HomeMy WebLinkAbout2335 CAMINO VIDA ROBLE; ; CB901935; PermitBUILDING PE
12/13/90 10s34
Paae i of 1
Job Address: 2335 CAMINO VIDA ROBLE
Permit Type: DEMOLITION PERMIT
Parcel No:
Valuation: °
Construction Type: VN
Occupancy Group: B2 "S2*
Description: INTERIOR DEMO OF OFFICES
Appl/Ownr : E B & H CONST
2515 PIONEER STE T
VISTA, CA 92083
RMIT
Str:
Permit No: CB901935
Project No: A9002226
Development No:
Fl: Ste=
9847 12/13/90 0001 01 02C-PRMT 20-00
Status: ISSUED
Applied: 12/13/90
Apr/issue: 12/13/90
Validated By: KZH
619-727-8583
CONTRACTOR
VA
FA:
E B & H CONS
970 LOS
SAN MARCO
OWNER • WELLS
*** Fees Required
Fees:
Adjustments:
Total Fees:
Fee description
Other <
Total
498544
ER
619-744-1790
& Credits ***
.00
.00
20.00
Ext fee Data
20.00
20. 00
CLEARANCE
CITY OF CARLSBAD
2075 Las Palmas Dr.. Carisbad CA 92009 (619) 438-1161
PERMIT APPLICATION
City of Carlsbad Building Department
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-nei
1. PERMIT TYPE |
A - ^COMMERCIAL pNEW QTENANT IMPROVEMENT
B - D INDUSTRIAL D^EW QTENANT IMPROVEMENT
c - DKESIDENTIAL DAPARTMENT QCONDO QSINGLE FAMILY DWELLING [[(ADDITION/ALTERATION
D DUPLEX D DEMOLITION £] RELOCATION Q MOBILE HOME QELECTRICAL Q PLUMBING
QMECHANICAL HPOOL DSPA DRETAINING WALL QSOLAR DOTHER.XT
EST. VAL
PLAN CK DEPOSIT
VALID. BY
DATE
2. PROJECT INFORMATION PLAN CHECK No.FOR OFFICE USE ONLY
Nearest Cross Streets £
LEGAL DESCRIPTION Subdivision Name/Number Phase No.
CHECK BELOW IF SUBMITTED:
[~]2 Energy Calcs [J2 Structural Calcs Soi Is Report 1 Add r e s s ed E nyej ope
ASSESSOR'S PARCEL
DESCRIPTION OF UORk:
EXISTING USE PROPOSED USE
8LDG. SO. FTG.# Of STOBIES
3. CONTACT PERSON
NAME
£L5~/5""
ADDRESS
IP CODE ^ ?0 <f~ %DAY TELEPHONE
4. APPLICANTH-
CITY
Q AGENT FOR CONTRACTOR
ADDRESS
OnwwER
c/t-
DAGENT FDR OWNER
ZIP CODE DAY TELEPHONE
5. PROPERTY OWNER
NAME
CITY
ADDRESS
ZIP CODE DAY TELEPHONE 7 ~
6. CONTRACTORNAME
STATE UC. #_^
^l^S^^rfajz
ADDRESS ^
Tip CODE Y
LICENSE CLASS
DAY TELEPHONE
CITY BUSINESS LIE. tt
DA*IE
7. WORKERS' COMPENSATION
Workers' Condensation Declaration: I hereby affirm that I have 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 NO.EXPIRATION DATE
Certificate of Exemption: 1 certify that in the performance of the work for which this permit is issued, I shall 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 Contractor's License Lau for the following reason:
Q 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. 70'i4, 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.).
O 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).
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 [S500]).
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'
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
DYES Qwo
IF AMY OF THE ANSWERS ARE YES, A FIMAL CERTIFICATE OF OCCUPANCY KAY HOT BE ISSUED AFTER JULY 1, 1989 UMLESS THE APPLICANT HAS NET OR IS MEETING THE RETIREMENTS
OF THE OFFICE OF EMERGENCY SERVICES AMD THE AIR POLLUTION CONTROL DISTRICT.
9. 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 SIGNATURE
I certify that I have 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 ANY 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^s commenced for a period of 180 days (Section 303(d) Uniform Building Code).
•CONTRACTOR [3 BY PHOWE APPROVED BY:
DATE:
WHtf E: File YELLOW: Applicant PINK: Finance