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Home My WebLink About2623 OCEAN ST; ; CB950106; Permit.00 .00 0.00 Ext fee Data 60.00 WINDOWS 60.00 OS V ~ BUILDING PERMIT 01/13/95 15:35 Page 1 of 1 Job Address: 2623 OCEAN ST Suite: Permit Type: MISCELLANEOUS Parcel No: 203-140-06-00 Lot#: Valuation: 0 Construction Type: NEW Occupancy Group: Ref erence#: Description: ADD WINDOWS FOR FUTURE BATH 2030 AND 1680 OPENABLE PER KELLEY Appl/Ownr : GOODLAKE, RICHARD 619 1280 WAXWING DRIVE VISTA, CA 92083 Fees Required -*/ **Fjco --------------- Fees: 60.0- 60.0 Adjustments: / .00 Cr Total Fees: I ,60.00 Töal P\a'' Ba 1 ai AA /Units EXPIRED PERMIT PERMIT HAS SECTION 1O6.44ARsCCORDED IN ANC Wifli C.aC DATE SIGNATURE .18.O4ji NO Work lok- z- Fee description Miscellaneous Fee * MISCELLANEOUS T Permit No: C8950106 Project No: A9500126 Development No: 0288 01/13/95 0001 01 02 C-PRt1T 60.00 ted & Credits Status: ISSUED Applied: 01/13/95 Apr/Issue: 01/13/95 Entered By: DC 724 - 4976 FINAL APPROVAL NSP. _DATE_ CLEARANCE CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMiT APPUCATION City of CarLsbad BuiLding Department 2075 Las PaLums Dr., CarLsbad, CA 92009 (619) 438-1161 I. PERMIT TYPE From List I (see back) give code of Permit-Type: --------------------------------------------------------- For Residential Projects Only: From List 2 (see back) give Code of Structure-Type: PLAN CHECK NO. EST. VAL PLAN CK DEPOSIT______________ VALID. BY Net Loss/Gain of Dwelling Units PRQJECr INFORMATION FOR OFFICE USE ONLY V' Address Building or Suite No. Oc.t1,1J Sr Nearest Cross Street c LEGAL DESCRIPTION Lot No. Subdivision Name/Number Unit No. Phase No. CHECK BELOW IF SUBMITTED: 02 Energy Calcs 02 Structural Calcs 02 Soils Report DI Addressed Envelope ASSESSOR'S PARCEL EXISTING USE PROPOSED USE DESCRIPTION OF WORK pD t'i06 (rz... $ Dow SQ. FT. # OF STORIES # OF BEDROOMS # OF BATHROOMS WN IN.d Pl?JtJN Uf aiflerent from applicant) NAME (lastname first) ADDRESS CITY STATE ZIP CODE / DAY TELEPHONE APPLICANT U CON THACIUK NAME (last name first) U AGENT FOR CONTRACTOR ADDRESS LbWNE1( U AGENt FUR OWNER iDoi.j St4(4 CITY Ic 14 STATE ZIP CODE DAY TELEPHONE F — 'i 1- 76 7 — / C /5. PROPERTY OWNER V NAME (last name first) ADDRESS 1)0,'.' 5?i34 CITY STATE ZIP CODE DAY TELEPHONE 6. WNThAUR / NAME (last name first) b'001)e_.4/( E *?fe_t4AJ1eP ADDRESS I7-2ø '4' "-' " P1 CITY t/ ' T STATE C4 ZIP CODE q 2— 3DAY TELEPHONE 7 q 7 STATE LIC. #.5 7 S6L!1 LICENSE CLASS /3 CITY BUSINESS UC. # CITY STATE Iiq obtC ZIP CODE 5 4L5 DAY TELEPHONE M #44 STATE LIC. # 5A4 4-1 WORKERS" WMPENSATION 1/ 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. Q. INSURANCE COMPANY .Z7ef.I1kICY NO. EXPIRATION DATE Certificate of Exemption: Icertity that in the performance of the work for which this permit is issuea, i snail not empioy any person so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE OWNER-BUILDER D1ARATION Owner-Builder Declaration: I hereby affirm that I am exempt from the Contractors License 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.). O 1, 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 the applicant to a civil penalty of not more than five hundred dollars [$500]). SIGNATURE DATE COMPLETE This SECTION FOR NON-RESIDENTIAL BUILDING 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 ONO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? DYES 0 N Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? DYES ONO 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 DISI1UCF. ereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued sec suy7w Civil LOGE). LENDER'S NAME LENDER'S ADDRESS ,ip. APPuCANr (KUFKATIUN V I 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, JUDGMENT COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID C11Y 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 365 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time aft h ork is commenced f r a period of 180 days (Section 303(d) Uniform Building Code). APPucANrs SIGNATURE DATE: 0 WRITE IT - DON'T SAY IT! ¼ Date To 0 Reply Wanted From ONo Reply Necessary Jç W t.- Do'-' S 30 4 (A) ti-' 00 S 5) • p 2_xe • 4c IC QOcJ o S AO c . PRINTED IN USA