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Home My WebLink About2625 KREMEYER CIR; 16 | 19; CB962298; Permitn: (" upc1n y ,r up: EM DIG re ... r::.p l n· REPAIR GA~ NIT 1b Appl wr.r : Fee::; R •qu1r i F'ees: A IJu-tme-nt"": tc.d f Pe. : Fee w scr 1pt 1 n Ent8l Y fr Plumh1 c,a P 1 E 1r.q ystem >: E-LUMBIN O AL & L R feL L~NE 2 APPAR 19 N PLUM N s A 92 lO ~ ~ nee#: MEN s ml t ' .Fr .. I pm nt N l.., 3 12/0~/96 OC01 01 #: C P ~- r t ..-u t->n " t>l3 7 4CJ14 t U : r Al pl l" . Apr/ ssue: Ent red y: ere its .uo . 0 ( 4.0u JED Ext fee Da l J. O 14,UO ~4.0 :\\0 ~E---- CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 "l' .., PERMIT APPLICATION ~ V PLAN CHECK NO. Cft City of carlsbad Building Department 2075 -I.as Pal•• Do •• cadsbad, CA 92009 (619) 438-1161 I. PF.RMI I IYP.£ A -U COmmerc1al B -D Industrial U New Budding LI lenant Improvement □ New Building D Tenant Improvement C -□ Residential D Apartment □ Condo □ Single Family Dwelling □ Addition/ Alteration □ Demolition □ Relocation □ Mobile Home □ Electrical D Plumbing □Duplex □ Mechanical □ Pool □ Spa □ Retaining Wall □ Solar □ Other 2. PRCllECf INFORMATION □ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope PROPOSED USE 3. WN IACI PERSON (II dnferenf from applicant) NAME ADDRESS CITY STATE ZIP CODE DAY TELEPHONE 4. ~/1-1#':rNI~~~ )t#.l1.J,,"%~ki::sl0R.?#77N~ENJ!/-"OWN£R CITY (/J {{ STATE ZIP CODE ')tit) DAY TELEPHONE },~ UJ€ ADDRESS ,26t~ f:ft>reyr d. STATE ZIP CODE cr,-,-,g DAY TELEPHONE /,2 NAME CITY STATE ADDRESS ZIP CODE LICENSE CIASS DAY TELEPHONE STATE UC. # )Yf_)@ DESIGNER NAME ADDRESS cITY ausINESs uc. # llYoo CITY STATE ZIP CODE DAY TELEPHONE STATE UC.# 7. wrnomm: CDMPRNSAIIDN Workers' t.Zmpensat1on Declaration: I hereby aftJTm that I have a cert1hcate of consent to self.insure tsSued by the 01rectorof lndustnai Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified by the Director of th insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C). h,5 IJC.J/7}Yt F.XPIRATION DATE 7-1-1 SIGNATURE DATE 8. OWNill-B0iWER DE'.l!LARAliuN bwner-Bmlder Declarat1on: I hereby affmn that I am exempt from the Contracto?s Lcense Law for the following reason: D 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.). D 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). 0 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 [$5001). SIGNATURE DATE CuMPLB'IE 'IRIS SECIIUN FUR NON-RESIDEN IIAL BOIWING PERMll's 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 ONO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? CYES □NO ls the facility co be constructed within 1,000 feet of the outer boundary of a school site? □YES ONO IF ANY OF THE ANSWERS ARI! YES, A FINAL CERTIFICATE OFoa:uPANCY MAYNUf BI! ISSUED AFTER JULY I, 1989 IJNIJI.SS THEAPPUCANT HAS MET OR IS MJ!l!TING THE REQIJIREMENTS OF TIii! OFFICE OF EMERGENCY SERVICl!S AND THE AIR FOlllJTION CONTROL DISIRICT. 9. WNSIRUCIION IENDING AGENCY I hereby afurm that there 1s a construction lendmg agency for the performance of the work for which tfiIS permit ts issued (Sec 3097lo CivU Ccxie). LENDER'S NAME LENDER'S ADDRESS 10. APPUCANI CFltlfiJICKIKJN I cerufy that I have read the apphcauon and state that the aOOve mformauon 1s correct. I agree to comply with all City ordmances and Stale 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 AlS) AGREE TO SAVE INDEMNIFY AND KEEP II.ARMLESS THE aJY OF CARISBAD AGAINST AIL IJABUJTIF.S, JUDGMENTS, CDSfS AND EXPENSES WIIlCH MAY IN ANY WAY MDUIE AGAINST SAID aJY IN CONSEQUENCE OF THE GRANTING OP TIIlS 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 after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code). DATE: 12~3 ~ff File YEil.OW: Applicant PINK: Fmance UNSC0 f:OULED BUILDING INSPECTION DATE / 'l · S · f k? INSPECTOa~~{i,1-'g:Z...~~::::::==:=----- PERMIT#_____ PLAN CHECK# ____ _ JOB ADDRESS J.~t( &~7 //tft,fC/L Ct/Z ,I/-(h 4f fr DESCRIPTION __________________ _ TIME ARRIVE: ___ _ TIME ___ _ CODE DESCRIPT~ ACT COMMENTS _M_ _?i_tt_s _~_~1_o_A-_,tt __ ~ rJ or 6 t11 ,4-l...-