HomeMy WebLinkAbout2300 FARADAY AVE; ; CB941282; PermitB U I L D I N G
10/12/94 12:59
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Job Address: 2300 FARADAY AV
Permit Type : MISCELLANEOUS
Parcel No:
Valuation: 0
Construction Type: NEW
P E R M I T
Suite:
Lot#:
Permit No: CB94128 2
Project No: A9401848
Development No:
9076 10/12/94 0001 01 02
C-PRHT 30-00
Occupancy Group: Reference#: Status : ISSUED
Applied: 10/12/94
Apr/Issue: 10/12/94
Entered By: DC
Description: FRAMING PERMIT NO SHEETROCK
: 2308 FARADAY ALSO
Appl/Ownr : ROEL CONSTRUCTION
3366 KURTZ STREET
SAN DIEGO, CA 92121
*** Fees Required
Fees :
Adjustments:
Total Fees:
Fee description
Miscellaneous Fee #1 * MISCELLANEOUS TOTAL
619 217-4956
Total Creaits:
Total Payments:
Balance Due:
-=e.:;;;;.:~U~nJ1-·ts~Fee/Unit
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
.00
.00
30.00
***
Ext fee Data
30.00 FRAMING
30.00
PERMIT APPLICATION PI.AN CHECK NO.
City of Carlsbad Building Departlll!f'lt
2075 Las Palms Dr., carlsbad, CA 92009 (619) 438-1161 ESf.VAL ____________ _
1. PERMtt IYPE PLAN CK DEPOSIT _______ _
VAUD.BY __________ _
From List 1 (see back) give code of Permit-Type:-------------
DATE. _____________ _
For Residential Projects Only: From List 2 (see back) give
Code of Structure-Type: ----------------------
Net Loss/Gain of Dwelling Units------------------
2. PROJF.Cf INFORMATION FOR OFFICE USE ONLY
CHECK BEWW IF SOBMII lEb:
D 2 Energy Cales D 2 Soils Report D 1 Addressed Envelope
I
NAME (last name first) ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE
4. Al'PUCANI UCUNlHAC"IUll LI AGEN I FOR CON I RACIUR
ADDRESS
DOWNER DAGEN I FOR OWNER
NAME (last name first)
CITY STATE ZIP CODE DAY TELEPHONE s. PROPER'lY OWNER
NAME (last name first) ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE
6. OON'i'RACIOk ,Pt:>£?. t%JA/5/. ADDRESS(S36b-~t'/'~/'$ NAME (last name first)
STATE£!.A-ZIP CODE 7-z... JI rl DAY TELEPHONE ;z._ &['"7-* ~(e
STATE LIC. # LICENSE CIASS /3 CITY BUSINESS LIC. #
ast name 1rst
CITY STATE ZIP CODE DAY TELEPHONE STATE LIC. #
1. WoRKERS' WMPENSA'noR
Workers· compensation uec1arat1on : I hereby afbrm that I have a ceruhcate of consent to self-insure 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
CerutJcate of Exemption: I certify that in the performance of the work tor which this permit 1s issued, I shall not employ any person many manner
so as to become subject to the Workers' Compensation Laws of California.
SIGNATURE DATE
A. oWNER-BOllDER OECI.ARA'noR
Owner-Builder Declaration: I hereby athrm that I am exempt from the Contractor's 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 Llcense 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).
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 Llcense 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
COMPLEt'E 1Hls SECllON FOR NaN-RESIDENTIAL BOIIDINC 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?
CJ YES O NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
CJ YES ONO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
CJ YES O NO
IF ANY OF nm ANSWERS ARE YF.S, AFINALCERTIFlCATE OF oa;upANCYMAYNCYf BE ISSUED AFI'ERJULY I, 1989 UNU'.SS nm APPUCANT
HAS MET OR IS MEIITING nm RF.QUIREMENTS OF nm OFFICE OF EMERGENCY SERVICES AND nm AIR POillfl10N ffiNTilOL DISilUCT.
9. wNS'IROCl10N LENDING AGENCY
I hereby afbrm that there 1s a construction lending agency tor the performance of the work tor which this permit 1s issued (Sec 3097(1) CIVIi code).
LENDER'S NAME LENDER'S ADDRESS
to. APPUCAN I tlR:nFICA:nON
I certify that I have read che application and state that the aoove information 1s correct. I agree to comply w1ffi 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 ro SAVE INDEMNIFY AND KEEP HARMLF.SS nm CTIY OF CARl.S8AD AGAINSf AU. UABI.L111E.5, JUDGMENTS, CDSTS
AND EXPENSE.S WHICH MAY IN ANY WAY ACXllUE AGAINST SAID CTIY IN CDNSEQUENCE OF THE GRANTING OF TIIlS 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 the Building Offic· 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 c enced within 365 days from the date of such permit or if the building or work authorized by
such permit is suspended or abandoned at anv.J:i'fllf'!7.iTll"ltf the r · menced for a period of 180 days (Section 303(d) Uniform Building Code).
APPLICANTS SIGNATURE DATE: ----
PINK: Finance