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Home My WebLink About1523 MORNING DOVE WAY; ; WM970052; PermitV-1551 B U I L D I N G P ER M I T Permit No: WM970052 09/04/97 10:31 Project No: A9700281 Page 1 of 1 Development No: DEV89028 Job Address: 1523 MORNING DOVE WY Suite: Permit Type: WATER METER PERMIT Parcel No: Lot#: Valuation: 0 Occupancy Group: Ref erence#: Description: WATER METER CONNECTION FEE 1 1/2" METER SIZE Appl/Ownr : FOUR SEASONS POINT 760 7100 FOUR SEASONS POINT CARLSBAD, CA 92009 *** Fees Required *** Fees Fees: 10,20O(0 Adjustments: / .0.O(' '-.-'-Totál.• Total Fees: 10,200.00. Total/P / Bala Fee description -- Enter #Units & Code-PotableWater..-)-_._--..,. (- ayrn nce 8789 09/04/97 0001 01 02 C-PRMT 10200.00 Construction Type: NEW Status: ISSUED Applied: 09/04/97 Apr/Issue: 09/04/97 Entered By: JM 603-6930 5: .00 .00 10,200.00 Ext fee Data ----------------- 10200.00 D1.5 Collected & Credits ------------------------ FINAL APPROVAL !'!SPI DATE____ CLEARANCE_____________ CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION • - FOR OFFICE USEONLY: PLAN CHECK NO., •?5z EST. VAL. CITY OF CARILSBAD BUILDING DEPARTMENT Plan Ck. Deposit 104 .Z100 2075 Las Palmas Dr., Carlsbad CA 92009 Validated By ¼. (760)4381161: Date PÔJE loRlrKTroN rnvr -' 'OI wP'( . FcRc O(A1GS. LP. Address (include Bldg/Suite #1 - Business Name (at this address) Legal Description - Lot No.' - Subdivision Name/Number Unit No. Phase No. - Total .# of units Assessor's Parcel I : Existing Use. Proposed Use Description of Work . . SQ. FT. lot Stories I. of Bedrooms I of Bathrooms WPcc.R Mcc. -'tó ce. I'" me.%rz p(fA'cY PEISOI (ItdIiiiit fm Name . Address . City State/Zip Telephone I Fax-I 30 Name . Address - City , State/Zip Telephone #. gum No Name Address City State/Zip Telephone I (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, deri011sh or repair a4kny 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'Licensé Law (Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Codel or that he is exempt theiefrom, 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 i$5001) City State/Zip Telephone I City Business License I Designer Name . Address : City • - State/Zip Telephone State License I Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 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.. 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 161001 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 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 criminal penhitles and civil fines up to, one hundrOd thousand dollars ($1100,0001. 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 : 7OWNR BUl(ECRAON !L! 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). 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). . o I am exempt under Section' Business and Professions Code for this reason: I personally plan to provide the major labor and -materials for construction of the proposed property improvement. 0 YES ONO I (have / have not) signedan application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number I contractors license number): '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 number / contractors license number): I will provide some of the work, butI have contracted (hired) the following persons to provide the work Indicated (include name,/ address / phone number / type ofwork): - - - - PROPERTY OWNER SIGNATURE -- _, - DATE - 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 the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES 0 NO Is the facility to be constructed within 1.000 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.' ra uotoi R" Ulf 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). 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. legree to comply with all City ordinances and State laws relating to building construction. I hereby. authói'ize representatives of the Cit' 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'O 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 shill 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 work isjcommenced for period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE t4(bJ DATE 4 '7 - •. - ' , HlTE: FilV YELLOW: Applicant PINK: Finance Name Address State License I - License Class