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Home My WebLink About2076 AVENUE OF THE TREES; ; CB901069; PermitBUILDING PERMIT 06/26/90 15:29 Page 1 of 1 l Job Address: 2076 AVENUE OF THE TREES Str: Permit Type: RESIDENTAL ADDITION/ALTERATION Parcel No: 156-290-23-00 Valuation: 7,400 Construction Type: NEW Occupancy Group: Class Code: Description: 110 SF LOFT ALREADY BUILT : PER MATA Status: ISSUED Applied : 06/26/90 Apr/Issue : 06/26/90 Validated By: *** Fees Required *** *** Fees Collected & Credits *** .oo .oo 179.00 Ext fee Data ---------------- 99.00 64.00 1.00 164.00 5.00 Y 10.00 REMODEL 15.00 CITY OF CARLSBAD 2075 Las Pahas Dr., Carlsbad CA 92009 (619) 4381161 PERMIT APPLICATION City of Carlsbad Building Department 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 1. PERMIT TYPE A - OCoMMERClAL UNEW ~JTENANT IMPROVEMENT EST. VAL PLAN CK DEPOSIT VALID. BY B - 0 INDUSTRIAL ONEU OTENANT IMPROVEMENT c - ~ESIDENTIAL DAPARTMENT UCONDO SINGLE FAMILY DWELLING ~ADDITION/ALTERATION ODUPLEX ODEMOLlTlON URELOCATION OMOBILE HWE OELECTRICAL OPLWBING UMECHANICAL OPOOL ~SPA ORETAINING WALL USOLAR OTHER c) A FOR OFFICE USF ON1 Y 2. PROJECT INFORMATION PLAN CHECK No. 70 c 10 (. 'Building or Suite Nd Address Unit No. Phase No. la- /x -A& ~e~es~rosht~e~ fi LEGAL DESCRIPTIOY Lot NO. CHECK BELW IF SUBlllTTED: subdivision Name/Nunber' n2 Energy Calcs 02 Structural Calcs 02 Soils Report 0 1 Addressed Envelope ASSESSOR'S PARCEL EXISTING USE PROPOSED USE WRK I 3. CONTACT PERSON ADDRESS %% GTk ZIP CODE 7 mr DAY TELEPHONE - - 1 43 9 60755 UAGENT FOR OUNER 9 SIGNATURE 4. APPLICA T OAGENT FOR CONTRACTOR ~NER 'pIA@a co.F'"T ADDRESS 223 o +chiAiE CAP CmE 9 3-6) a 9 DAY TELEPHONE L/ 3 / c/ 5- 5. PROPERTY OWNER ' 0LESSEE OTENANT DAY TELEPHONE 7pI bA"vs""(;;L NAME CITY STATE ZIP CaJE J- &/s ADDRESS DAY TELEPHONE STATE LIC. # LICENSE CLASS CITY BUSINESS LIC. # SIGNATURE T I TLE DATE DESIGNER NAME ADDRESS ciiy e A- b, IJ QTATE ZIP CODE DAY TELEPHONE STATE LIC. # 7. WORKERS' COMPENSATION Uorkers' Ccmvensation Declaration: I hereby affirm that I have a certificate of consent to self-insure issued bv the Director of Industrial Relations. or a certifi'cate of Workers' Canpensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified by the Director of th; insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C). INSURANCE COnPANY POLICV no. EXPIRATION VATE Certificate of Exemption: so as to become subject to the Uorkers' Conpensation Laus of California. I certify that in the performance of the uork for which this permit is issued, I shall not errploy any person in any manner SIGNATURE DATE 8. OWNER-BUILDER DECLARATION Owner-Builder Declaration: I hereby affirm that I am exempt from the Contractor's License Lay for the following reason: 0 I as ouner of the property or my employees with uages as their sole canpensation, uill do the uork and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Lau does not apply to an owner of property uho builds or improves thereon,, and uho does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, houever, the building or improvement is sold within one year of completion, the owner-builder uill have the burden of proving that he did not build or improve for the purpose of sale.). 0 1, as ouner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044. Business and Professions Code: The Contractor's License Lau 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). 0 I am exempt under Section (Sec. 7031.5 Business and Professions Code: Any City or County uhich requires a permit to construct, alter, improve. demlish, 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, comnencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefran. and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not mare than five hundred dollars [55001). Business and Professions Code for this reason: SIGNATURE DATE CWPLETE 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 and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Is the facility to be constructed uithin 1,000 feet of the outer boudary of a school site? YES 0 NO OYES 0 NO UYES 0 NO IF ANY OF THE ANSIERS ARE YES, A FINAL CERTIFICATE OF OCWANCY MY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HIS ET OR IS EETIYG THE REWIREEYTS OF THE OFFICE OF EllERCENCY SERVICES AND THE AIR POLLUTION aYTRoL DISTRICT. 9. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the uork for which this permit is issued (Sec 3097(i) Civil Code). LENDER'S NAME LENDER'S ADDRESS 10. APPLICANT'S SIGNATURE I certify that I have read the application and state that the above information is correct. I agree to comply with all City ordinances and State laws relating to building construction. I ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF URLSBAD AGAINST ALL LIABILITIES, JWQIENTS, COSTS AND EXPENSES UHICH MY IN ANY UAY ACCRUE AGllINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. 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 uork authorized by such permit is not cmnced uithin 180 days from the date of such permlt or if the building or work authorized by such permit is suspended or abandoned at any time after the work is cmenced for a period of 180 days (Section 303(d) Uniform Building Code). I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. 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