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HomeMy WebLinkAbout1979 PALOMAR OAKS WAY; ; CB920492; PermitB U I i. L) N G P E K X I U'j/ j. 8/9 2 14 : 1 'j Parjt- ; O- Job Aoares::: 1379 PALOMAj< OArCS 7P' Str: L'OiiV.it Vype: KISCELLA:\IEO'JS Pai'cel No: 2 IJ-O 9 -2 L-O;. Vabuatioii: 3/098 CoriEtructiou Type: NEW uccupancy Group: Reierer.ceA : beocription: INSTALL 8 SKYLIGHTS ICBO 4063 : P'OR F.uIDGESI'ONE GRP - ENTIRE BLDG Pom^lt No: 4 3920492 Project No: A92U127'/ Development No: Fl: 'stre: 7694 05/18/92 0001 01 02 104.00 Appl/Ownr : ROSSALL, STEVE 3 87 CONT^ASS RI OCEANSIDE, GA 92034 1 ta t A, r.l led Api'/Ieuue Valtdateii By 11. SUEN 0 5/ 8 / 9 / 05/18/92 CD 7 21 fa b 2 C CON TRACTOR ROSSALL, STEVE 2429 SKYLARK DRIVE' OCEANSIDE, CA 92054 •?eE Required * .-v * * •. * Fees Adjustment s Totax Fees Fee description 104.00 . 0 0 194.00 Lie. C 520369 6]9-721—6626 Fees Collected & Credit:•k * ■Total Credits: Total Payments: Balance Due: Units . Fee/Unit . 0 0 . 0 0 L04 . CO Ext tee Data Miscellaneous Fee #1 Miscellaneous Fee /2 >■■ MISCELLANEOUS TOIAL > ■> 63.00 41.0 0 63.00 D? 41.00 iu; .04.00 . • .A^ // A • '-i - ^ ,K^jssr clS^rance " ^ 2075 Las Palmas V/i., Carlsbad, CA 92009 (619) 438-1161 '/o/m PERMIT APPUCATION City of Carlabod Building Dcpartaent 2075 Las Palses Dr., Carlsbad, CA 92009 (619) 4S8-1161 T at T'iVPE A - U Commercial U New Building U Tenant Imptxjvement ' B -^Industrial □ New Building □ Tenant Improvement C - □ Residential □ Apartment □ Condo □ Single Family Dwelling □ Addition/Alteration □ Duplex □ Demolition □ Relocadon □ Mobile Home □ Electrical □ Plumb! □ Mechanical □ Pool □ Spa □ Retaining Wall □ Solar □ Other. 2. PRQJECr INFORMATtON Buikbng or Suite No. PLAN CHECK NO. ESr.VAL piAN ac MPosrr. VALID. BY DATE FOR OFFICE USE ONLY Address 'Pdcnar- Stnrefh.Nearest Cross LEGAL DESCWFllOfJ Lot No. Subdivision Name/Numljer Unit NdT Phase No." CHECK BMLOW IF yUBMl'i'l'MU: □ 2 Eneigy Gales □ 2 Structural Gales ASSESSOR'S PARGET. DESCRIPTION OF WORK SQ. FT.-2-Ot3| 1 □ 2 Soils RepgrL-^-fl^^EM^GUSE PROPOSED USE 3. mNTALT PKHKUN il erent trom appucantjniidnri STATE 7^ ADDRESsg^^f^^^t^-e'D ZIP CODE O DAY TELEPHONE 45/- 4. AWLICANT rRAL'lUK □ AGENT FOR OINTHAL'lUR DOWNER . U AGENT EUR OWNER M. GITY STATE ZIP IDRESS CODE 5. PHOPEHTY OWNER NAME OTY DAY TELEPHONE STATE ADDRESS ZIP CODE DAY TELEPHONE 6. (XJNTRACTOR—T 1""::; —"TZoNAME ADDRESS 3"^! 'COfy\pCi£6 GITY STATE ZIP CODE DAY TELEPHONE STATE UG. UGENSE GLASS OTY BUSINESS liC # //TV/^O —UESIGNKR NAME GITY 7. WUUKEUh" (DMPENilA'IlUN STATE ADDRESS ZIP CODE DAY TELEPHONE STATE UG. # Woricers' Compensation Declaration: i heretjy attum that 1 have a certiticate ot consent to selt-insure issued by the Director ot IndustrialRelations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certiQedby the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. G). INSURANCE COMPANY VOUCi liO.Ci.Z.'