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HomeMy WebLinkAbout2335 PIO PICO DR; MULTI-PERMIT FILE; CB011253; PermitCjI ~. City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 0-03-'001 Plumbing Permit Permit No:CB01 1253 Building lnspeëtion Request Line(760) 602-2725 Job Address: 2335 PlO PICO DR CBAD Permit Type: PLUM - Status: ISSUED Parcel No: 1563500800 Lot #: 0 Applied: 04/03/2001 Construction Type: NEW Entered By: RMA Reference #: Plan Approved: 04/03/2001 Issued: 04/03/2001 Project Title: HAMILTON RES-SEWER LATERAL. Inspect Area: NEWLY DIVIDED LOT - Applicant: Owner JOHN HAMILTON - /_• 566504/03/01 0002 01 02 CGP 449400 Total Fees: $4,494.00 Total, _\ -'.--. - - alance Due': $4,494.00 Payments'Td Date , . \. B\,,J fLT) Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain Install/Repair Water Line Water Heater and/or Vent Gas Piping System Vacuum Breaker Other Plumbing Fees Master Drainage Fee Sewer Fee Additional Fees TOTAL PERMIT FEES 0 1 INCORPORATED 1952 ('? /?T2\S) $20.00 $000 L$.15.00 0. 60 $o:oo $0.00 $0.00 $0.00 $0.00 - $0.00 $4,459.00 (_ $0.00 ,494.00 FINAL APPROVAL Inspector: Date: Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition' of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions.' You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIEE5 that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capactiy, changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO. EST. VAL. Plan Ck. Deposit - Validated qRM Addres (include Bldg/Suite #) ' Business Name (at this address) 2 's a P1 r:yZ.i 'J Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use' ' Proposed Use Lo -7--- Description of Work ' SQ. FT. #of Stories # of Bedrooms # of Bathrooms SJ ç€ZAc'L O& -'4 1 LT jiffWS—OW 0006t L'Jr'L" Name Address ' City State/Zip Telephone # Fax # 9E9N9=PPfflEI 11 Name , ' Address City , State/Zip Telephone # - Name Address City State/Zip Telephone # (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, commending with Section 7000 of Division 3 of the Business and Professions Codel 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 l$5001). Name ' Address ' City ' State/Zip Telephone # State License # License Class City Business License # Designer Name ' Address City. State/Zip Telephone State License # Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: I have, and will maintain a certificate of consent to self-insure for workers' compensation as provided, by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 0 I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for' which this permit is issued. My worker's compensation insurance carrier and policy number are: Insurance Company ' Policy No. Expiration Date__________________ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESS) CERTIFICATE OF EXEMPTION: I 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, , WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dàllars ($100,000), in addition to the cost of compensation, damages as provided for.in Section 3706 of the Labor code, interest and attorney's fees, SIGNATURE ' DATE - ---- - -------- -u --.' I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 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 sotfittIii5one 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 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). 0 I am exempt under Section ' Business and Professions Code for this reason: - I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ONO ' ((have / have not) signed an application for a- building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number/ contractors license number): I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone number / contractors license number): I will provide some of the work, but 16a a o racted ire F) the following persons to provide the, work indicated (include name / address / phone number / type of work): , - PROPERTY OWNER SIGNATU DATE JI5üTMQT 1PJ. jLV1 V Is the applicant or future b ilding 0 cupant requi to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25 , 533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES 0 NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? , 0 YES 0 NO -Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES 0 NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. A. fl? 