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Home My WebLink About2614 HALF DOME PL; ; CB950093; PermitB U I ~ ~ I N G P E R M I T Permit Nu: CBq5lOjJ Projert Nr: Aq':>0Ul0l Dev1.."lopment No: 01/11"/95 09:42 Paae 1 of 1 J0b AJdress: 2614 HALF DOME PL Suite: Permit Type: ELECTRICAL 0246 01/11/95 0001 01 02 ParcPl No: 167-511-12-00 Lot#: V~luation: u Construction Type: NEW Occupancy Group: Description: ADD CIRCUITS !N Reference#: GARAGE Appl/Ownr : FITZGERALD, DAVID 2bl4 HALF DOME PLACE CARLSBAD, CA 92008 619 434-6210 C-PRMT 20-00 Status: I S:3UE[> Ap~lied: 01/11/~5 Arr/~ssue: Ol/11/9"> Entered By: DC A** Fees Required **~ *** Fees Collected & Credits ------------------------~----------------------------------------Fees: Adjustments: Total Fees: Fee c'lescription .o. 00 • (JI 2.IO • o o 'l'ota-.l: ¢re<"ht~: Total P{lym~r!tG: Balance. 1:>uc: Uni ts Fe~/ nit .OU .00 20.00 Ext feA Data ---1+-----------~-~~--------------------------------Enter "Y" for Eleqt:vtc Issue Fee Enter "Y" foL RemqdeJ. * ELECTRICAL TOTAu > > (619) 438-1161 10.00 Y 10.00 Y ~0.00 PERMIT APPUCATION PLAN CHECK NO. 9~-93 City of Car'lsbed Building Department 2015 Las Palms Dr., tarlsbed, CA 92009 (619) 438-1161 ESJ". VAL. __________ _ t. PERMfl' 1YPE PLAN CK DEPOSIT _______ _ VAIID.BY. __________ _ DATE From List 1 (see back) give code of Permit-Type: ____________ _ ------------------------------·-------------------------- For Residential Projects Only: From List 2 (see back) give Code of Structure-Type: _____________________ _ Net Loss/Gain of Dwelling Units 2. PRQJECT INFORMATION FOR OFFICE USE ONLY Address ,-C1'-\ ~ Qo--\.. pC . Building or Suite No. Nearest Cross Street ~<- Sutxhvis1on Name/Number Unit No. Phase No. LEGAL DESCRIPTION Lot No. cREck BEWW IF sOBMI 11 ED: • 2 Energy Cales D 2 Structural Cales D 2 Soils Report • 1 Addressed Envelope SQ. Ff. "f (ec> ~~ # OF STORIES \ # OF BEDROOMS '?) # OF BATI-IROOMS "l- 3. WN IACI PERSON (11 datierent from apphcant) NAME (last.name first) ADDRESS CITY STATE ZIP CODE DAY TELEPHONE 0 OWNER O ACEN I FOR OWNER 4. Al'r•CAN l LI CON I RAC! OR 0 AGEN I FOR cON I RACIOR ADDRESS NAME (last name first) CITY STATE ZIP CODE DAY TELEPHONE s. PROPER1Y oWNER -:2 •• .c..-J NAME (last name first) ~~~ , ~ 'L '\ ~ "'P<>-"'L ,.,, ' ADDRESS "),,lc,1-, """'-' ,-- CITY ~/,A,£) STATE ZIP CODE i:p.,oc>'o DAY TELEPHONE ( i i-tj 70 -~ fo 6. a5N'i'RACIUR ADDRESS NAME (last name first) CITY STATE STATE UC.# ZIP CODE LICENSE Cl.ASS DAY TELEPHONE CITY BUSINESS UC. # DESIGNER NAM£ (last name brst) ADDRESS CITY STATE ZIP CODE DAY TELEPHONE STATE UC.# 7. WoRl<Elts' mMPENsA'IlON Workers' Compensauon Declarauon: I hereby affirm that I have a ceruhcate of consent to sell-insure 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 certify that in the performance of the work for which this permit 1s issued, I shall not employ any person many manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE 8. oWNElt-BOfiDElt OEU.ARA'noN Owner-Builder Declaration: I hereby amrm that I am exempt from the Contractor's Llcense Law for the following 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 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 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 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 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 th~~o a ci · a ty f not more than five hundred dollars [$500]). SIGNATURE -\.J...__,.--:;r--DATE \/II / 1.J"' Is the applicant or future buildin 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? • YES ONO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? • YES D NO ls the facility to be constructed within 1,000 feet of the outer boundary of a school site? LI YES • NO IF ANY OF TI-IE ANSWERS ARE YES, A FINAL CERTIFICATE OF ocx:;upAffCY MAY Nar BE ~UED AFfER JULY 1, 1989 UNLF.SS 1lIE APPUCANT HAS MET OR IS MEETING 1llE RF.QUIREMENTS OF 1lIE OFFICE OF EMERGENCY SERVICFS AND 11-IE AIR POI.UJTION CDNTROL DISfRICT. 9. WNsiR0Cl1ON ffiNDlNG AGENCT I hereby all1rm ihat there as a construction lending agency for ihe performance of the work for which this permit 1s issued (Sec 3097(1) CIVIi Code). LENDER'S NAME LENDER'S ADDRESS 10. APPDCANI CERIIFICAIION I cerufy iliac I have read the applacauon and state that ihe above informauon 1s 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 AI.'iO AGREE TO SAVE INDEMNIFY AND KEEP HARMLF-5S 11-IE CTIY OF CARIS8AD AGAINST AIL UABIUllES, JUDGMENTS, CX)SfS AND EXPENSES WlDCH MAY IN ANY WAY ACXllUE AGAINST SAID CTIY IN CDNSF.QUENCE OF 11-IE GRANTING OF TIDS 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 commenc · in 365 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any tim,,__ ... _.A,u,e wor is commenced for a period of 180 days (Section 303(d) Uniform Building Code),. APPUCANT'SSIGNATURE ~-~~7_~ DATE: \/1~/CiS- 0 City of Carlsbad M :.J! I Id I I,;. I •JP ·614 I I ,14 ,I I OWNER-BUILDER VERIFICATION Attention Property Owner: An 'owner-builder' building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1 . I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) ~~'::, . 2. f I (have/have not) _..;l\v,.,="'·i..-'---------signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name _________________________ _ Address _______________ City __________ _ Phone _________ Contractors License No. ____________ _ 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and provide the major work: Name _________________________ _ Address ________________ City ____________ _ Phone _________ Contractors License No. ____________ _ 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: ~ ~-1 ;-:]· Property Owner _ _;_.:....=""'~--~-~Y"-"<"'-"'t---------Date: ,,, .sr.__ 2075 Las Palmas Drive • Carlsbad, California 92009-1576 • (619) 438-1161