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HomeMy WebLinkAbout1025 SEAHORSE CT; ; CB973094; Permit.. 8 U I L D I N G P E R M I T Permit No: CB973094 Project No: A9703944 Development No: 10/16/97 12:21 Page 1 of 1 Job Address : 1025 SEAHORSE CT Permit Type: PLUMBING Parcel No : 214-530-53-00 Valuation : 0 Occupancy Grou p: Description: GAS LINE Appl/Ownr : SIERRA MESA 6840 DRAPER AVE *k* Fees LA JOLLA, CA . 92037 Required k** Fees : Adjustments : Total Fees : Fee description En ter "Y" for Plumbing Gas Piping System * PLUMBING TOTAL Suite: Lot #: 0313 10/16/97 0001 01 02 C-PRMT 27. oo Construction Type : Reference#: Status : VN ISSUED 10/16/97 10/16/97 MDP Applied : Apr/Issue : Entered By: 619 530-6211 *X* fees Collected & Credits A 'l' c redit s : Total: P~yme nts : B,al.ance Due: un ·t r .00 .00 27 .00 Ext fee Data 20.00 Y 7 .00 27 .00 CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK No.17" 3, O '1, <-f CiTY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Pal mas Dr., Carlsbad CA 92009 (760) 438-1161 EST. VAL. ________ _ Plan Ck. Deposit ________ _ Validated By, _________ _ Date. ______________ _ 1. PRo.iECT INFORMATION I o ;i. s-.s£~ ~ I CiQ-g~ Address (include Bldg/Suite #) 8us1neu Name lat this addrenl Legal Description Lot No. Subdivision Name/Numbtf Unit No. Phase No. Total I of units Existing Uae Proposed Use SQ. FT. lof Stories I of Bedrooms I of Bathrooms 2. Name :~. APPLICANT . ti{ Contractor ,~- Name 4. PROPERTY OWNER Name • IT" S. CONTRACTOR • COMPANY NAME Address City . D Owner . ·o Ageni ioi Owner 7::lll. iQ State/Zip Telephone I Fax# Telephone I (Sec. 7031.5 Business end Professions Code: Any City or County which requires ■ permit to construct, ■her, Improve, demoli■h or repair any structure, prior to Its issuance, also requires the applicant for such permit to file e signed statement that he is licensed pursuant to the provt1lons of the Contractor's Ucense Law (Chapter 9, commending with Section 7000 of Division 3 of the Business and Profe11lons Code) or that he Is exempt therefrom, snd the basis for the alleged exem=on. Anv violation of Section 7031.5 by any applicant for •_permit subjects the applicant to a clvil penahy of not more than five hundred dollars lt500)1. ,S, o,"k Name Address /f City State/Zip Telephone I State License ,..S:'fo-z_~ l) License Clan 1.,-'z_ i Cttv Bu1inu1 Lie.,,.. I /:JQ ,:J 934: Designer Name Address Citv State/Zip Telephone State License I _________ _ 6. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: "Q I have and will maintain a certificate of consent to •"f-insure for workers' compensation II provided by Section 3700 of the Labor Code, for the performance bfihe work for which this permit is issued. D 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 COJ:!)Pensation insurance carrier and policy number ere: Insurance Company ...:::.12?::t!r: @:y,JJ2 Policy No.~ -rz..17 Expiration Date C.orl'T)r,,11.Jo\J& !THIS SECTION NEED NOT BE CQMPLETED IF THE PERMIT IS FOR ONE HUNDRED DQUARS InooI OR LESSI 0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which thtl 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 Hcura workers' compensation coverage ls unlawful, and ahall aubject an emplo.,.r to crtmtnel penaltles and clvll flnn up to one hundred thousand dollars C$100,0001, In addition to the coat of compensadon, damages u provided for In Section 3708 of the Labor code, Interest and ,ttomey·• fllu. SIGNATURE,____________________________ DATE ________ _ 7. OWNER-BUILDER DECLARATION ·".;";"V.!·:~:.-rr'"• !-'~·•:'. .. ,;-;,,'i ~-n· .• ~ ·' I hereby affirm that I am exempt from the Contractor's License Law for the following 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 nle (Sec. 7044, Businus and Professions Code: The Contractor's Ucense 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 ere not Intended or offered for Hla. If, however, the bulldlng or lmprovemant la sold within one year of completion, the owner-builder will have th• burden of proving that he did not bulJd or Improve for the purposa of ,ala). D I, as owner of the property, am exclusively cont,acting with licensed contractors to construct the project (Sac. 7044, Buslnus and Profeuiona Coda: The Contractor's License Law does not app.ly to an ownar of property who builds or Improves thereon, and cont,acts for such projects with contnctorCs) licensed pursuant to the Contractor's Ucense 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. 0 YES ONO 2. I I have / have notl 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 o~ the work, but I have hired the following person to coordinata, supervise and provtda the major work Clnclude name/ address / phone number/ contractors license number):. _____________________________________________ _ 5. I will provide some of the work, but I have contracted (hired) the following perlOnl to provide the work Indicated (Include name/ address / phone number / type of work):. ______________________________________________________ _ Is the applicant or future building occupant raquintd to submit a buslnus plan, acutety hazardous materials registration form or risk mansgement and prevention program under Sections 25605, 25633 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES O NO Is the applicant or future building occupant required to obtain a parmlt from the air potlutlon control dlstri,ct 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? D YES D NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE QF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE QF EMERGENCY SERVICES AND THE AIR PQLLUTIQN CONTROL DISTRICT. la.. coNSTRUCTioN·LEND1Nti AGENCY ', ... ..,,, · · ,., ·~ .. :cc·:--·"'· ~••·:·-:-··::·.'":'!"~-:'1::"-.. ,.."f'.,,,,,.,~,.., .. ,..,. ... ,. __ , .. ·,·1··-··,,.:., _ ..... : •. ,.. .. , ......... ,, ... , ... , ·- I hereby affirm that there is a construction tending agency for the performance of the work for which this permit Is Issued !Sec. 3097(i) Civil Code). LENDER'S ADDRESS, _______________________ _ I certify that I have read the application and state that the above information Is correct and that the lnformadon on the plans Is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representativn of the Cltt of Cartsbad 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 structures over 3 stories in height. EXPIRATIO~: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation ind become null and void If the building or work authorized by such permit is not comm 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 i ,~cfl1n.""' per!" d f 180 days !Section 108.4.4 Uniform Building Code). DATE 0(% /~. q7 I WHITE: File YELLOW: Applicant PINK: Finance , PERMIT# CB973094 DESCRIPTION: GAS LINE TYPE: PLUM CITY OF CARLSBAD INSPECTION REQUEST FOR 10/17/97 JOB ADDRESS: 1025 SEAHORSE CT APPLICANT: SIERRA MESA CONTRACTOR: PHONE: PHONE: OWNER: REMARKS: C/619/530-6211 SPECIAL INSTRUCT: TOTAL TIME: PHONE: INSPECTOR AREA PLANCK# CB973094 OCC GRP CONSTR. TYPE VN STE: LOT: 619 530-6211 CD 23 LVL DESCRIPTION ACT COMMENTS PL Gas/Test/Repairs ~---------------------------------------------------------- ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS