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HomeMy WebLinkAbout1061 SEAHORSE CT; ; CB973310; PermitI B U I L D I N G P E R M I T Permit No: CB973310 Project No: A9704264 Development No : 10/31/97 12:33 Page 1 of 1 Job Address : 1061 SEAHORSE CT Suite : Permit Type: MECHANICAL 0951 10/31/97 0001 01 02 Parcel No : 214-530-47-00 Lot#: C-PRMT 44.00 Valuation: O Occupancy Group: Reference#: Construction Type: NEW Status : ISSUED Applied: 10/31/97 Apr/Issue: 10/31/97 Entered By : RMA 590-9300 Description : INSTALL A/C & ELECT TO A/C Appl/Ownr : AS I HASTINGS 1250 GREENFIELD DR EL CAJON CA 92021 Fees Required *** Fees : AdJu stments : Total Fees: Fee description Enter 'Y' for Mecha nic a l I ssu~ Install Furn/Ducts/Heat Pumps Other * MECHANICAL TOTAL 619 Fees Collected & Credits A** A Total Cre 1i t s: Total Paym~nts: ,Ba lanc e Due: Un its F!;;!e /.Un it "''"') I o .00 .00 44.00 Ext fee Data 15 .00 Y 9 .00 20.00 ELEC FEE 44 .00 ,.[:I r~vv: \.. • "' h h ""'---------- CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION CfTY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 FOR OFFICE USE ONLY 3 PLAN CHECK NO, qJ J {O EST. VAL. _________ _ Plan Ck. Deposit ---c--.------ Validated Bv.1 ~1= Date 101 J { { ?/q.- Address (include Bldg/Suite I) Business Name lat this address) Legal Description Lot No. Subdivision Name/Number Existing Use -.Lc.1-r,c.. C1rt:v-r Unit No. Phese No. Total # of units Proposed Use /V~ lot Stories I ot Bedrooms # of Bathrooms Name Address 1:~~~cOM~iiffiMm:s::m&%f¾'tllf,1¢f¥/twSfti\½¥1a, Telephone# &¥eewmt·MJ-:;a;,;r,;-A~,;L· {Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair eny 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, co.mmending with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exem_ption. Any vjqiation of ~ection 7031 .5 by any applic.ant for a permit ~bjects the applicant "j..._a civil penalty of not more then five hundred dollars 1$500J). /tS/ ttas-f/n§S /;1,ro G r ,e.e,h.:f'J-e.-ld Dr ~r Ca1011 9;._o!)..{ vl9-o'lo~Cf3dd Name V Address City tT State/Zip Telephone # State License I 0 -/ 3 / / .S--License Class C IO I ). Cl City Business License I · I ;J. b O 8 tJ If Designer Name Address City State/Zip Telephone State License I _________ _ 1a~h;~.w01UW1St coMPENSA t10N.J:\~.·-~~".:•.:::.:~;~~~.:\~}~~~J~--~~.;.~~ .. • .. ~~ .. ~ .. ;iJ~~:,:t .;~~~ .: !;k.~~~~~~ ~;~ rc:-g~:~~,.m~~~i~t~t~~< ~l~~~) .. · ~ ... ·-,.,l :; _ ".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 aelf-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. f2il 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 l;Zued. My worker's com11ensation insure• carrier and policy number are: e-:: _ ~ _ 9~ Insurance Company Gen < c a I ns Policy No. w C 81 3/ 3 ti I r Expiretion Date __ 7_/. ___ _ (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 isaued, I shall not employ any person in any menner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failu,e to aecure•workera' compenution coverage la unlewfuJ, and shall subject an employer to criminal penaltlea end civil flnea up to one hundred thousand dollars ($100 , in addition coat of compensation, damages ea provided for In Section 3706 of the Labqr code, Interest and attorney's faaa. SIGNATURE: __ C.,::::£2?:J:Y........:::'.:!~~'l:!:Z.:!:::.....____________ DATE / {J -,:2 f/-f/ 7 t1~,~~t~~-OWNER•8UlLDER DECLARA TION,,:t~~ ,:_~ '/. ,: I . . ..;.)~•~~~~~.¾~fil~~!::'i,~§f[,i~.(!;,WA~M§;_(lipl~i~~3~V:~~~~:~~~:t;i;.' ~.:·:;-~. I hereby attirm that I am exempt from the Contractor's License Law for the following reason: 0 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 Contrector's License Law does not apply to 1n 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 aale. 