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Home My WebLink About2729 CREST DR; ; CB972236; PermitSuite: Permit No: CB972236 Project No: A9702819 Development No: 9855 10/03/97 0001 01 02 BUILDING PERMIT 10/03V97 13:17 Page 1 of 1 Job Address: 2729 CREST DR Permit Type: MISCELLANEOUS Parcel No: 156-152-14-00 Lot#: Valuation: 0 Construction TypSY VN Occupancy Group: Referencetf: Status: ISSUED Description: INSTALL TOILET AND SINK IN Applied: 08/08/97 : EXISTING ROOM W/VENTILATION Apr/Issue: 08/08/97 Entered By: MDP Appl/Ownr : KULIK, KATHGRYN 760 729-3778 2749 CREST DRIVE CARLSBAD, CA. 92008 *** Fees Required ***s Collected & Credits Fees : Adjustments: Total Fees: Fee description Miscellaneous Fee Miscellaneous Fee Miscellaneous Fee * MISCELLANEOUS TO 86 . A ** . 00 59.00 27.00 Ext fee Data 34.00 PLUM 25.00 VENT. 27.00 PLUM. 86. 00 CLEARANCE CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92D09 (760)438-1161 1. PROJECT INFQRMATIOM™ FOR OFFICE USE ONLY PLAN CHECK NO.. EST. VAL. Plan Ck. Deposit Validated By Date Address (include Bldg/Sutte #)Business Mams (at thit addrass) Legat Description Lot No.Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel *Existing Use Proposed Use Description of Wock . . j SO. FT. 2. tONTACT PERSON (If drfferent Wm applcantf Name Address City State/Zip Telephone * Fax * Name Address City State/Zip Telephone f is - CONTRACTOR i> MMPA:liY^liAMi^i^^^ (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, commanding 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 (45001). Name State License * Address License Class City State/Zip City Business License * _ Telephone # Address City State/Zip TelephoneDesigner Name State License * 6. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: Q 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 performance of the work for which this permit is issued. Q I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My worker's compensation insurance carrier and policy number are: Insurance Company . _ _ _ Policy No. _ Expiration Date _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS (91001 OR LESS) Q CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shell not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and dvt fines up to one hundred thousand dollars ($100,000), in addition to the- cost of compensation, damages a* provided for In Section 3706 of the Ubor c«le. Irtereat and attorney's fees. SIGNATURE _ '' _ DATE _ , _ 7." OWNER-BUIU>EHDCCIJUIATON':'-^ I hereby affirm that I am exempt from the Contractor's License Law for the following reason: iSf I, as owner of the property or my employees wtth wages as their sole compensation, wiH do the work and the structure is not intended or offered for sate (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to en owner of property who buHds 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 wMI have the burden of proving that he did not build or improve for the purpose of sale).vI/X I " owner of the property, em exclusively contracting with licensed contractors to construct the project (Sac. 7044, Business end 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) ficensed pursuant to the Contractor's License Law). Q 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. D YES DNO 2. I (have / have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (inchide name / address / phone number / contractors license number): 4. I plan to provide portions of the work, but I have hired the following parson to coordinete, supervise and provide the major work (Include name / address / phone number / connectors license number): _ ' ___ _____ .--,-- - 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type of work): • PROPERTY OWNER SIGNATURE COM 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, 2S633 or 25534 of the Presley-Tenner Hazardous Subetance Account Act? Q YES Q NO Is the applicant or future bUlding occupant required to obtain a permrt from the air pollution control district or air quality management district? Q YES Q NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Q YES £1 NO IF ANY OF THE ANSWERS ARE YES, A RNAL 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 a construction lending agency for the performance of the work for which this permrt la issued (Sec. 3097(0 Civil Code). LENDER'S NAME LENDER'S ADDRESS I certify that I have reed the application and atata that the above Information is correct and that the taformetion on the plans la accurate. I agree to comply with all City ordinances and State laws relating to buHding 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 ALL LIABILITIES. JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY M CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permrt is required for excavations over 5'0* deep enrt demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shaH expire by limitation and become null and void if the building or work authorized by such perm:': is not commenced within 3«6 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 e period of 180 days (Section 106.4.4 Uniform Building Code). f(jt.&ll/_ DATE {/ ••Fl.'ITC. CII- VTI I ^11 APPLICANT'S SIGNATURE / CITY OF CARLSBAD INSPECTION REQUEST PERMIT* CB972236 FOR 10/02/97 DESCRIPTION: INSTALL TOILET AND SINK IN EXISTING ROOM W/VENTILATION TYPE: MISC JOB ADDRESS: 2729 CREST DR KULIK, KATHGRYNAPPLICANT: CONTRACTOR: OWNER: PHONE: PHONE: PHONE: INSPECTOR AREA PD PLANCK* CB972236 OCC GRP CONSTR. TYPE VN STE: LOT: 760 729-3778 REMARKS: C/KATHRYN/434-1684 INSPECT SPECIAL INSTRUCT: 2ND REQUEST. GUST WILL CALL IN TH TIME. ORN TO FIND OUT WHAT KATHRYN LIVES NEXT DOOR AT 2749 CREST. TOTAL TIME: CD LVL DESCRIPTION 26 PL Plumbing Repairs/Sprinkler ACT COMMENTS ***** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP 093097 Plumbing Repairs/Sprinkler NR PD COMMENTS NO ONE AROUND 1:20