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__________________________________________________________ "N' ERTP1C2AT1r1PJ I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the Cit' 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. OSHA: An OSHA.parmit's required for excav •ons over 0" deep,and demolition or Construction of structures over 3 stories in height. EXPIRATION: Every perm it..4sued by th uil i Offici der the provisions of this Code shall expire by limitation and become null and void if the building or work - authorized by such permit is nbt.,comm wi hi 180 d ys m 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 corn enc f a ri d of ction 106.4.4 Uniform Building Code). - APPLICANT'S SIGNATURE '-" DATE f - WHITE: File YELLOW: Applicant PINK: Finance 1 •fl Inspection .List Permit#: CB011253 Type: PLUM HAMILTON RES-SEWER LATERAL NEWLY DIVIDED LOT Date Inspection Item Inspector Act Comments 04/27/2001 21 Underground/Under Floor AR AP 04/26/2001 24 Rough/Topout AR CA 04/23/2001 22 Sewer/Water Service AR CA ,,-~ 'P_~ I 13 Tuesday, September 11, 2001 Page 1 of 1 0 0 0 0 0 0 0 0 0 0 INCORPORATED 1952 City. of Carlsbad V 73O6 1635 Faraday Av Carlsbad, CA 92008 04/03/2001 Electrical Permit Permit No:CB011251 Building Inspection Request Line (760) 602-2725 Job Address Permit Type: Parcel No: Reference #: Project Title 2335 PlO PICO DR CBAD St: TP ELEC 1563500800 Lot# HAMILTON RES-TEMP POWER POLE Status: ISSUED 0 Applied: 04/03/2001 Entered By: RMA Plan Approved: 04/03/2001 Issued: 04/03/2001 Inspect Area: Applicant: Owner: JOHN HAMILTON 5663 04/03/01 0002 01 02 C6P 20-00 760 717-6627 0 (Xi i - Total Fees: $2000 Total / PymentsTd.Date: $o00 \ 'BáIanöe' Due $20.00 II \ Electric Issue FE Single Phase p€ Three Phase pe Three Phase 48 Remodel/Alterat Remodel Fee Temporary Sery Test Meter Fee Other Electrical Additional Fees TOTAL PERMIT FINAL APPROVAL Inspector: Date: 5//52"/ Clearance: NOTICE: Please take NOTICE that approval of your project includes the 'Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as fees/exactions. You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Casbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capactiy changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. 4. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA92008 T2LL '2,35 Po P1 CO Th,Zi\J FOR OFFICE USE ON &Y PLAN CHECK N6.__ EST. VAL.'. .. PlanCk. Deposit Validated By Date Address (include Bldg/Suite #) Business Name (at this address) Legal Description ,.' Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # - Existing Use'Proposed Use 11E'1W1IL.- Itk.W Description of Work ELVvZc.. it1cT (reif) #of Stories # of Bedrooms # of Batlrooms 3 RS 4i'Aff—ftealm 001 Name Address City State/Zip Telephone # Fax # I trtor' TO jtor diT *3 3bFi rJ H ToJ_,c,__'92bDp 3o)qa z4 Name Address City. . State/Zip ... /' ''Telephone # Rik 'L Name .. "t, Address Citi' - S.tate/Zip Telephone # 'C RAQTOR _WT NXALAMEg IL (Sec. 7031.5 Business and Professions Code: Any city or County which requires a permit to construct;' alter, im/,e, 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 pursuantto4he p'rbvisions of the Contractor's License Law (Chapter 9, commending 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 l$5001): Name i.JAqdress / City State/Zip Telêihe # .., State License # -" License-.Class h City Business License / Designer Name Address ' .J'\City 4taté/Zip Telephone If State License # \ t' .•... r' \ Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: ,- 0 I have, and will maintain a certificate of consent to self-insure for workers' compensation as provided by Sectioln37q of...theLabor Code, for the performance of the work for which this permit is issued. o I have and will maintain workers' compensation, as required bçSection 3700 ofthe Labor Code, for the performance of the work for which this permit is issued. My worker's compensation insurance carrier and policyritimber are: Insurance Company -- Policy No. (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS)'- 0 CERTIFICATE OF EXMPTION: I certify that in the performance of the work for which -this 'prriit is issued, l she ll not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall-subject an employer to criminal.penalties'and-clvil:.fines.up to-one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, Interest and attorney's fees. SIGNATURE _S ___- DATE ML L I he-rfirm that I am exempt from the Contractor's License Law for the following reason: I, as owner of the property or my employees with wages as th'ei, 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 Liceuse Law does not apply to an owner of property who builds or improves therreon, and who does such work himself or through his orn 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). C3 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).. 