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Home My WebLink About2604 EL CAMINO REAL; A; CB951408; PermitB U I L D I N G 12/31/96 11:04 Page 1 of 1 . Job Address: 2604 EL CAMINO REAL PERMIT Suite: A Permit No: CB951408 Project No: A9502059 Development No: Permit Type: COMMERCIAL TENANT IMPROVEMENT Parcel No: Lot#: Valuation: 0 Construction TY. e: Occupancy Group: B-2 Description: 2479 SF T.I. Reference#: Sta Appl Apr/Is Entered VN EXPIRED 10/06/95 Appl/Ownr: CAMIRE, LAWRENCE 2122 S. EL CAMINO REAL #F SAN CLEMENTE, CA. 92622 *** Fees Required Fees: Adjustments: Total Fees: Fee description Other * BUILDING TOTAL *** 313.00 .00 313.00 *** > MOP 714 498-0425 Fees Collected & Credits *** Total Credits: Total Payments: Balance Due: Units Fee/Unit 313.00 .oo 313.00 .oo Ext fee Data 313.00 PLNCKFE 313.00 [])_)¥ ;))· [._;I PERMIT APPLICATION City of C.r-l.a-t lulldi~ Department 2075 Las Pel .. Dr •• c.rl.a-t, CA 92009 (619) 438-1161 i. pffiMft l'YP2 From List 1 (see back} give code of Permit-Type: ----------- For Residential Projects Only: From List 2 (see back} give Code or Structure-Type:,.-------------------- Net Loss/Gain of Dwelling Units----------------- 2. PRWF.Cr INFORMATION CH£CR 9£wW IF SOBMll 1£0: 0 2 Energy Cales O 2 Structural Cales O 2 Soils Report O 1 Addressed Envelope ASSESSOR'S PARCEL EXISTING USE DESCRJPTION or WORK '"2, C...( 19. p T J,..:.--S ~ r PLAN CHECK NO. ~~,. DATE 4025 10/06/95 0001 01 C-PRMT 02 FOR OFFICE USE ONLY PROPOSED USE SQ. FT. II OF STORJES II OF BEDROOMS # OF BATIIROOMS 313-00 s. PROP oWNEk A .J.f. • , NAME (last name first) ,ll. W~J(E',Vef As.soc . ADDRESS ;so /..J-511,,vr,Ac A,v,,,4-v~..,,.. e,..,s J c 1TYA~c..AthA STATE e,A z,PcoDE t/toob DAYTELEPHONE -SJ$-s1'1-?'-/3() 6. wN'i1ulCIOk NAME (last name first) J..... 0 L 0. S:NE=,(;A '- CITY ·.J .A _ ,,,,,_ .,....A,c ADDR£ss c:P.. 1 ~ .s . EL cAMtko !.£'4L,-#F C.ONTr...,,...C, ,,..,u ,.....,.., • STATE c.A ZIP CODE 4J41A...DAYTELEPHONE ifll-t../9~'-0Y:,...S- r 5 STATE uc., ?o I 3c;?. ~ ucrNsE cLASs .6 c1TY Bus1NESs uc., MIJ.J ~If Fo ast name lrst CITY STATE ZIP CODE DAY TELEPHONE STATE UC. # 1. WollKERS' OOMPENSAlioN Workers' Compensauon Oedarauon: I hereby a limn that I have a cemhcate ol consent to sell ,insure issued by the Director ol lndustnal Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof cenified by the Director or the insurer thereor filed with the Building Inspection Department (Section 3800, Lab. C). s. oWNEit-DOllDEit OECL\kXhoN Owner,Bu1lder Declara6on: I hereby amrm that I am exempt from the Confraclo?s License law ior the ioiiowmg reason: 0 I, as owner or the property or my employees with wages u 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 himsetr 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 or proving that he did not build or improve ror the purpose of sale.). 0 I, as owner of the property, am exclusively contracting with licensed contracton 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). C I am exempt under Section Business and Proressions Code for this reason: (Sec. 7031.5 Business and Proressions 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 Ucense Law (Chapter 9, commencing with Section 7000 of Division 3 of the Business and Proressions Code) or that he is exempt therefrom, and the basis ror the alleged exemption. Any violation of Section 7031.5 by any applicant for• permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500]). SJGNA'IURE DATE COMPL£n: mts SEctiON Fok NON-RESlDEN liAL BOIWINC PERMIT'S ONLY: Is the applicant or future building attupant required to submit a business plan, acutely hazardous materials registration fonn or risk management and prevention pf'Olram under Sect.ions 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account h:t? 0 YES ONO Is the applicant or future building attupant required to obtain a permit rrom the air polludon control district or air quality management district? 0 YES ONO Is the facility to be constructed within 1,000 feet of the outer boundary of a school she? 0 YES ONO IF ANY OF' TI1E ANSWERS ARE YES, A FINAL crRTIFICATE OF oa:uPANCY MAY NOT BE ISSUE) AFTER JULY I, 1989 UNLESS TIIE APPUCANT HAS MET OR IS MEE11NG TIIE R£QUIREMENTS OF TIIE OFFK2 OF EMFJ\CENCY SERV1CES AND TIIE AIR POIJ.lmON CDNTROL DISllUCI'. 9. OONS1ROCl10N LF.Nomc ACENCY I hereby all1rm that there IS a consliuction lending agency for the performance of the work lor which thlS permit IS liiued (sec 3097(1) CiV1l Code). LENDER'S NAME LENDER'S ADDRESS I 0. APPUCAN I CFJt ltFICX 110N I cemfy that I have read the application and state that lhe a&ive mlormauon 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 AUD AGREE 10 SAVE INDEMNIFY AND KEEP ~ TIIE C1Y OP CARISBAD A.CAIN~ ALL UABIUl1F.S, JUDGMENTS, CDSTS AND EXPENSF.S WIOOI MAY IN ANY WAY Aa:RUE AGAIN~ SAID C1Y IN CDNStJlUENCE OF TIIE GRANTING OF nos 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 or such permit or if the building or work authorized by such permit is suspended or abandoned at any time arte~ the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code). APPUCANrs SIGNATURE DATE: ---- -··