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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