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Home My WebLink About2101 CAMINO VIDA ROBLE; ; CB911054; PermitBUILDING PERMI 07/18/91 13:11 Page 1 of 1 Job Address: 2101 CAMINO VIDA ROBLE Str: Permit Type: SIGN Parcel No: Valuation: 2,000 Construction Type: NEW Occupancy Group: Class Code: Description: CREEKSIDE BUSINESS PARK Permit No: CB911054 Project No: A9101296 Development No: Fl: Ste: 3541 07/16/91 0001 01 02 C-fWff 74-00 Appl/Ownr : BRIGGS, BOB 16672 MILLIKEN AVENUE IRVINE, CA 92714 *** Fees Required ****;:?{& Fees : Adjustments: Total Fees: Fee description 714 Status: ISSUED Applied: 07/18/91 Apr/Issue: 07/18/91 Validated By: DC 863-9551 ected & Credits . 00 .00 74. 00 Ext fee Data Building Permit Plan Check * BUILDING TOTAL 45.00 29. 00 74.00 APPROVAL wfc^i^WlWIwiwB CITY OF CARLSBAD 2075 Las Palmas Dr., Carisbad CA 92009 (619) 438-1161 PERMIT APPLICATION City of Carl«bad Building Department 2075 Las Palms Dr., Carlsbad, CA 92009 (619) 438-1161 1. PERMIT TYrE A - H Commercial a New Building U Tenant Improvement B - D Industrial D New Building G Tenant Improvement C - D Residential D Apartment DCondo D Single Family Dwelling D Addition/Alteration O Duplex D Demolition D Relocation D Mobile Home D Electrical D Plumbing D Mechanical DPool D Spa D Retaining Wall D Solar ' 2. PROJECT INFORMATION PLAN CHECK NO. EST.VAL PLAN CK DEPOSlf. VALID. BY DATE FOR OFFICE USE ONLY Nearest Cross Street LEGAL DESCRIKIIUN AUDdiviston Name/NumDer umtjMo. Phase No. -2/3 -<CHECK BELOW IF SUBMITTED: D 2 Energy Calcs D 2 Structural Calcs D 2 Soils Report Q1 Addressed Envelope ASSESSOR'S PARCKT.EXISTING USE PROPOSED USE DESCRIPTION OF WORK SQ.FT.# OF STORIES m applicant; STATE £# ADDRESS ZIP CODE 1UR, U AdhN 1 J-UK UJN iKAt, 1UK " ADDRESS - ZIP DAY TELEPHONE CITY STATE LX? *nDraa! ZIP CODE DAYTELEPHONE 8C-3 NAME ADDRESS /^^ 7 *— STATE C-'^ ZIP CODE '27/^ DAY TELEPHONB^*?/^ STATE LIC. # /9JJ 77 LICENSE CLASS £ " ' CITY BUSINESS LIC. # NAME. CITY STATE ZIP CODE DAY TELEPHONE STATE LIC. # 7. WUKKERS* DUMF£NSATHJN Workers' Compensation Declaration: I hereby amrm that I have a certificate ot 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 NO.EXPIRATION DATE Certiticateoi Exemption: I certify that in the performance ot the work tor which this permit is issued, I snail not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE 8, OWNER-BUILDER DECLARATION Owner-Builder Declaration: I hereby affirm that I am exempt from the Contractors License Law for the following 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 License Law). D 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 COMPU-.'ifc THlia isiJCUON I'OR HON-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? D YES D NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? O YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES D NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NX3T BE ISSUED AHXR JULY 1,1989 UNICSS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 9. d3HJ>ra\ttjnuH UJULHNU A^KJKJY ~".'... ~" ~~~ i hereby amrm mat there is a construction fending agency tor the performance ot the work for which this permit is issued (Sec 3O97(.i) Uvil Code). LENDER'S NAME LENDER'S ADDRESS 10. APPLICANT CERTIFICATION i certify that I have read the application and state that the above mtormaiton is correct. I agree to comply with an Uty ordmancesand 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 CTTY OF CARLSBAD AGAINST AIL LIABUJTIES, JUDGMENTS, COSTS 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 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 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). APPLICANTS SIGNATU,DATE: 7- WHITE: File YELLOW: Applicant PINK: Finance