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Home My WebLink About2405 LA MACARENA AVE; ; CB930354; Permitr I / wnr · E !lllr e l t £:nt~r p1nJ y·t'-' B A l t #: •t ren #: bl 4 G- CITY OF CARLSBAD 2003 04/22/93 0001 01 02 ~-PRW bt r h Ext f l 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 21.00 \ . PERMI1'-APPIJCATION City of tarlsbad Building Depart111ent 2075 las PallBS Dr., Carlsbad. CA 92009 (619) 438-1161 1. P£ltMI 1 IYPE A -Li Commercial D New Bu1ldmg Li Tenant Improvement B -□ Industrial Li New Building □ Tenant Improvement C -□ Residential □ Apartment □ Condo □ Single Family Dwelling □Addition/Alteration Li Duplex □ Demolition Li Relocation □ Mobile Home □ Electrical □ Plumbing □ Mechanical O Pool D Spa D Retaining Wall □ Solar □ Other ____ _ 2. PRQJF.CT INFORMATION Aftl.405 VV\ Bu1ldmg or Suite No. I I I?{ Ce:\ ~-e ~ Nearest Cross Street PI.AN CHECK NO. ~-VAL;.._ __________ _ PLAN CK DEPOSIT _______ _ VAIJD. BY __________ _ DATE'--------------- FOR OFFICE USE ONLY Omt No. Phase No. CHECR BEWW IF SOBMll lED: m c-t e <a\ '1 s- □ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope ASSESSOR'S J>ABCEL EXISTING USE PROPOSED USE DESCRI"'&°~OF ~~ <!+ O ~ \ /rz}_ \ 7:)Pl \ J . SQ. FT. # OF ~TORIES 3. WN IACI PERSON (1f dulerenl from apphcanl) NAME ADDRESS CilY STATE ZIP CODE DAY TELEPHONE 4. APPLICANT NAME OCON1RACIOR UACENI Fok WNl'RAC10R ADDRESS U OWNER □ ACEN I fdk dWNER CITY STATE ZIP CODE DAY TELEPHONE S. PRo.PEkl"Y owNER I C111.~25"~\\_ ot'P,.,..e_. NAME L..,.t{r'V""\ ADDRESS CllY STATE ZIP CODE c:znoq DAY TELEPHONE 43 NAME ADDRESS CllY STATE ZIP CODE DAY TELEPHONE STATE UC.# LICENSE CIASS CilY BUSINESS UC. # DESIGNER NAME ADDRESS CllY STATE ZIP CODE DAY TELEPHONE STATE LIC. # ,_ wOilkERS' rnMPENSA:noN Workers' Compensation Oeclarauon: I hereby albrm that i have a cert1l1cate of consent to self.msure issued by the Director of lndustnal 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 POI.JCT NO. EXPIRATION DATE Ceruhcate of Exemption: 1 ceruiy that m the performance of the work tor which this permit 1s issued, I shall not employ any person many manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE 8. o'WNER-BUIIDER DECLAitAiiuN Owner-Builder Declaration: I hereby alfmn that I am exempt from the Contracto?s License Law for the following reason: U 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.). □ 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 constJUct, 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 COMPLE1'E mts SECTION FOR NON-RESIDENTIAL BUIIDING 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? □ YES ONO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ YES □ NO IF ANY OF TIIE ANSWERS ARE YES, A FINAL CERTIFICATE OF ocx;upANCY MAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS 1llE APPUCANT HAS MET OR IS MEKTING TIIE RF.QUIREMENTS OF TIIE OFFICE OF EMERGENCY SERVICES AND 11IE AIR POll.UTION CX)NIROL DISIBICT. 9. WNS'ikUCIION mNumc AGENCY [ hereby affirm that there 1s a construction lendmg agency for the performance of the work for which this penmt 1s issued (Sec 3097(1) Civil Code). LENDER'S NAME LENDER'S ADDRESS lo. APPLltAN't Cl!k'hFicATION I certify that 1 have read the apphcanon and state that the above mtorma11on 1s correct. I agree to comply wllh all City ordmances 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 10 SAVE INDEMNIFY AND KEEP IIARMIESS TIIE CTIY OF CARISBAD AGAINST ALL UABIIJ11ES, JUDGMENTS, CDSTS AND EXPENSES WIDCH MAY IN ANY WAY .110:::IUJE AGAINST SAID Cl1Y IN CXlNSEQUENCE OF TIIE GRANTING OF 1105 PERMIT. OSHA: An OSHA pennit 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 pennit or if the building or work authorized by such permit is suspended or abandoned any time after the work is commenced for a period of 180 days (Section 303(d) Uniform uilding Code). i ~-~0 q~ APPLICANTS SIGNATURE -....__....-,~--~ DATE: _,._____,_:;...:,s;;;.+-.:c ~ _,/ YEU.OW: App 1cant PINK: Fmance \ PERMIT# CB930354 DESCRIPTION: GAS LINE FOR BBQ TYPE: PLUM CITY OF CARLSBAD INSPECTION REQUEST FOR 04/23/93 AV STE: INSPECTOR AREA PD PLANCK# CB930354 OCC GRP CONSTR. TYPE NEW LOT: JOB ADDRESS: 2405 LA MACERENA APPLICANT: BELL, LAWRENCE CONTRACTOR: PHONE: 619 436-0393 OWNER: REMARKS: MH/LARRY SPECIAL INSTRUCT: TOTAL TIME: LVL DESCRIPTION PHONE: J• & p:::::CTOU ~JL ' ACT COMMENTS CD 23 PL _G_a_s_J_T_e_s_t_J_R_e_p_a_i_r_s _______ tf_ EuJ 11-L ------------------------------------ ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS