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HomeMy WebLinkAbout1212 SPAR CT; ; CB981831; PermitB U I L D I N G P E R M I T Permit No: CB981831 Project No: A98U2427 Development No: 06/12/98 11:4l> Page 1 of 1 Job Address: 1212 SPAR CT Permit Type: PLUMBING Parcel No: 212-210-19-00 Suite: Lot#: Cons 1 t. c c n ) re: J Valuation: 0 Occupancy Group: Reference#: Description: GAS LINE FOR BAR-B-QUE 8015 06/12tfflt DM! · 0115 -02£[) Arplf~ 06 1.2JJ 00 Apr/I3sue: 06/-2/3 Entered By: MDP Appl/Ownr : GRAF, GERRY 1212 SPAR CT. CARLSBAD, CA. " * * Fees Required *""' ---------------------------- Fees: Adjustments: Total Fees: Fee description -------------------- Enter "Y' for Plumb r Ga;j P1p1ng System 760 918-9303 ------------------------- .00 .00 27.00 Ext fee Data ----------------- 20.00 Y 7.00 FINAL-AP PROVAL IN~P. IZ/5 0/\lE /· /~, ~ Clt:ARANCE CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 FOR OFFICE USE ONLY .PERMIT APPLICATION PLAN CHECK NO. ?8 ~ I t33j CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Pal mas Dr., Carlsbad CA 92009 (760) 438-1161 EST. VAL. __________ _ Plan Ck. Deposit ________ _ Validated By __________ _ Date. _______________ _ CT. Address (include Bldg/Suite #) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use (t:)u-rs/0(= Cb~S ~1,v.E -ro 819-R,t3. Q Description of Work SO. FT. #of Stories # of Bedrooms # of Bathrooms 2. CONTACT PERSON (If different from applicant) ( ;~~:~ y □ ~"~~F □ A,.M t:~:.;:.w G:,,M '" °":;9f/£J 9/~-9303 State/Zip Telephone# Fax# Name Address City State/Zip Telephone# 4 . PROPERTY OWNER s&n1~ Name Address City State/Zip Telephone# 5. CONTRACTOR -COMPANY NAME (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 -tion. 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). Name ■l!!!!l!!IIJ Address City State/Zip Telephone # State License # License Class City Business License # _______ _ Designer Name Address City State/Zip Telephone State License # _________ _ 6. WORKERS' COMPENSATION 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 and policy number are: Insurance.Company______________________ Policy No._____________ Expiration Date. _______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 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 workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100.000), in addition to the cost of compensation. damagei as provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE.________________________________ DATE _________ _ <I:> OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License 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 Rec. 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). O 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(sl licensed pursuant to the Contractor's License Law). 0 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 (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 I 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 I address I 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): ______________ ...-J.------1------+A--~~-------------------------------- DATE _(!IL..-,j-/w,O,_-lj__,,8~--~ PROPERTY OWNER SIGNATURE COMPLETE THIS SECTION FOR N.-:0::-N:--:_-:R:=r ~~~=~~-::-:::!=:~~5"1:::,;::--------- ls the applicant or future building occupant required to submit a business an, acutely hazardous materials registration form or risk management and prevention program under Sections 25605. 25533 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 permit from the air pollution control district or air quality management district? 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 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. 8. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME ______________ _ LENDER'S ADDRESS. _________________________ _ 9. APPLICANT CERTIFICATION 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 Cit\! 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 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 ork is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). DATE __ • --'b"---_,/_Z,;;:__-__;_9,-=J> __ _ WHITE: File YELLOW: Applicant PINK: Finance CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB981831 FOR 07/10/98 DESCRIPTION: GAS LINE FOR BAR-B-QUE TYPE: PLUM JOB ADDRESS: 1212 SPAR CT APPLICANT: GRAF, GERRY CONTRACTOR: OWNER: PHONE: PHONE: PHONE: INSPECTOR AREA RB PLANCK# CB981831 OCC GRP CONSTR. TYPE VN STE: LOT: 760 918-9303 REMARKS: C/DAVE/ EARLY AM PLEASE INSPECTOR ~ SPECIAL INSTRUCT: WANTS EARLY INSPECTION SO THE TILE CAN BE INS LED TOTAL TIME: LVL DESCRIPTION ACT COMMENTS CD 29 PL Final Plumbing It£..---------- ------------------------------------------------------ ***** INSPECTION HISTORY***** DATE 061698 061698 061598 DESCRIPTION Underground/Under Floor Gas/Test/Repairs Underground/Under Floor ACT INSP AP RB AP RB CO RB COMMENTS UNDRG GAS LINE W/BLACK IRON