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Home My WebLink About2511 VIA ESPARTO; ; CB920569; Permit8 'I I L ~> 1 N G :4t> Joi Addre..;s: 2" 11 VIA ESPA '"'C) E ernu t 'y;,e: f LUMB ING P I r c el f\l c : 1 11 7 -4 l.l l o H 1 V luat10n: l 1'm•-t1t,ct1<r. •;ype: NEW )c-cupar,1-y G1 our,: :Je. er l[_)t. >ll: GA~ REPA [R P E R M I T ~ .u. te: Penni t No: Pt iP("t-N Devel uprwr. t N( : 8044 06/12/92 0001 01 C-PRMT CAS~ 0,... .:. I ' Ap1_:: ... ~E• l • Apr I. ,e : 6/12. AI,>p /Uwnr F0e"1: A ljustments: Tot.:.d Ft'es : BROWN , AR~H~R PLLMB!NG 2697 TATE rREET CARLSBAD , CA 92108 Fee deSL"L l !-'t i >n Enter Y C,A c; !-' 1 p ~ ng .--i y .st em * PLUMBING TOTlL .... 019 CITY OF CARLSBAD V 3.. ';. r l :it., ] E y : r, 729-4~14 ec-ted & C're t' t, 1 (). l 0 E'x t 1 ,. l.S y ~.5 1: . I (J 2075 Las Palmas Dr., Carlsbad, CA 920()<) (619) 438-1161 10 .00 I PERMIT APPLICATION City of Carl sbad Building Department 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 EST. VAL. ______________ _ 1. A B C 2. PLAN CK DEPOSIT ___________ _ VALID. BY _____________ _ PERMIT DATE _______________ _ COHHERCIAL TENANT IMPROVEMENT 0 INDUSTRIAL □NEW □TENANT IMPROVEMENT □RESIDENTIAL □APARTMENT □CONDO □SINGLE FAMILY DWELLING OAD0ITI01/ALTERATI0N □DUPLEX □DEMOLIT ION □RELOCATION □MOBILE HOHE □ELECTRICAL iQ'fLUMBING □MECHANICAL □POOL □SPA □RETAINING WALL □SOLAR □OTHER _____ _ F Bu1 l 1ng or Su1 te No. Nearest Cross Streets LEGAL DESCRIPTION Lot No. Subdi vis ton Name/NUtt>er Untt No. Phase No. CHECK BELOII If SUIIIIITTED: D 2 Soi ls Report D 1 Addressed Envelope 02 Energy Cales 02 Structural Cales ASSESSOR'S PARCEL EXISTING USE PROPOSED USE bEscRIPlioA oF UbRK BLOG. SO. FTG. # OF STORI ES 3. CONTACT PERSON NAME ADDRESS ZIP COOE CITY STATE DAY TELEPHONE SIGNATURE 4. APPLICANT 0'CONTRACTOR D AGENT FOR CONTRACTOR NAME O.<t\-\""',r~-c-D~\/\, ll"'(W\b~~ <:..£:>. ADDRESS □OWNER 0 AGENT FOR OWNER CITY Carl~bqcl STATE Ca.. ZIP cooe DAY TELEPHONE SIGNATURE DES I GNER MAHE CITY STATE LIC. Ji~ OWNER STATtC:a. STATE 0 LESSEE O TENANT ADDRESS ti<lr vil/4~ 'P<l<k ~'1 -:s..;"k 150 ZIP COOE q-z..oe;<-{ DAY TELEPHONE 'f'-/1.,.,-(,7,{Q-,,,. ZIP COOE q~ DAY TELEPHONE LICENSE CLASS 2/b -toMc-h:£m BUSINESS LIC. # TITLE ADDRESS ZIP COOE DATE DAY TELEPHONE STATE LIC. # 7. WORKERS' COMPENSATION Uorkers• CC>ff1)ensation Declaration: hereby aff1rm that I have a cert lficate of consent to self ·insure issued by the D1rector of Industrial Relat1ons, or a cert ificate of Workers I Con1)ensat ion Insurance by an adni t ted insurer, or an exact copy or c:Jupl i cate thereof certified by the Di rector of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C). 8. INSURANCE COMPANY POLICY NO. EXPIRATION DATE certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not efll)loy any person in any manner so as to become subject to the IJorkers I C001)ensat ion Laws of California. SIGNATURE DATE OWNER-BUILDER DECLARATION Owner-Bu1lder Declaration: I hereby afflrm that I am exempt from the Contractor's License Lew for the following reason: D I as owner of the property or my errployees 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 License Law does not apply to an owner of property who builds or ill1Jroves thereon,, and who does such work himself or through his own employees, provided that such i~rovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of C001Jletion, the owner-builder will have the burden of proving that he did not build or inl)rove for the purpose of sale.). D I, as owner of the property, am exclusively contracting with licensed cont ractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor1s Li cense Law does not apply to an owner of property who builds or iq:,roves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's license law). D I am ex..-.,t 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, irrprove, demolish, or repair any structure, prior to hs issuance, al so 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, conmencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is ex~t therefrom, and the basis for the alleged ex~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 (S500l). SIGNATURE DATE COHPLETE THIS SECTION FOR NON·RESI0ENTIAL BUILDING PERMITS ONLY: Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Sl.bstance Account Act? □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? □YES □NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □YES IF ANY Of THE ANSWERS ARE YES. A FINAL CERTIFICATE OF OCllJPANCY NAT NOT BE ISSUED AFTER JULT 1, 1989 UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS Of THE OFFICE Of EMERGENCY SERVICES ANO THE AIR POLLUTION CONTROi. DISTRICT. 9. CONSTRUCTION LENDING AGENCY hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(il Civil Code). LENDER'S MAHE LENDER 'S ADDRESS 10. APPLICANT'S SIGNATURE 1 cert1fy that I have read the applicat1on and state that the above information is correct. 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 JN0EMMIFY ANO KEEP HARMLESS THE CITY Of CARLSBAD AGAINST ALL LIABILITIES, JUlGMENTS, COSTS ANO EXPENSES WHICH NAT IN ANY IIAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. 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 corrmenced within 180 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 coornenced for a period of 180 days (Section 303(d) Uniform Building Code). D OWNER D CONTRACTOR D BY PHONE APPROVED BY; ______ _ DATE: _________ _ WHITE: File YELLOW: Applicant PINK: Finance ' .. U'NSCHEQULEP INSPECTION DATE b ·-/;2 -J'c).-INSPECTOR I° y PER.MIT • ?cJ -Sb '1 11/ ~ . • __ P __ LAN_C_K_# ----- JOB ADDRESS 62 57/ ~~ • ~~ -~ ~ TIME ARRIVE : _____ TIME I.EAVE: ____ _ CO LVL DESCRIPTION 23 )j~~ p PUMITS 6/lS/89 ACT COMMENTS 1k