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Home My WebLink About2841 CAZADERO DR; ; CB950488; Permit0 a 1 04/10/95 14;40 BUILDING P E R M I T Pagj? 1 of i Job.Address 2841 CA2ADERO DR Permit Type- MISCELLANEOUS Parcel Wo 215-320-41-01 Valuation: Q Construction Type VN Occupancy Group * Description; INSTALL DOOR uN - EXISTING 1 STORY STRUCTURE Suite: Lot* Permit Wo. CB9504b8 Project No A9500716 Development No Reference*: AppVOwnr • BOULOS, SAMI 2841 CAZADERO OR CARLSBAD, CA 9200 **<«. Fees Required A * * -. M Fees • Adjustments• Total Fees Fee description Miscellaneous Fee Miscellaneous Fee A MISCELLANEOUS TO 619-930-0792 Status: ISSUED Applied- 04/10/95 Apr/Issue- 04/10/95 Entered By: RMA Fee^-;6oMficted & Credits A A 00 on 45 00 Ext fee Data 25 00 PERMIT 20 00 ELECTRIC 45 00 1430 04/10/95 0001 01 02 C-PRMT 45.00 RNAt APPRCiML HSP.__J^TE CLEARANCE.. CITY OF CARLSBAD 2075 Las Palmas Dr , Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION City of Carlsbad Building Department 2075 Las PaImas Dr., Carlsbad, CA 92009 (619) 438-1161 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 Loss/Gam of Dwelling Units 2. PRQJLCT INFORMATION Acldress PLAN CHECK NO. EST VAL PLAN CK DEPOSIT VALID. BY ~ DATE FOR OFFICE USE ONLY .ross StreetLkciAL DESCRIPTION Building or Suite No Subdivision Name/NumberLot No Unit No Phase No BELOW [V Q 2 Energy Calcs D 2 Structural Gales D 2 Soils Report D 1 Addressed Envelope .ASSESSOR'S PARCEL EXISTING USE PROPOSED USfcDESCRIPTION o* WORK SQ FT # Of STORIES J LUNTACT PERSON lit ditlerent Irom applicant) # OF BEDROOMS # OF BATHROOMS NAME (last name first) CITY STATE ADDRESS ZIP CODE DAY TELEPHONE 4. APPUCANT u CONTRACTOR UAGENI FOR CONTRACTOR LTOWNER LJAG LNTTOR OWNER NAME (last name first) ADDRESS QTY STATE ZIP CODE DAY TELEPHONE FROPLR IT OWNER NAME (last name first) CITY ADDRESS 6 CONTRACTOR NAME (last name first) "gj STATE CC\ ZIP CODE DAY TELEPHONE -coQa CITY Qf~ STATE STATE UC # ZIP CODE LICENSE CLASS DAY TELEPHONE CITY BUSINESS UC # DESIGNER NAME (last name urstj CITY STATE ADDRESS ZIP CODE DAY TELEPHONE STATEIJC # Worken,' Compensation Declaration I hereby affirm that I nave a certificate ot consent to self-insure issued by the Director ol Industrial Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified by che Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab C) INSURANCE COMPANY Certificate ol Exemption POLICY NO EXPIRATION DATE I certify that in tfie performance of the work lor 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 SIGNATURE DATE "TlWNmbUlLIim DECLARATION ~~ Owner-liuilder Declaration rfiereby altirm that l am exempt irom the Contractors License Law tor the lollbwing reason D 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 nor apply loan 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-buitder will have the burden of proving that he did not build or improve for the purpose of sale ) D I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Six 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 coniractor(s) licensed pursuant to the Contractor's License Law) D 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 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 [$500]) SIGNATURE DATE —COMPUTE THIS SECTION FOR NO M-RESIDENTIAL BUILDING PERMITS' ONLV Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or nsk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D YES d NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?n YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES D NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFFER JULY 1, 1989 UNLESS THE APPLICANT HAS MET OR IS MEETING 11 IE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLl^UnON CONTROL DISTRICT. I CONSTRUl'llON LENDING AGLNCV „,__________ I hereby all irriTth'at there is a constructionTendmg agency tor the performance ot the work tor which this permit is issued (.Sec 3097UJ Civil (JodeJ LENDER'S NAME 1U. APPLICANT LENDER'S ADDRESS I certify that I have read the application and stale that the above mlormation is correct l agree to comply with all City ordinances and State lawsT 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 UABIUTIES, 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 5'0" deep and demolition or construction of structures over 3 stones 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 authonzed by such permit is suspended or abandoned at any time after the work is commenCgtPfor a penod qfjSOyflays (Section 303(d) Uniform Building Code) APPLICANTS SIGNATURE ./ ~ / 0 C^ ^ *2^S_ - .r DATECxSvnxttrifr-xt^ nuJ ^o ^-^ <x^*f ^' n-UTE: File YELLOW1'Applicant PINK: Finance//W CITY OF CARLSBAD INSPECTION REQUEST PERMIT* CB950893 FOR 09/29/95 DESCRIPTION: 481 SF 2ND STORY ROOM ADD&DECK 2 BED,1 BATH,STAIR/LAND,HALL,1ST FL LAUN TYPE: RADJOB"IADDRESS : 2841 CAZADERO DR APPLICANT: HOOVER, TOMCONTRACTOR: OWNER: REMARKS: MW/TOM/AM IF POSSIBLE SPECIAL INSTRUCT: STE INSPECTOR AREA PY PLANCK# CB950893 OCC GRP CONSTR. TYPE VN LOT: PHONE: PHONE: PHONE: 619-744-6581 INSPECTOR TOTAL TIME: —RELATED PERMITS—PERMIT# TYPE CB950488 MISC CD LVL DESCRIPTION ST Final Structural PL Final Plumbing EL Final Electrical ME Final Mechanical STATUS ISSUED ACT COMMENTS ***** INSPECTION HISTORY ***** DATE DESCRIPTION 092195 Shear Panels/HD's 091995 Roof/Reroof 090795 Ftg/Foundation/Piers 090695 Ftg/Foundation/Piers 090695 Rough/Topout 090195 Ftg/Foundation/Piers 082895 Ftg/Foundation/Piers ACT INSP AP PY AP PY AP NR AP NR PA PY PY PY PY PY COMMENTS STEM e GRG CORNER SEE CORK NOTICE NOTICECITY OF CARLSBAD " ^ ^^ " ™ ^^ ^^ 438-3550 BUILDING DEPARTMENT ' 2075 LAS PALMAS DRIVE DATE y** '/ /^ ' - . TIME. LOCATION PERMIT NO \ FOR INSPECTION CALL 438-3101 RE-fNSPECTfON FEE DUE? J ( YES FOR FURTHER INFORMATION, CONTACT / / PHONE _ BUILDING INSPECTOR CODE ENFORCEMENT OFFICER City of Carlsbad Building Department OWNER-BUILDER VERIFICATION Attention Property Owner An 'owner-builder' building permit has been applied for in your name and bearing your signature Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit No building permit will be issued until this verification is received 1 I personally plan to provide the majorJabor and materials for construction of the proposed property improvement lyes or no) yCJ> 2 l/thaypyhave not) Hrruc? 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 Name rj Address City Phone Contractors License No I plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and provide the major work Name „ Address City Phone Contractors License No I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated- Name Address Phone Type of Work Signed Property Owner Date •^•02^7 2O75 Las Palmas Drive • Carlsbad, California 92OO9-1576 « (619) 438-1161 LO yOJ <V.u /^ v»O C N _j oo