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Home My WebLink About1406 CORAL WAY; ; CB973106; Permit (2)v2/3~ .L [· .. ' Lf)tfr: tC1 i ()1] v (;~coup; 1. on. : ._.:.:;;_;:,.:;.~F~~~~;:;=;;~~::;:__::,:_:::::.::.:::;::,:.__ 11 2363 :t2il7n1:r.ooMHM Ent err::cip~·Ht: 1 ~ CA 91.719 Fees ----------------------- Fees: l~<'.:tjustments: 'I'ota1 Fees:: li!i :::cella.neous A t·U SCELLANEOUS 115 ";1()9 27 2;-~,94 .. 94 Collected & Credits ------------------------- .00 ,00 150.00 Ext f~:::e Data -------------------150.00 PERMIT FE 150.00 CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 ) £ ~ .i ' ._;;{ i r; ' . t f4 . l . L" -_,/_, r . . ''% A!!! ~J h>:/4 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 FOR OFFICE USE ONLY q.....,,'":\>j,· / PLAN CHECK 1 NO .. f!;:/ /)r0tp EST. vAL. . .L.l.!-I ..... B"--.;)L.:.fs:~.o ___ _ Plan Ck. Deposit.., ....... '---------- Validated By~~~/ .... · Date l0(1 7/'f? Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units ~ iPwMhttJ~ # of Bathrooms :-:-2 ~~~~~~~~+----~-J<~!!::::::....:~~~~-~~C~ity~----'GAr~·~· ~!-J-L-&' fl~i~'!;?3u?ft¥ (i.Q'QY,.her;':~§pt•forQ:y.tfler Address City State/Zip Telephone# Address City 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, co mending with Section 7000 of Division 3 of the Business and Professions Code] or that he is exempt therefrom, and the basis for the alleged e mption. An violation of S ction 7031.5 by an plicant for a permits ·ects the applicant to a civil penalty of not more than five hundred dollars [$500]). """"'"'""''"':£ City State/Zip Telephone# City Business Li \~VI~ '71 t£1 '1.-~c -("ObO ~~ esigner Name City Telephlne ~tate License # . ml ~ '2o :'e. WQRKERs-;4lQ,nt~PEf~l$~TtoN <~l;l,n;t:<;;:;;:r:-, Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: ~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, for the performance of the' f"(<rk for which this permit is issued. My worker's compensation insurance carrier and policy number are: _ () J Q lf'D Insurance Company Policy No. LJ:H-Dj -llq b Expiration Date _______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESS) 0 ertify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as pensation Laws of California. WARNI i 0 I, as owner of the ro erty 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 P ofessions 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). 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 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. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES 0NO 2. I (have I have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name I address I phone number I 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 1 address 1 phone numb~/contractoffilicensenumbe~:. ________________________________________________ _ 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name 1 address 1 phone number 1 type of work): ___________________________________________________________ _ PROPERTY OWNER SIGNATURE----------------,------------ LCOMPLETE. T.HI$;:$~QTIOIItfQj:lf!.()/Ui£$/DEfJ.f/j!.f::;a(!i~i:)ii\IG Pi=;~i\llinUPNLY.f':· 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? 0 YES 0 NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES 0 NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES 0 NO IF ANY OF THE ANSWERS ARE YES, A FINAL 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. 1'~. corisii'UI~Xiol\1 Lr;Jl!PIN~'''A§.(t(jt£':. I 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 ;~~" · APPLICANJ,,~:c~e.Rifi'rrniF~j~jTij'I~lo~.Nl .. --;---;-~--;---;----;----;-:;:;,/ 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. 1 agree to comply with all City ordinances and State laws relating to buildi g construction. I hereby authorize representatives of the Cit~ of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO EE 0 SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENS WHIC Y I ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. r 5'0" deep and demolition or construction of structures over 3 stories in height. ial under the provisions of this Code shall expire by limitation and become null and void if the building or in 365 ~the date of such permit or if the building or work authorized by uch permit is suspended ~riod of 180 days (Section 1 06.4.4 Uniform Building Code~. DATE D l' ~~--L-~--------- YELLOW: Applicant PINK: Finance