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Home My WebLink About2626 HALF DOME PL; ; CB931285; Permit2 CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 -- PERMIT APPLICATION PLAN CHECK NO. City of carlsbad Building Depart11ent 2075 Las Paliaas Dr., tarlsbad, CA 92009 (619) 438-1161 . 1. PEltMII nPE A -U Commercial O New Bmldmg U Tenant improvement B -• Industrial U New Building • Tenant Improvement c . ll"ltesidential • Apartment • Condo • Single Family Dwelling • Addition/ Alteration • Duplex • Demolition • Relocation • Mobile Home • Electrical &Plumbing • Mechanical • Pool • Spa • Retaining Wall • Solar • Other ___ _ 2. PRClJF.CT INFORMATION FOR OFFICE USE ONLY Address r;2 6,,2 6, lfa /j! tj,,,,_,~ pJ~ ee Bu1ldmg or Suite No. f mt o. CttECR llEWW If SUBMii !Eu: • 2 Energy Cales • 2 Structural Cales • 2 Soils Report • l Addressed Envelope ASSESSOR'S PARCEL EXISTING USE PROPOSED USE DESCRIPTION~/ t,,1/aW A~h-r SQ. Ff. # OF STORIES ADDRESS ;2 t,,,;2 C,, /; I;! £)0-1~ /Ok,c.f# 43 -ts&-~ DAY TELEPHONE ,q' 5&; -5>-4'",'2_ ADDRESS QC:, .2 G /-lo/~ /.J,o,n-H~ /-'/4,l'." STATE Ce;. ZIP CODE DAY TELEPHONE 4' 3 ~ - ADDRESS /,)'1 f'rC e,-1/ ~ /. CllY ZIP CODE ~ 2 / I I DAY TELEPHONE Cf 3 h -~~ ~ .l._ _ ? ,t:,~ .... DESIGNER NAME ADDRESS CITY BUSINESS UC. # II 9: 20 ~ -z_ ~ -1. 1-1 "I CllY STATE ZIP CODE DAY TELEPHONE STATE UC.# 1. WoRIMlS' wMPkNSA:nON • • • Workers' Compensation Oedarauon: I hereby alhrm that I have a cemhcate of consent to self-msure 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 cenified by the Director of the insurer thereof tiled with the Building Inspection Depanment (Section 3800, Lab. C). ?U,,,.,7 . ~ POLICY NO. ,c. 1'.JS / 4I aratlon: ere ya 1rm t at am exempt rom ! e w or t e o owmg 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 improvemenu 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 Llcense Law does not apply co 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 Ciry or Counry which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to iu issuance, also requires the applicant for such permit co tile 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 penalry of not more than five hundred dollars [$500]). SIGNATURE DATE COMPLETE mts SEC'lioN FOR NON-RESIDENTIAL BOiilliNG PERMITS ONLY: Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES • NO ls the applicant or future building occupant required to obtain a permit from the air pollution control district or air qualiry management district? • YES • NO ls the faciliry to be constructed within 1,000 feet of the outer boundary of a school site? • YES ONO IF ANY OF lUE ANSWERS ARE YFS, A FINAL CERTIFICATE OF oa;upANCY MAYNar BE J$lJED AFrnR JULY 1, 1989 UNLESS nm APPUCANT HAS MET OR JS MEETING TIIE REQUIREMENTS OF TIIE OFFICE OF EMERGENCY SERVICES AND TIIE AIR rowmoN CDNlROL DIS'I1UCT. 9. wNSIRUCnbN 1£NDING ACENL'V I hereby albrm that there 1s a construct1on lendmg agency for the performance of the work tor which this permit 1s issued (Sec 3097(1) Cavil Code). LENDER'S NAME LENDER'S ADDRESS 1 o. APPLICANT C£k fiPltA11oA I certify that ( have read the appHcaUon and state that the above mtormauon 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 AISO AGREE 10 SAVE INDEMNIFY AND KEEP HARMLESS TiiE CllY OF CARLSBAD AGAINST ALL UABILITIES, JUDGMENTS. CDSTS AND EXPENSES WIIlCH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CDNSF.QUENCE OF nm GRANTING OF nns 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). APPLICANT'S SIGNATURE . DATE: /(-2,2-£3 PINK: Fmance