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Home My WebLink About2022 LADERA CT; ; CB951395; Permit~ 10/03/95 15:02 B U I L D I N G Page 1 of 1 Job Address: 2022 LADERA CT Permit Type: MISCELLANEOUS Parcel No: 216-482-19-00 Valuation: 0 P E R M I T Suite : Lot#: Permit No: C8951395 Project No: A95020 38 Development No: 3965 10, 03/ 95 •)(: C' 1 (L : r,1-tr Construction Type: Occupancy Group: Reference#: Status: VN ISSUED 10/03/95 10/03/95 MDO Description: 29 SQUARES OF TILE RE-ROOF Appl/Ownr : LEVENE, HOWARD 2022 LADERA COURT CARLSBAD, CA. 92009 Fees Required ·1< k * Fees: Adjustments: Total Fees : Fee description Miscellaneous Fee #1 * MISCELLANEOUS TOTAL Al<* > Applied: Apr/Issue: 619 Entered By: 632-9410 fPes Collected & Credits Total: Credits: Total Payments: Balance Due: .00 .00 163,00 *"'* Units Fee/Unit Ext fee Data 163.00 163.00 PERMIT 163,00 CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION e . . a'C>-, r PLAN CHECK NO. -(/--' \3 q_ ~ City of Carlsbad Building Depart.nt 2075 Laa Pal-Dr., Carlsbad, CA 92009 (619) 4311-1161 I. PFllM.11 liPE From List I (see back) give code of Permit-Type: ___________ _ For Residential Projects Only: From List 2 (see back) give Code of Structure-Type, ___________________ _ Net Loss/Gain of Dwelling Units 2. PRUIF.C'f INFORMATION Address:zo2."a <-Aoc~A <::-t L'£" CHEER BEIDW Jf SOHMIIIW: Bu1idmg or Suite No. 0 2 Energy Cales O 2 Structural Cales □ 2 Soils Report O I Addressed Envelope ASSESSOR'S PARCEi, EXISTING USE DESCRIPTION OF WORK I I EST. VAL PINl CK DEPOSIT _______ _ VAUD. BY __________ _ DA11! FOR OFFICE USE ONLY mt o. PBOP95EP USE fle...r (Lo~ # OF STORIES SJ ,..__ C # OF BEDROOMS °3, # OF BATI!ROOMS r-z_.. I NAME (last name first) p 1can ADDRESS ZIP CODE CITY STATE 4. Al't'U~I UCONIAAClOR □AGf'.NI FURCUNIRACidR , DAY TELEPHONE id OWNER O AC£N I FOR OWNER NAME (last name first) C'!l~~Q ADDRESS crrvflow A'<..1) lf b"t 'i:irATE c_.4 ZIP CODE )oc DAY TELEPHONE I 1J I NAME CITY ATE Cfl, ADD~ C!?-'2-. L ZIP CODE 9.200 DAY TELEPHONE NAME (last name first) CITY c)u,1(1flt-- STATE ZIP CODE ADDRESS DAY TELEPHONE STATE UC.# LICENSE CLASS CITY BUSINESS UC. # DESIGNER NAME (last name Ilrsf) ADDkESS CITY STATE ZIP CODE DAY TELEPHONE STATE UC. # 7. WOkkEltS' WMPENSA:iioN Workers' Compensation Oedarauon: I hereby alhrm that I have a cenihcate of consent to selt-msure 155ued by the Director of lndustnai 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 0 0 □ Uwner-BuUder Declaration: I hereby aihnn that I am exempt from the Confradofs Ucense law for the foJJowmg 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 or offered for sale (Sec. 70441 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.). 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 or property who builds or improves lhereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). I am exempt under Section _______ Business and Professions Code for this reason: (Sec. 7031.S 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 w (Chapter 9, commencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefro , and basis for the alleged exemption. Any violation of Section 70 1.5 by any applicant for a permit subjec ea plicant to a ci 'I al f not more than five hundred dollan ($S00]),, 1 SIGNATIIRE DA11!/ U !rnlllmi'!mmv:-----!:...:+....:::;...J..+--6--"'------- ts the applicant or future building occupant required to submit a business plan, acutely hazardous materials rqistration fonn or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? □ YES ONO Is the applicant or future building occupant required to obtain a pennlc from the air polludon control district or air quality management district? □ YES ONO Is che fadliry to be conscructed within 1,000 feet of the outer boundary of a school site? 0 YES ONO IF ANY OF TIIE ANSWERS ARE YES, A FINAL Cl!R1lFICA11! OF oa;tJPANCY MAY NOT BE ISSIIED AFI1!R JULY I, 1989 UNU!SS TIIE APPIJCANT HAS MF:!" OR IS MEETING TIIE Rl!QlllllEMENTS OF TIIE OfFICI! OF EMERGENCY SERVICES AND TIIE AIR POU.IITION WNTIIOL DISllUCT. 9. WNSIKUCIIUN ll.NDING ACF.NCI I hereby aUlrm ihaf there is a construction lending agency for ffie performance of ffie work for which ffias permit IS lSSued (Sec 3097(1) dvU Code). LENDER'S NAME LENDER'S ADDRESS 10. XPPUCXN I CF.kiiFJLA.ilON I certify that I have read the apphcaoon and stale that the afxive mionnat1on II correct. I agree to comply wadi ad Qty ordinances and State laws relating to building conscruction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I AISO AGREE TO SAVE INDEMNIFY AND KEEP IIARMIJIS'I TIIE CITY OF CAR.ISBAD AGAINST AU. LlAIIIU11l!S, JUDGMEN11i, CD5l'S AND EXPENSES WIDCH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN a>NSEQIIENCE OF TIIE GRANTING OF nus Pl!RMIT. OSHA: An OSHA permit is required for excavations over S'O" 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 pennit is not commenced within 365 days from the date or such permit or ir the building or work authorized by such pennit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 303(d) Unifonn Building Code). APPLICANTS SIGNATURE DATE: ___ _ WJ-llTE: File YEU.OW: Applicant PINK: Finance 0