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Home My WebLink About2432 LA COSTA AVE; ; CB920700; Permit: //:// 12_ (J ... iCJP l i 1 Jc,o Adu€;.: 2412 LA r·•).>'A AV • Pl:ll. t Y[' : P:.UMBI N(, "1r( l :--Jo: .:.lo-ln' '19 11 Vc1 lU<.l t ir,r.: ~l :...ot#: ·r.rr1t-N •: • '➔2,.11/'' frJ_~c N Al'll~ I [,v,.l<:,men+-N 8492 07/17/92 0001 01 02 C-PRMT 10-00 C,ASk t'( n tr uc t 1 •n '"''ypc•: Ni:-.W <JC,c,UpLLr.c•y l le>Ltp: ~•ft->renceit • ': 1 t > ~· J, scr 1p+-.c,n: IlELOr..'AIE. 1;Ac LINE At p L /()WIH f-Al. ....,KNl:.:f,, MARK f 81. XA!'JA WAY r•A~!.~,~A:>, C'A l2.) J l fv\., :_->r:J -,!Ull ed /(** Cee.:;: Adjust-nwnt.:;. lot--ai ree...;: 0 • 0 l O. C1 Appl l('d: 7 / l1pr/T-.:-t:0: ,,,11 i V"":.1dc?<tl~c. 'Y: .ir 61:1 471 -7H(:: ➔ .ec..-t 0 d & Cred1 t __ ......,,.. __ ... ____ _,., -------- r<,tal <.'r 1 ts: Tot'al P vrner.ti::l: • L,' 8d 1-Hll!'. Dtl • : I.,. ()l, l,,n 1 t f ~~/.Ur ext f(c r, ~ ----------------~-------~--- Er..tP.r 'Y" for Plum rtl} I ;::..iE.• i:-ca c,a.; P 1p .n~r System > * E:.lMBTN(, 10':AL CITY OF CARLSBAD 0 1 ('> 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 7. ,.J y 2. • '1 ') • I . l PERMIT APPLICATION PLAN CHECK NO. 7cJ-1oo City of Carlsbad Building Departaent lg~~--------I 2075 Las PalllllS Dr •• Carlsbad, CA 92009 (619) 438-1161 I. PEilMII IYPH A -U Commercial □ New Building □ lenanc Improvement B -□ Industrial U New Building D Tenant Improvement C -□ Residential □ Apartment □ Condo □ Single Family Dwelling □Addition/Alteration □ Duplex □ Demolition □ Relocation □ Mobile Home □ Electrical □ Plumbing □ Mechanical □ Pool □ Spa D Retaining Wall □ Solar U Other 2. PRClJECI" INFORMATION FOR OFFICE USE ONLY Address ~ 4 "$ ;;( Z 19--{! 6 ?Jllf-M. BuUdmg or Suite No. Nearest Cross Street /;: L (: (( __, 1 ',vO (2,,___J Omt No. Phase No. CHECK BEWW IF SOBMII IED: (,,1 J t111JPAl4Wf7 □ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope ASSESSOR'S PARCEL EXISTING USE DESCRIPTION OF WORK G Ar;:>-l 1 'Ji;;;. "DD Q €_ Lo c._op.,~=e._ PROPOSED USE SQ. Ff. # OF S1DRIES 3. WN IACI PF.kSON (II dlHerent from appJJcanl) NAME ;:5 ~ fh ( i:,) ADDRESS CI1Y STATE ZIP CODE DAY TELEPHONE NAME 5 ~ 0--, (4) CI1Y L: STATE ZIP CODE DAY TELEPHONE ADDRESS 6 · ~~RAZl.iuA-~l"~ ADDREss h S / I X, "1-111 I+ lv ?P-1 CI1Y/~'fl<.--STATE 4, ZIPCODEqd\C!OC:,DAYTELEPHONE 'f-'1/-fc;;r;,r STATE !JC. ~ ,g 287J LICENSE CLASS g £--nfcl CllY BUSINESS !JC. # DESIGNER NAME ADDRESS t. ';;;IU®tS' ~ION STATE ZIP CODE DAY TELEPHONE STATE !JC.# Workers' Compensation Uedarat1on: I hereby aff1rm that I have a cert1hcate 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 POLICY NO. EXPIRATION DATE Ceruhcate of Exemption: I cenify that m the performance of the work for which this penm[ 1s issued, I shall not employ any person m any manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE 8. UWNEk-HOllDkk DPlDJt\'IKJN □ □ bwner-Bu1ider Declaration: I hereby affirm that I am exempt from the Contracto?s Lcense Law for the foilowmg reason: 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.). 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 permit to file 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 at he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit su ts applican a c1 · penalty of not more t 1ve hundred dollars [S500]). DATE Is the applicant or future building occupant required to su 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 □NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □YES □NO IF ANY OF 11Il!ANSWERS ARE YES, A FINALCER11FICATI! OF oa:t!PANCY MAY NUT Bl! ISSIJEDAFll!RJIJLY 1, 1989 UN1J!SS 11Il!APPIJCANT HAS MET OR IS MERTING 11Il! REQUIREMENTS OF TIIE OFFICE OF EMERGENCY SERVICES AND 11Il! AIR POLLIJ110N CONTIIOL DISllUCT. 9. WNSIROCIIUN IANDING AGENCY I hereby afbrm that there 1s a constructmn lendmg agency for the performance of the work for which this permit 1s issued (Sec 3697(1) CIVIi Coae). LENDER'S NAME LENDER'S ADDRESS 10. APPilcAN I CEkliFICAnoN I certify that I have read the apphcat1on and state that the above mformat1on 1s correct. I agree to comply wuh all City ordinances and State laws relating to building construction. I hereby authorize representatives of the City of C.Srlsbad to enter upon the above mentioned property for inspection purposes. 1 AISO AGREE 10 SAVE INDEMNIFY AND KEEP HARMLESS 11Il! QTY OF CARISBAD AGAINST AIL UABJUTIF.S, JIJIJGMENTS, CDSTS AND EXPENSF.S WIIlCH MAY IN ANY WAY ACCRUE AGAINST SAID QTY IN CONSEQUENCE OF 11Il! GRANTING OF TIIlS 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 commenced within 365 days from the date of such permit or if the building or work authorized by such perm· ·s suspended or abandoned at any time after thew mmenced for a period of 180 days (Section 303(d) UnifoJu~ Code). DATE: 1r" 2.---l WHITE: Fil Applicant PINK: Fmance • (; 1 _ t:-.....-UNSCHEDULED INSPECTµrn/ ff~~ /J/ DATE __ ...a.--J_,____ INSPECTOR~ CT~ ___ ........,,__ ____ _ PERMIT·------ JOB ADDRESS o2<{J,;i.. l4-0 5& PLANCK # _____ _ TIME ARRIVE: TIME LEAVE: ----------- CO LVL DESCRIPTION 23. fttt5 w~ . PERMITS 6/15/89 ACT COMMENTS 1. (uJfrk: