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Home My WebLink About1854 MARRON RD; 104; CB960597; PermitC' Jd #=-5'/3 03/29/96 12:59 Page 1 of 1 B U I L D I N G 1Job Address: 1854 MARRON RD Permit Type: MISCELLANEOUS Parcel No: Valuation: 0 P E R M I T Suite: Lot#: Permit . Project Development 104 No: CB960597 No: A9600826 No: Constra7J@i<Hfr-?91fo/p~01Ni1w 02 Occupancy Group: Reference#: Sta tu;:PR!t5SUED 30-00 Applied: 03/29/96 Apr/Issue: 03/29/96 Entered By: DC Description: JADE : DEMO TREE REST 2100 SF ONLY Appl/Ownr : MCCONNELL, BRIAN CONTRACTOR 800 NEWPORT CENTER DR #250 NEWPORT BEACH, CA 92660 VOGEL, ROBERT 2891 WOODRIDGE CARLSBAD, CA 9 *** Fees Required Fees: Adjustments: Total Fees: Fee description Miscellaneous Fee #1 * MISCELLANEOUS TOTAL 714 759-9531 & Credits *** ~APPROVPL IN ~. v -DATE ~/-J¢ 6 CLL. , . NCE-----1 CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION PLAN CHECK NO. City of Carlsbad Buildire Department 2075 Las Pal.as Dr., carlsbad, CA 92009 (619) 438-1161 1. PERMIT 1YPE From Llst 1 (see back) give code of Pennit-Type: ------------- For Residential Projects Only: From Llst 2 (see back) give Code of Structure-Type:--------------------- Net Loss/Gain of Dwelling Units------------------- 2. PRQJEC'f INFORMA110N FOR OFFICE USE ONLY Bu1ldmg or Suite No. Jc;/77Z-/ () ¥ CHECK BEibW IF s08MI 11 ED: O 2 Energy Cales D 2 Structural Cales 0 I Addressed Envelope NAME (last name first) ADDRESS ZIP CODE DAY TELEPHONE C, me..OoAJAl~ss B(:J!!) U~/t¥-r~ -¥.;I/£ ../:Fe:}-.5D (!A-ZIP CODE DAY TELEPHONE 7/ 3 · NAME (last name first) //ac;EL_ L, /?o~ ADDRESS c:i87}/ u/t1~.J>et.z>6!:_ °"~ CITY <!A,lLSM-;J> sTITE CA-ZIP CODE 9µ~ DAYTELEPHONE e:rf ?~-3nr STATE UC. # LICENSE CLASS 6 / CITY BUSINESS UC. # 1rst CITY STATE ZIP CODE DAY TELEPHONE STATE UC. # 1. WoRXERs' CDMPENsAllON Workers' Compensation beclarauon: I hereby allmn that I have a ceruhcate of consent wsell-msure issued by the D1recl0rol lndus1nal 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 POLICY NO. EXPIRATION DATE Ceruhcate of Exempuon: I certify that m the pertonnance of the work for which this permit 1s issued, I shall not employ any person many manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE 8. oWNEll-BUJIDER bECLA1t\'l1oN uwner-tluuaer uec1aration: I hereby afhrm 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 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). 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 pennit 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 pennit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]). SIGNATIJRE DATE COMPLETE 'I His SECMON FOR NON-RESIDEN i lAL 80ILDING PERMITS ONLY: Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration fonn 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 permit from the air pollution control district or air quality management district? 0 YES ONO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? DYES ONO IF ANY OF nm ANSWERS ARE YF.S, A FINAL CERTIFICATE OF ocx:uPANCY MAY NOf BE ISSUED AFI'ERJULY 1, 1989 UNLESS TIIE APPUCANT HAS MlIT OR IS MEETING nm RF.QUIREMENTS OF nm OFFICE OF EMERGENCY SERVICES AND TI-IE AIR POU1JTION OONlROL DISI1UCT. 9. cbNs'IROCnoN I.ENDING AGENCY 1 hereby afhrm that there 1s a construcuon lending agency for the performance of the work for which this penmt 1s issued (Sec 3097(1) C1V1! Code). LENDER'S NAME LENDER'S ADDRESS lo. APPUCANI CEltmlCA:110N I cerufy that I have read the apphcat.1on and state that the above miormauon 1s correct. I agree to comply with all City ordinances and Scace 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 AL'iO AGREE 10 SAVE INDEMNIFY AND KEEP HARMLF.SS nm CTfY OF CARISBAD AGAINST AIL UABIIJTlES, JUDGMENTS, CDSTS AND EXPENSES WlilOI MAY IN ANY WAY Acx:RUE AGAINST SAID QTY IN OONSF.QUENCE OF nm GRANTING OF 11{IS 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 pennit 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 · t commen withi 65 days from the date of such pennit or if the building or work authorized by such permit is suspended or abando commenced for a period of 180 days (Section 303(d) Uniform Buildin e). APPLICANTS SIGNATURE DATE: ~ PINK: Finance