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Home My WebLink About2729 OCEAN ST; ; CB930169; PermitIN~ A:.• A UM .. r; rNA.u Ap /(Mt .t. : WA FP '"' R qu11:e l ------------------ ·e .; : AlJUStment : tal Fees: Fee escript1on ----------------- M~ cellaneous Fee AH•~ E•LANEOUS TO t#: 1241 02/'Zl./93 0001 01. 02 c-~RMT 25-00 ur I : 7 o. ( r l t Ext CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 --~-- PERMIT APPLICATION PLAN CHECK NO. 6°/ City of Carlsbad Building Department 2075 Las Pal .... o, •• ca,lsbad, CA 92009 (619) 438-1161 i. PFJtMII IYPE A -U COmmerc1al LI New Bu1idmg D lenant Improvement B -□ Industrial □ New Building D Tenant Improvement C -)('itesidential □ Apartmenc LI Condo □ Single Family Dwelling )('Addition/ Alteration □ Duplex U Demolition □ Relocation □ Mobile Home □ Electrical □ Plumbing □ Mechanical □ Pool LI Spa □ Retaining Wall D Solar □ Other 2. PRCJJF.CT INFORMATION Address s.+ BulJdmg or Suite No. FOR OFFICE USE ONLY 1...1. '2-9 c:>c= ~ V"\ Nearest Cross Street mt o. CHECK BEWW IF SOBMII IED: □ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope SQ. IT. # OF STORIES I..S '>LO V1 DAYTELEPHONE -,S 4- NAME ,,,,,,,,v-e.._ ADDRESS CITY STATE ZIP CODE DAY TELEPHONE •· t!:-"h'~~'t.-e.A WOl\ ~s ADDREss CITYC().,Y'\~~ STATE ZIPCODE :27"1-91 <;?! ') DAY TELEPHONE -CY{., G. k NAME evJ'-'.v~ -A.s!;P'l., ADDRESS I ,,4 \ CITY ~\ \.a.. STATE C--f\ ZIP CODE <99-c,~7 G, v-ot:! v-e.... DAY TELEPHONE ~ 4 -01 f&> _3 CITY BUSINESS UC. # Z:'2'42.,,:Z 9' .:> ~ UCENSE CLASS -c__ CITY ZIP CODE DAY TELEPHONE STATE UC.# 7. WOIUMlS' WMPENSAliON Workers1 Compensation Declaration: I hereby affirm that I have a cert1tlcate of consent to self-msure issued by the Director of lndustnai Relations, or a certificate of Workers• Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified by the Director of;~ ~surer thereof filed with the Buildin~~/~~~e~~tion 3800, Lab. C). INSURANCE COMPANY {A/'/ POUCY NO. EXPIRATION DATE □ □ ner-ere ya mn 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 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 Llcense Law does not apply to 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 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 Llcense Law (Chapter 9, commencing with Section 7000 of Division 3 of the Business and Professions c.od.e) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.S by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]). SIGNATURE DATE COMPLEIE IHIS SEGIION FOR NON-RE5IDEN IIAL BOIIDJNG PERMITS ONLY: Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration fonn or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? □YES □NO Is the applicant or future building occupant required to obtain a pennit from the air pollution control district or air quality management district? □YES □NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ YES □ NO IF ANY OF THE ANSWERS ARE YES, A FINALCER11FICATE OF OCCUPANCY MAYNUf BE ISSUED AFTER JULY 1, 1989 UNLESS THEAPPIJCANT HAS MET OR IS MEETING THE RF.QlllREMENTS OF TIIE OFFICE OF EMERGENCY SERVlCF.S AND THE AIR POU.UTION CDNTROL DISl1IICT. 9. WNS I KOCI ION O'.NDING ACE.NCI I hereby afhnn thac there 1s a construcuon lendmg agency for the peHormance of the work for which thts permit ts issued (Sec 3097(1) C1vH Code). LENDER'S NAME LENDER'S ADDRESS 10. AWIJCXN I C£kliFICA:liuN I cerufy that I have read the apphcauon and state that the aOOve mformauon 1s correct. I agree to comply with all City ordinances and Slate 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 CfIY OF CARISBAD AGAINST AIL IJAllllJ11ES, JUDGMENTS, CDSTS AND EXPENSES WIIlCH MAY IN ANY WAY A£DI.UE AGAINST SAID CfIY IN mNSEQUENCE OF THE GRANTING OF nns 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 permit is not commenced within 36S 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). APPUCANTS Slfflt>ITl!RE , DATE: -ii I fo 8 > • OJI.TE s-;,(fv UNSCHEDULED HISPECTIOU ()) A / INSPECTon "M,r~ -----'-----'------- PEIUlIT ~ Cf 3-I b 1 P LJ\.N Cl< # ______ _ JOB l\DDMSS _________________________ _ TIHE ARRIVE: TIHE LEAVE: ----------- CD LVL DESCRIPTION /I.CT CO!Il!ENTS CrvtCA-1 ----------.. . -·· . .....-. . . · l? En.TI TS G/15/09