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Home My WebLink About2625 KREMEYER CIR; ; CB950370; PermitC l/llj/<lS 11._4 E 'J 1 L [) ~ N c P..:q._, 1 uf 1 J ,b Addre..;s: _( .:.s KREME{ER CR Ferm. t Type: F ~VMBING Par...:el l'.1: 1.1:,-1i L,)-Ot' Val u .Hi(' n : < unr:truct1on 1'ypc-: NFW UCC'..1£.>c.U.IC' y Grou~•: u IJc-.:;--:ript::.cm: REPA:R GAc LINE Arp /Owrir : CARI..$BA:.> LAGUNA APAR .. MEN'T'S ~625 KREMEYEk crR~LE CARL::,BAD, CA 9GOR9 ------------------1-:-------Fee...;: A•l1~1:::;tment::;: Total f-ce~: Fee 1e ;c-r i pt:i ,.m P E R M ~ f Sl,ite: Lnt#: ?errr1t Nu: c: '. r Pro jer-t No: A95 JOS..., ... .. .1c•vel1)prrent N : 1077 03/15/95 0001 01 02 C-PRMT 27.0O Statu-,: :s::..r;ED Apf.:: E"• 1: 'l J / 1 c., / Y 5 Apr;..::~,sue: n '/1':,/➔3 EnterC>cJ By: ~>,· hl 1 729-4J44 Fee::; l ll"ec-ted & ,~n. 11 t.:; A ,I ,\ --------------------- t Ofl . ( (.) , I. C, U Ext f(•t• [>c1+- Enter Y" for Plu G-..:; P1pit.J Sy-::;tem >. PL'JMB:!:NG TOTA: .._ _____ ""W ----- .::::::;ue FeE:' > ) 'J • CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 ~Cl.Cu V 7. u ( 2 7, l) () PERMIT APPLICATION PLAN CHECK NO. City of Carlsbad Building DepartErlt l ~V~DEPOSIT, ________ _ 2075 Las PalES Dr., Carlsbad, CA 92009 (619) 438-1161 I. PPJlMI 1 NPR VAIID. BY. __________ _ DATE From Llst l (see back) give code of Permit-Type: ___________ _ For Residential Projects Only: From Llst 2 (see back) give Code of Structure-Type: ____________________ _ Net Loss/Gain of Dwelling Units 2. PR<lJECT INFORMATION FOR OFFICE USE ONLY mt o. ase o. CHECK BEWW IF SOBMII IED: □ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ l Addressed Envelope ASSESSOR'S PARCEi. EXISTING USE Yr /7c,,,, y-pc.s .Z ,,v" . PROPOSED USE DESCRIPTION OF WORK SQ. FT. # OF STORIES # OF BEDROOMS # OF BA1HROOMS 3. WN IACI PERSON (I[ duierent from apphcanO NAME (last.name first) ADDRESS CITY STATE ZIP CODE DAY TELEPHONE 4. APPUCANI UWNIRACIOR DAGEN! FOR CONJRACIOR ADDRESS DOWNER DAGEN! FOR OWNER NAME (last name first) CITY STATE ZIP CODE DAY TELEPHONE 5. PROPPltJY OWNER NAME (last name first) 8,1/ Wush~--r . ADDRESS .;2.tOO /{--.,i,,,.,,,v(rT' ,.-r.-c/z: CITY (!' q I ff 6 ~,._/ STATE t"~ ZIPCODE Cjj'()cJ'if' DAYTELEPHONE 7:2. 9-9..?'/'f. NAME (last name first) CITY STATE STATE UC.# ZIP CODE UCENSE CLASS ADDRESS DAY TELEPHONE CITY BUSINESS UC. # DESIGNER NAME (last name hrst) ADDRESS CITY STATE ZIP CODE DAY TELEPHONE STATE UC.# 7. WukkERS' WMPENSAiloN Workers' Compensation beclarauon: I hereby affirm that I have a certificate of consent to seif-msure 1SSued 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 POUCY NO. EXPIRATION DATE Certtbcate of Exemption: I certify that m the perfonnance of the work for which this penn1t is issued, I shall not employ any person m any manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE 8. OWNRk-BUllDEilORCOOtAIION □ □ □ Owner-Builder Ueclarafion: I hereby afhnn that I am exempt from ffie Contractors license Law for the followmg 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 Llcense 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 Llcense 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 pennit 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 Llcense 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 [$5001). SIGNATIJRE DATE CUMPLEIE IHIS SEG110N FOR NON-RESIDENIIAt B0lilliNG PERMIIS 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? □YES □NO Is the applicant or future building occupant required to obtain a pennit from the air pollution control district or air quality management district? □YES □NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □YES □NO IF ANYOFTIIEANSWERS ARE YES, A FINAL CERTIFICATE OF OOCUPANCYMAYNITTBEISSUED AFTER.JULY 1, 1989 UNLESS TIIE APPUCANT HAS MET OR IS MEIITING TIIE REQUIREMENTS OF 11IE OFFICE OF EMERGENCY SERVICES AND 11IE AIR POLLUTION CDNlROL DJSI1UCT. 9. WNSIRUCl1UN ll.NUING AGENCY I hereby afhrm that there 1s a construction lendmg agency for the performance of the work for which this pennit 1s issued (Sec 3097(1) Civil Code). LENDER'S NAME LENDER'S ADDRESS 10. APPllCAN I CFJtllFICAiiON I certUY that I have read the application and state that the above mformat1on 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.50 AGREE TO SAVE INDEMNIFY AND KEEP HARMlJ'.SS 11IE CITY OF CARISIIAD AGAINST AIL IJABilJTIF.S, JUDGMENTS, CDSTS AND EXPENSES WHICH MAY IN ANY WAY AOCRUE AGAINST SAID CITY IN CDNSEQUENCE OF 11IE GRANTING OF 11IlS 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 aha ~. 3/atn nyy n timmee a anfter the k is commenced for a period of 180 days (Section 303(d) Uniform Building Code). APPUCANTS SIGNATU ~ DATE: WHITE: File YELLOW: Ap cant PINK: Finance 0 tl'MICBIRYLIR IMSPlc;:t'tON J// ~/!5 INSPIC'l'OR___.&~~=zf";,___ ___ _ CATI: PERMIT t 7:S--3 7 0 PUNCJt t .101 ADDRESS ,gr;;;!> M~ C-z' 7.J.. '7-V-3 Cf-I./ TIMZ AJUtIVl: _____ TIMZ LEAVI: ____ _ CD LVI. rDNlfl •115/19 DESCJUPTION '?AM7~ /2-li{ ~ £ I > -- -