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Home My WebLink About1772 BLACKBIRD CIR; ; CB982412; PermitJ36 Q 33 kD EIJILDING PERMIT Permit No: CB9824:12 Project No: A9803190 07/30/98 1l:OS Page 1 of 1 Deue 1 opment Nu : Job Address: 1772 BLACKBIRD CH Suite: Peurni t Type: PL..I.IMBIMG Parcel No: 215-602-09-00 Lot#: Ua 1 ua t i o rc : 0 Construction Type: UN Clccupancy Group: Reference#: Statffc,: ISSUED Ilcscr i pt i 01-1: INSTQI-L. GQS CSND ELEC LINE RR mmm1 :or0 7 Y98 Qpr/Is~~07/ 0/4QW Entcrccl By: MDP Rppl/Ownr : CHRISTIQN SCOTT 760 603-0963 1772 t3L6CKSIRQ CLKCI-E CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 . PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438- 11 61 FOR OFFICE USE ONLY PLAN CHECK N0.p cI I 7, EST. VAL. Plan Ck. Deposit Validated By Date Assessor's Parcel t Existing Use Proposed Use DnserintiM af Wart sa. FT. t #of Stories t of Bedrooms t of Bathrooms Telephone X Fax # Name Address City StateEip Telephone t 31.5 Business and 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 Codel or that he is exempt therefrom, 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 penatty of not more than five hundred dollars I8500J). Name Address City StateEip Telephone X State License t License Class City Business License t Designer Name Address City State/Zip Telephone c] of the work for which this permit is issued. c] issued. My worker's compensation insurance canier and policy number are: insurance Company Policy No. Expiratin Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS I$1001 OR LESS) 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 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 M-Mempky uptoorwhrndnd provkkdforinS.etion I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 I, as owner of tho property or my amployees with wages as their sde 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 himsalf 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 License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractorlsl 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 tbe following person (firm) to provide the proposed construction (include name / address I phone number I contractors license number): Business and Rofwsions Code for this reason: 4. number I contractors license number): 5. I plan to provide portions of the w 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, &,dave contracted I&ed) tfifollowing persons to provide the work indicated (include name / address / phone number / type 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 dbtrict? 0 YES c] NO Is the facilii to be conatructed within 1.000 feet of the outer boundary of a school site? 0 YES 0 NO IF ANY OF THE ANSWERS ARE YES, A flNAL 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. 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. I agree to comply with a11 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 AQREE 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 CONSEOUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for p and demolition or construction of structures over 3 stories in height. EXPIRATION: Every pe work authorized by such permit or abandoned at any time after t APPLICANT'S SIGNATU DATE ? 139 ovisions of this Code shall expire by limitation and become null and void if the building or the date of such permit or if the building or work authorized by such permit is suspended ection 108.4.4 Uniform Building Code). YELLOW: Applicant PINK: Finance CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB982412 FOR 09/01/98 INSPECTOR AREA PY DESCRIPTION: INSTALL GAS AND ELEC LINE PLANCK# CB982412 TYPE: PLUM CONSTR. TYPE VN JOB ADDRESS: 1772 BLACKBIRD CR STE : LOT: APPLICANT: CHRISTIAN SCOTT PHONE: 760 603-0963 CONTRACTOR : PHONE : OWNER: PHONE : REMARKS: C/SCOTT/603-0963 INSPECTOR OCC GRP SPECIAL INSTRUCT: REQUESTED AN ELECTRIC INSPECTION ? TOTAL TIME: CD LVL DESCRIPTION ACT PL Underground/Under Floor ***** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP COMMENTS 082 198 Gas/Test/Repairs AP PY 082198 Underground/Under Floor AP PY