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Home My WebLink About2325 CAMINO VIDA ROBLE; ; CB930915; Permit3 oo it o BUILDING PERMIT 09/03/93 16:35 CAMINO VIDA ROBLE Permit Type: MISCELLANEOUS Parcel No: 213-050-27-00 Valuation: ' ° Construction Type: NEW Reference*: PART WALLS PER PETERSON Suite: Lot#: ADOl/Ownr i RUDOLPH AND SLETTONAppl/ownr ^ EXECUTIVE PARK #155 IRVINE, CA 92714 *** Fees Required Fees : Adjustments: Total Fees: Fee description Permit No: CB930915 Project No: A9301308 Development No: 3770 09/03/93 0001 01 02 C-PRMT 30-00 Status: ISSUED Applied: 03/03/93 Apr/issue: 09/03/93 Entered By: DC 252-1919 Miscellaneous Fee * MISCELLANEOUS TO cted & Credits * A * .00 .00 30 . 00 Ext fee Data 30.00 DEMO 30 . 00 Jr. INAL INSP/W CLEARANCE INAL APPROVAL CTTY OF CARLSBAD 2075 Us Ptos Dr., C^W»d, CA 92009 (619) 438-1161 PERMIT APPLICATION City of Carlsbad Building Department 207S Las Palmas Dr., Carlsbad, CA 92009 (619) 458-1161 1. PERMIT TYPE A - Q Commercial DNew Building U Tenant Improvement B - D Industrial D New Building D Tenant Improvement C - D Residential D Apartment DCondo D Single Family Dwelling D Addition/Alteration D Duplex D Demolition D Relocation D Mobile Home D Electrical D Plumbing D Mechanical D Pool D Spa D Retaining Wall D Solar D Other 2. PROJECT INFORMATION PLAN CHECK NO. EST.VAL PLAN CX DEPOSIT. VALID. BY DATE -Vc-V-^ FOR OFFICE USE ONLY Address X2325 Canono Vida Roble r,Nearest Cross Street El Building or Suite No. ™HO LEGAL DESCRIPTION Pfl.rr-flL.A of.1ECK BELOW IF SUI Subdivision Name/Number Phase No. ma #10061 on.... . ..CHECK BELOW IF SUBMTT: D 2 Energy Calcs D 2 Structural Calcs D 2 Soils Report D 1 Addressed Envelope with City of Carlsbad. Lot 2 Mao 9389 County of San Dieqo ASSESSOR'S PARCEL DESCRIPTION OF WORK / J/rk*/ c* SQ.FT. 3. (JUNIAL.1 FJiKI NAME CITY 4. APPLICANT , „ EXISTING # OF STORIES *JN (.11 ditlerent from applicant) ADDRESS STATE ZIP CODE iilLJUIMlKALJlUK USE . PRO /^S-T-fOAlT ' S^^ DAY TELEPHONE POSFD-USEc_o T~ s V <*b U AGENT HJK CUNIKACIUK U OWNER U AGENT J-'OK OWNER /rfAME Rudolph & Sletten, Inc. / CITY Irvine STATE CA / 5. PROf ADDRESS 20 Executive Park, Suite 155 ZIP CODE 92714 DAY TELEPHONE (714) 252-1919 5. PROPERTY OWNER NAME Wells Fargo Bank CITY San Diego STATE CA ADDRESS 1Q1 w> Broacjway, Suite 301 ZIP CODE 92101 DAY TELEPHONE 6. CONTRACTOR NAME ADDRESS STATE ZIP CODE DAY TELEPHONE STATE L1C. # 19806° LICENSE CLASS " ° ° CITY 1 ./n_T _i. .j_ n L. ADDRESS -"* •• ** •»• •• ••• HONE CITY BUSINESS L1C. # to A/inDESIGNER NAME CITY McGraw/Baldwin Arch. San Dieqo STATE CA ZIP CODE 701 B St., Suite 440 92101 DAYTELEPHONE 231-0751 STATE LlC. # C8636 7. WORKERS'COMPENSATION Workers Compensation Declaration: I hereby affirm that I have a certilicate 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 American Home Assurancj^UCYNO WC5816694 EXPIRATION DATE 6/30/94 Certificate ot Exemption: Tcertify that in the performance ol the work for which this permit is issued, T shall not employ any person in any manner so as to becomp-spDJectyfQ/the Wjrfkers' Compensation Laws of California. SIGNATURE DATE 8. OWNER-BU Owner-Builder Declaration: I hereby affirm that I am exempt from the Contractors License Law tor 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^) 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 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 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? D YES D 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 NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT 9. UONSTRUCTIUN LENDING AGENCY I hereby atlirm that there is a constructToh lending agency lor the performance ot the work for which this permit is issued (Sec 3097(i) Civil Code). LENDER'S NAME LENDER'S ADDRESS 10. APPLICANT CERTIFICATION I certify that I have read the application ana 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 AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SATO 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). DATE: A* WHITE: File YELLOW: Applicant PINK: Finance