0 I am exempt under Section , Business and Professions Code for this reason: - ... . ..... I or ally plan to provide the major labor and materials for construction of the proposed property improvement. II' DNO (have have not) signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number/ contract'ors license number): I plan to provide portions of th work, but.I have hired tI) following person to coordinate, supervise and provide the major work (include name / address'/ phone number / contractors license number): I will provide some of the rk, but I ave contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type of work): * PROPERTY OWNER SIGNATURE DATE.1' 3. 0 PiAILj CT OAfl.55 Is the applicant or future building occup nt req ad to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25 or 25534 f the Presley-Tanner Hazardous Substance Account Act? 0 YES 0 NO Is the applicant or future building occupant requi'red to obtain a permit from the air pollution control district or air quality management district? 0 YES 0 NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES 0 NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. WC RT ig - 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__________________________________________________________ c LC 1flEjjN I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the Cit, 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. OSHA: An OSHA permit is required for e ovations over 5'0" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every per is\ued by theV a IdO da he provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not mme e date of such permit or if thebuilding or work authorized by such permit is suspended or abandoned at any time after the work is comrrtçnce fo (S tion 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE . DATE ' 3. o ) " WHITE: File YELLOW: Applicant PINK: Finance .1: City of Carlsbad Bldg Inspection, Request For: 05/14/2001 Permit# CB011251 Inspector Assignment: Title: HAMILTON RES-TEMP POWER POLE Description: Type: ELEC Sub Type: Ll Phone: 9493008545 Job Address: 2335 PlO PICO DR A ( Suite: TP Lot 0 Location: Inspector: ,J (f— APPLICANT JOHN HAMILTON Owner: Remarks: Total Time: Requested By: JOHN Entered By: CHRISTINE CD Description Act Comments 32 Const. Service/Agricultural b'1 Associated PCRs Inspection History Date Description Act Insp Comments TVtO1 B U I L D I N G PE R M I T Permit No: C8982114 07/06/98 13:21 Project No: A9802795 Page 1 of 1 Development No: Job Address: 2335 PlO PICO DR Suite: Permit Type: ELECTRICAL Parcel No: 156-350-08-00 Lot#: Valuation: 0 Construction Type: NEW Occupancy Group: Reference#: . Status: ISSUED Description: TEMP POWER POLE Applied: 07/06/98 Apr/Issue: 07/06/98 Entered By: JM Appl/Ownr : TALLMAN JEFF 760 720-9434 2946 STATE STREET CARLSBAD CA 92008 *** Fees Required &** Fe-..Collected & Credits Fees: 209( Adjustments: /00 C dit .00 Total Fees: 2'O.00 Total Pa.'mBs\ .00 / 9717 07/06/98 0Q030J0 02 -- ----------- -- - --- ---- -00 00 -- Enter :'" for Elect 10.00 y INCORPORATED 1952 lb O6 ©XMRW PERMIT0 IC EXPIRED fl ACCOR0A WtTh )ERMIT 14 MIL~~ INAL APPROVAL DATE 'NCE__________ CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 1 PROJECTINFQBJ FOR OFFICE USE ON Y PLANCHECKNO.________ EST. VAL. ::. Validated By 4 Pt Address Iinclp Bldg/S — u# - Business Name (at this address) Legal Description Lot No. SubdvisionL Name/tthmber Unit No. Phase N Total # of units 2907W _ Assessor's Parcel # Existing Use Proposed Use ii".. zc.- .-AO. Description of #of Stories # of Bedrooms # of Bathrooms 2CONTACT PERSON pp iantj Name Address City . State/Zip Telephone # . Fax # TPji?O ra orO ATi L - Name Address City State/Zip Telephone # --• op.' a4 JjAA £ 1. r7 "JL.,. 7 7c fW , Name V / - Adress City State/Zip TeIepSne # (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 Licehse Law (Chapter 9, commending 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 ($5001). Name Address City State/Zip Telephone State License # License Class City Business License # i ¶- Designer Name Address City State/Zip Telephone State License # ---------------- -'- ........... - . 