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Home My WebLink About2623 OCEAN ST; ; CB981374; PermitPermit No: CB981374 Project No: A9801836 Development No: BUILDING PERMIT 07/02/98 12:00 Page lof I Job Address: 2623 OCEAN ST Suite: Permit Type: RESIDENTAL ADD/ALT Parcel No: 203-140-06-00 Lot#: Valuation: 2,246 Occupancy Group: Ref erence#: Description: RAD 21 SF. ADD 1/2 BATH TO DWN STAIRS. ADD 10 SF GARAGE SORAGE Appl/Ownr : SABA DON 2623 OCEAN STREET CARLSBAD CA 92008 *** Fees Required *** ** Fe Fees: 163 Adjustments: .0 Total Fees: 1 3.0 Tota Fee description J -------------------- Building Permit j & Plan Check j c- Strong Motion Fee, * BUILDING TOTAL Enter flyH for Plum rig Iss Each Plumbing Fixtu e or T Each Building Sewer Each Install/Repair Enter "Y" for Electri Enter IIU for Remodel Enter 'Y' for Mechani ter L ISS eZ// W~7_ NCORPORATED 1952 Fe SECTION 10144 DA1E4/ 51 7.00 15.00 7.00 Construction Type: VN Status: ISSUED 8654 07/90.: OJ 5,P38/98 Apr/ IsU07/023.? Entered By: JM 760 434-35122623 7ollected & Credits Mile: .00 34.00 129.00 Ext fee Data ---------------- 52.00 34.00 1.00 87.00 20.00 Y 14.00 15.00 7.00 10.00 Y 10.00 Y PERMIT N ACCORDANCE MUM FINAL APPROVAL INSP. DATE ___ CLEARANCE_____________________ . CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 V177Lf - FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO q9137 CITY OF CARLSBAD BUILDING DEPARTMENT EST. VAL. - • .2075 Las Palmas- Dr.,Carlsbad CA 92009 Plan Ck.Deposit ) (760) 438-1161 Validated By (I/./' •j / 2 Date 5Ti 1 Address (include gldg/yi&e-#) Business Name (at this address) 64 Legal Description J Lot No Subdivision Name/Number N001 o. jtal #$ units Assessor's Parcel # Existing Use Proposed Use Description of rk - SQ. FT. /of St ties C # of Bedroo , re#of Bathrooms r.., NTACTPERSO fdiff entfromapplicm .....----.-.---- -_, t_-__ & 2,Aq 5a5'941 Th j71r CfT 2i g- Name Address City r /fStateiZip1j1jffi (ephone # Fax # '';~AP_P ~CANJ~El -Cbhiii Address City State/Zip Telephone # [4.P96PEROWNE31 Name Address City State/Zip Telephone # (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair anystructure, 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, commending with Section 7000 of Division 3 of the Businesssd 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 subts 'he applicant to a civil penalty of not more than five hundred dollars ($5001). Name Address - T City State/Zip Telephone # State License # License Class City Business License # Designer Name . Address . City State/Zip Telephone State License # . 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. 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) 0 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 to become 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 ($100,000). in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE DATE % L7OWNE1BThLDERDECTN / I hereby affirm that I am exempt from the Contractor's License Law for the following reason: i, asOwner of the property or my employees with wags 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). 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). 0 I am exempt under Section Business and Professions Code for this reason: I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES d0 I (have / have not) signed an application for a building permit for the proposed work. I hive the proposed construction (include name _ address / phone number /contractors license number): I plan to provide portions of the work, butj,lJJed the following person to coordinate, supirvise and provide the major work (include name / address / phone number / contractors license number): I will provide some of the wo, but I have co cted (hired) the following persons to provide the work indicated (include name /,address / phone number I type of work): b PROPERTY OWNER SIGNATURE .,7i DATE [COMPLETETIj!SSçJJpN FORWb RE!__!.41BUILDINGIITSONLY 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? 0 YES 0 NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES 0 NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES 0 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. 87idbliSTRUCTION LENDING AGENCY '77 nzgl I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 30970) Civil Code). LENDER'S NAME LENDER'S ADDRESS_______________________________________________________ L9APPLIcLCnFLCATION I certify that I have read the application and 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 Citi 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 ANYWAY 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 commence ithin 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 after the work is corn ended forjpefipd of 1 0 days (Section 106.4.4 Uniform Building Code). APPLICANT 's SIGNATURE __ DATE __________________ WHITE. File YELLOW. Applicant PINK. Finance