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HomeMy WebLinkAbout1120 NIKI LYNN PL; ; CB910792; PermitCity of Carlsbad RETAINING WALL Job Address: 1120 NIKI LYNN PL Permit Type: RETAIN Parcel No: Lot #: Reference No: PC #: Project Title: RETAINING WALL FOR MODELS CARLSBAD SPECS Applicant: Owner: RAY ESCANO 800 GRAND AV • - CARLSBAD, 7201000 00130104993 • Strong Motion Fee $1.00 09136104221 jddingPermrt 11$108 i 00136104228 ] Other $10.00 O1361O4885 1nCcI k $70 00 Permit No: CB910792 Status: EXPIRED Applied: 5/20/1991 Approved: Issued: Inspect Area: Fees: $189.00 I Additional Fees: $0.00 Total Fees: $189.00 Balance: f $0.00 PERMIT APPLICATION City of Carlsbad Building Department 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 1. PERMIT TYPE I A - DCOMIIERCIAL DNEW DTENANT IMPROVEMENT B 0 INDUSTRIAL DNEW [-]TENANT IMPROVEMENT C DRESIDENTIAL DAPARTMENT []CONDO [-]SINGLE FAMILY DWELLING DADDITION/AITERATION DOUPLEX DDEMOLITION DRELOCATIOM DMoeILE HOME DELECTRICAL []PLUMBING - - DMECHANICAL OPOOL DSPA 8TAINING WALL DSOLAOTHER Cit DEPOSIT' I UJ ( ff77T*L000 -ii a. kn . C—PT Ci? /f 3 }ØdbSS 445 toing or uize No. 1:7 A s !,-,l--o _ AbJ t'-L NearestCross Streets ________________________________________________________________ CHECK bLI.W II amIIIuIw: fl2 Energy Catcs 02 Structural Cates 02 Soils Report Di Addressed Envelope ASSESSOR'S PARCEL EXISTING USE PROPOSED USE - BLDG. 50. FTC. CONTACT PERSON NAME CITY 7V0 it OF STORIES ADDRESS STATE ZIP CODE DAY TELEPHONE SIGNATURE APPLICANT OCONTRACTOR [-]AGENT FOR CONTRACTOR DOWNER [-]AGENT FOR OWNER NAME ADDRESS CITY STATE ZIP CODE DAY TELEPHONE PROPERTY OWNER OWNER OLESSEE OTENANT NAN 724 j(4Ahi 0 ADDRESS CITY STATE ZIP CODE DAY TELEPHONE /4 /0 Q CONTRACTOR NAME ADDRESS CITY STATE ZIP CODE DAY TELEPHONE STATE LIC. # LICENSE CLASS _____________ CITY BUSINESS LIC. # SIGNATURE TITLE DATE DESIGNER NAME ADDRESS CITY STATE ZIP CODE DAY TELEPHONE STATE LIC. # WORKERS' COMPENSATION Workers' compensation Declaration: I hereby affirm that I have a certificate of consent to self-insure 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 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 employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE OWNER -BUILDER DECLARATION Owner-Builder Declaration: I hereby affirm that I am exempt from the Contractors 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 (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.). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7046, Business and Professions Cede: 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(s) Licensed pursuant to the Contractor's License Law). 0 I am exempt under Section Business and Professions Code for this reason: (Sec. 7031.5 Business and Professions Cede: 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, commencing with Section 7000 of Division 3 of the Business and Professions Cede) or that he is exempt therefrom, and the basis for the alleged exception. 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). SIGNATURE DATE COMPLETE THIS SECTION FOR NONRESIDENTIAL 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 Substance Account Act? DYES ONO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? DYES ONO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? DYES ONO 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 DISTRICT. 9. 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 30970) Civil Code). LENDER'S NAME LENDER'S ADDRESS have read the application and state that the above information is correct. I agree to comply with all City orainances am zate laws ree,ns I cetfy't ~ff f' 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 HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JIBIOIENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. Expiration mit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or authorized by uch permit is not coimnenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended ebandoned at any ime after.. work is commenced for a period of 180 days (Section 303(d) Uniform Building Code). DOWNER 0 CONTRACTOR 0 B PHONE WHITE: File YELLOW: Applicant PINK: Finance APPROVED BY: ___________________ DATE: Ci t .•) S1iF]iIl1,J DATE: 05/01/92 TO: RAY ESCANO 800 GRAND AV Al CARLSBAD, 92008 PLAN CHECK EXPIRATION PC# CB910792 DATE: 05/19/92 ADDRESS: 1120 NIKI LYNN PL You have applied to have your plans checked on the date shown above, and you have not obtained your building permit. The provisions of Section 304(d) of the Uniform Building Code state: "Section 304(d) Expiration of Plan Review Applications for which no permit is issued within one year following the date qf application shall expire by limitation, and plans and other data submitted for review may thereafter be returned to the applicant or destroyed by the Building Official. In order to renew action on an application after expiration, the applicant shall resubmit plans and pay a new plan review fee." Please check the appropriate box indicating your choice and return this letter to the BUILDING DEPARTMENT. PROJECT ABANDONED. I WILL PICK UP PLANS WITHIN 10 DAYS. PROJECT ABANDONED. PLANS MAY BE DESTROYED. If you have any questions, please contact the Building Department at (619) 438-1161. DORIS COSMAN Building Department 2075 Las Palmas Drive • Carlsbad, California 92009 • (619) 438-1161