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1241 CARLSBAD VILLAGE DR; ; CB920543; Permit
BUILDING PERMIT 06/04/92 10:51 Page 1 of 1 Job Address: 1241 CARLSBAD VILLAGE DR Suite Permit Type SIGN Parcel No- Lot#. Valuation 500 Construction Type. NEW Occupancy Group Referenced Description. RE/MAX BY THE SEA MINNICH Permit No: CB920543 Project No: A92U1385 Development No: 7937 06/04/92 0001 01 02 C-FRHT 25-00 Appl/Ownr : MINNICH, DAVID 1241 CARLSBAD VILLAGE DRIVE CARLSBAD, CA 92008, * A * Fees Required Status ISSUED Applied- 06/04/92 Apr/Issue- 06/04/92 Validated By DC 619 729-9151 Fees Adjustments Total Fees. Fee description Credits A A * 00 00 25 00 Ext fee Data Building Permit Plan Check k SIGN TOTAL 15. 00 10 00 25 00 INSP. CLEARA APPROVAL DOE CITY OF CARLSBAD 2075 Las Palmas Dr , Carlsbad, CA 92009 (619) 438-1161 PERMIT APPUCATION City of Carlsbad Building Department 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 A - D Commercial tj New Building U Tenant Improvement B - D Industrial Q 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 Electncal D Plumbing D Mechanical DPool D Spa D Retaining Wall D Solar D Other PLAN CHECK NO. EST VAL *•/ 0 £> PLAN CK DEPOSIT f <GO-H~ 3 A . VALID BY 'DC-f DATE £*/Y?f ^ 2 PROJECT INFORMATION FOR OFFICE USE ONLY Address ijttt ^AO f Li ji \ V 1 1 Byjldmg or Suite NO Nearest Cross Street y£ Q v 1 C ft LEGAL DESCRIP'I ION Lot No 15" b n 2 Energy Calcs D 2 Structural ASSESSOR'S PARCEL DESCRIPTION OF WORK f™ v VSQ FT S& l^-MJ k-J £*v> © 1 Y) ( fJ tu> (. c CITY C-IXtA-Gst^n-^ 4 APPLICANT LJ CONTRACTOR (NAME ^- ^TTV tCL-^f"^ ^^— **£^V*l 1 I ^"^^ - 5 I'HOI'KHIT OWNER NAME „ CI7Y drXM-^_ 6 UONTRAC'IDH NAME CITY tr^>JrTs'^''^ STATE LIC DESIGNER NAMK_J^fy^^2-CITY *= — *^ ' 7 WOHKLRy1 COMPUNsA'nON suDQivision wame/wumDer unit No Phase No Calcs D 2 Soils Report D 1 Addressed Envelope EXISTING USE PROPOSED USE N / /OF STORIES m applicant^ _ f-* t\\t-i 0 f^ O L/V ~ STATE Cc^.. ZIP CODE / 2- (90<? DAY TELEPHONE "7 2. ^ — <?f£~/ UAUEN'l1 FOR CONTRACTOR UOWNER UAUENT l-'OR OWNHRADDRESS STATE ZIP CODE DAY TELEPHONE ADDRESS STATE ZIP CODE DAY TELEPHONE STATE ZIP CODE DAY TELEPHONE # LICENSE CLASS CITY BUSINESS LIC # AUUKbbb _^~-" ' STATE ZIP CODE DAY TELEPHONE STATE LIC # 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) 1NSURANCEJ:OMPANY POLICY NO EXPIRATION DATE Certificateof Exemption I certify that in the performance of the work tor wnich 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 8 OWNLH-13U1LDEII DECLARATION Owner-Builder Declaration Thereby affirm Ttfiat I am exempt from the Contractors License Law tor the following reason Q 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 far 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 ihe 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, poor 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 TUTS" SECTION FOE NQN-MSTDENTIAL BWiowa PERMITS 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 It ANY OF IHE 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 UNS'i'RUL'i'lUN LL^DINC; AGENC.'Y ' T hereby attirmThat there is a construction lending agency tor the performance ot the work tor whicn this permit is issued (Sec 3097(i) Civil Code) LENDER'S NAME APPLICANT LENDER'S ADDRESSTO: T certify that 1 have read the application and stale that the above inlormation is correct Fagree to comply with all city ordinances and^tateTaws 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 THE CITY OF CARLSBAD AGAINST ALL IIABDITIES, JUDGMENTS, COSTS AND FJCPENSLS WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT OSIIA: An OSHA permit is required for excavations over S'O" deep and demolition or construction of structures over 3 stones in height Expiration Every penmj_issued by the Buil building or work authonzeoty such permit such permit is suspenjaed or abandoned at APPLICANTS SIGNATURE Official under the provisions of this Code shall expire by limitation and become null and void if the ot commenced within 365 days from the date of such permit or if the building or work authorized by e after rhe work is commenced for a period of 180 days (Section 303(d) Uniform Building Code) DATE WHTE: File YELLOW: Applicant PINK: Finance £/*/'> 3DATE U / "V / ^ _ INSPECTOR" PLANCK - / / JOB ADDRESS TIHE AIUUVE: TIME LEAVE: CD LVL DESCRIPTION ACT COMMENTS PEIUIXTS 6/15/09