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Home My WebLink About2286 JANIS WAY; ; CB962065; PermitCo.~ • I 0 ... ~ 1~.4 It·t,l t ~ Er<"] rt~ I ( v, < r r r.+ • l l, E-' 1 ;t• f ,T lb Ad lL >< ~.'tl6 JAt r!:) WY P r:n1t 'VE P:.UM81Nt E' .1 .t c E l t-. > : l b 1 > 4 l -4 ~ -O ') :. ,t #: Vdluat1~n: u lY·n,pdr.cy G.rout :"\eferenc:e#: ..>r•rcr LP .. Lon: ~NS':'ALL uA_A LT'\JE TN BA<"KYAR~, A(>J: l /C wn r-ARMOlJI,, Ci. i;:op .-. ... 8t. ...:ANI~ WAY c AR.:.SBAD, CA. ',t.'1Ji-< f-'f>(><" : Ad u~ t m"'n t • T +-11 r~ ,_ : C.rir:.'i+-rt:c+-1 t. 'yr r: ..,t-dtU : Appl1.e l: Ar:.r. / ~ C t ll (' : Ent e1 ud i:,v: clq l, '1-0670 , !1 t .. T . .., . [, / MDt' . ( ( • J ( ., , (, 0 ' E[' I Jt Ext fpp > t-ct Er .. t et Y' for ):urr.b r,c.1.:; ~ ii:>tnq ~yst t->m " P:..LMBL-.li 10TAL - e N~- -- CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 J • I> 'l y ? . !l ) 27. )(' PERMIT APPLICATION City of carlsmd Buildirv D-rtar'lt PLAN CHECK NO.°[ Ce, "Z,.(:£ ~ 2075 Las Pal-Dr., carlsmd, CA 92009 (619) 4311-1161 I. Pt:KM.I I liPt! PIAN CK DEPOSIT _______ _ I F.ST. VM. VAIJD. BY __________ _ DATE From Lise 1 (see back) give code of Permit-Type: ___________ _ --------------------------------------------------------- For Residential Projects Only: From Ust 2 (see back) give Code of Structure-Type: ___________________ _ Net l.Dss/Gain of Dwelling Units 2. PRUJECT INFORMATION FOR OFFICE USE ONLY ~ xaa,... .2286 "J""/tAIIS WAY BuUdmg or Suite No. Nearest Cross Street D n£'if1l D~!'?fol!.' UCAL D&kiP'iioNFo.u4vis1on Name/Number Omc No. Phase No. CHECK 8£WW IF SO BMI I I ED: □ 2 Energy Cales □ 2 Structural Cales C 2 Soils Report □ 1 Addressed Envelope ASSESSOR'S PARCEi. EXISTING USE PROP9SEP USE DESCRIPTION OF WORK G4 .s l//JI.:, ~ fJ/4R.{Jl:;"Cu€ ( /tllVt1A}(J Nc"W f'-'I 7i r) ~ t.,A-g) SQ. IT. # OF STORIES # OF BEDROOMS 3. WN IACI PFJ&JN (I[ dlHerenl from appbcanO # OF BATilROOMS NAME (last name first) ADDRESS CITY STATE ZIP CODE DAY TELEPHONE 4. IU"t'LlU\NI UWNIRACIUR UAGENI FORWNiRACIOR iii6'wNER UAGENI FOR OWNER NAME(lastnamefirst),4/21110£/R) 6-evFr= ADDRESS 2?.B6 "Jl't-N/.f w,tY CITY CA-/1..L~/JA-D STATE CA--ZIP CODE 'f/._;;J. oofiJ DAY TELEPHONE 7.;i.9-0 6 7Q s. =~1~!t~:.,:2:}rstl ,4/l.Mouii,... 6-ecJF1=ADDRESs z-z,B6 J7tN1S w.+y cITY u'f/1..lSlµf{) STATE Ck z1PcoDE 1124012 DAYTELEPHONE 7:29-oe,70 6. WN IRXCIOK r NAME (last name first) ADDRESS CITY STATE STATE UC.# DESIGNER NAME (last name hrst) CITY STATE 7. WOkkERS' WMPENSAI ION ZIP CODE LICENSE CLASS ZIP CODE DAY TELEPHONE CITY BUSINESS UC. # ADDRESS DAY TELEPHONE STATE UC.