^I(J-l^ EXPIRATION DATE /"Z. — ^7^ Gertihcate ot Exemption: 1 certity that in the peitonnaiKe ot the work tor which this permit is issued, 1 snail not employ any person m any maimer~so as to become subject to the Workers' Compensation laws of Gaiifomla. SIGNATURE A. OWNRR-BUTLDER DECLARATION DATE Owner-Builder Declaration: 1 heretjy attirm that 1 am exempt trom the Contractor's License Law tor the following reason: □ 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 oroffered for sale (Sei^ 7044, Business and Professions Code; The Contractor's License Law does not apply to an owner of property who buildsor improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intendedor offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-buDder will have the burdenof proving that he did not build or improve for the purpose of sale.). □ L as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and ProfessionsCode; The Contractor's Licetise Law does not apply to an owner of property who builds or improves thereon, and contracts for such projectswith contractor(s) licensed pursuant to the Contractor's license Law). □ I am exempt under Section Business and Professions Code for this reason: (Sec. 7031.5 Business and Professions Code: Any Qty or County which requires a permit to construct, alter, improve, demolish, or repairany structure, prior to its issuat^ also requires the applicant for such permit to Gle a signed statement that he is licensed pursuant to theprovisions 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 permitsubjects the appiicant.to a dvil penalty of not more than Gve hundred dollars [$500]). SIGNATURE DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY: Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management aixi prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substarme Account Act? □ YES □ NOIs the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?□ YES d NOIs the facility to be constructed within 1,000 feet of the outer boundary of a schtxtl site? □ YES □ NOIF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1, 19S9 UNLESS THE APPUCANT HAS MET OR IS MEETING THE REQUIREMENTS CHt THE CBTTCE CHt EMERGENCY SERVKXS AND THE AIR FCniHTKM dWIROL LaSTRKT. y. um'muuiiuN lenuing agkncv I hereljy attirm ttiat mere Is a construction tending agency tor tne pertormance ot tne work tor wtuch ttus permit Is Issued (Sec 3097(11 ClvU Codel. to; LENDER'S NAME APHJCANT UiR'linCATK)N LENDER'S ADDRESS 1 certity that 1 have read the application and state that the above mtormaUon is correct 1 agree to comply with all Qty ordinances and State lawsrelating to buDding construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspectionpurposes. I ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CTIY OF CARLSBAD AGAINST ALL UABniTIES, JUDGMENTS, CXlSrS 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 pennit issued by the Building OfRdal under the provisions of this Code shall expire by limitation and become null and void if thebuilding or work authorized by suA permit is not commenced within 365 days from the date of sudi permit or if the building or work authorized bysuch p«mit is suspended or abandoti^ at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code). APPUCANTS SIGNATURE DATE: ^ WHITE: Ffle YELLOW; f^licant PINK: FinancT Tni<rWTPUtJQ rMgPIgflQM OATl^SWS- IMSPICTOK piBMiT; j ». JOB nnrrn- (VI OAKS wM Tim AMIVt: TIW LMVX:, CO LVL DESCRIPTIOM — XCr COMKZMTS ^ f,JL^ . Uz: 1 «/is/if U) ^— /V r I 4r~ 0> 1^1 1% '7 T" ±. Q> % J T ^ © I (& 3C> ^d<£3^ 5kL^li^MT Ld.^C;. H0U3 P VED MAY 1 8 1992 City of CAftLSSAD BUiLDma DSPT \ n