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Home My WebLink About2335 CAMINO VIDA ROBLE; ; CB940994; PermitBUILDING PERMIT 08/08/94 08:35 CAMINO VIDA HOBLE Permit Type: MISCELLANEOUS Parcel No: 213-050-27-00 Valuation: ° Construction Type: NEW Reference*: WALLS/GRID PER PETERSON Suite: Anol/Ownr : WESTLING, GARYAppl/ownr ^^ vQw KARMAN #126 NEWPORT BEACH, CA 92660 714 955-3090 Permit No: CB940994 Project No: A9401395 Development No: 8108 OfcWW 0001 01 02 C-PKMT 30-00 Status: ISSUED Applied: 08/08/94 Apr/issue: 08/08/94 Entered By: DC :** Fees Required *** Fees : Adjustments: Total Fees: Fee description 30.00 .00 30 , 00 Miscellaneous Fee #1 * MISCELLANEOUS TOTAt, ***Fees Collected & Total Credits: "Total Payments: *** > ' **' 30 .-00 .00 fi .00 30 . 00 Ext fee Data 30.00 DEMO 30.00 ' '.P. NAL APPROVAL DATE JllU CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION City of Carlsbad Building Department 2075 Las Palnas Dr., Carlsbad, CA 92009 (619) 438-1161 1. PERMIT TYPE From List 1 (see back) give code of Permit-Type: For Residential Projects Only: From list 2 (see back) give Code of Structure-Type: Net Loss/Gain of Dwelling Units 2. PROJECT INFORMATION PLAN CHECK NO. EST.VAL PLANCK DEPOSIT. VALID. BY ~ DATE FOR OFFICE USE ONLY .,- * oNearest Cross Street Building or Suite No O A- R. O V> LEGAL DESCRIPTION Lot No.Subdivision Name/Number Unit No.Phase No. CHECK BELOW IF SUBMITTED: D 2 Energy Calcs O 2 Structural Calcs D 2 Soils Report D 1 Addressed Envelope ASSESSOR'S PARCEL.EXISTING USE PROPOSED USE_ DESCRIPTION OF WORK SQ. FT. /~r^^ 1— / T"l 0 # OF BEDROOMS # OF BATHROOMS 3. CONTACT PkKSUN (.it uitlerenF From applicant^ NAME (last name first)ADDRESS CITY c — *? 3 f>- .£ 7 3- 7 4. APPLICAN NAME CI CONTRACTOR LJOWNER UAGLNI t-QtTOWNER ZIP CODE DAY TELEPHONE -~S 3 <£ 5. PROPERTY OWNER , NAME (last name first) W a CITYJ/j-yl/ Dt*5-6 OrRAcn (t J. STATE c.^ZIP CODE 10 I DAY TELEPHONE 6, CONTRACTOR NAME (last name first) CITY ADDRESS STATE STATE LIC. # ZIP CODE LICENSE CLASS DAY TELEPHONE CITY BUSINESS LIC. # DESIGNER NAMh (last name tirst) CI O -*u 7 DAY TELEPHONE STATE LIC. # /rvVORKERS' COMPENSATION Workers Compensation Declaration: I hereby affirm thatl 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 Certificate of Exemption: I certify that in the performance of the work tor 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 SroWNER-BUILDER DECLARATION Owner-Builder Declaration: I hereby alarm mat I am exempt trom tne 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.). jtii 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 tfjMpplicant to a cafif penalty of oot more than five hundred dollars [$500]). SIGNATURE DATE — COMPLETE THIS SECTI BUILDING PERMITS ONLY: Is the applicant or future building occupant requrfea 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 >Er*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 jStNO Is the facility to be constructed withinl.OOO feet of the outer boundary of a school site?D YES JsLtfo IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1,1989 UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. UJNSTKUUT1OH LfcHDING AGENCY ~ I hereby affirm that there is a construction lending agency for the performance ot the worK tor which this permit is issued (.Sec 30971,1.) Civil code). LENDER'S NAME LENDER'S ADDRESS 10. APPLICANT I certity that T nave 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 OTY OF CARLSBAD AGAINST ALL LIABIUTIES, JUDGMENTS, COSTS 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 S'O" 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 tinu^ftOT the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code). APPLICANTS SIGNATURE &-*i „ //// ^^/ / si *O T> , J DATE: Applicant PINK: Finance City of Carlsbad Building Department OWNER-BUILDER VERIFICATION Attention Property Owner: An 'owner-builder' building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. 2. 3. 4. 5. I personally plan to provide the major labor and materials for construction of the proposed property improvement (£gs>or no) ~f~k. y-u . A t^r-0 <A> not) proposed work. signed an application for a building permit for the I have contracted with the following person (firm) to provide the proposed construction: Name \) A-A V U~± L.iC,&*Jf&y Q 0 tA> T(*- &TL TO <t $ Address Phone City Contractors License No. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Drs AJ Address Phone City Contractors License No. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Date: -t? 2O75 Las Palmas Drive Carlsbad, California 92OO9-1576 (619) 438-1 161