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Home My WebLink About2805 ELMWOOD ST; ; CB980934; PermitPermit No CB98U934 Project No- A9801228 Development No __>.„ BUILDING PERMIT 03/31/98 15 23 Page 1 of 1 Job Address 2805 ELMWOOD ST Suite Permit Type MISCELLANEOUS 5588 03/31/98 0001 03 02 Parcel No 156-230-44-00 Lot# C-PRMT 30-00 Valuation 0 Construction Type NEW Occupancy Group Reference* Status ISSUED Description INSTALL FRENCH DOOR Applied 03/31/98 Apr/Issue 03/31/98 Entered By JM Appl/Ownr • BRADLEY BART 760 434-7452 2805 ELMWOOD STREET CARLSBAD CA 92008 - -........_ A** Fees Required *** ,•--"*** Fetes. Collected & Credits *** Fees Adjustments• Total Fees. I Fee description / 30/00 0,0'"CVC " '"''''' "'T<>;tal./Credits / 3 0 . 0.0,......,.'./' Totai;"Payrriient"s. '' ,-\ '"" "' •''^-, ^BalX'n-ce BueV. 00 00 30 00 Ext fee Data Miscellaneous Fee * MISCELLANEOUS -..=., ^.•.:> -;•• -: '^...-^\ '":\o:^ \30.00 PERMIT FE 30 00 \\\ CITY OF CARLSBAD 2075 Las Palmas Dr , Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION CITY OF CARLSPA3 BUILDING DEPARTMENT 2075 Las Palmas Dr, Carlsbad CA 92009 (760)438-1161 1 PROJECT INFORMATION FOR OFFICE USE O PLAN CHECK NO EST VAL Plan Ck Deposit Vahdated By Date 5 Address (include Bldg/Suite »)Business Name (at this address) Legal Description Lot No Subdivision Name/Number Unit No Phase No Total 9 of units Assessor s Parcel Existing Use Proposed Use cription of Work SQ FT fof Stones * of Bedrooms # of Bathrooms CONTACT PERSON (If different from applicant) Nama Address City 3. APPLICANT O Contractor D Agent for Contractor Q Owner Q Agent for Owner State/Zip Telephone #Fax * Name 4 PROPERTY OWNER Address City 24T(35~ State/Zip <2L Telephone # Name "Address City State/Zip Telephone * B CONTRACTOR - COMPANY NAME " '" -"-'-"——^—^-n-™^-' "•"• - ----—r--,— - rr- ,—.,•-,-,-- (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, commending 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 195001) Name State License 1 Address License Class City State/Zip City Business License * Telephone * Designer Name Address City State/Zip Telephone 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 f~l 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 1*1001 OR LESS) Q 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 WARNING Failure to secure worker* compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,000), hi addition to the cost of compensation, damages as provided for hi Section 3706 of the Labor coda. Interest and attorney's fees SIGNATURE DATE ^ OWNER-BUILDER DECLARATION " ' "" "" -«,!.•-r<-^ ,, - p-c • I hereby affirm that I am exempt from the Contractor s License Law for the following reason \Si 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) LTKl, 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) O I am exempt under Section Business and Professions Code for this reason 7 1 I personally plan to provide the major labor and matenals for construction of the proposed property improvement 0YES QNO 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 (include name / address / phone number / contractors license number) the following person to coordinate, supervise and provide the major work (include name / address / phonework, b <"i ^<number / contractors license number) 5 I will provide some of the work, taut I have contracted (hired) the fallowing persons to provide the work indicated (include name / address / phone number / type of work) /^~~) / s. S~~T\ ///? c )0 PROPERTY OWNER SIGNATURE DATE COMPLETE THIS SECTION FOR NSMESIDSNTUL BOttblNQ PERMITS^ONLY Is the applicant or future building occupant required to submit a tgwiness plan, acutely hazardous matenals registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazerrtous Substance Account Act? Q YES O NO Is the applicant or future building occupant required to obtain a permit 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 Q NO IF ANY OF THE ANSWERS ARE YES A FINAL 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 .8. CONSTRUCTION LENDING AGENCY " " * ' "" ' "" ™z-< *->" - -"- ..... — - - - I hereby affirm that there is a construction lending agency for the performance of the work for which this permit Is issued (Sec 3097(0 Civil Code) LENDER'S NAME _ LENDER'S ADDRESS _ 9 APPLICANT CERTIFICATION ---..- .__,._,_,„, „. ..... „„-,-_,-,.,,„ _,.^,. ...,,, , , I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate I agree to comply with all City ordinances and State laws relating to building construction I hereby authorize representatives of the CitV of Carlsbad to enter upon the above mentionad 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 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 fKjm the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the^rork is CBmmenceo~fo7 period/«M80 days (Section 106 4 4 Uniform Building Code) IVPPLICANT'S SIGNATURE DATE WHITE Fila/ YELLOW Applicant PINK Finance PERMIT# CB980934 CITY OF CARLSBAD INSPECTION REQUEST FOR 04/02/98 DESCRIPTION: INSTALL FRENCH DOOR TYPE: MISC JOB ADDRESS: 2805 ELMWOOD ST APPLICANT: BRADLEY BART CONTRACTOR: OWNER: REMARKS: C/BART/434-7452 OR SPECIAL INSTRUCT: 634-4200 EXT 130 STE: PHONE: 760 434-7452 PHONE: PHONE: INSPECTOR INSPECTOR AREA PLANCK# CB980934 OCC GRP CONSTR. TYPE NEW LOT: TOTAL TIME: _ CD LVL DESCRIPTION 14 ST Frame/Steel/Bolting/Welding ACT COMMENTS DATE DESCRIPTION INSPECTION HISTORY ***** ACT INSP COMMENTS