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Home My WebLink About1400 LAS FLORES DR; ; CB982253; PermitI t/1 :tO t 1 ff> l ,t 1 Jc b A ~ h • -· . ::. 4 1 ') LM, FL l: •rm1 +-'yp : PLLMEIINC rc1rcc•! ~ : • )0 110-t -Ol Va tlt1t m: u {J t I RF., :-> E,. I N ~· E E M 1 .:>U I-( Lt#: Rr->tl•r nC"e#: ·~up ncy l;ro.1,:: >f'<cr11,:t1cr: r>[WNSIZE WA'!'ER : 1 1/t." LINE: :::i INF I -o CHURCH OF NAlARENE , p un t 'IJ fr •t 'I ) : '> • I > : ~ r"'l "t ~ ( : ~on5truct t~ y +-, tu~: Apr: l 1 <"' l: Apr/I ,Slf': EntcelEsy: J w ... S(. IE[ ( 7 / , h :)7/1'1/ H:l TM Ar P 1 /Uwnr : LAS FLURE.5 CHLJR<..11 1 >F f\.iAL AR ENE '400 LAS FLOEE3 DRTVE 760 7/"l-02 CARS:::.BA.:> CA 920C8 fe>~s: A l i11 tmPn +-~: T)tc<l Ft•ts: Enter Y F'lch Inst .;..1/Rf'p.Jir 9108 07/16/98 0001 01 02 C-PRHT 27-00 ------------ ()I) ( J l I. 0 Ext f t ~J.(( y 7. JJ FINAL APPROVAL INSP. _____ OATE -----l CLEARANCE I CITY OF CARLSBAD "'* * t 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 •· PERMIT APPLICATION FOR OFFICE USE ONLY PLAN CHECK NO. 'jJ:J2Zf5 CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Pal mas Dr., Carlsbad CA 92009 (760) 438-1161 EST. VAL.----,-_,~,,...,---- Plan Ck. Deposi,~t=~~~~I.L,--- Validated BY-t+--'-''-"'--,=:-7';&#...-ll- Date, ________ .....1.7-"fli~t..J.L.. L 5 CHUR.t:11 OF 7/-lt:: Business Name tat this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use De,;.,ription of Work ✓, SO. FT. I •·.o·f· .Stories t,v I ;/z. •I LIN/: II of Bedrooms # of Bathrooms ~ /')!zf''-llCi;. ~)(1,7/A/G:-3 IVATt=ifl l.t!Vii :2. · CONTACTPE~O~-Of~Jhlln•oppllcantl• • ••: ? "'·· · fn g !:i.AHl,/£t ./ 38 • !5?oJ Name Address ' .,~' '' ' 721-02,11 :l. -APPl,lc;ANT O Conir'ai,tor . :□:Agent io(Conir'ai,tor O Owner City 0 Agent for Owner Name Address City 4. · PROPER"IY OWNER ~ L 8-5 E'-@R R< C ftvg(I{ I 4 o 0 Name Address Lss bcR £.s /Jg City 6, ··:··toNTRACTOJi·,coMPAr«NAME'· (OLD /l!/llC/lilO,v .5j57EM) State/Zip Telephone# Fax# State/Zip Telephone# C'A~l5 8/1 I> 72 9 -.a23( State/Zip Telephone# (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, commending with Section 79()0 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 [$5001). Name Address City State/Zip Telephone# State License # _________ _ License Class _________ _ City Business License I _______ _ Designer Name Address City State/Zip Telephone State License # _________ _ e. WORK~RS'. COMPENSAnON Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 0 I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, tor the performance of the work for which this permit is issued. My worker's compensation insurance carrier and policy number are: Insurance Company______________________ Policy No. ____________ _ Expiration Date _______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) O 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 Califomia. WARNING: Failure to secure workera' compenaatlon coverage la unlawful, and shall subject an employer to crlmtnal panahlH and civil fines up to one hundred thousand dollars ($100,000), In addldon to the cost of compensation, damagu u provided for In Section 3706 of the Labor code, Interest and attorney's fen. SIGNATURE______________________________ DATE ________ _ ()<. 7. · OWNER-BUILDER"DECtAIIAnott I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 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 ha did not build or improve for the purpose of sale). S 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). 