HomeMy WebLinkAbout1758 CAPE MAY PL; ; CB983717; PermitPermit No: CB983717
Project No: A9804847
Development No:
BUILDING PERMIT
10/28/98 14:41
Page 1 of 1
Job Address: 1758 CAPE MAY PL Suite:
Permit Type: PATIO/DECK
Parcel No: 207-312-23-00 Lot#:
Valuation: 5,136 Construction Type: NEW
Occupancy Group: Reference*: Status: ISSUED
Description: EXISTING DECKS 428 SF Applied: 10/28/98
: Apr/Issue: 10/28/98
Entered By: JM
Appl/Ownr : KLATT ROBERT 760 720-2244
1758 CAPE MAY PLACE
CARLSBAD CA 92008
*** Fees Required ***
Fees: 131.00
Adjustments : . 00
Total Fees: 131.00
Fee description
Building Permit
Plan Check
Strong Motion Fee
* BUILDING TOTAL
*** Fees Collected & C
3707 1 A/TO
Total Credits:
Total Payments:
Balance Due:
Units Fee/Unit
redits ***
C-PRMT 131.00
.00
. 00
131.00
Ext fee Data
79. 00
51 . 00
1.00
131 . 00
E ;D rim
PERMIT HAS EXPIRED IN ACCO,-, JEWITHU.B.'
SECTION 1
BUILDING PLANS
.IN STORAGETATTACHED
INSR
FINACAPPBOVAL
RAjyeJT
.DATE
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad CA 92009
(760)438-1161
1. PROJECT ^FORMATION
FOR OFFICE USE O
PLAN CHECK NO.
EST. VAL.
Plan Ck. Deposit
Validated By
Date_
Address (include BIdg/Suite »)Busman Name tat ttw address)
Leoal Descnption Lot No.Unit No.Phase No.Totel * ot units
Assessor's Parcel #
Ami. ft PAT/Q
Proposed Use
Description of Work
2. CONTACT PERSON Of i
.3
SQ.FT.ir of Bathrooms
Neme
3. APPLICANT D Contractor D Agent for Contractor
City
- "^J AQWR TOT OWH8T
State/Zip Telephone * Fax»
Name
4.
Address oty StateiTip Telephone *
r OWNER
Address citv State/ZipName
B. CONTRACTOR - COMPANY NAME ~~.~~~^~. "*"':~~\'.' ":.:'"""' "^ "'""~ ""
(Sec. 7031.5 Business end Professions Code: Any Crty or County which requires • permit to construct, alter. Improve, demolish or repair any structure, prior to Its
issuance, also requires the applicant for such permit to We a signed statement that he Is Beamed pursuant to the provisions of the Contractor's License Law
(Chapter 9, commending with Section 7000 of Division 3 of the Business end Preleasieiis Code) or that he Is exempt therefrom, end the basis for the alleged
exemption. Any violation of Section 7031.5 by any applicant for a permit subject* the eppHcant to a chril penalty of not mere than five hundred dollars 1*5001).
Name
State License t
Address
License Class
Crty State/Zip
CrtyBu
Address City State/ZipDesigner Nema
Stete License * ______^^^^____
6. WORKERS'COMPENSATION -.--..-.. _._... „.....,
Workers' Compensation Dederetion: ,1 hereby affirm under penalty of perjury one of the following declarations:
D I n*ve end will maintain a certificate of consent to self-insure for workers' compensation es 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' compensetien, es required by Section 3700 of the Labor Code, for the performi
issued. My worker's compensation insurance carrier eeri policy number are:
Insurance Company ^^^^^^^^^^_^^^^^_^^^^^^^^^^^^^ Policy No.
i of the work for which this permit is
Expiration Date
I ahe« not employ any person in any manner so as
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1*1001 OH LESS)
D CERTIFICATE OF EXEMPTION: I eartrfy that in the performance ef the work for which this permit is Issued, I
to become subject to the Workers' Compensation Laws of Cefifomia.
WARNING: Failure to aecure workers' eompeneetton coverage le unlawful, and aha! subject an employer to criminal panomea and eh* fines up to one hundred
thousand dollars 1*100.000). In addition to the cost of compensation, damages aa presided for In Section 3708 ef the Laker cede, interest and attorney s fee*.
SIGNATURE \ DATE
7. OWNER-BUILDER DECLARATION ' ••«••,—;?*-......»-?•
I hereby effirm that I am exempt from the Contractor's License Lew for the following reason:
0 I. as owner of the property or my employees with waoes aa their cole compeneetien. wW do the work end the structure la net intended or offered for sale
(Sec. 7044. Business end Professions Cede: The Contractor's License Law does net apply to an owner ef property who euHda or improves thereon, and who dees
such work himself or through hie own employees, provided that such improvements era net Intended or offered for sale. If, however, the buMdtng or Improvement la
sold within one veer of completion, the owner-builder wlfl have the burden ef proving that ha did net buad or Improve for the purpeae ef aale).
D I. as owner of the property, em exclusively contracting with kceneed contractors to construct the project ISec. 7044. Bueinees end Profeaaions Coda:
Contractor's Licenss Law does not apply to an owner of property who builds or improves thereon, and eontieeu for auch prefects with contractorU) I
pursuant to the Contractor's Licenss Lew).
D I em exempt under Section Business and Prolesstons Code for this reason:
1 I personally plan to provide the major labor and materials for construction of the proposed property improvement. Q YES
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 / addraas / phone number / contractors fccenee number):
4. I plan to provide portions of the work, but I have hired the following person to coonknate, supsrviae and provide the mater work (include name / eddrees / phone
number / contractors license number):
The
5. I will provide some of the work, but>ftav)contr
of work):
PROPERTY OWNER SIGNATURE
COMPLETE THIS SECTION FOR
uU«nev} contracted (hrredUrx«he following persons to provide the / eddreaa / phone number / type
required to aubmit a business plan, acuteryIs the eppKeent or future building
program under Sections 25605, 25533 or 25534 ef the Presley T
Is the epplicsm or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D YES
Is the facility to be constructed within 1,000 teat of the outer boundary of a school site? O 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.
*. CONSTRUCTION LENDING AGENCY " "" --*— ^^,.^r,«,..—,,. •,...-. ,-. ,_„.„_...,.
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit la issued ISec. 30970) Civil Code).
LENDER'S NAME LENDER'S ADDRESS
s
NO
APPLICANT CERTIFICATION " -,.-.-.„..,„
I certify that I have reed the application and slate that the above Information is correct and that the information en the plans is accurate. I agree to comply with all
Citv ordinances and State laws relating, to building construction. I hereby authorise representatives of the Crty ef Carlsbad to enter upon the above mentioned
^I'^c^c""^""'" P"^0"1' ' ALSO AOREE T0 8*^' "OEMN.FY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES.JUDGMENTS. COSTS AND EXPENSES WHICH MAY IN ANY WAV ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA permit is required tor 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 provision, of this Code shell expire by limitation end become null end void if the building or
work authorized by such permit is not commenced within 365 days from the data of such permit or if the building or work authorized by such permit is suspended
or abandoned at sny time efter the wojkjs commenced forapa*od of tBO days (Section 106.4.4 Uniform Building Code).
APPLICANT'S SIGNATURE '^^If^-t^ K/^ff^ DATE
YELLOW: AppKcem PINK: Finance