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Home My WebLink About186 CHINQUAPIN AVE; ; CB070360; PermitFOR OFFICE USE ONLY PLAN CHECK NO EST VAL PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad, CA 92008 Plan Ck Deposit Validated By. if ^ PROJECT INFORMATION Legal Desgriptjon Description.of Work City, O*Agent for Owner State/Zip -fex: Name "5 ^COWfRACTQR» COMPASWMAME (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 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom and the basis for the alleged exemption A/iw violation of Section 7031 .Spy any applicant for a permit subjects, the applicant to a j^uu^ penalty of ngc nrujre thafi {ryqhundresrpollars [4500]) Name State'License # ^ £. \f^~J Address License Class City ' State/Zip City Business License # Designer Name State .License # Address City State/Zip lephone Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations l~l 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 |~l I have and will maintain workers compensation as required by Section 3700 of the Labor Code for 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 [$100] OR LESS) D 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 California WARNING Failure to secure workers compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100 000) in addition to the cost of compensation damages as provided for in Section 3706 of the Labor code interest and attorney s fees SIGNATURE _ _ DATE IT OWNER BUILDER DlCLAflATIQlIIlJIf * , I hereby affirm that I am exempt from the Contractor s Lipense Law for the following reason l~1 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) (~1 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) O 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 O YES 2 I (have / have not) signed an application for a building permit for the proposed work 3 I have contracted with the following ptfrson (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 some of the work but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type of work) PROPERTY OWNER SIGNATURE DATE COMPLETE THIS SECTION FORWOA'-/?55/O£A'ni4i BUILDING PERMITS ONLY -JT"* ,=" S2T IS* *'""' ~ "~ 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 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 I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(0 Civil Code) LENDER S NAME LENDER S ADDRESS f9 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 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 LIABILITIES JUDGMENTS COSTS AND 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 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 commenGsd for ajpenodof 180 days (Section 106 4 4 Uniform Building Code) APPLICANT S SIGNATURE PT QjL , L<O~U>(<T((&e^' DATE _ WHITE File YELLOW Applicant PINK Finance City of Carlsbad Bui Id in g D e pa r t me n t DECEMBER 19, 2007 BERNARD GOLDSTEIN 160 TAMARACK AVE CARLSBAD CA 92008 RE APPLICATION DATE 02/09/2007 PLAN CHECK # CB070360 ADDRESS 186 CHINQUAPIN AVE EXPIRATION DATE 02/09/2008 PERMIT TYPE RESIDENTIAL DESCRIPTION DEMO 2 UNIT BLDG, BUILD NEW 4 UNIT CONDO You applied to have your plans checked on the date noted above To date, the related building permit has not been obtained The original plan review application will expire as no building permit has been issued Plans submitted and not retrieved from the building department prior to the plan check expiration date noted above will be destroyed The provisions of sections 304 (d) of the Uniform Building Code state "Section 304 9d) Expiration of Plan Review Applications for which no permit is issued within one year following the date of application shall expire by limitation, and plans and other data submitted for review may thereafter be returned to the applicant or destroyed by the Building Official In order to renew action on an application after expiration, the applicant shall resubmit plans and pay a new plan review fee " In order to provide better service, please indicate your handling choice for the plans originally submitted and return this letter to the Building Department r\l X Project Abandoned -1 will pick up the plans within 10 days Project Abandoned - Plans may be destroyed If you have any questions, please contact the Building Department at (760) 602-2719 Building Department 1635 Faraday Avenue • Carlsbad, CA 92008 • (760) 602 4660 • FAX (760) 602 8561