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Home My WebLink About2711 HAYMAR DR; ; CB941645; Permit12/13/94 08:47- BUILDING Page 1 of i/ Job Address: 27H HAYMAR OR Permit Type- ELECTRICAL Parcel Noi Valuation: 0 Construction Type: NEW Occupancy Group: Description: TPP FOR GOLF DRIVING Appl/Ownr : HUFFMAN, MARTIN 1301 S. LINCOLN OCEANSIDE, CA *** Fees Required PERMIT Suite: Lot#: Permit No: CB941645 Project No: A9402U10 Development No: Status: ISSUED 619 433-2607 20-00 Fees : Adjustments: Total Fees: Fee description &* Enter "Y" for Ele Enter "Y" for Tern * ELECTRICAL Pted & Credits * * . 00 . uu 20.00 Ext fee Data 10.00 Y 10,00 Y 20.0 0 CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION City of Carlsbad Building Department 2075 Las Pa I BBS Dr., Carlsbad, CA 92009 (619) 438-1161 1. PhKMil 1TFE 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 CX DEPOSIT. VALID. BY ~ DATE FOR OFFICE USE ONLY Address . 0> Nearest Cross Street IV.Building or Suite No. LEGAL DESCRIPTION Lot No.Subdivision Name/Number Unit No.Phase No. CHECK BELOW IF SUBMITTED: D 2 Energy Gales Q 2 Structural Gales D 2 Soils Report Q 1 Addressed Envelope ASSESSOR'S PARCEL EXISTING USE PROPOSED USE DESCRIPTION OF WORK SQ. FT.# OF STORIES # OF BEDROOMS # OF BATHROOMS 3. CONI ACT PERSON [u dirterent from applicant; NAME (last name ... .....4. APPLICANT U cw 1 Cl Q OcuM 1 KAL'K OWER Q AGENT FUR OWNfcK NAME (last name first) ^J^pp^A-t- /fyAW*- ADDRESS /<?$/ ^ Ltf-Lt>Lf*~ ( QJU _ STATE^/3 ZIP CODE^.^ 6"r DAY TELEPHONE 5. PROPERTY OWNER NAME (last name first) CITY STATE ADDRESS ZIP CODE DAY TELEPHONE 6. CONTRACTOR NAME (last name first) CITY STATE ADDRESS ZIP CODE DAY TELEPHONE STATE LIC. #LICENSE CLASS CITY BUSINESS LIC. # DESIGNER NAME (last name first)ADDRESS 7. CITY WORKERS' COMPENSATION STATE ZIP CODE DAY TELEPHONE STATE LIC. # Workers' Compensation Declaration: I hereby affirm that I have a certificate of consent to self-insure issued by the Director oTTndustrial 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 Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE 8. OWNER-BUILDER DECLARATION a owner-Builder Declaration: I hereby attirm that I am exempt trom me contractors License Law lor the tallowing 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.). 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^) licensed pursuant to the Contractor's License Law). D 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 [$500]). SIGNATURE -^Z^ ^ ^/^ '?(£ ^tL ^ DATE /^2 -- s 7 _ <„„ . ^v ..tf'yVr^fe^ S u 'COMPLETE fafe SECJION *6R NON-rifestgHmAL BUILDING PERMITS ONLY: ^ Is the applicant or future building occupa^f 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 NO Is 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. CONS'IKUCTION LENDING AGENCY ~ 1 hereby attirm that There is a construction lending agency tor the pertormance or the work tor which this permit is issued (Sec 3097UJ Civil code). LENDER'S NAME LENDER'S ADDRESS 10. APPLICANT CEKllFICAnON I certify that 1 have read the application and state that the above information is correct. 1 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 ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST Ali IIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SATO 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 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). APPLICANTS SIGNATURED? -X J ^ jS s ^ DATE: ^^54 ^ WHITE: Filg<?7ELLOW: Applicant PINK: Finance CITY OF CARLSBAD INSPECTION REQUEST PERMIT! CB941645 FOR 12/20/94 DESCRIPTION: TPP FOR GOLF DRIVING RANGE TYPE: ELEC JOB ADDRESS APPLICANT: CONTRACTOR: OWNER: 2711 HAYMAR DR HUFFMAN, MARTIN PHONE: PHONE: PHONE: INSPECTOR AREA PLANCK# CB941645 OCC GRP CONSTR. TYPE NEW STE: LOT: 619 433-2607 REMARKS: RS/DAVE SPECIAL INSTRUCT: INSPECTO TOTAL TIME: —RELATED PERMITS—PERMIT# TYPE CB941217 MISC CB941364 PLUM CD LVL DESCRIPTION 32 EL Const. Service/Agricultural STATUS ISSUED ISSUED ACT COMMENTS DATE DESCRIPTION INSPECTION HISTORY ***** ACT INSP COMMENTS 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 received. I personally plan to provide the major labor and materials for construction of the proposed property improvement^eT))r no) ^j^»y . Xthavejhave not) ^^^/ signed an application for a building permit for the proposed work. p I have contracted with the following person (firm) to provide the proposed construction: Name 4. 5. 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: Carlsbad. California 92OO9-1576 (619) 438-1161