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Home My WebLink About2186 VISTA LA NISA; ; CB980983; PermitB U I L [J I N G P E R M I ~ ... ... U4/U6/':ltl 08:Lt> Page l of l 1 Job Address: 21i36 VISTA LA NL~A Permit Type: MISCELLANEOUS Parcel No: 255-262-22-UU Valuation : 0 Suite: Lot#: Occupancy Group: Reference#: Description: (O~VERT GARAGE TO DESIGN CENTR : W/ELECT Permit No: C89tlU983 Pro:iect No: A98U12 ➔lJ Development No: 5712 04/06/98 0001 01 02 50-00 C-PRMT Construction Type: NEW Status: ISSUED Applieo : U4/U6/9d Apr/Issue: 04/06/98 Entered By : RMA Appl/(iwnr STANDARD PACIFIC 9335 CHESAPEAKE DR 619 292-2200 SAN DIEGO CA 92123 Fees : Adjustments : Total Fees : Fee description Miscellaneous Fee# * MISCELLANEOUS TOT L 1-'"':""' Collected & Credi ts .OU .uo SO .OU *AA Ext fee Data 50.UU 50 .00 CLEARA: :CE _______ _ CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION FOR OFFICE USE O* /lJ/7 PLAN CHECK NO. l) '-1 Y J CITY OF. CAR!..SBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 EST. VAL. _________ _ (760) 438-1161 Plan Ck.. Deposit i'P Validated By l~ Date Lj J l, / q __ _ I 1. PROJECT INFORMATION Z.JB' v, STA LA N1SA Address hnclude Bldg/Suite II / 269 • 1.. L Business N■m• let this ■ddt■ssl ~'iO \A Co~TA 2. M.c..P t-'O • IJ"J8u Legal Descroption "2 ss -2.,2-22. Lot N~-....'3 Subdivision Name/Number Unit No. W Phase No. Total I ot units Ga 0:ac;; nmpo r VEs1t;"-' CEl:'AA Existing Use PropoHd Use ' Oescript on of Work L _ _ SO. FT. lot Stories II ot Bedrooms I of Bathrooms Tl•OWUt.l' SIOt;. "F-~~ :2. ·coNTACT PERSON (If dlff.,.i,t tioin aj,pili:anii c:::;?2..EC:: ~ L.. IN~ PF -...... _. .... -----~--...-,.,,. ... ,. __ , _____ ._ ..... .,_ . ._ _______ , ___ .._ ...... -- Name City St■te/Zip Telephone I Fax# -1.ZOO Name 4. PROPERTY OWNER A-0<21/~ Name Address City State/Zip Telephone I !i, CONTRACTOR • COMPANY NAME (Sec. 7031.5 Business and Professions Code: Any City or County which requirn • permit to construe,, 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 licenHd 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 An violation of Section 70 1. 5 by eny applicant for • permit subj■cts the applicant to • civil penalty of not more than live hundred dollars 19 50011. Ar2:>c?V~ A V'=:, Name Address City St■te/Zlp Telephone I City Business Uc_. , •10" .,¼o 71 4 .... State/Zip T■iephone 6. WORKERS' COMPENSATION Workers' Compensation Decl■r■tion: I hereby ■!firm under penalty of perjury one of the following deci■r■tions: D I have and will maintain a certificate of consent to Hlf•lnsure for workers' compensation ■s provided by S■ction 3700 of th■ Labor Code, tor the performance of the work for which this permit is issued. ~I have end will maintain workers' compensation, ■s r■quired by Section 3700 of the Labor Code, for the perform■nc■ of the work for which this permit is issued. My worker's compensation insuranc■ carrier ■nd policy number ■re: ! J insurance Compenv L)bc.,,t:Ac.rc fH'4Mt!C,CZ::: co. Policy No. \vc ,2 573 l I 54 2..9-Expiration D■te /0 f-ZQ/'t~ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS lt100J OR LESS) D CERTIFICATE OF EXEMPTION: I certify that in the p■rformence of the work for which this permit Is Issued, I ■hall not ■mploy ■ny person in ■ny manner so ■s to become subject to the Workers' Compensation L■ws of C■litomia. WARNING: Failure to Hcure worllen' ~tlon cover■g■ Is unlawful, ■nd ■hail ■ubject ■n employ■r to c:rtn...i ~ ■nd dvll fines up to -hundred thou1■nd dollars ($100.0 OJ, In to t t of comp■n■■tlon, d■m■gn a provided for In Section 3706 of the:-:,,~• lnt-t ■nd ■nom■y'■ fNs. SIGNATURE __ ..£::.::::::.,..~--'-..::::::~~~------------------DATE ~ 0-7. OWNER-BUil • ·-·-• • • · ' • ;·, :~ ......... ,_. · •• ··-.,;"!~i1"-•,;r•. · .... ' .... -·• ?r.r. .