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Home My WebLink About2838 AVENIDA VALERA; ; CB951202; PermitBUILDING PERMIT Permit No: CB951202 09/05/95 16:22 Project No: A9501785 Page 1 of 1 Development No: Permit Type: PATIO/DECK 3514 09/05/55 0001 01 $2 Valuation: 1,300 Construction Type: NEW Occupancy Group: Reference#: Status: ISSUED Description: 59 SF DECK-OFF MAST BED-PER Applied: 09/05/95 : CITY SPEC-REPL WIND W/SLIDING WINDOW Apr/Issue: 09/05/95 I Job Address: 2838 AVENIDA VALERA Suite : Parcel No: 216-461-01-00 Lot#: C-FRHT 52 I) $e Entered By: RMA Appl/Ownr : AgSCHLIMAN INC 619-630-6218 2430 VINEYARD AV ESC *** Fees Required XR ...................... Fees : Adjustments: Total Fees: Fee description Building Permit Plan Check Strong Motion Fee * BUILDING TOTAL .oo .oo 52.00 Ext fee Data 31.00 20.00 1.00 52.00 FINAL APPROVAL lw. DATE & CLEARANCE I CITY OF CARLSBAD 2075 Las Palmas Dr., Carl~bad, CA 92009 (619) 438-1161 PERMlT APPLICATION City of Carlsbad Building Department 2075 Las Palaas Dr., Carlsbad, U 92009 (619) 436-1161 I From List 1 (see back) give code of Permit-Type: For Residential Proiects Only: From List 2 (see back) give ......................................................... Code of structure-Type: Net -/Gain of Dwelling Units 2. PRCNECTINFORMATlON FOR OFFICE USE ONLY uilding or Suite No. Address a333 AWJ Nearest Cross Street LEGAL DESCmON Lot No. Subdiwsion NamdNumber Unit No. Phase No. 0 2 Energy Calcs 0 2 Structural Calcs 0 2 Soils Report 0 1 Addressed Envelope TINGUSEWU fAM/w USE # OF STORIES # OF BEDROOMS # OF BATHROOMS (if ditrerent from applicant) NAME (last name first) ADDRESS CITY- rrJD/rn STATE a ZIPLODE 9~24 DAYTEEPHONE 63076216 e27 CITY BUSINESS LIC. # & NAME (1 ast name tirst) Workers' Cornpensation Declaration: I hereby attirm that 1 have a certificate ot consent to selt-insure issued by the Director ot Industrial 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). INSURANCECOMPANY POLICY N0.)3l.AC3/fl't%IRATION DATE y/ /7 /yb Certificate ot ExemDtiorl: 1 certihr that in the Dertormance ot the work tor which this Dermit is issued, I shall not emDlov'ant Derson in any manner - - -_ & as to become suLject to the Wbrkers' Com&msation Laws of California. SIGNATURE DATE Uwner-BuiIder Wciaratlon: I hereby attirm that I am exempt rrom the Contractors License hw tor the rorrowing 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). 1 am exempt under Section (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 [SSOO]). 0 0 0 Business and Professions Code for this reason: SICNAW DATE : 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? Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? IF ANYOF THE ANSWERS AREYES, AFINAC CERTIFICATE OF OCCUPANCY MAY NOT BE Issun, AFIERJLJLY 1,1989 UNLESS THE APPLICANT HAS MlT OR 1s MEElTNG THE REQ- OF THE OFFICE OF EMERGENCY SERVICE3 AND THE AIR PoLLunON CONTROL DISIRICI: I Ciwl Code). 1 hereby attirm that there is a construction lending agency tor the pertormance ot the work tor which thls permit is issued [set 309m 0 YES 0 NO 0 YES 0 NO OYES 0 NO LENDER'S NAME LENDER'S ADDRESS To- 1 cemW that 1 have read the aoolicatlon and state that the above intormation IS correct. 1 agree to comDlY with all City ordinances and State laws relating to building conshuctioh: I hereby authorize representatives of the City of Carlsbad to enter upon t'h; above mentibned property for inspection purposes. I ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLPSS THE CITYOF CARlsBAD ACAINn WLIABIUTES, JUDGMENTS, 0051s AND EXPENSES WIffCH MAY IN ANY WAY ACCRUE AGAINST sA[D CITY IN CONSFQUENCE OF THE GRANTING OF THlS PERMIT. BIA: 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 aba doned at any time fter he work is commenced for a period of 180 days (Section 303(d) Uniform Buil i DATE: @%Fz* APPLICANTS SIGNATURE 1-0 MA4 WHITE: FICYELLOW: Applicant PINE Finance 0 TIHE CD WORKERS' COMPENSATION DECLARATlON I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self-insure for A. workers' compensation as provided by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' Compensation, as required by section 3700 issued. My workers' compensation insurance carrier and policy number are: of the Labor Code, for the performance of the work for which this permit is INSURANCE COMPANY POLICY NO. EXPIRATION DATE: -*-@-%-as& -------------I- LL-&L3fa+zE!--Az/3k ----------------- (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) 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 = C. workers compensation laws of California. A=wuw3d /K Date 6//5/9s Warning: Failure to secure workers' compensation coverage is unlawful, and shall be subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor Code, Interest and attorney's fees. March 3, 1995 2075 Las Palmas Dr. - Carlsbad. CA 92009-1 576 0 (61 9) 438-17 61 FAX (61 9) 438-0894 @ ROBERT F. DRIVER CO., INC. 420 SOUTH 'BROADWAY POLICW 'RELOW COMPANIES AFFORDING COVERAGE Acxhlimsn, Inc. 2430 Vincyard #lo4 Escortdido CA 92029 - CQMPAXV 1.- D GOLDEN EAGLE INSUWCE COMPANY COMPAUY LETTER E I I V 1 EACH OCCI.W?ICE ACCRECATE I CiTY OF CARLSBAD 2075 LAS PALMAS DRIVE CARISBAD CA 92008 Lil