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Home My WebLink About1005 CARLSBAD VILLAGE DR; B | C; CB911428; Permit•f BUILDING PERMIT 10/24/91 11-07 Page 1 of 1 Job Address 1005 ELM AV Permit Type. MISCELLANEOUS Parcel No; Valuation. 0 Construction Type: NEW Occupancy Group Class Code • Description. PER DARNELL REMOVE 20' DEMIS . WALL SEPAR/STORAGE FROM SALES AREA Permit Wo CB911428 Project No A9101816 Development No Str ** Fl- **** ste- B&C, Appl/Ownr WALL, RICHARD 1005 ELM AVE BtxC CARLSBAD, CA 92008 A** Fees Required *** Fees Adjustments Total Fees Fee description Miscellaneous Fee A MISCELLANEOUS TO1 Status ISSUED Applied- 10/24/91 Apr/Issue- 10/24/91 Validated By* DC 619 729-2241 4950 10/24/91 0001 01 02 C-PRHT 10.00 cted & Credits * A- .00 . 00 10 00 Ext fee Data 10 00 DARNELL 10 00 FIWMPPROVAL DATE CLEARANCE CITY OF CARLSBAD 2075 Las Palmas Dr , Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION City of Carlsbad Building Department 2075 Las Patmas Dr., Carlsbad, CA 92009 (619) 438-1161 1. PERMIT TYPE A -^-Commercial U NewTJuilding^Tenant Improvement B - D Industrial D New Building D Tenant Improvement C - D Residential D Apartment D Condo D Single Family Dwelling D Addition/Alteration D Duplex O Demolition D Relocation D Mobile Home D Electrical D Plumbing D Mechanical D Pool D Spa D Retaining Wall D Solar D Other 2. PROJECT INFORMATION PLAN CHECK NO. EST VAL PLAN CK DEPOSIT, VAUD. BY DATE FOR OFFICE USE ONLY Building or "Suite No"Address IQOC;, 5 4 -C Nearest Cross Street ^-j^7 J\A LEGAL DESCRIPTIVE Lot NO Subdivision Name/Number Unit Phase No UU4UK BELOW U1 tUBMll 1HLJ D 2 Energy Calcs D 2 Structural Calcs Soils Report D 1 Addressed Envelope ASSESSOR'S PARCE CITY STATE 4 APPLICANT—dUUm'kAL'Wk—LJAUENT K)K UWl'kAL'lUk NAME ^.j-y^.^ -A^S -^*3, ADDRESS CITY STATE ZIP CODE DAY TELEPHONE 6? (^ UAtiENT FOR OWNER ••Z-^Hf DAY TELEPHONE ADDRESS CITY (LAC^'C^ 6 CONTRACTOR NAME £p (^Jt CITY ^*O STATE (LA ZIPCODE^T&OS OT^iZ - "&Ct \ CO t^<C_ ADDRESS STATE ZIP CODE STATE LIC # LICENSE CLASS DAY TELEPHONE ^ t ( *"") DAY TELEPHONE CITY BUSINESS LIC ^Vi£¥ / # CITY WORKERS' STATE ZIP CODE DAY TELEPHONE STATE UC # Workers' compensation Declara tion I hereby affirm tha t i have a certitica te of consent to selF-ihsure issued by the Director of Industrial 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 KJ f,»-— POLICY NO EXPIRATION DATE Certificate ot Exemption I certiry that in the pertormance ot the work tor which this permit is issued, fshall not employ any person'in any manner so as tOybo(ome subject to pKe)W(orkers' Compensation Laws of California SIGNATUI OWNER-BUI DATE IMAKAHON to_ _^_^_T__T_, _ _ Owner-Builder Declaration I hereby aflirm that T am exempt trom 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 sale (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 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 ) D 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^) licensed pursuant to the Contractor's License 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 pf the Contractor's License 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 [$500]) SIGNATURE DATE COMPLETE THIS SECTION FOR NUN-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future building occupant required to submit a business plan, acutely hazardous matenals registration form or nsk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D YES D NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D 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 OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICTy. ajNb-mui'noN I hereby atlirm tnat there is a construction lending agency lor the pertormance of the worR for which this permit is issued (Sec 30970J Civil Code; LENDER'S NAME LENDER'S ADDRESS 10 APPLICANT CER 111-RATION I certiry that I have read the application and state that the above inlormation 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 AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OP 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 stones in height Expiration Every permit issued by the Building Official under the provisions of this Code shad 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^aaitime after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code) AP IGNATU DATE WHITE: File YELLOW: Applicant PINK: Finance H J *~* CITY OF CARLSBAD INSPECTION REQUEST PERMIT! CB911428 FOR 03/03/92 DESCRIPTION: PER DARNELL REMOVE 20' DEMIS WALL SEPAR/STORAGE FROM SALES AREA TYPE: MISC JOB ADDRESS: 1005 ELM AV APPLICANT: WALL, RICHARD PHONE CONTRACTOR: PHONE OWNER: PHONE REMARKS: MH/729-2241 SPECIAL INSTRUCT: INSPECTOR AREA MP PLANCK* CB911428 OCC GRP CONSTR. TYPE NEW STR:** FL:**** STE: B&C 619 729-2241 INSPECTOR TOTAL TIME: CD LVL DESCRIPTION ACT COMMENTS A/0 ^ /f14 ST Frame/Steel/Bolting/Welding llr 6v *-/1 \ DATE DESCRIPTION ***** INSPECTION HISTORY ***** ACT INSP COMMENTS o