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Home My WebLink About2711 HAYMAR DR; ; CB941364; PermitBUILDING PERMIT 10/31/94 12:08 Page 1 of 1 Job Address: 2711 HAYMAR DR Suite: Permit Type: PLUMBING Parcel No: Lot#: Valuation: 0 Construction Type: NEW Occupancy Group: Reference#: Description: 1-1/2 WATERLINE PER PETE Permit No: CB941364 Project No: A9402010 Development No: Appl/Ownr : HUFFMAN, MARTIN 1801 S. LINCOLN OCEANSIDE, CA *** Fees Required *** Fees : Adjustments: Total Fees: Fee description Enter "Y" for Plumbi Each Install/Repair * PLUMBING TOTAL 619 433 Status: ISSUED Applied: 10/31/94 Apr/Issue: 10/31/94 93S5rtt&&8* fiQftl Or 02 2607 C-PRMT 27-00 ted & Credits * * * .00 .00 27.00 Ext fee Data 20.00 Y 7.00 27. 00 /L F/WAL APPROVAL 1NSP, ICLEARANCE CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION City of Carlsbad Building Department 2075 Las PaL*es Dr., Carlsbad, CA 92009 (619) 438-1161 i, PERMIT TYPE From List 1 (see back) give code of Permit-Type: For..Residential Projects Only: From List 2 (see back) give Code of Structure-Type: Net Loss/Gain of Dwelling Units 2. PROJECT INFORMATION PLAN CHECK NO. EST.VAL PLAN CK DEPOSIT. VALID. BY DATE FOR OFFICE USE ONLY Address Nearest Cross Street ion Building or buite No. T? LEGAL DESCRIPTION Lot No.Subdivision warne/Number Unit NoT Phase No. CHECK BELOW IF SUBMITTED: D 2 Energy Calcs D 2 Structural Calcs D 2 Soils Report D1 Addressed Envelope ASSESSOR'S PARCEL EXISTING USE PROPOSED USE DESCRIPTION OF WORK /£ SQ. FT.# OF STORIES # OF BEDROOMS '# OF BATHROOMS 37 (JUWIAL.I PktUiUn (it dinerent trom applicant; NAME (last name first) CITY STATE ADDRESS ZIP CODE DAY TELEPHONE 37 APPLICANT UCONTRACTOR QAOhNTFORCONFRACTUR UOWNER NAME (last name first) -mti fttflS W Q&f'G' ADDRESS STATE AGENT tOR OWNER ZIP CODE DAY TELEPHON<£/?) 5T PROPERTY OWN1 NAME (last name first) STATE (2/4 . „ ADDRESS /?*/ f- DAY TELEPHONE (<o /<?)-£& O7 6. CONTRACT NAME (last name flrst) CITY STATE ADDRESS ZIP CODE DAY TELEPHONE STATE LIC. #LICENSE CLASS CITY BUSINESS LIC. # DE5IGNERNAME (last name tirstj CITY STATE ADDREbb ZIP CODE DAY TELEPHONE STATE LIC. # 7, WORKERS' COMPENSATION Workers Compensation Declaration: I hereby anirm that I have a certificate oi consent to self-insure issued by the Director of Industrial 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 POLICY NO.EXPIRATION DATE Ceruiicateoi Exemption: I certify that in the performance of the work tor which this permit is issued, 1 shall not employ any person m any manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE 8. OWNEK-BUILULH DECLARA11UN Owner-Builder Declaration: I hereoy artirm that i am exempt rrom tne contractors License Law tor the loiiowing 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 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.). 1, 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 projectswith contractor(s) licensed pursuant to the Contractor's License 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 permit to construct, alter, improve, demolish, or repairany structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to theprovisions of the Contractor's License Law (Chapter 9, commencing with Section 7000 of Division 3 of the Business and Professions Code) 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]). SIGNATURE ^ DATE tJTluM FOR NON-RESIDENTIAL BUILDING 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? D YES D NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D YES D NOIs the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES D NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1,1989 UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 9- UJHSTHULTIUH LENDING AGENCY I~ Hereby affirm tnat there is a construction lending agency tor the performance ot tne work tor wnich this permit is issued (Sec 3097UJ Civil txxlej. LENDER'S NAME LENDER'S ADDRESS TOT APPLICANT I certify that 1 have read the application and state that tne above information is correct. I agree to complywith 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 inspectionpurposes. I ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CTIY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SATO OTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over S'O" 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 pepnit 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 abandopia/t ajiy time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code). APPLICANTS SIGNATURE ^// S7^> *-*'*. - S DATE: WHI PINK: Finance City of Carlsbad Building Department OWNER-BUILDER VERIFICATION Attention Property Owner: An 'owner-builder' building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is ed. personally planto provide the major labor and materials for construction of the proposed property improvement j^es)or no) . signed an application for a building permit for the 3. 4. 5. I /navamave not) proposed work. I have contracted with the following person (firm) to provide the proposed construction: Name Address Phone City Contractors License No. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address Phone City Contractors License No. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner. ate: Las Palmas Drive • Carlsbad, California 92OO9-1576 • (619) 438-1161