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Home My WebLink About1400 FLAME TREE LN; ; CB891939; PermitB U I L D I N G P E R M I T 12/14/89 10 :51 Page 1 of 1 Job Address: 1400 FLAME TREE LN Str: Permit Type: RESIDENTAL ADDITION/ALTERATION Parcel No: 2 12-040-lH-OO Valuation: ~1900 Construction Type: NEW Occupancy Group : Class Code: Description: REMOVE PARTITION TO ENLARGE ELLOWSHIP HALL AND OFFICE OWNER SUDAN INTERIOR MISSION 1400 FLAME TREE LN CARLSBAD, CA 92009 Lie. Permit No: CB89 1939 Project No: A8903500 Development No : FL: Ste, V~7 JJ./J ~U~ v~ 02 .;-PRMT 71.C-< Ch fl--/7 70 Status: ISSUED Applied 12/14/89 Apr/Issue Validated By: DC 43 1 8693 *** Fees Required *** *** Fees Collected & Credits *** -------------------------------------------- Fees: Adjustments: Total Fees: Fee description Building Permit Plan Check Strong Motion Fee 71 .00 .00 71.00 Enter 'Y' to Autocalc License Tax > * BUILDING TOTAL Total C:r:edits: Total Payments: Balance Due: Units Fee/Unit CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 .00 .00 71.00 Ext fee Data 23.00 15.00 1. 00 32.00 Y 71.00 ' PERMIT APPLICATION 4\ V City of Carlsbad Building Department EST. VAL-----;,:Z'-------f-""-"'---2075 Las Pa lmas Dr., Carlsbad, CA 92009 (619) 438-1161 PLAN CK DEPOSIT ___________ _ VALID. BY ______________ _ 1. PERMIT TYPE DATE --------------- A COMMERCIAL TENANT IMPROVEMENT B -0 INDUSTRIAL 0TENANT IMPROVEMENT C -0 RESIDENTIAL 0APAIHMENT QCONDO 0SINGLE FAMILY DWELLING °QQADDITION/ALTERATION 2. DouPLEX 0DEMOLITION D MECIIAN I CAL D POOL Nearest Cross Streets 0RELOCATION 0MOBILE HOME QELECTRICAL 0PLLIMBING OsPA 0RETAINING WALL OsoLAR CHECK No. LEGAL DESCRIPTION CHECK BELOW If SUBMITTED: 2 Energ Cates 3. 4. 5. BLOG. SQ. FTG. # OF STORIES CONTACT PERSON ' ). A "'" .:rcRJZ'>l FAw L.r=..Y; 1R.2.vorz 10,ll ADDRESS CITY C.A R_l-S 6/l-J>. s1mCA ZIP coo, SIGNATURE APPLICANT 0CONTRACTOR '"'S,J,IV\, USA. CITY CA,;!LS8Al> NAME PROPERTY OWNER ~ A 11l\t:.. CITY 0 AGENT FOR CONTRACTOR ADDRESS srAnCA ZIP cooE OWNER ADDRESS STATE ZIP CODE PROPOSED USE F/;.UD "1S1-f1 !+R£fl. A-DJ) ii\ 'i'AR.T1TION. £,t1ct-o.S:-e O [f:c.4'" IJ/--oo FJ...HIY)€... tl(f.f:. LfH..JE. 9 :Z.OOCJ DAY TELEPHONE t../-'j,;s _ 7 S'j :i OWNER ltµDO FLPirM'. AGENT FOR OWNER '-ei:::. /...fl.N €.. qp..009 DAY TELEPHONE QLESSEE 0TENANT DAY TELEPHONE 6. CONTRACTOR NAME ADDRESS CITY STATE ZIP COOE DAY TELEPHONE STATE LIC. # ____ _ L!CENSE CLASS ------CITY BUSINESS LIC. # SIGNATURE TITLE DATE DESIGNER NAME ADDRESS CITY STATE ZIP COOE DAY TELEPHONE STATE LIC. # 7. WORKERS' COMPENSATION Workers• Coq,ensat1on Declaration: hereby affirm that I have a certificate of consent to self-insure issued by the Director of Industrial Relat1oos, or a certificate of Workers' C~nsat ion Insurance by an aalli t ted insurer, or an exact copy or duplicate thereof certified by the Di rector of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C). INSURANCE COMPANY 01JJ.N£.ll, POLICY NO. EXPIRATION DATE Certificate of Exewption: I certify that in the performance of the work for which this permit is issued, I shall not en-ploy any person in any manner so as to become sub J ect to the Workers' Corrpensat 1 on Laws of Cal 1 forn1 a. SIGNATURc/;ul,wa•({} • .{,~ DATE :Cec. 0" 1r sr • 8. OWNER-BUILDER DEet:ARATION Owner-Builder Declaration: I hereby affirm that I am e)(empt from the Contractor's License Law for the following reason: ,;JI as owner of the property or my ewployees 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 irrproves thereon,, and who does such work himself or through his own employees, provided that such irrprovements are not intended or offered for sale. If, however, the building or irrprovement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or 1rrprove for the purpose of sale.). 0 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 1rrproves 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 Code: Any City or County which requires a permit to construct, alter, irrprove, demolish, or repair any structure, prior to its issuance, al so requires the appl i cant for such permit to f i le a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, coomencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is exewpt therefrom, and the basfs for he alleged exefllltion. ny violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not SI:~~;~nR~v~ h red dollartJ.oon~ DATE l}u_ <g. / ·g COMPLETE THIS SECTION 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 per111it from the air pollution control district or air quality management district? DYES ONO Js the facility to be constructed within 1,000 fel'!t of the outl'!r boundary of a school site? DYES D•o IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OC<l.PANCY NAY NOT BE 1SSl£D AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS MET OR IS MEETING THE REGUIRENENTS OF TNE OFFICE OF EMERGENCY SERVICES ANO THE AIR POLLUTIClil CONTROi. DISTRICT. 9. CONSTRUCTION LENDING AGENCY hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(i) Civil Code). LENDER'S NAME LENDER'S ADDRESS 10. APPLICANT'S SIGNATURE t certify that ! have read the application and state that the above information is correct. I agree to colJl)Ly 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 purposes. I ALSO AGREE TO SAVE INDEMNIFY ANO KEEP HARMLESS THE CITY OF CARLS8AD AGAINST ALL LIABILITIES, Jll)GNENTS, COSTS ANO EXPENSES \MICH NAY IN ANY WAY ACCRLE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. Expiration. Every permit issued by the Building Official under the provisions of this Code shall e)(pire by \imitation and become null and void if the building or work authorized by such permit is not com:nenced within 180 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 coomenced for a period of 180 days (Section 303(d) Uniform Building Code). ,¢1 OWNER O CONTRACTOR OBY PHONE WHITE: File YELLOW: Applicant PINK: Finance APPROVED BY; -------DATE: ... -....... , .... _,, ___________________________________ _ UNSCHEDULED INSPECTION (} \ ~E ~~CT~ M.r~ ---------~-,.,___._,_, _______ _ PERMIT #_______ PLANCK # JOB ADDRESS ___ ._/--'c.r'-'o'--c __ f.,__,/.~t}-.,_M---=L..::;..__._h_._..;;t..;...f=--:::::::::::~ TIME ARRIVE: _____ TIME LEAVE: _____ _ CD LVL DESCRIPTION ACT COMMENTS {,,ud if---