6 ,._WORKERS COMPENSATION, Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 I have and will maintain a certificate of consent to self insure for workers compensation'as provided by Section 3700 of the Labor Code for the performance of the work for which this permit is issued. C] I have and will maintain workers' compensation, as required by Section 3700 of the Labor Codefo'r the performá'nce of the workfor which.this permit is issued. My worker's compensation insurance carrier and policy number are: Insurance Company Policy No. Expiration Date' ' (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) . CERTIFICATE OF EXEMPTION: I 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. WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,000), In addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code interest and attorney's fees. SIGNATURE DATE 7 OWNER BUILDER oECLARAi1oN I - I hereby affirm that I am exempt from the Contractor's License Law for the following reason: . . I, as owner of the property or my employees with wages as their sole compensation, will do the4work2nd 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 orirnpthves-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 puipóse of-sale). - ' r' : $i, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Coda: 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). C] I am exempt under Section Business and Professions Code for this reason: ' , -. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ONO I (have / have not) signed an application for a building permit for the proposed work. i".. . . I have contracted with the following person (firm) to provide the proposed Construction (include name / address / phone number / contractors license number): .-' I plan to provide portions of the work, but I have hired the following person to coordinate, sup'ervise'an provide themajor Work (iiclude name'/ address / phone number / contractors license number): I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type of work): OO' - . - , , • .- - PROPERTY OWNER SIGNATURE / e-7_LJ444... ' br- 1" Ø '- ÔMPLETETiOSSECTION FOR NON-RES 77 BUILDING PERMITS ONLY -:.:T.. :-; - 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? O YES 0 NO -. , - 4 Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 .YES - 0 NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES 0 NO ' IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. '.. .' I hereby affirm that theje is a Construction IenØing agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME /J,41zi4'4P (. LENDER'S ADDRESS 27Z7 /5- I certify that I have read the application and state that the above information is correct and that the inform1ion on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the Cit' 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. 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 commencpd 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 c94enced for a period of) SO days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE ..._-7/#V / c/It t4'Z14f. DATE 441 (J WHITE: File YELLOW: Applicant PINK: Finance SELECTED CONTRACTOR FIRMS FOR PROPOSED CONSTRUCTION CONTRACTS Civil Engineering. B & B Engineering, Inc. Dennis Beard, PLS 1611-A South Melrose Dr. Ste #285 Vista, California, 92083 Phone: 760`945-3150 Fax: 760-945-4221 Grading Contractor: General Engineering Contractor Gerald Contreras, Lic. # A-694724 2041 Katerry Drive Vista, California, 92084 Phone: 7.60-727-2129 Structural Engineering Regency Engineering George Youdeem 17165 Von Carmen Ste 108 Irvine, CA Phone: 949-263-3799 Fax: 949-476-7889 The planned construction includes afactory built home w/Architectural Manufacturing Plans: SILVERCREST / Western Homes Corporation Steve Truslow, Corp Deyeloper Sales CORONA DIVISION 299 North Smith Avenue Corona, California, 91720 Phone: 909-734-6610 Fax: 909-734-1234 All site built improvements are provided by the following Licensed General Contractor: Company One Construction Ron Scott, Owner 2222 Frontage Road Corona, CA 91720 Phone: 909-340-1299 Fax: 909-340-3070 Note: General Contractor to provide the following: Electrical, plumbing, concrete & foundations building construction to include detached garage, first floor (daylight basement) walls and room partitions for the settin of the manufactured product Manufactured home provided through: - . Nu Trend Homes 1y Domasin, Owner ,,203!' Fntage Road tor6iia,CA91720 Phone: 909-340-1299 •• Fax: 909-340-3070 - tthwz 7i//77lafl — t~ Lo1 'I , 33 / c raw 1 / 0 . ,57c- 3C.v By 7frLé /7/2iô1/o/ck. ? 06 1998 CARLSBAD JNG DEPT. J3' .......... I / . ________.................> i74O4 4ki: JsR?~O.