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Home My WebLink About1166 LARKSPUR LN; ; CB940826; PermitBUILDING PERMIT 07/11/94 08 43 Page 1 of 1 Job Address. 1166 LARKSPUR LN Suite Permit Type. PLUMBING Parcel No 205-430-06-00 Lot#. Valuation 0 Construction Type NEW Occupancy Group Reference* Description GAS TEST RESTART OF SERVICE Appl/Ownr BROWN, ARTHUR 2697 STATE STREET CARLSBAD, CA 92008 Permit No. CB940826 Project No. A9401162 Development No 7711 07/11/94 0001 01 02 C-PRMT 27-00 Status. ISSUED Applied 07/11/94 Apr/Issue. 07/11/94 Entered By DC ***Fees Required *** ,-*** 619 729-4914 Fees Collected & Credits * * Fees : Adjustments- Total Fees Fee description Enter "¥" for Plumbing Gas Piping System • * PLUMBING TOTAL j 27.00 i •' .00 27 >00 ,• Issue -." ' •' i : '-. •'. ''• ' ••-'' • ' • -- .. \ '-.. .•' :' ' '• ••' !' • "'- ••-:,•.. T o t a 1 C r e d i t s . \ • '; Tota;l Payments:- / •" ./:• , •-- . Balance^ 0ue : \ -c ,., „ ..-.- Units ...--;•- Fee/Unit '•, Fee:%> ";T, " / n\ X •.'.•; ^ . '> "',•••:-' /' 1 /I'* : 7' 00 /''[.-•' "'••• ";"-•'' .;•-' - <•'•• •! • "••"' : ''•-"'•• i • '' :' -'"':' /' ,' , ' \. '•.'.' '" . .00 00 27 00 Ext fee 20 00 7 00 27 00 Data Y CITY OF CARLSBAD 2075 Las Palmas Dr , Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION City of Carlsbad Building Department 2075 Las PaImas Dr., Carlsbad. CA 92009 (619) 438-1161 1 PERMIT TYPE A - LJ Commercial LI New Building U Tenant Improvemenl 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 D 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. fST VAL PLAN CK DEPOsrr_ VALID BY DATE FOR OFFICE USE ONLY Address Nearest Cross Street LEGAL DESCRIPTION" ing or buite NO Lot No Subdivision Name/Number Unit No Phase No CHbCK BtLUW IF SUBM11 IbD D 2 Energy Calcs D 2 Structural Calcs .i 4 / !> b >l ) ASSESSOR'S PARCEL DESCRIPTION OF WORK j - ^~ SQ FT J (JUNIAI..I FiiKisUN (.11 diucrent trom appl NAME CITY STATE AFI'LICANI jdcJUNlKACTIUK RACi NAME J!LfJf\\\Jf $/'i><s>'S\ / M* CITY C*lfllk(tdl STATE PKUPEKTY UWNJ'IK r .. 1 - -. NAME ^J+fll-ty J//lf/^t' CnY/V*Tity/0A P^*^^ STATE CON'I'KACTIUK NAME [ CITY STATE STATE LtC #P*I UhMliNtK NAMt CI1Y STATE WOHKliKS' UJMLPIiNSAHUN D 2 Soils Report D 1 Addressed Envelope EXISTING USE PROPOSED USE1 r-p ^"~V~~ # OF STORIES' icantj ADDRESS ZIP CODE DAY TELEPHONE bN L hUK LiUNlKAUlUK UUWNbK U ACibNI hOK UWNLK ib^f^ ADDRESS gbtf7 S'fa-'T^- s'^T //^ ZIP CODE tf^OOlT^ DAY TELEPHONE "7-2'tf~~¥9(/ ADDRESS fOO^-iy -/far #1^5 ?n/4, &35~& £$- ZIP CODE 7e?^/^7 DAY TELEPHONE ADDRESS ZIP CODE DAY TELEPHONE I5^-/0 LICENSE CLASS CITY BUSINESS LIC # AIJUKbSS ZIP CODE DAY TELEPHONE STATE LIC # Workers' Compensation Declaration I hereby affirm that I have a certificate of consent to self-insure issued by the Director ot 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 Z<f>hV/POLICY NO EXPIRATION DATE _ Ccrtilicate ot Exemption 1 certify that in the perlormance ol the work tor which this permit is issued, 1 shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California SIGNATURE DATE 8 OWNER-BUllJJbK DI'jCLARATICjN Owner-Builder Declaration Thereby attirm that 1 am exempt from the Contractor's Ucense 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(s) licensed pursuant to the Contractor's License Law) D 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 of 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 NON-RESIDENTIAL 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' 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 TIIE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF 11IE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT 5 CUNbTHUCriUN LOJOING AGENCY I hereby allirm mat there is a construction lending agency lor the perlormance ot the work tor which this permit is issued (Sec 3097(i) Civil Code) LENDER'S NAME LENDER'S ADDRESS 10 APPLICANT CERTIFICATION I certify that 1 nave read the application and slate that the above information is correct I agree to comply with all City ordinances ana Stale 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 INDEMNIFY AND KEEP HARMLESS 'HIE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF TIIE GRANTING OF THIS PERMIT OSIIA 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 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 the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code) APPLICANTS DATE WHITE: File YELLOW- Applicant PINK: Finance