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Home My WebLink About2469 IMPALA DR; ; CB911274; Permit06-12-2008 City of Carlsbad 1635 Faraday Av Carlsbad, CA Building Permit 92008 Permit No:CB911274 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Valuation OccGroup Project Title 2469 IMPALA DR CHAD COM Sub Type Lot # $0 00 Const Type VN B2 Reference # 1176 SF OFFICE/4333 SF WREHSE BALDWIN ENGINEERING Applicant BALDWIN, JAMES 2469 IMPALA DR CARLSBAD, CA 92010 (619)436-6602 Owner Status Applied Entered By Appr/Issued Inspect Area EXPIRED 09/10/1991 CD Total Fees $0 00 $548 00 Payments To Date $548 00 Balance Due Description Other Fee 548 00 .-23 Inspector FINAL APPROVAL Date Clearance NOTICE Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions" You have 90 days from the date this permit was issued to protest imposition of these fees/exactions If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3 32 030 Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capactiy changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired PERMIT APPLICATION City of Carlsbad Building Department 2075 Las Palmas Dr , Carlsbad, CA 92009 (619) ISS-HGI PERMIT TYPE I [3 COMMERCIAL JpiJEW Q TENANT IMPROVEMENT Q INDUSTRIAL DNEW QTENANT IMPROVEMENT [^RESIDENTIAL QAPARTMENT QCONDO QSINGLE FAMILY DUELLING QADDITION/ALTERATION DDUPLEX DEMOLITION ORELOCATION QMOSILE HOME OELECTRICAL QPLUMBING rjMECHANICAL £}POOL QsPA QRETA1NING WALL QSOLAR QOTHER 2. PROJECT INFORMATION PLAN CHECK No Building or Suite No EST VAU PLAN CK DEPOSIT, VALID BY /S < DATE 4339 09/10/91 0001 01 C-PRMT 548-00 FOR OFFICE USE ONLY Address Nearest Cross Streets IlTlpala Dr. LEGAL-DESCRIPTION Lot No Subdivision Name/Number Unit No Parcel 13 of map #12561 city of OrlshaH CHECK BELOW II- SUBMITTED (S2 Energy Calcs 02 Structural Calcs Q£ Soils Report Q 1 Addressed Envelope ASSESSOR'S PARCEL2Q 9 — 04 1 - 1 8 f^/~ EXISTING USE DESCRIPTION Or WORK £^ j£.^> Phase No PROPOSED USE 3. 4 5 6. 7. BLDG SO FTC CONTACT PERSON NAME Jim Baldwin & >*• A CITY Leucadia SIGNATURE APPLICANT D CONTRACTOR NAME SAME CITY PROPERTY OWNER „ NAME £>/d £- £ frj / SAME CITY CONTRACTOR NAME CITY SAME STATE LIC SIGNATURE DESIGNER NAME CITY Logan Engineering WORKERS' COMPENSATION # OF STORIES / I to ret <*— ADDRESS -i 5 61 Neptune Ave STATE ca ZIP CODE 92024 D'Y TELEPHONE436-6602 D AGENT FOR CONTRACTOR QOWNER Q AGENT FOR OWNER ADDRESS STATE ZIP CODE DAY TELEPHONE ^_JDWNER DLESSEE QTENANT /<-* ^>(_£3/^ ADDRESS STATE ZIP CODE DAY TELEPHONE ADDRESS STATE ZIP CODE DAY TELEPHONE #324522 LICENSE CLASS A CITY BUSINESS LIC # TITLE DATE ADDRESS STATE ZIP CODE DAY TELEPHONE 942—8474 STATE LIC # Workers' Compensation Declaration I hereby affirm that I have a certificate of consent to self insure issued by the Director of Industrial 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) WCP01 3859 SfestiKXKiXiK<X CITATION l!>ii>o ftfrsifzu^sf </\^w o 1 ooINSURANCE COMPANY «•»**>«> x CMlttf POLICY NO l»«Vam»j>fr EXPIRATION DATE &AAA Q— I — 3 £, 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 ,my manner so as to become subject to the Workers' Compensation Laws of California SIGNATURE DATE 8 OWNER-BUILDER DECLARATION Owner Builder DeclarationI hereby affirm that I am exempt from the Contractor's License Law for the following reason n 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 of fei ed 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 Profe<sions 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[ 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 provi* ions 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 o civil penalty of not more than five hundred dollars [S500]) SIGNATURE DATE COMPLETE THIS SECTJON FOR HOH RESIDENTIAL BUlLDiMG 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' DYES SNO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district' DYES [J^NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site' DYES Q NO IF ANY OF THE ANSWERS ARE YES A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1. 1989 UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(1) Civil Code) LENDER'S NAME LENDER'S ADDRESS 10 APPLICANT'S SIGNATURE _ _ _____ _ __ 1 certify that I have read the application and state that the above information is correct I agree to comply with all 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 ACI RUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT 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 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time affs^the work is commenced for a period of 180 days (Section 303(d) Uniform Buildinq Code) APPLICANT'S SIGNATURE O A^^WNER _ Jfr* 1, .. PHONE APPROVED BY DATE WHITE File YELLOW Applicant PINK Finance