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Home My WebLink About2575 PIO PICO DR; ; CB010202; PermitCitv of Carlsbad Tenant Improvement Permit No: CB010202 Job Address: 2575 PIO PICO DR Status: Permit Type: Tl Applied: Parcel No: 1561207300 Lot#: 0 Approved: Reference No: Issued: PC#: Inspect Area: Project Title: REAL PROP MNGMNT-CONVERTTWO CARPORTS TO ENCLOSED GARAGES-342 SF Applicant: HOEKSTRA LARRY&JOANN REVOCABLE TRU PO BOX 1111 CARLSBAD CA Owner: HOEKSTRA LARRY&JOANN REVOCABLE TRU PO BOX 1111 CARLSBAD CA ABANDOND 01/18/2001 01/22/2001 Fees: $153.50 Additional Fees: $0.00 Total Fees: $153.50 Balance: $153.50 PERMIT APP?iCATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 1. PROJECT INFORMATION As?s P,o P1eo D12.. Address (include Bldg/Suite #) Legal Description FOR OFFICE USE ONLY PLAN CHE~NO. \ 0..:iB ) / 0 201 EST. VAL. -,;L..,L.£:4.-~----r--.s, Plan Ck. Deposit ----7'9-,---""-'• {1 Validated By-+--l---~,t-.iCJ:.c'.lL--- Date ___ ~~....:;.c.L..£1.-L------ _A_s_s-es_s_o-,~ .• -p~.-,-c-el~#~------+-,~kl.d./...~'Jl.::::;,..J:J~i:cj?i:,~J;::[._..f.c:2,:i._j_.d~C<C:,~C'!!:.~t:._--;:-~ff'l4?.,/~if,.;~_:_::_,}...,!((J~:f:~~-~;;>~ Description of Work 2. CONTACT P~~SON Of different from applicant) .Jo fl..,!'/ \.\JEK.'>.TR-f', Cbl?~T Name Address C fia"U..- -(?"'/ l 1:f'Z,,-721'4 ~ Cit..f State/Zip ,Pft-.L Ccpo,)311-)~'2-1 Telephone # Fax II 3. APPLICANT O Contractor O Agent for Contractor ts, Owner .JoA-,.,rJ \.-\v:e::K'.5T7l& ~S'7S Pco P1 "c D Agent for Owner i>R. Ce£_ I s b ru '±34-17"11 Name Address City State/Zip Telephone# 4. PROPERTY OWN.l Le:o R'/ ~ il\ur,) Name Address City State/Zip Telephone II 5. CONTRACTOR • COMPANY NAME (Sec. 7031.5 Business and Professions Code: Any City or County which reciuires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also re(luires 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, commending 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 ($5001). Name Address City State/Zip Telephone# State license # ----------license Class----------City Business license # -------- Designer Name Address City State/Zip Telephone State license # ---------- 6. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 0 I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My worker's compensation insurance carrier and policy number are: Insurance Company----------------------Policy No. ____________ _ Expiration Date, _______ _ !THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) 1iitJ.. 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 any manner so as fobecome subject to the Workers' Compensation laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars I 00,0 01, In dlf n to the cost of compensation, damages as provided for In Section 3706 of the labor co , interest and attorney's fees. DATE It? ~ 'J I hereby affirm that I am exempt from the Contractor's license Law for the following reason: i,4.... 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 ~ntractor's License Law doas 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). tl9,. I am exempt under Section Business and Professions Code for this reason: 1. ~Uy plan to provide the major tabor and materials for construction of the proposed property improvement. ""YES ONO 2. ave not) signed an application for a building permit for the proposed work. 3. ntracted with the following person (firm) to provide the proposed construction {include name I address I phone number I contractors license number): 4. I plan to provide portions of the work, but l have hired the following person to coordinate, supervise and provide the major work (include name I address I phone number I contractors license number),,_------------------------------------------------ 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone number I type ofwork): __________ ~~-+-----,.--c----------------------,---------------- PROPERTY OWNER SIGNATURE _ _,,-,),ij:.~,,_.,£.,.'a,"'~------------- COMPLETE THIS SECTION FOR NON !s the a;::;::!:::::ant or ~uturs huilding occupant req11irttd tc> suhmit a business plan. acutely hazardous materials registration form or risk management .1;nd prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act7 0 YES O NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? O YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES O NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 8. 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(i) Civil Code). LENDER'S NAME---------------LENDER'S ADDRESS ________________________ _ 9. APPLICANT CERTIFICATION I certify that I have read the application end state that the above information is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the Citt 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 ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS 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 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 after the work is commence for a riod of 80 days (Section 106.4.4 Uniform Building Code). WHITE: File YELLOXV': Applicant PINK: Finance I' 10/29/2001 HOEKSTRA LARRY&JOANN REVOCABLE TRUST 02-25-97 PO BOX 1111 CARLSBAD CA92018 Re: Application Date: 01/18/2001 Plan Check#: CB010202 Address: 2575 PIO PICO DR Expiration Date: 01/18/2002 Permit Type: Tl Description: REAL PROP MNGMNT-CONVERT TWO CARPORTS TO ENCLOSED GARAGES-342 SF You applied to have your plans checked on the date noted above. To date, the related building permit has not been obtained. The original plan review application will expire as no building permit has been issued. Plans submitted and not retrieved from the building department prior to the plan check expiration date noted above will be destroyed. The provisions of sections 304 (d) of the Uniform Building Code state: "Section 304 9d) Expiration of Plan Review Applications for which no permit is issued within one year following the date of application shall expire by limitation, and plans and other data submitted for review may thereafter be returned to the applicant or destroyed by the Building Official. In order to renew action on an application after expiration, the applicant shall resubmit plans and pay a new plan review fee." In order to provide better service, please indicate your handling choice for the plans originally submitted and return this letter to the Building Department. -~Project Abandoned - I will pick up plans within 10 days ~ Project Abandoned -Plans may be destroyed. If you have any questions, please contact the Building Department at (760) 602-2718. Raenette Abbey Building Department