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HomeMy WebLinkAbout1079 SEAHORSE CT; ; CB970402; PermitA #. n I n #: FINAL APPROVAL INSP. ___ DATE CLEARAN CE --- 2075 Las p CITY OF CAR almas D LSBAD r., Carlsb d a 'CA 92009 (619) 438-1161 FOR OFFICE USE ONLY L PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 PLAN CHECK NOi)il? ':if)_'J_ EST. VAL. _ __,J,""""" _ _.~...__·s_""----- Plan Ck. Deposit ----------x-- Validated By ___ -:::::--;:::-.,,.,--,,..._-. Date ______ ..Q-,h+-fr+'-~r-- ' ... Address (include Blf /Suite ,~ I o 12 · , ('!).. l'l ors-e., rt. { . / h d Busi,9fss Name (at this ■ddre!!} 0 r 6 vi l ~ '1 }-IJ t7 I Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total I of units Assessor's Parcel # Existing Use Proposed Use lot Stories I of Bedrooms If of Bathrooms Name Address City State/Zip Telephone I Fax I w er' , City State/Zip Telephone I ., City State/Zip (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 exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more then five hundred dollars ($500)). Name Address City State/Zip Telephone If State License # _________ _ License Class _________ _ City Business License If _______ _ Designer Name Address City State/Zip Telephone State License If _________ _ fflKERS' COMPEN~SA_TI.O ~---..._.-........ ~~ ____ ...,-;: .it~..._::..._ P 1 i¥ Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 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 of the work for which this permit is issued. 0 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 issued. My worker's compensation insurance carrier end policy number are: Insurance Company_____________________ Policy No._____________ Expiration Date _______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) 0 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•workera' compenation coverage is unlawful, and shall subject en employer to criminal penaltlea and civil fines up to one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages H provided for In Section 3706 of the LabQr code, lntereat and attomey'a fHa. SIGNATURE______________________________ DATE 7.. ·owti1ER-BUILDER DECLARATION • .. • , . ,,., mB;i.:ilili·i_ ;:;_;;e,,;.,,:;;;,i=, ; __ ;;;r ~oi :W;;;;,;;_ ,,.;:;. ;.,;::;. :.f1;;; .. :;~," • r:: ............ by affirm that I am exempt from the Contractor's License Law for the following reason: , 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 ( 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 ia 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 aale). 0 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Busin818 and Professions Code: The Contractor's Ucen111 Law does not apply to an owner of property who builds or Improves thereon, and contracts for such projects with contractor(a) licensed pursuant to the Contractor's License Law). D 1. 2. 3. I am exempt under Section ______ Business and Professions Code for this reason: I er o lly plan to provide the major labor and materials for construction of the proposed property improvement. ri YES ONO ave not) signed an application for a building permit for the proposed work. ntracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone number / contractors license number): ______________________________________________ _ 5. I will provide some of the work, but I have contracted (hired) he following persons to provide the work indicated (include name / address / phone number / type of work):. __________ +.....,..--,...--+-+-_--;,..,__--------------------+---1------------- PROPERTY OWNER SIGNATURE ~~ '$ECTIOJUQ_R DATE Is the applicant or future building upant required to submit • business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Prealey•T■nner Hazardous Substance Account Act? D YES D NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site 7 0 YES O 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. lj. co,;imuCTioN LENOING'AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is i11ued (Sec. 3097(il Civil Code). LENDER'S NAME ______________ _ [l:· APPLICANT CERTIFICATION I certify that I tlave 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 City 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 5'0" deep and demolition or construction of structurea 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 36 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 he ork,is co :iel~ed f period of 180 days (Section 106.4.4 Uniform Building Code). / APPLICANT'S SIGNATURE -4--=-=->'--'-'"'--✓--,_.._______________ DATE J( :re {'t~ YELLOW: Applicant PINK: Finance , t CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB970402 FOR 06/19/98 DESCRIPTION: 300 SF PATIO COVER TYPE: PATIO INSPECTOR AREA PLANCK# CB970402 OCC GRP CONSTR. TYPE NEW STE: LOT: JOB ADDRESS: 1079 SEAHORSE CT APPLICANT: COBBS, JOYLYNN CONTRACTOR: PHONE: 619 431-5561 PHONE: OWNER: PHONE: REMARKS: B/JOE/431-5561 SPECIAL INSTRUCT: INSPECTOR ~ TOTAL TIME: --RELATED PERMITS-- CD LVL DESCRIPTION PERMIT# TYPE CB970286 ELEC ACT J STATUS EXPIRED COMMENTS 14 ST Frame/Steel/Bolting/Weldinlxf: ______________ _ ------------------------------------ ***** INSPECTION HISTORY***** DATE 032197 032197 DESCRIPTION Compliance Investigation Compliance Investigation ACT INSP CI DC CI PD COMMENTS CONFERENCE W/BUILDER CONFERENCE W/BUILDER Proposed Runs Underground Gas Line to future barbecue location {factory coated 112• pipe) buried at least 1 s• Underground Electric Line to site of future portable spa {Romex wire in PVC Pipe) buried at least 12• ----Electric lines ----Gas line Cobbs Residence Backyard plan Lot 81 Sp lit face block Lattice, bi-lewl patio cover, painted to match trill. Drains -following exi$ting drainage X Potacarpus XX C ar~otwood 1