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HomeMy WebLinkAbout1203 PLUM TREE RD; MP; CB971958; PermitB U I L D I N G 07/18/97 10:35 Page 1 of 1 Job Address: 1203 PLUM TREE RD Permit Type: ELECTRICAL Parcel No: Valuation: 0 PERMIT Permit No: CB971958 Suite: f(\,e Lot#: Project No: A9702492 Development No: Construction Type: Occupancy Group: Reference#: Status: NEW ISSUED 07/18/97 07/18/97 RMA IRRIGATION PEDISTAL Applied: Description: 100 AMP : KAUFMAN & BROAD-SAMBI SEASIDE HEIGHTS Apr/Issue: Appl/Ownr : KAUFMAN & BROAD 12626 HIGH BLUFF DR STE 400 SAN DIEGO CA 92130 *** Fees Required *** Fees: Adjustments: Entered By : 619 259-6000 Fees Collected & Credits Total Credits: Total Fees: 35 .00 .00 35.00 Total Payments: .00 .oo 35 .00 Balance Due: *** Fee description Units Fee/Unit Ext fee Data Enter "Y" for Electric Issue Fee Single Phase Per AMP * ELECTRICAL TOTAL CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92()()() (619) 438-1161 10.00 Y 25.00 35.00 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad (760) 438-1161 Address (include Bldg/Suite #) Legal Description Assessor's Parcel # Name CA 92009 Lot No. Subdivision Name/Number Address FOR OFFICE USE ONLY PLAN CHECK NO. CZ 7 115 J? EST. VAL. _________ _ Plan Ck. Deposit -------."1-;,i--- Validated By , ~ Date 1 !(7/ 1</ Unit No. Phase No. Total # of units City State/Zip Telephone# (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 Professions Code] or that he is exempt therefrom, and the basis for the alleged City Business License # _______ _ Eii;~a~i!ru!i!l¥±iiiilill!&::!:t:~,,;,m,;,j!s:u,1,~:!l!l,1 ::,r:,::,:::,i'l:LL"''! .,,,,,:::: ''"''":,'1,,; :''; •••:•,:::,, : Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: Telephone D I have and will maintain a certificate of consent to sett-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. rrft ..,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 ~ed. My worker's compensation insurance carrier and policy number are: / ~ Insurance Company Ci::rr\ , CC,':> ocJ2;,l,t. Policy No. W C....30 'L ":;) 22 l 9'2-Exp!,at!on Date,_:..5=. _ _.,lµoµ.,....J. __ !THIS SECTION NEED NOT BE COMPLETED IF THE P'fRMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) D 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 to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penaffies and clvll fines up to one hundred thousand d Hara $100,0QO) n addttlo t the _cost of compensation. damages as provided for In Section 3706 of the 1,:abor ro)\Hnterast and attorney's fees. DATE//\ '6. 't_j I hereby License Law for the 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 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). (fit 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). D I am exempt under Section ______ Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. D YES ONO 2. I~/ 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 I address / phone number / contractors license number): 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? D YES O NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site 7 D YES D 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. I hereby affirm that there is a nstruction lending agency for the performance of the NA-LENDER'S NAME LENDER'S «l~ffii§A 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 Citt 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 6'0" 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 permit or if the building or work authorized by such permit is suspended or abandoned at any time after the wor is d for a period of 180 days (Section 106.4.4 Uniform Building Code). I /t:n APPLICANT"S SIGNATuRf.J.l\U:i.!i.!.iJtt~i3~=------------DATE l..:.,_..,lc..'.b.,_,_ _ _!_J_.:.....'------- YELLOW: Applicant PINK: Finance PERMIT# CB971958 DESCRIPTION: 100 AMP KAUFMAN TYPE: ELEC CITY OF CARLSBAD INSPECTION REQUEST FOR 07/25/97 IRRIGATION PEDISTAL & BROAD-SAMBI SEASIDE HEIGHTS STE: INSPECTOR AREA PLANCK# CB971958 OCC GRP CONSTR. TYPE NEW LOT: JOB ADDRESS: 1203 PLUM TREE RD APPLICANT: KAUFMAN & BROAD CONTRACTOR: PHONE: 619 259-6000 OWNER: REMARKS: C/HAROLD/929-1008 SPECIAL INSTRUCT: TOTAL TIME: CD LVL DESCRIPTION PHONE: /J ;J_ '\ PHONE: ~ INSPECTO~"'--~;;t::-=-~u~_· _______ _ ACT COMMENTS "" -=/;f'---"'L--=rz-Gc...='-----------_...()'-'K,_,,__-t).-+--'vL.._;;e'-1--"--""'"'""L-'i....,A-:CL..=sc..ce'.'""--- 1ltj ST Ftg/Foundation/Piers ,(. ------------------ --------------------------------- ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS