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Home My WebLink About2100 COSTA DEL MAR RD; ; CB910095; PermitB U I L D I N G 01/17/91 14 50 Page 1 of 1 Job Address- 2100 COSTA DEL MAR RD Permit Type. HOTEL/MOTEL-RENOVATION Parcel No Valuation 60,000 Construction Type NEW Occupancy Group Rl Class Code. Description. REPAIR FIRE DAMAGE BLDG A : 4 BATHROOMS Appl/Owni LA COSTA RESORT AND SPA CARLSBAD, CA 92009 PERMIT Str. Permit No CB910095 Pro3ect No A9100135 Development No Fl Ste 037? 01/17/91 ocoi 01 0. Status: ISSUED Applied 01/17/91 Apr/Issue 01/17/91 Validated By. CD CONTRACTOR VEEN CONSTRUCTION 640 ALPINE WY ESCONDIDO, CA 92029 *A* Fees Required *** *** Lie. C 440716 745 3051 Fees Collected & Credits * * •* Fees- 768.00 Adjustments- -°° Total Fees 768.00 Fee description Building Permit Plan Check Strong Motion Fee A BUILDING TOTAL Total Credits: Total Payments. Balance Due. Units Fee/Unit 763 Ext f 460 299 9 768 00 . 00 00 ee Data 00 00 00 00 FWAL APPROVAL INSP. CITY OF CARLSBAD 2075 Las Palmas Dr, Carlsbad CA 92009 (619) 438-1161 PERMIT APPLICATION City of Carlsbad Building Department 2075 Las Palmas Dr , Carlsbad, CA 92009 (619) 438-1161 PERMIT TYPE A n COMMERCIAL QNEW QTENANT IMPROVEMENT B n INDUSTRIAL D«EW QTENANT IMPROVEMENT C nRESIDENTIAL n*PAR™ENT QCONOO QSINGLE FAMILY DWELLING fZIADDITION/ALTERATION DDUPLEX QDEMOLITION DISLOCATION QMOBILE HOME QELECTRICAL QPLUMBING QMECHANICAL np°oi- DSPA DRETAINING WALL QSOLAR^ DOTHE? 2. PROJECT INFORMATION P,LAN CHECK No Address £ | O«J C OSTfl feoflb ? EST VAL (j,o£ PLAN CK DEPOSIT ) , £>Oo! VALID BY DATE FOR OFFICE USE ONI Y LEGAL DESCRIPTION Lot No Subdivision Name/Number Unit No CHECK BELOW IF SUBMITTED d? Energy Calcs Q2 Structural Calcs O? Soils Report d1 Addressed Envelope ASSESSOR'S PARCEL EXISTING USE DESCRIPTION OF UORK ,/ Phase No PROPOSED USE y« 4 BLDO SO FTG # OF STORIES 3. CONTACT PERSON NAHE ADDRESS STATE C» ZIP CODE ^^P^1^DAY TELEPHONE "7 *^ 5 ' 3O 5 > APPLICANT OCONTRACTOR STATE FOR CONTRACTOR GOUNER ADDRESS ZIP CODE D AGENT FOR OWNER DAY TELEPHONE 5 PROPERTY OWNER NAME L ft Sft>QTENANT ADDRESS ZIP CODE DAY TELEPHONE 6 CONTRACTORNAMEijef>J ADDRESS 640 ZIP CODE DAY TELEPHONE / T 3" CITY BUSINESS LIC # D K) \~l*-*?- Workers' Compensation Declaration I hereby affirm that 1 hav_e a certificate of consent to self insure issued by the Director of Industrial 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 HO f EXPIRATION DATE Certificate of Exemption I certify that in the performance of the work for which this permit iff issued I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California SIGNATURE 8 OWNER-BUILDER DECLARATIONOwner Builder Declaration I hereby affirm that I am exempt from the Contractor's License Law for the following reason I 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 CSec 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 ) CD 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 protects with contractor(s) licensed pursuant to the Contractor's License Law) [~1 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 applicant for a permit subjects the applicant to a civil penalty of not more than five 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 and prevention program under Sections 25505 25533 or 25534 of the Presley Tanner Hazardous Substance Account Acf DYES QNO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district' DYES QNO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site7 DYES QNO IF ANY OF THE ANSWERS ARE YES. A FINAL CERTIFICATE OF OCCUPANCY KAY NOT BE ISSUED AFTER JULY 1 1989 UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTSOF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT I CONSTRUCTION LENDING AGENCY . I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(i) Civil Code) LENDER'S NAME LENDER'S ADDRESS 10 APPLICANT'S SIGNATURE1 certify that I hove 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 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 ANT WAY ACCRUE AGAINST 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 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 commenced for a period of 180 days (Section 303(d) Uniform Building Code) PLICANT'S SIGNAT PHONE APPROVED BY DATE WHITE File YELLOW Applicant PINK Finance