# Workers; Compensation Dedarauon: I hereby affirm that I have a cert1hcate of consent to seif-msure issued by the Director ol lndustnal Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof cenified by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C). INSURANCE COMPANY POLICY NO. EXPIRATION DATE I Ceruhcate of Exemption: I cernfy that m the perfonnance of the work for which this permit JS issued, I shall not employ any person many manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE 8. OWNl!ll-B0illliJt DfiDJtAliuN Owner-BulJder Declaration: I hereby affmn fiat I am exempt from the Confracfofs License Law tor fie tollowmg reason: mf' I, as owner of the propeny 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 Llcense Law does not apply to an owner of propeny 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 propeny, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's Llcense Law does not apply to an owner of propeny who builds or improves thereon, and contracts for such projeccs with concractor(s) licensed pursuant to the Contractor's Llcense Law). □ 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 ics 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 Llcense Law (Chapter 9, commencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is e pt therefrom, a e basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the pp · ant to a ivil nal of not more than five hundred dollars [$5001). SIGNA11JRE DATE 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? □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 nm ANSWERS ARE YES, A FINM. CERTIFICATE OF OOCUPANC:V MAY Har BE~ AFIER JULY 1, 1989 UNLESS nm APPUCANT HAS MET OR IS MEimNG nm REQIJlREMENTS OF nm OFFICE OF EMERGENCY SERVICES AND nm AIR POLLUTION COlfffiOL DISTRICT. 9. WNSJRUCl'ION LENDING AGENCY I hereby aihrm that fiere as a construcuon lending agency tor the performance of the work tor which this permit IS IS.Sued (Sec 3097(1) C1vU Code). LENDER'S NAME LENDER'S ADDRESS JO. XPPUCANI CEtlfiliCAIION I cerufy that I have read fie appUcauon and state that rhe aOOve mfonnauon IS correct. I agree to comply wuh all City ordinances and Stace 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 AISO AGREE 10 SAVE INDEMNIFY AND KEEP HARMLl!SS DIE Cl"IY OF CARISBAD AGAINST AIL L1AB1U11ES, JUDGMENTS, CDSTS AND EXPENSES WIIlCH MAY IN ANY WAY ACDUIE AGAINST SAID Cl"IY IN CONSEQUENCE OP nm GRANTING OF nns PERMIT. 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 such permit is suspended or aband APPIJCANYS SIGNATURE the provisions of this Code shall expire by limitation and become null and void if the within 365 days from the date of such permit or if the building or work authorized by work is commenced for a period of 180 days (Section 303(d) Uniform Building Cooe). DATE: INK: Finance 0 PERMIT# CB962065 DESCR~TION: INSTALL GASA LINE TYPE: PLUM CITY OF CARLSBAD INSPECTION REQUEST FOR 11/18/96 IN BACKYARD STE: INSPECTOR AREA PY PLANCK# CB962065 OCC GRP CONSTR. TYPE VN LOT: JOB ADDRESS: 2286 APPLICANT: ARMOUR, CONTRACTOR: JANIS WY GEOFF PHONE: 619 729-0670 PHONE: OWNER: PHONE: REMARKS: MW/CHRISTINE SPECIAL INSTRUCT: FROM HOUSE TO OUTDOORS\ TOTAL TIME: CD 23 LVL DESCRIPTION ACT COMMENTS HI~ PL Gas/Test/Repairs n / ___ f!!= __ _ ------------------ -------------------- ***** INSPECTION HISTORY***** DATE DESCRIPTION 111496 Gas/Test/Repairs ACT INSP CO PY COMMENTS