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Home My WebLink About2650 KREMEYER CIR; ; CB981430; PermitI V • E. t / i / l ~: c, 'l E ff l f l • >b Aqd '='w. : 2t l( KRFMF '• t ••r•n1 'T'yp : PL "-1B ING Pirc l No: 1r.· -1-,0 -14-0fl Va ... uat 1,>n. () f.: M I Lo#: E trl N : r • .. fr,, tN,:A' 1Jl-i, L>"ve~• irre-nt N<: n -c•tr, n ·y L ,u : Rt.=>fe1 -rv_e#: L, •s-::11p • n: CA'-LINE REPAIR ('onf' l UC ~ n • V e: 'E w Sta+-t : IS<::l E[ Ar r.:.:.1., >wn1 Fees: A iius men 1 F E "IERc;EN< Y GA , L INF REF A Ir- ARTHLIR ROWN f'L' ML , 2.n~7 3TATi=: ST CARLSBAD CA 920rJ8 Ap 1. rl: ':,,t /9~ Apr/Is,~P: os,1. ~ Ent ·re 'J By: C,llE"C d & rreh - ---6.'l9:0-0S.LW$8.-000,1 01----02 C -PRMT 2 7 • 00 . (; ti .ao 21.IIC. Ext f,•e D t =i En r "Y for Plumb' G :ls P1 pincr ~ Y'".i tern -·----------- 0,11(, Y 7 . (, ) ' ~At_pP ' -0 VAL INSP.~_ [ . :-ff. 1/9! ~ CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 FOR OFFICE USE ON~g;, / PLAN CHECK NO. t '32) EST. VAL. __________ _ Plan Ck. Deposit -r--;--=--........:c........,_ __ Validated By _ __.. _ _._-=.,__._,_.,,,,..,,...,.__ Date. _______ _.."""._......,"-._-',1,..._ Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Tota I # of units Assessor's Parcel Proposed Use # of Bedrooms # of Bathrooms Name State!Zip Telephone# Fax# !3¥c;;:;wJt' -~LI<..lL!.,..__~~~~.,..-......i-~~~------=-c---:-~~ r Name Name (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, commending with Section 7000 of Division 3 of the Business and Professions Codel 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)). Name State License # _#-,.___'(J.-Kf, ..... 2~C/,,__D~_ Address License Class __ _,,C.,,........,.2~~b ___ _ City State/Zip Telephone # City Business License# J'f f{)Q • Designer Name Address City State/Zip Telephone State License # _________ _ Et1;~~~11/~-,t~~hliilil~rifi!i!~!iktiJtt~'.~J.lU 1{~'-~:~~1ii~~Jlfi1Ji[:i{~0~>;~:iuij\jj~-= Workers' Compensation Declaration: I hereby affirm under penalty of perjury ona of the following de,~la,ratiion,s: 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 perform a nee of the work for which this permit is issued. (I)', I have and will maintain workers' compensation, as required by Section 3700 oi0f the Labor Code, for the performance of the work for which this permit is -,;rued. My worker's compensati ina ranee carrier and policy number are: rJ(. -;rVb--J e:, pl Insurance Company • Policy o. 3 J 7 / ~ 0). Expiration Date 7 _ -7 'J (THIS SECTION NEED NOT BE OMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100! OR LESS) 0 CERTIFICATE OF EXEMPTION: I certify thet in the performance of the work for which this permit is issued, I shall not employ any person in any manner so es to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure orken' compensation coverage is unlawful, and shall subject an employer to crlmlnal penaltlas end civil fines up to one hundred thousand dolla,.1$100,000 n addition to the cot otcom nsetlon, demages 111 provided for In Section 3706 of the l:!!zgr code,lnJJ~e~·a fees. SIGNATURElliiiiil~.i--~~~~~~~~~~~~63=---~=---~~ DATE _.> ~ Ii-,; i,f:t~,iiH;t:p[:,HHi1W1Hf'.H;~:;1[+';,;; :,>::+tfH~:s::1;1/i\i~YAiGP(<-?< I hereby affirm at I am exempt from the Contractor's License Law for the following reason: 0 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 salel. 0 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, end contracts for such projects with contractor(sl licensed pursuant to the Contractor's License Lawl. 0 I am exempt under Section ______ Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ONO 2. I [have I have natl signed an application for a building permit for the proposed work. 3. I have contracted _with the following person (firml to provide the proposed construction (include name I address I phone number / contractors license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name I address I phone number I contractors license numberl: ________________________________________________ _ 5. I will provide some of the work, but I have contracted (hiredl the following persons to provide the work indicated (include name I address / phone number / type of workl: __________________________________________________________ _ 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 tha Presley-Tanner Hazardous Substance Account Act? 0 YES O NO Is the applicant or future building occupant required to obtain II permit from the air pollution control district or air quality management district? 0 YES D NO Is the facility to be constructed within 1 ,000 feet of the outer boundary of a school site 7 D YES O 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. I hereby affirm that there is II construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Cadel. LENDER'S NAME 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 egree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the Citt 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 ANY WAY 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 end become null and void if the building or work authorized by such permit is not commen 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 tima after the work is c enced for a period of BO ~s ection 106.4.4 Uniform Building Codel. ;, ,-;;/" APPLICANT'S SIGNATURE ----~t,:;~~,-'.'.'.~7~':'.~C::_J':J.:'.'::(4.!lf:~~:________ DATE ~ --/ 3 -t?~ PINK: Finance UN8CflEpm,En BJTTJ.DING INSPECTION DATE 5 -\>:,9 8 PERMIT # C\.8 \ 400 INSPECTOR Yo 1 0 t3aa k PLAN CHECK# _____ _ JOB ADDRESS .-::V~r,S:"O=--· ~~~~~.u~=.;::::;,_JC?~N=--::\t;;;J· ~iz->=---------e.-----U--. DESCRIPTION ______________________ _ TI1\1E ARRIVE: ____ _ TIME ____ _ CODE DESCRIPTION ACT COMMENTS . /'x<1? ~52f~ll~Q•:::::· :::SL=::.•..:::,&~~.:t..·~:::::....-'A-4--____________ _