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Home My WebLink About2712 LLAMA CT; ; CB920758; PermitPERMIT APPLICATION ~ V PLAN CHECK NO. City of carlsbad Building Departaent 2075 Las PalES Dr., Carlsbad, CA 92009 (619) 438-1161 I. PER.MU hPE l ~V~ DEPOSIT _______ _ VAIID. BY __________ _ DATI! A -U Commercial U New Bu1ldmg D I enant Improvement B -□ Industrial □ New Building □ Tenant Improvement C -□ Residential □ Apartment □ Condo □ Single Family Dwelling □Addition/Alteration □ Duplex □ Demolition □ Relocation □ Mobile Home □ Electrical D Plumbing □ Mechanical □ Pool .II Spa □ Retaining Wall □ Solar □ Other 2. PRCllF.Cf INFORMATION Address :2 '7 / 2- Nearest Cross Street FOR OFFICE USE ONLY Bu1@mg or Smte No. mt o. CHECK BEWW IF SOBMII I : □ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report O 1 Addressed Envelope ASSESSOR'S PARCEi, ~4 EXISTING USE PROPOSED USE DESCRIPTION OF WORK SQ. Ff. # OF STORIES 7/ 7? ,:?'~ ~ CI1Y ~ 4. APPIJCXN CI DR STATE ZIP CODE UAGENI FORWNIHACIOR ADDRESS DAY TELEPHONE 'f' J/-/ -:J/ / DOWNER HAGENI FOR OWNER NAME CI1Y STATE ZIP CODE DAY TELEPHONE s. ~°?81;;,;:t.R~ ~ ADDRESS .:Z. 7 / Z- ZIP CODE ~/""7f CI1Y ~ STATE t;_ DAYTELEPHONE '7"J/-,rJ/7 NAME CI1Y 3 STATE ADDRESS ZIP CODE LICENSE CLASS ADDRESS DAY TELEPHONE :J '1Ji" • "? CI1Y BUSINESS !JC. # DESIGNER NAME STATE !JC. # !!!_ CI1Y STATE ZIP CODE DAY TELEPHONE STATE UC.# 7. WOkkERS' WMPENSXIION Workers' Compensation Declaration: I hereby affirm that I have a cert1hcate of consent to seif-msure issued by the Director of lndustnai Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C). INSURANCE COMPANY POIJCYNO. EXPIRATION DATE Ceruhcate of Exemptmn: I cerufy that m the performance of the work for which this permit 1s issued, I shall not employ any person m any manner so as to become subject to the Workers' Compensation Laws of c.alifomia. SIGNATURE DATE 8. OWNER-BOIIDRll nm:KkXiluN Owner-Builder Declaration: I hereby affirm that I am exempt from the Contracto?s Llcense Law for the followmg reason: D 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 Llcense 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.). □ 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 Llcense 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 Llcense Law). □ I am exempt under Section ________ Business and Professions Code for this reason: (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 Llcense Law (Chapter 9, commencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a pennit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]). SIGNATURE DATI! COMPLEIE IAIS SECIION FOR NON-RESlbENIIAL BDIWING PERMll's ONLY: 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? □YES □NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □YES □NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □YES □NO IF ANY OF lHE ANSWERS ARE YES, A FINAL CERTIFICATI! OF OCDJPANCY MAY NOT BE ISSIIED AF11!R JULY I, 1989 lJNLl!SS lHE APPUCANT HAS MET OR IS MEETING lHE REQUIREMENTS Of TIIE OffICE Of EMERGENCY SERVICES AND lHE AIR POWTnON CDNTROL DISllllCT. 9. tiJNS'lk0CIION IP.NDING AGENCY I hereby aiurm that there 1s a constructmn lending agency for the performance of the work for which this permit 1s issued (Sec !3097(1) Civil Ccxle). LENDER'S NAME LENDER'S ADDRESS 10. APPilCAN I CRltlMCAhUN I certify that I have read the application and state that the above mformat1on 1s correct. I agree to comply with all City ordmances 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 HARMIJlSS lHE CTlY OF CARISBAD AGAINST AIL IJABIUTIES, JUDGMENTS, CDSTS AND EXPENSES WIIlCH MAY IN ANY WAY ACDUIE AGAINST SAID CITY IN OONSF.QIJENCE OF lHE GRANTING Of TillS 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 pennit 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 303(d) Uniform Building Code). DATE: pr;/rz.-AFPIJCANTSSIGNA~ ½µ WHITE: File YELLOW: Applicant PINK: Finance PERMIT# CB920758 DESCRIPTION: FIBERGLASS SPA TYPE: SPA JOB ADDRESS: 2712 LLAMA CT APPLICANT: WITHERALL, MARK CONTRACTOR: OWNER: REMARKS: MH/DALE/931-7768 SPECIAL INSTRUCT: TOTAL TIME: CD 59 LVL DESCRIPTION SW Final Pool DATE DESCRIPTION 081892 Final Pool 081392 Final Pool ***** 081192 Underground Plumbing CITY OF CARLSBAD INSPECTION REQUEST FOR 08/24/92 PHONE: PHONE: PHONE: INSPECTOR AREA TP PLANCK# CB920758 OCC GRP CONSTR, TYPE NEW STR: FL: STE: 619 931-1317 INSPECTOR ACT COMMENTS INSPECTION HISTORY ***** ACT INSP COMMENTS co TP co TP NR TP 081192 Electric/Conduit/Wiring NR TP 081192 Final Pool NR TP 080592 Gas/Test/Repairs AP TP U/G NEW LINE ONLY ·----·-·-·········