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Home My WebLink About2397 APPIAN RD; ; CB041046; PermitPERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. Plan Ck. Deposit 1: 5y5,y5 Validated By . Date ..?/ 3 //'/A I- I I Address (include B(d$lSuite #) Total # of units Phase NowU- Lot No. Subdivision NameINumber Unit No. 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 Code1 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 [$50011. Name Address State License # License Class City Business License # Designer Name Address City State/Zip Telephone City Statelzip Telephone # 0 of the work for which this permit is issued. 0 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 1$1001 OR LESS) 0 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. end 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 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 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 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 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). hin 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). 7 Business and Professions Code for this reason: vide the major labor and materials for construction of the proposed property improvementfiES UNO ed an application for a building permit for the proposed work. 4. number I 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 program under Sections 25505, 25533 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 distrtct? 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. 0 YES NO LENDER'S NAME 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. 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 at any time after the work is Official under the provisions of this Code shall expire by limltation and become null and void if the building or work authorized by such permit is not co s from the date of such permit or If the building or work days (Section 106.4.4 Uniform Building Code). PLICANT'S SIGNATURE DATE WHITE: File YELLOW: Applicant PINK: Finance 01 /03/2005 DECKER FAMILY TRUST 09-1 1-03 P 0 BOX 462844 ESCONDIDO CA92046 Re: Application Date: 03/30/2004 0:OO:OO Plan Check #: CB041046 Address: 2397 APPIAN RD Expiration Date: 03/30/2005 0:OO:OO Permit Type: RESDNTL Description: DECKER RES-640 SF 2ND DWELLING UNIT, 11 71 SF ADDITION &REMODEL 2 BATHROOMS=80 SF You applied to have your plans checked on the date noted above. To date, the related building permit has not been obtained. The original plan review application will expire as no building permit has been issued. Plans submitted and not retrieved from the building department prior to the plan check expiration date noted above will be destroyed. The provisions of sections 304 (d) of the Uniform Building Code state: “Section 304 9d) Expiration of Plan Review Applications for which no permit is issued within one year following the date of application shall expire by limitation, and plans and other data submitted for review may thereafter be returned to the applicant or destroyed by the Building Official. In order to renew action on an application after expiration, the applicant shall resubmit plans and pay a new plan review fee.” In order to provide better service, please indicate your handling choice for the plans originally submitted and return this letter to the Building Department. Gv J Project Abandoned - I will pick up plans within 10 days Project Abandoned - Plans may be destroyed. If you have any questions, please contact the Building Department at (760) 602-2702. Janean Hawney Building Department I_ m ,