oject fo 1hc/1Ad0 1 /'Yl1J.k,?j rA. fam;}: y"oo/11\ out 1> 01A\r patio W if~ -ff\~ Jeck OY\. for of if. We haVe,juti j11,f miffed °'- p/d.J\ check (-t CR, Cf.'l I 6 'f V !for: ~Ai.s f rojecf a r.d will fo/li,~ +hJ wiH IA ;,.ew but!d1rg fet<mif ~rlic~+,o)t\, tknk-;>101-1. ~£~:1-~ oeloRe~ J. 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