The URL can be used to link to this page

Home My WebLink About1745 BLACKBIRD CIR; ; CB971465; PermitC CFTVOF~ 2075 Lap Pabas Dr., catlsbgd, CA 9uw)9 (619) 438-1161 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1 161 FOR OFFICE USE ONLY EST. VAL. Plan Ck. Deposit Date Total # of units Phase No. Legal Description Lot No. Subdivision NamelNumber Unit No. Assessor's Parcel # Existing Use Proposed Use # of Bathrooms (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 Professio exemption. Any v'ol tion of Section 7031.5 by any applica for a per it s bjects the app Name Address State License # 7% 73* License Class 6- 1 Designer Name Address city Statelzip Telephone State License # aM&de CvruST ~o.?6/2 3A&4 fl 0 of the work for which this permit IS issued. 0 issued. My worker's compensation insurance carrier and policy number are: Insurance Company Policy No. Expiration Date (THIS 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 Code, for the performance of the work for which this permit is CTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS IS1001 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 s up to one hundred o become subject to the Workers' Compensation Laws of California. rage is unlawful. and shall subject an employ pensation, damages as provided for in Section / om the Contractor's License Law for the following reason: 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 1. 2. 3. I am exempt under Section I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ON0 I (have / have not) signed an 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 / contractors license number): Business and Professions Code for this reason: 4. number I contractors license number): 5. of work): PROPERTY OWNER SIGNATURE DATE 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 I 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 / phone number / type 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 district7 Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 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. 0 YES 0 NO 0 YES 0 NO LENDERS 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 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 5'0" 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 365 days from the date of such Dermit or if the buildina or work authorized bv-such Demit is susoended or abandoned at any time af APPLICANT'S SIGNATURE DATE od of 180 days (Section 106.4.4 Uniform Building Code). 4Y WHITE: File YELLOW: Applicant PINK: Finance CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB971465 FOR 06/05/97 INSPECTOR AREA DESCRIPTION: INSTALL ZERO CLEARANCE FIREPLC PLANCK# CB971465 TYPE: MECH CONSTR. TYPE NEW JOB ADDRESS: 1745 BLACKBIRD CR STE : LOT: APPLICANT: JOE MOORE CONSTRUCTION PHONE: 760 434-1203 CONTRACTOR: PHONE : OWNER: PHONE : IN MASTER BEDRM,2ND FLOOR,ICBO#2578 OCC GRP REMARKS: R/JOE/434-1203 SPECIAL INSTRUCT: TOTAL TIME: CD 14 INSPECTOR h LVL DESCRIPTION ST Frame/Steel/Bolting/Welding DATE DESCRIPTION ***** INSPECTION HISTORY ***** ACT INSP COMMENTS 6-28- '1 995 1 : 27PP.l FROM P. 1 Marco PB36 Woodburning Fireplaces G~M ofcp' Q~Y q$$+ ---._ FIREPLACE DIMENSIONS I-. 38 'A+ 5 *" _-... . . FRAMING DIMENSIONS ALL LIIMENSIDNI ARE MINIMUM ~~ ~ ~~ ~~~ ~ NOTE: Dimecsions shown are far reference only Refer to Production Builder 36'' insta!Mon instruction man& P/N I 8 I8 17A for specific dimensions. CHASE Listing Agencies Warnock Hersey (WH). Report #632-20 I500 I.C.B.O. W2578 LA. city Approval #R & R BO. 23960 Marro Mfg.. tnc 2520 lndustry'h'al: Lmwood, CA 90262 (2 13) 564-320 I (80oi 232- I22 I Fax: (2 13) 563-8 I43 -,*I ,-,-.-- .^, a9