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Home My WebLink About2780 CARLSBAD BLVD; ; CB940459; PermitBUILDING PERMIT 04/22/94 09:57 Page 1 of 1 Job Address: 2780 CARLSBAD BL Suite: Permit Type: MISCELLANEOUS Parcel No: 203-172-14-00 Lot#: Valuation: 0 Construction Type: NEW Occupancy Group: Reference*: Description: ADD OUTLETS / REPLACE WATER : HEATER Permit No: Project No: Development No: CB940459 A9400640 Statusi Applied: Apr/Issue: Entered By: ISSUED 04/22/94 04/22/94 MDP Appl/Ownr HOPPE, PAT 519 SMILAX VISTA, CA. 92083 * * * Fees Required * * **** 619 598-6333 Fees Collected & Credits * * * Fees : Adjustments: Total Fees: Fee description liv v .00 Total Credits: Total Payments: Balance Due: Units Fee/Unit .00 .00 47.00 Ext fee Data Miscellaneous Fee #1 Miscellaneous Fee #2 * MISCELLANEOUS TOTAt 20.^0 27: oo 20.00 ELEC 27.00 PLUM 47. 00 CLEARANCE CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATIONCity of Carlsbad Building Department2075 Las Palnas Dr., Carlsbad, CA 92009 (619) 438-11611. PERMIT TYPEFrom List 1 (see back) give code of Permit-Type:For Residential Projects Only: From List 2 (see back) giveCode of Structure-Type:Net Loss/Gain of Dwelling Units PLAN CHECK NO.EST.VALPLAN CK DEPOSIT.VALID. BYDATE2. PROJECT INFORMATION FOR OFFICE USE ONLYAddressNearest Cross Street O Building or Suite No.fcv 3LEGAL DESCRIPTION Lot No.Subdivision Name/Number Unit No.Phase No. CHECK BELOW IF SUBMITTED: D 2 Energy Calcs d 2 Structural Calcs D 2 Soils Report D 1 Addressed Envelope ASSESSOR'S PARCEL EXISTING USE PROPOSED USE DESCRJPTION OF WORK SQ. FT. A"# OF STORIES # OF BEDROOMS # OF BATHROOMS 3. cuNlALrrtKSUN (.it ditlerent trom appncantj NAME (last name first) CITY STATE ADDRESS ZIP CODE DAY TELEPHONE 4. APPLICANT LJ CONTRACTOR U AGENT FOR CONIRAL1UR AlOWNfcR UAGtNl t OR OWNER NAME (last name first) rjc( fC- |%<UcA/'llA<'A ADDRESS o~» ^ S /*! (I /\ V CITY j/tSTA STATE £ft- ZIP CODE <-jZQ$') DAY TELEPHONE fo/9 ~~6 -? ? ^3 5. PROPERTY OWNER NAME (last name first) CITY 5te#*/5e/J f fc-AY ADDRESS STATE / A ZIP CODE Y^Y)*? DAY TELEPHONE 6. CONTRACTOF NAME (last name first) CITY STATE ADDRESS ZIP CODE DAY TELEPHONE STATE UC. #LICENSE CLASS CITY BUSINESS LIC. # DESIGNER NAME (last name first) CITY S STATE ADDRhSS ZIP CODE DAY TELEPHONE STATE LIC. # 7. WORKERS COMPENSATION workers Compensation Declaration: I nereoy affirm that I have a certificate of consent to self-insure issued by the Director oilndustnal 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 ofExemption: I certify that in the performance of the work tor which this permit is issued, I shall not employ any person m any manner so as to becomV subjert to the Workers' Compensation Laws of California. SIGNATUR^-^jKA7 4.XWB-PATE 8. OWNER-JERDE Uwner-Huilder Declaration: 1 hereby affirm that f am exempt trom the Contractors License Law tor the following 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(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 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 thaf-hejs exempt therefrom, and tfte basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit it to a civil, penally of not more than five hundred dollars [$500]). . DATE Q~ *?2s~lSIGNA' COMPLETE T nON FORT 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 Q 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 LVNO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES E'NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY I, 1989 UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 9. bUHSTKUUTlUlM LENDING AGENCY "~".'... I hereby attirm that there is a construction lending agency for the performance ot the worK tor which this permit is issued (Sec 3097U) Civil Code). LENDER'S NAME LENDER'S ADDRESS 1O. APPLICANT T certify that I have read the application and state that the above information is correct, l agree to comply with all dry ordinances and t»tate 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 ALL UABIIJTIES, 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 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 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 SIGNATURE DATE: WHITE: FUe YELLOW: Applicant PINK: Finance CITY OF CARLSBAD < ' INSPECTION REQUEST PERMIT* CB940459 FOR 04/25/94 DESCRIPTION: ADD OUTLETS / REPLACE WATER HEATER TYPE: MISC JOB ADDRESS: 2780 CARLSBAD BL APPLICANT: HOPPE, PAT PHONE: CONTRACTOR: PHONE: OWNER: PHONE: REMARKS: BJN/PATRICK SPECIAL INSTRUCT: INSPECTOR AREA PLANCKf CB940459 OCC GRP CONSTR. TYPE NEW STE: LOT: 619 598-6333 INSPECTOR TOTAL TIME: CD LVL DESCRIPTION 25 PL Water Heater/Vents 34 EL Rough Electric ACT COMMENTS && DATE DESCRIPTION ***** INSPECTION HISTORY ***** ACT INSP COMMENTS