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Home My WebLink About2061 LEE CT; ; CB920590; Permit.. .. lbl':J/!l Yd<lt' 1 ')f 1 t Arllr,..,,_,_: L(, Pt-rrr~t "'ypP: rA cl"< !'v>: U"i- V ,, ~ .. j t-l •• : E, 1 !.,£::r: ·r .,. >f, Y MA[ t JO-Jb-! ! . n -t l " + .I. n y 1-)(' : N F:W l C:CU['cU"lC Y '1 J •P · 'ILL TN( I E I"- _. I t fA ( LA ,T 1.C l ~ ) t ff : '•ft>rtrc #: LPSC"t; [ +_i n. ALF{EAY N-,TA~LG> 'I :>r>r1,1t Nr: tE I , r 1 ,·t Ne,· Al 1 • , ~ [J •v •lr pn •ut 1~c • 8144 06/19/92 0001 01 02 C-PRMT 75 . i U!-J<tLf '6' Arp Lie 1: Arr, .... ;u : Vi"'l1atc 1 y: A[ p l,wnr KA~MJ~J~N , ~ MERV{N 2•>61 L8E (o'IRl' b ➔ 4<4-':IY l CAl:<T.EAfJ, 'A Llll)>-\ r .-n•qul.t.P 1 A1Ju...,tm•uts· 'f' ) t"cl l FE.. t' r, ! Bu Ll,Hng r:-t>rm1 t ~ e • SPA TOTAL ' . p n · t ~. ~ ----::----.... ~- 'l CITY OF CARLSBAD ctFd & C.tul1t • J l. Ol Ex+ f L rl l t / l, 0 (t I , () l 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION PLAN CHECK NO. City of carlsbad Building Departaent 2075 Las Pal•• Dr., Carlsbad, CA 92009 (619) 438-1161 PIAN CK DEPOSIT _______ _ I EST. VAL VAIID. BY __________ _ I. P£1tMJI hPE DATI! A -U COmmerc1al U New Bmldmg U tenant Improvement B -D Industrial U New Building D Tenant Improvement C -□ Residential D Apartment D Condo □ Single Family Dwelling □Addition/Alteration □ Duplex □ Demolition □ Relocation □ Mobile Home □ Electrical □ Plumbing □ Mechanical U Pool □ Spa □ Retaining Wall D Solar □ Other 2. PRCllECT INFORMATION FOR OFFICE USE ONLY Address ~0~( .Lee. c,f. ~rest Cross Street Bu1ldmg or Suire No. LEGAL DESCRIPI ION Lot No. SufX:hV1s1on NameJNumber Ontt No. Phase No. CHECK BEWW IF SOBMII IED: □ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ I Addressed Envelope ASSESSOR'S PARCEL DESCRIPTION OF WORK T //Ism( I ,'J-1'-(t) JU PROPPSED USE ~ Ff. # OF STORIES ~ JACI PERSON (tr duferenl from apphcanl) NAME ADDRESS CI1Y STATE ZIP CODE DAY TELEPHONE 4. APPilCAN I NAME UWNIRACIOR UAGENI FORtbNIRACIUk DOWNER □AGENI FOR OWNER ADDRESS CI1Y STATE ZIP CODE DAY TELEPHONE b?r>~ I Le.,:::_ cf- 6. (DN}l(Al; C/UJO{' DAYTELEPHONE :'f3r-~99zo NAME ADDRESS CI1Y STATE STATE UC.# ZIP CODE LICENSE CIASS DAY TELEPHONE CI1Y BUSINESS UC. # CI1Y STATE ZIP CODE DAY TELEPHONE STATE UC.# 7. WOIUCERS' WMPENSAIIDN Workers' Compensation Declarat1on: I hereby afhrm that I have a cert1hcate of consent to self-msure issued by the Director of lndustnal 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 performance of the work for which this permit ts ISSued, I shall not employ any person m any manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE 8. OWNM.-BUllDEk um:ARAIIDN Owner-Bu1lder Deciarallon: I hereby aftlnn that I am exempt from the Contracto?s Llcense Law for the foilowmg reason: D 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.). D 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 Llcense Law). a 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 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, 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 applicanc for a pennit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]). SIGNATURE DATI! COMPI.E IE I ms SECilON FOR NON-RESIDEN I IAL BUILDING PERMITS ONLY: Is the applicanc 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? □ YES □ NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □YES □NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ YES □ NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATI! OF OCDIPANCY MAY Ncrr Bl! ISSUED AFll!R JULY I, 1989 llNLESS THE APPUCANT HAS M1IT OR IS MEETING THE REQUIREMENTii OF TIIE OFFICE OF EMERGENCY SERVICES AND THE AIR POLUJTION ffiNTROL DISl'RICT. 9. WNSIROCIION LENDING AGF.NCY I hereby afhrm that there 1s a construction lendmg agency for the performance of the work for which this permit 1s issued (Sec 3097llJ CivlJ Uide). LENDER'S NAME LENDER'S ADDRESS lo. APPilCAN I tlkliFICAIIDN I cernfy that I have read the apphcatmn and state that the above mformatlon ts correct. I agree to comply with ail City ordmances 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 AL'iO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE Cl'lY OF CARlS8AD AGAINST AIL IJABIUl1ES, JUDGMEN"r.;, CDSI'S AND EXPENSES WIIlCH MAY IN ANY WAY ACDUJE AGAINST SAID Cl'lY IN ffiNSF.QIJENCE OF THE GRANTING OF Til1S 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 365 days from the date of such permit or if the building or work authorized by such ~ ·tis suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code). DATE: 6-/9-92-.. YELLOW: Applicant PINK: Fmance PERMIT# CB920590 CITY OF CARLSBAD INSPECTION REQUEST FOR 06/22/92 DESCRIPTION: ALREAY INSTALLED TYPE: SPA JOB ADDRESS: 2061 LEE APPLICANT: RASMUSSEN, C. CONTRACTOR: CT MERVYN PHONE: PHONE: 619 INSPECTOR AREA PY PLANCK# CB920590 OCC GRP CONSTR. TYPE NEW STR: FL: STE: 434-9970 OWNER: REMARKS: MH SPECIAL INSTRUCT: PHONE: INSPECTOR --t~·---7-------- TOTAL TIME: --RELATED PERMITS-- CD LVL DESCRIPTION PERMIT# TYPE CB920571 PLUM STATUS ISSUED ACT COMMENTS _s_9 __ sw ___ F_i_n_a_1_P_o_o_1 __________ ~--------------- ------------------ ------------------ ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS AP~VllO lily_ ·---- JUN 1 8 1992 City or CAltlG/;;;\I) BUllDINOI fli'H~T . ~6& ( lf>e c: CM:fJfiAI) 'f 34-CJq?() r ., rp7-5/()