~. · I hereby affirm that I em exempt from he Contractor' a Lic■nse Law for th■ following rH■on: D I, as owner of the property or my ■mployees with wages ■ s their sole compensation, will do the work ■nd the ■tructur■ Is not intended or offered for sale (Sec. 7044, Business ■nd Prof■11ions Code: Th■ Contractor's License Law don not apply to ■n o-of property who build9 or Improves th■r■on, and who don such work himHlf or through l'lis own ■mplo.,..., provided that such improv■rn■nta ■r■ not tnt■nded or off■r■d for Nie. If, how■v■r, the building' or Improvement Is ~o1 within one yHr of compl■tion, the own■r•bulld■r will hev• the burden of proving th■t he did not build or Improve for the purpoee of ■■le). ~ ■s owner of the property, ■m ■xclusivlly contracting with lic-ed contractors to construct the project (Sec. 7044, Bueinesa ■nd Profnsion■ Code: The Contractor's License L■w does not apply to ■n owner of property who builds or lmprov■• ther■on, ■nd contrect■ for ■uch projects with contr■ctor(1) llc-ed pursuant to the Contractor's Lic■ns■ Law). D I em exempt under Section ______ Business ■nd Profnsions Cod■ for this r■■■on: 1 . I personally plan to provide the major labor ■nd m■teri■ls tor construction of the proposed property lmprov■m■nt. 0 YES ONO 2. I (have / have not) signed en application for • building permit for the proposed work. 3. I have contracted with the following person {firm) to provide the propos■d construction (Include n■m■ / ■ddrNS / phone number / contractors lie-• number): 4. I plan to provide portions of the work, but I have hir■d the following person to coordinate, supervise ■nd provide the major work (Include n■m■ / eddrns / phone number/ contractors licens■ number): _______________________________________________ _ 6. I will provide some of the work, but I have contracted (hired) the following persons to provide the work lndlcat■d (Include Nim■ / ■ddrna / phone number / type of work): ____________ .,,..,___...,.'----,-'j,ol;....---------------------~-,L------------- PROPERTY OWNER SIGNATURE .....i~:::::::;lf)......J.:..O::::::~~~------------- 'COMPLETE THIS SECTION FOR li'oN-liEs/DBITIAi. iU Is the applicant or future building occupant requir■d to submit a business plan, ■cutely hazardous materiel■ r■oiflr■ tlon form or rt■k management end prevention program under Sections 25505, 25533 or 25534 of the Prnley•T■nn■r H■z■rdoua Sub■tanc■ Account Act? 0 YES O NO Is the epplicant or future building occupant required to obtain • permit from the air pollution control distri_ct or ■ir quality m■n■g■ment district 7 O YES O NO Is the facility to be constructed within 1,000 fHt of the outer boundary of ■ school site 7 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 ANO THE AIR POLLUTION CONTROL DISTRICT. ia, •• CONSTRUCTION LENDING AGENCY '• • ·" ~., ···-~• •·--~• ··c ,., .. "."'.",:7"::7_c ... ~•-·•-,a-, .. :r •-•,.•·• ,--·--····:----,•• • ~ __ ,_ ... ,,_. I hereby affirm that there is a construction lending agency for the performance of the work for which this permit Is lssu■d (Sec. 3097(i) Civil Code). LENDER'S NAME &A· LENDER'S ADDRESS ___ f'..., __ f-__________________ _ r9, APPLICANT CERTIFICATION • ". I certify that I have read the application ■nd state thet the ■bov■ information is correct ■nd 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 repr■s■nt■tivn of the Cit\' of C■rfsb■d to ■nter 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 ei1pire by limitation ■nd become null and void ii the building or work authorized by such permit is not comm■nced 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 commenc for ■ peri of 1 BO days (Section 106.4.4 Uniform Building Code) . .k:?'~A APPLICANT'S SIGNATURE _ ___.'-,_.,,._;._-'.-c::::::;;&~~---------------DATE --'I'-+U,-'"=+-ti ·......;.,T_.~ :,._ ______ _ YELLOW: Applicant PINK: Finance