0 I am exempt under Section ______ Business and Professions Code for this reason: 1. l personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ONO 2. I (have/ have not) signed an application for a building permit for the proposed work. 3. l have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work !include name / address / phone number/ contractors license number): ________________________________________________ _ 5. I will provide soma of the work, but I have contracted (hired) the following persons to provide the work indicated !include name / address / phone number / type of work): _________ -:7 ~;,.i..,{l--._.fl--,7"-'7'7'......-P:L-,t--------------:--:r-r-------------- Is the applicant or future building occupant requir to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 26505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D YES D NO ls the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES O NO IF ANY OF THE ANSWERS ARE YES, A ANAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 8" CONSTIIUCTION:I.ENDINGIAGINC't .. \ . t hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sac. 3097(i) Civil Code). LENDER'S ADDRESS. _______________________ .....c._ I certify that I have read the application and state that the above information Is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the Cltt 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, JUDGMENTS, COSTS ANO EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF 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 stories 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 data of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after r is c mane for a per' d o -180 days action 106.4.4 Uniform Building Code). { APPLICANT'S SIGNATUR. DATE ____________ _ PINK: Finance Inspection List Permit#: CB982253 Type: PLUM DOWNSIZE WATER LINE 3 TO 11/2" LINE CHURCH OF NAZARENE Date Inspection Item Inspector Act Comments ---===:___:_:_::_:__.__ 9/16/98 21 Underground/Under Floor DH co INSPECTN OK/BACKFLOW PRE Wednesday, June 16, 1999 Page 1 of 1 PERMIT# CB982253 DESCRIPTION: DOWNSIZE WATER 1 1/211 LINE TYPE: PLUM CITY OF CARLSBAD INSPECTION REQUEST . ~ (,/Qf FOR 07 /31~.v-J r· LINE 3 11 Tcr---1J;,V"'"'' CHURCH OF NAZARENE STE: INSPECTOR AREA PLANCK# CB982253 OCC GRP CONSTR. TYPE NEW LOT: JOB ADDRESS: 1400 LAS FLORES DR APPLICANT: LAS FLORES CHURCH OF NAZARENE CONTRACTOR: PHONE: 760 729-0231 OWNER: REMARKS: B/BOB/729-0231 SPECIAL INSTRUCT: TOTAL TIME: --RELATED PERMITS-- CD LVL DESCRIPTION PERMIT# TYPE US970045 TU PHONE: PHONE: INSPECTOR -~12"--'-W...:.._ _______ _ STATUS ISSUED ACT COMMENTS 21 PL Underground/Under Floor <:fl~ ___Ll";f,{(TJC,0 Q)l l1/ir __________________ a,-,o</~.J /4,,r.1,fu.fll.r 7(7a.~ ------------------------------------ ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS I.. j ,-~ ::b ~ V, ~ N ~ 'r\ ~ " I'-\\\ <:) ~ :b z::=... -'tl V) E f'1' U) -p ~ 'J \\\ ~ .L. ::r:: 'lb ~ c:::-11\ vJ ;t) r") " -q::; ;e ~ 0 cl "' "' " ~ ~ ~ "' "C ~ .. .... ~ ~ ! ;:: < - C. ,$, .... · :. ·: .. ·-. .. . · ... · .. · .... : . . ... ··· .. .. ~ ·:: .... )( ~ (\ <i~ i ::c ,•, t~ • •,"I i c.?. ·:-t·, -1" ... ~-.,. A~ ~K cJ) (.) 0. ~- ........ -1)~ l:,,. V\ ~ll .. '4 :! < ,. ~ .. 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