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Home My WebLink About2415 LA COSTA AVE; B; CB930892; Permit' ,' ' ' Al wr 1 : F .J A AV en 3669 08/26/93 0001 01 02 ~-PR~T ~' l : X Fl NAt;;APPROVAL INSP. ~ DATE •·•·•' CLEARANCE _____ , CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92()()C) (619) 438-1161 PERMIT APPLICATION PLAN CHECK NO. City of Carlsbad Building Depertaent 2075 Las Pal118S De •• caclsbad, CA 92009 (619) 438-1161 PIAN CK DEPOSIT _______ _ I EST. VAL VAUD. BY __________ _ I. PERMI I JYPf: A -Li COmmerc1al LI New Bu,idmg Li tenant Improvement B -D Industrial □ New Building D Tenant Improvement C -□ Residential D Apartment D Condo □ Single Family Dwelling □ Addition/ Alteration □ Duplex □ Demolition □ Relocation □ Mobile Home □ Electrical 11-Pttr'fii'ti'g □ Mechanical □ Pool □ Spa □ Retaining Wall D Solar □ Other 2. PRnrncr INFORMATION Address 2-+-/ S S Nearest Cross Street LEGAL DEScRIP I ION Loe No. Suixi.1V1s1on Name/Number D 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope DATE FOR OFFICE USE ONLY Omt No. Phase No. ASSESSOR'S PARCEi. EXlSJJNG IJSE PBOPQSEP USE DESCRIPTION OF WORK /+PP G'~ L/,v-<-SQ. Ff. # OF STORIES 3. WN IACI PFJlSON {I[ dnferent from apphcanf) NAME ADDRESS CllY ~ STATE ZIP CODE DAY TELEPHONE 4. APPLR..!ANI tB'LuNIRACIOR □AGENI FORCONIRACIOR uuwNtK UAGENI FOR OWNER NAME 8 6,S'r' S--.v/C.C-ADDRESS 5' ~ {. O l!-f J4M,/,e/. □1Y ~SM'I? STATE kt'! ZIPCODE DAY TELEPHONE 9tfo -~ s '.z'O ADDRESS ZIP CODE ADDRESS DAY TELEPHONE CI1Y ST ATE ZIP CODE DAY TELEPHONE CllY BUSINESS LIC. # 7/ ~ > ,lJ D DESIGNER NAME STATE LIC. #+f:S'ZZ&ENSE CLASS ADDRESS CI1Y STATE ZIP CODE DAY TELEPHONE STATE LIC. # 7. WOltkERS' WMPENSA:IION Workers' COmpensatlon Oeclarat1on: I hereby all1rm that I have a centhcace of consent to seif-msure issued by che 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 POLICY NO. EXPIRATION DATE Cert1hcate of Exemptmn: I cerufy that m the performance of the work for which this penmt 1s issued, I shall not employ any person many manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE~~~~ g,. 2', ~'f $ s. owNm-ao .,. Owner-Butlder Declaration: I hereby afhrm that I am exempt from the Contracto?s License Law for the foliowmg 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.). 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 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 pennit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such pennit 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 pennit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]). SIGNATURE DATE COMPLEIE IHIS S£CIIUN FUR NUN-RESIDENIIAL BUILDING PERMll'S ONLY: Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration fonn 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 □NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □YES □NO IF ANY OF llffiANSWERS ARI! YES, A FINAi.CERTIFICATE OF oa:tlPANCY MAYNITT REISSUED AYIERJIJLY I, 1989 IJNIJ!SS llffiAPPI.ICANT HAS MET OR IS MEllTING TIIE RF.QIIIREMENTS OF nm OFFICE OF EMERGENCY SERVICES AND 1lffi AIR POLLUTION mNTROL DISJlUCT. 9. WNSJRUCIIUN LENDlNG AGENCY I hereby affirm that there 1s a construction lendmg agency lor the perlormance of the work for which this penmt 1s issued (Sec 3b97(1J Civil Code}. LENDER'S NAME LENDER'S ADDRESS 10. APPUCAN J CF.kllFICA HUN I certHY that I have read the apphcauon and state that the above mformat1on 1s correct. I agree to comply wuh all City ordinances and Stare 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 llARMU'SS 1lffi CTlY OF CARISBAD AGAINST AIL LIAIIIUTIES, JUDGMENTS, CDSTS AND EXPENSES WlilCH MAY IN ANY WAY NilUJE AGAINST SAID CTlY IN OONSEQUENCE OF TIIE GRANTING OF TIIlS PI!RMIT. 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 pennit 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 nor commenced within 365 days from the date of such pennit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 303(d) Unifonn Building Code). APPLICANTS ~TURE t~1e,_ DATE: _____ _ TE: File YEllOW: Applicant PINK: Finance ''' • PERMIT# CB930892 DESCRIPTION: GAS SERVICE TYPE: PLUM CITY OF CARLSBAD INSPECTION REQUEST FOR 09/03/93 COSTA AV STE: B INSPECTOR AREA PLANCK# CB930892 OCC GRP CONSTR. TYPE NEW LOT: JOB ADDRESS: 2415 LA APPLICANT: BEST SERVICE CONTRACTOR: PHONE: 619 438-3989 OWNER: REMARKS: MH/MELANIE/436-5244/757-8270WK SPECIAL INSTRUCT: PLEASE CALL WITH TIME PHONE: L/ PHONE: INSPECTOR _ TOTAL TIME: CD LVL DESCRIPTION ACT COMMENTS 23 PL Gas/Test/Repairs &_ &,<71/V ?;,vc., ory1/ 7,/I 11/t. kfc. ----------------------------------------------------,------ ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS