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Home My WebLink About2415 LA COSTA AVE; F; CB920292; Permit. " li-' '~£-1.: ll4 f ,;.> l < t 1 B l ::.. r > ,. N G P ;:: R M ,. T Eernllt No: CB':)!l ,..';I, Prl1~er+-N, : A.; l l' .• 1 I,ev • lopIT'en t N,,: > Ar,<h P~~.: .l415 LA C ,,c., 1 A AV ::,tr: ;.k Fl: *A*• ~tP: f- ! Ml t Iypt>: PLUf-'!9ING tr •e' Ne: ,'1.,-240-)) 'I il 1 .. t i ,n: I1 t 1 uc:t. 011 ryp(•: N: w ,cc·lu ,n--:y c.,r oup: €· ·ct i pt i 01 CONVERT ELE:C,,.-R IC HF.AIE'k App1/0wnr BECK, C. Hfd :i "lrt ;~ . , le~: ':',J C,AS WA"'ER G.41S "F" .:....l\ l·osrA AVENUE l ARL~BA[J, CA 9 dll .9 A,iJu~ tnwr.t s: :'otdl Fees: enter Y' for Plum ~ach ~ctter HPater #; PI UMB ~NG Tr":'AL r CITY OF CARLSBAD Stc1tu:: :,•·~1L> A1,,r:-,l.:.€.Jj. 'll/11:,• Apr./!.::; t...ei OJ/1• 1_ t I I. 6841 03/18/92 0001 01 02 ch Ll40 C-PRMT ,1 ') (J 1 D . l' l Ext f 1-" D 1 7. sn " ~.SU 1 :J • ( J 10.00 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION f) PLAN CHECK NO. City of Carlsbad Building Departaent . l ~V~DEPOSIT _______ _ 2075 Las PalEs Dr., Carlsbad, CA 92009 (619) 438-1161 . VAIID. BY __________ _ 1. PRRM1 I hPE DATE A -U COmmerc1al B -D Industrial U New Bu1idmg U l'enant Improvement □ New Building D Tenant Improvement C • □ Residential D Apartment □ Condo □ Single Family Dwelling □ Addition/ Alteration □Duplex □ Demolition □ Relocation U Mobile Home □ Electrical □ Plumbing U Mechanical D Pool □ Spa □ Retaining Wall □ Solar D Other 2. PRQJF.Cf INFORMATION FOR OFFICE USE ONLY mt o. CHECR BEWW IF SOBMI 11 Eb: □ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope N OF WORK C'e-,vpd,t! ~ /L,:,,M SQ. IT. # OF STORIES 3. WN IACI PFJlSON (ll dlHerent from appJicant) NAME ADDRESS CI1Y STATE ZIP CODE DAY TELEPHONE 4. APPUCXNI NAME □WNIRACIUR □ AGEN I FOR CON IRACIOR □ OWNER U AGEN I FOR OWNER ADDRESS CI1Y STATE ZIP CODE DAY TELEPHONE NAME ADDRESS STATE ZIP CODE ,?E.c,Jt' ADDRESS ~ CI1Y STATE ZIP CODE DAY TELEPHONE STATE LIC. # LICENSE CLASS CI1Y BUSINESS LIC. # CI1Y STATE ZIP CODE DAY TELEPHONE STATE LIC. # 7. WORkkRS' WMPENSAIR'.JN Workers' Compensation Declaration: I hereby aflmn that I have a cert1hcate of consent to self-msure issued by the b1rectorof 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 tiled with the Building Inspection Department (Section 3800, Lab. C). INSURANCE COMPANY POLICY NO. EXPIRATION DATE Ceruhcate of Exemption: I certify that m the periormance of the work for which this penmt 1s issued, I shall not employ any person m any manner so as to become subject to the Workers' Compensation Laws of C-alifomia. SIGNATURE DATE 8. OWNER-BOllDRk bfilAkAfiON bwner-Bu1lder Deciarabon: I hereby affmn that I am exempt from the Contracto?s License Law for the foilowmg 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 Llcense 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.). D 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 Llcense 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 Llcense 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 pennit to tile a signed statement that he is licensed. pursuant to the provisions of the Contractor's Llcense 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 COMPLEIE IHIS SECIION FOR NON-RESIDEN IIAL BOIWJNG PERMll'S 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 □NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □YES CNO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □YES □NO IF ANY OP TIIE ANSWERS ARE YES, A PINAL CERTIFICATE OP OCCUPANCY MAY NOT BI! ISSUED AFl1!R JULY I, 1989 IJNIJ!SS TIIE APPLICANT HAS MlIT OR IS MEETING TIIE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND TIIE AIR POLI.lITION WNTIIOL DISI1UCT. 9. WNS I KOCI ION IENDING AGENCY I hereby afhnn that there 1s a construction iendmg agency for the performance of the work for which this permit 1s issued {Sec 30970) CivU Code). LENDER'S NAME LENDER'S ADDRESS 1.0. APPDCAN I cmti'MCAilUN I certify that I have read the apphcauon and state that the above mformat1on 1s correct. I agree to comply with all City ordmances and State laws relating to building construction. I hereby authorize representatives of the City of c.arlsbad to enter upon the above mentioned property for inspection purposes. I Al.'iO AGREE ID SAVE INDEMNIFY AND KEEP HARMLI!SS TIIE Cl'IY OF CARISBAD AGAINST AU. UABIUTIF.S, JUDGMENTS, CXJsrS AND EXPENSES WIIlCH MAY IN ANY WAY ACDUIE AGAINST SI\ID CI1Y IN WNSF.QIIENCE OP TIIE GRANTING OF 11IlS PERMIT. OSHA: An OSHA pennit is required for excavations over S'O" deep and demolition or construction of structures over 3 stories in height. 'xpiration. Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the 'Jilding 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 ch pe~ is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code). ~ DATE: ______ _ WHITE: File YEU..OW: Applicant PINK: Finance • DATE Jlr{ct~ l 9" PERMIT • C..-'2.. 11.. UNSCHEPYU!P IHSPEc::rION ;J A INSPECTOR. __ ..,,vti ____ . ._:,/_vJ_f--. ___ _ PLANC~ t _____ _ J'OB AOCRESS _____ ~--;::::---,------,---------- 1., '-it'.\ '' F '• ka Cc"J!:> h.... TIME ARRIVE: _____ TIM! I.EAVE: _____ _ CC LVL DESCRIPTION l'Dlll:TI 6/15/lt ACT COMMENTS