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 purpoH of 1111) •. 0 · I, ea.owner of the property, am exclusively contracting with licensed contractors to construct the project {Sec. 7044, Business and Profea■lons Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, end contrecta for 1uch projects with contractorla) licenHd pu,susnt to the Contractor's License Law). 0 I am exemp·t 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. 0 YES ONO 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 / address / phone number / contractors license number): 4. I plan to provide portions of the work, but I have hired the following parson 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) the following persons to provide the work indicated (include name/ address / phone number / type of work):. ________________________________________________________ _ PROPERTY OWNER SIGNATURE ______________________ _ f@.~;"SECUOtv.QftN!)~l).EQ.JJN;,IIUIL.0.INQ;l',~llMJJ:~,;QNl,.Y>li&~;~~~~i•r.;i;x~~;y-• .::;m.:i~~~!~~~~i}It.~i;·,~.: Is th~ a;:plic:::it or future building occupant 16qu.rod ,o •ulimit • bu~ine~» plan, acutely hazardous material• registration form or risk management and prevention p,ogram under Sections 26605, 25533 or 26534 of the Presley-Tanner Hazardous Substance Account Act7 0 YES O NO DATE _________ _ ' . la the applicant or future building occupant required to obtain• permit from the air pollution control district or air quality management district? 0 YES O NO la the facility to be constructed within 1,000 fnt of the outer. boundary of a school 1ite7 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 POUUTION CONTROL DISTRICT. 1-~~MNc:TDI 'CT10"' LENOING'AGENCY ~'<;-:1)1:!i:~ll:'.'l,~• ~-~,.;~~-'::i""'7'Ff;'ff7;f-~1'111"''',, '.•','.'•'~''ii'.';'1.~·'''~!'ill,'li-"'\f:~~{:=-~t;,,.fo'fl]:fflir,-.w f.'l'.il'~ .. :-;;,,•:::, •-; ·~, . · 1"' . ' t,i,.a·,-LVV.!'~~· ,~. .,. • ; ' ., J-..fi. Ji :"iiol'lw-llt!:l,:iQ-~ ••• _i.~..;p."~·1 .... , ~~>j•f '.iu.: •• 1....:c11rl'..if:.1.~ .. ~-.--~'.!"'t . '(i.1o"J-~1"'4t~~~ ... 1~1$~lz"!'Jyi ,f;l'y\;f;:.;. ,·~· • • ')'. .: I hereby affirm that there is • construction landing agency for the performance of the work for which thi1 permit i1 issued {Sec. 30971i) Civil Code). LENDER'S NAME ______________ _ 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 ~II City ordinances and State laws relating to building construction. I hereby authoriie representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY ANO KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS ANO 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 structures over 3 stories in height. . ',, .. EXPIRATIO~: Every permit i~ued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authoiued by such permit is not co_mmenced within 365 days from the date of such permit or if the building or work authoriied by such permit is suspended or abandoned at any time after the w I commenced fo • 10d of 180 days (Section 106.4.4 Uniform Building Code). DATE /0 -;i_ 9'-9'7 ---------------VJ:llnw, O'\ ... i. .......... PERMIT# CB973310 DESCRIPTION: INSTALL A/C & TYPE: MECH CITY OF CARLSBAD INSPECTION REQUEST FOR 11/05/97 ELECT TO A/C JOB ADDRESS: 1061 SEAHORSE CT APPLICANT: AS I HASTINGS CONTRACTOR: PHONE: PHONE: OWNER: PHONE: INSPECTOR AREA PLANCK# CB973310 OCC GRP CONSTR. TYPE NEW STE: LOT: 619 590-9300 REMARKS: C/931-6969 SPECIAL INSTRUCT: THIS IS A NEW STREET-IF INSPECTOR ~(3 YOU NEED INSTRUCTIONSCALL. TOTAL TIME: CD LVL DESCRIPTION ACT COMMENTS ~}~ ME Aircond/Fugiace Set llf?_ _____________ _ .::LL --~C~•'"'~a,...,C.~---------hE -------------- ------------------------------------ ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS