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Home My WebLink About1704 BLACKBIRD CIR; ; CB983033; PermitBUILDING PERMIT Permit No: CB983033 09/09/98 13:52 Project No: A9803948 Page 1 of 1 Development No: Job Address: 1704 BLACKBIRD CR Suite: Permit Type: PATIO/DECK Parcel No: 215-602-63-00 Lot#: Valuation: 1,979 Construction Type: NEW Occupancy Group: Reference#: Status: ISSUED Description: 273 SF PATIO COVER/CITY SPECS Applied: 09/09/98 Apr/Issue: 09/09/98 I Entered By: BT Appl/Ownr : NEW @4K LANDSCAPE 729-2881 974 HONE kk** Fees Fee Ad j us tmen t Total Fee Fee desc Building P Plan Check Strong Mot k BUILDING ----------- ion Fee ' TOTAL )A d '4.00 FINAL AP. QVAL -1 -. f I I L: : ,* I INSP. CITY OF CARLSBAD 2075 Las Palmas Dr., Carl~bad, CA 92009 (619) 438-1161 FOR OFFICE USE ONL PLAN CHECK NO. Plan Ck. Deposit Validated By Date PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1 161 AssessorXParcel1 - r\ --L, /Existing Us_e ). - - - Proposed Use &f%>r- t of Bathrooms #of stories # of Bedrooms open la llCs O'wha UI/~< DescriDtion of Work (Sec. 7031.5 Business and Professions Code: Any City 01 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 Code1 or that he is exempt therefrom, and the basis for the alleged exemption. Any vidation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars 185001). Name Address City StateRip Telephone # State License t 72 . License class (io a7 Ci Business License x [m 72 7 3 Address Ctv StateRip Telephone Designer Name M State License I Workers' Compensation Declaration: RKeRS 0 of the work for which this permit is issued. a issued. My worker's co Insurance Company Policy No. Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF ME PERMIT IS FOR ONE HUNDRU) DOLLARS I$1001 OR LESS) 0 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' Compensetion Laws of California. WARNING: Failure to secure workam' cornwnsatbn cowrage la unlawful. and rM rubi.ct an adow to aknhd pmdtlaa .nd MI fines up to 00. hundmd thousand dolam ($100.000). in ddition to the cost of componsatbn. &magas as provkhd for h s.ctkn 3706 of the Labor coda. knowst end attomay's few. SIGNATURE DATE 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 I have and will maintain workers' compensation, as required by Section 3700 of the Labor Coda, for the performance of the work for which this permit is 0 I, as owner of the property or my employws with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Profassions 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 thet 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 1. 2. 3. I am exempt under Section I personally plan to provida the major labor and materials for construction of the proposed property improvement. 0 YES ON0 I (have / have not) signed an application for a buildw permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction linclude name / address / phone number / contractors license number): Busincan and Profesaions Code for this reason: 4. number / contractors license number): 5. 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 I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address I phone number I type PROPERTY OWNER SIGNATURE DATE kQM IS 3E Is the applicant or future building occupant required to submit a business plan, acutely hazardous matenals 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. LENDER'S NAME LENDER'S ADDRESS I certify that I have read the application and state that the above information is comct 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, JUDQMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA parmit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stones 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 authorized by such permit IS suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 108.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE WHITE: File YELLOW: Applicant PINK: Finance COASTAL PERMIT DETERMINATION FORM (To Be Completed By Planning Staff) cL3 48 3033 This form is used to identify and record those projects which either require a Coastal Development Permit or which are exempt from the requirement for a Coastal Development Permit. Note: This is not a building permit or a determination under the California Environmental Quality Act. COASTAL PERMIT DETERMINATION NUMBER: &I$ 9g-\25 ASSESSOR'S PARCEL NUMBER: 3 iS-b,og 43 ADDRESS: !7 OY 13 rd &r LOCATION OF PROJECT (IF DIFFERENT FROM ABOVE): PROJECT DESCRIPTION: P! Utyi? I COASTAL PERMIT DETERMINATION: 1. This development is exempt from the requirement for a coastal permit. 2. This development requires a coastal development permit from the City of Carlsbad. 0 3. This development is in the State of California Coastal Commission area of jurisdiction. This determination relates only to the project described above and shown on the attached plans. Any change to the project may change the determination status. If the information contained in this submittal (including plans) is changed, found to be incorrect, or incomplete this determination shall be invalid. c: Applicant, Project File, Building Permit File (when applicable) H:WDMI~OWERU)ETEW"ATlON FORM (CW) CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB983033 FOR 09/10/98 INSPECTOR AREA DESCRIPTION: 273 SF PATIO COVER/CITY SPECS PLANCK# CB983033 TYPE: PATIO CONSTR. TYPE NEW JOB ADDRESS: 1704 BLACKBIRD CR STE : LOT: APPLICANT: NEW COVER LANDSCAPE PHONE: 729-2881 CONTRACTOR: PHONE : OWNER: PHONE : REMARKS: C/JIM/729-2881 INSPECTOR OCC GRP -?+- SPECIAL INSTRUCT: TOTAL TIME: CD LVL DESCRIPTION ACT COMMENTS 11 ST Ftg/Foundation/Piers 4f -- - DATE DESCRIPTION ***** INSPECTION HISTORY ***** ACT INSP COMMENTS 1 I i