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HomeMy WebLinkAbout1604 STARLING CT; ; CB931024; Permit( J, l +- 3992 09121192 ooo· o➔ 2 ) ) ,.._ R11T V • >n t Ill( t n 'n N w ,1 ui;_ : (.•Lt n #: I• l. : r : A Fl R Ft RE L A AND r~ J:"' A[ r·."" A.,x • . r. +-,:, ~ Ar: p / wr r : 4 A t'. 7 "Ol'i RA~ R B s l . t , \ F• e es rip--. >ll r xt f f > l .q \j tel l A ' CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION City of Carlsbad Building Departaent 2075 Las Pal--, Dr:, Carlsbad, CA 92009 (619) 438·1161 EST.VAL'------------ PLAN CK DEPOSIT _____ -,,,...~~- VAIID. BY _____ ....,,.~Z~--- I. PERMI I liPE DATE 7 A -Li COmmerc1al U New Buddmg LI tenant Improvement B -□ Industrial □ New Building □ Tenant Improvement C -□ Residential □ Apartment □ Condo □ Single Family Dwelling □ Addition/ Alteration □ Duplex □ Demolition LI Mechanical □ Pool □ Relocation □ Mobile Home [I Electrical DI Plumbing ~ Spa □ Retaining Wall D Solar □ Other 2. PROJECT FOR OFFICE USE ONLY 0. C'"Al(LS(3,4D mt o. ase o. CHECK BEWW IF SOBMII IED: □ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report ASSESSOR'S PARCEi, y'#\) G-t-s PROPPSED USE DESCRIPTION OF WORK ·➔ # OF STORIES NAME ADDRESS CI1Y ST A TE ZIP CODE DAY TELEPHONE 4. ;1'~~lAN6{uCZl~~~1}~~~1 ~u:~~kTs~IUH DOWNER UAG,}.Nl/.DfJ~ER7 ~'1'/6 ,D. STATE v1 ZIPCODE'l2.172.-O bi~TELEPHONE 4?>'"-f -~760 NAME 6. <a,"7;111AL~c; l'>tt-0 STATE OI NAME CI1Y STATE STATE UC.# CI1Y STATE 7. wommru,-1 WMPENSA.IIUN ZIP CODE ADDRESS ZIP CODE UCENSE CLASS ZIP CODE DAY TELEPHONE DAY TELEPHONE CllY BUSINESS UC. # DAY TELEPHONE STATE UC.# Workers' t.Zmpensat1on Deciarat1on: I hereby affirm that I have a certificate of consent to self.insure issued by the Director of lndustnal 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 POUCY NO. EXPIRATION DATE Certthcate of Exempuon: I cerufy that m the performance of the work for which lhts penmt 1s issued, I shall not employ any person many manner so as to become su · t to the Workers' Compensation Laws of California. SIGNATURE DATE q 1~2/ ~~ bwner-Bmlder Declaration: I hereby affmn that I am exempt from the Contracto?s Llcense Law for the following reason: □ 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 permit subjects the applicant to a civil penalty of not more than five hundred dollars [$5001). SJGNATIJRE DATE COMPI.EIE I HIS SECI ION FOR NON-RESIDEN I IAL BOILDJNG PERMI IS ONLY: Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration fonn 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 pennit from the air pollution control district or air quality management district? Cl 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 TIIEANSWERS ARI! YES, A FINAL CERTIFICATE OF oa:IIPANCY MAYNar BE ISSUl!Il AFfl!RJULY 1, 1989 UNLESS TifE APPLICANT HAS MET OR IS MEETING TIIE REQUIREMENTS OF TIIE OFFICE OF EMERGENCY SERVICES AND TifE AIR POLLU110N OON'IllOL DI5ll11Cf. 9. WNSIROCIION IP.NDMG ACMCY I hereby affirm that there as a construction lendmg agency for the performance of the work for whtch thts permit 1s issued (Sec 3097(1) CiVli Ccxie). LENDER'S NAME LENDER'S ADDRESS IO. XPPLICAfd <EtlfillCAIIDN I cerCUY that I have read the apphcat1on and state that the above mformauon 1s correct. I agree to comply with ail 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 IIARMIJ!SS TIIE crIY OF CARISBAD AGAINsr ALL IJABIIJ11ES, JUDGMENTS, CDSTS AND EXPENSFS WIIlCH MAY IN ANY WAY MX:RUE AGAINST SAID crIY IN OONSEQUENCE OF TIIE GRANTING OF TIDS 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 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 work is commenced for a pericxl of 180 days (Section 303(d) Uniform Building Code). APPUCANTS SIGNATU~ DATE: ¢2.. /93 "' WHITE: File YEIJ.OW: Applicant PINK: Finance PERMIT# CB93i024 DESCRIPTION: GAS FOR FUTURE TYPE: PLUM CITY OF CARLSBAD INSPECTION REQUEST FOR 09/22/93 SPA AND ELEC JOB ADDRESS: 1804 STARLING CT APPLICANT: BRUN PLUMB CONTRACTOR: BRUN PLUMBING PHONE: PHONE: INSPECTOR AREA PY PLANCK# CB931024 OCC GRP CONSTR. TYPE NEW LOT: STE: 619-484-5760 619-484-5760 OWNER: REMARKS: MH/ SPECIAL INSTRUCT: p:::::CTOR --4,f~~~---+---------- TOTAL TIME: CD LVL DESCRIPTION ACT COMMENTS 52 SW Underground Plumbing ~ _5_3 __ sw ___ E_1_e_c_t_r_1_c_;_c_o_n_d_u_1_t_;_w_1_r_1_n_g___ ============================== --------------------------------------------------- ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS