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Home My WebLink About2901 OCEAN ST; ; CB911140; PermitB U I L D I N G 08/20/91 14:46 P E R M I T Permit No: c8911140 Project No: A910142j Development No: Page 1 of 1 Job Address: 2901 OCEAN ST Permit Type: DEMOLITION PERMIT Parcel No: 203-234-01-00 Valuation: Construction Type: NEW Occupancy Group: 0 ClRss Code: Description: 2800 SF 4 APTS ST. TROPEZ Appl/Ownr : CALIFORNIA BUILDERS P NO BOX 140 CARLSBAD, CA 92008 *** Fees Required Fees: Adjustments: Tot.al Fees: Str: 619 F 5te· 4069 08/20/91 0001 01 02 C-PRMT 30.00 cJ2, I 5 l, 1-,.. St-at1.."': Applied: Apr/Issue: Validated By: 434-3125 -_..,..,t,a.) 08/07/91 08/20/9'.!. DC .00 .00 30 .00 Ext fee Data ,_ ___ INSP. ______ __ cwrwa._. ___ .... CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 PERMIT APPLICATION PLAN CHECK NO. City of cartsbed Building Departllef'lt 2075 Las Pal_,s Dr., Cerlsbad, CA 92009 (619) 438-1161 I EST. VAL PLAN CK DEPOSIT _______ _ VAIID. BY __________ _ I. PRRMI I hPE DATE A -LI Commercial U New Bu1tamg B -D Industrial □ New Building LI l'enant Improvement D Tenant Improvement C -□ Residential □ Apartment □ Condo □ Single Family Dwelling D Addition/ Alteration □ Duplex D Demolition D Relocation □ Mobile Home D Electrical □ Plumbing □ Mechanical □ Pool D Spa □ Retaining Wall □ Solar D Other 2. PROJECT INJ,URMATION FOR OFFICE USE ONLY u1 mg or mte o. mt o. ase o. □ 2 Energy Gales □ 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope L),E>M D At IS ~,e # OF STORIES EXJSTING USE PROPOSED USE rom app 1can NAME CllY STATE ADDRESS ZIP CODE DAY TELEPHONE 1-. APPIJCANI NAME □WNIRACIOR □AGENI FORWNIRACIUR □OWNER UAGENI FOR OWNER ADDRESS CllY STATE ZIP CODE DAY TELEPHONE s. =.¥#;,m;;E:'o~~z.....W~ A--~ A t:J • .d"ax /¥-Z- ~4 STATE&_, ZIP CODE 't ~ / ~ DAY TELEPHONE -5/2...S- ADDRESS CilY STATE STATE UC.# ZIP CODE LICENSE CIASS ADDRESS DAY TELEPHONE /~~ERNAME CITY BUSINESS UC. # CilY STATE ZIP CODE DAY TELEPHONE STATE UC. # 7. WORkPJlS' WMPF!NSAIION Workers' Compensation Uedarat1on: I hereby aUlrm that I have a cert1tlcate of consent to self -msure issued by the Director of lndustnal 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 POIJCY NO. EXPIRATION DATE Certlilcate of Exemption: I cerufy that m the performance of the work for which this pemnt 1s issued, I shall not employ any person many manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE 8. UWNER-BOnntk Difi.ARA:llON Owner-Builder Deciarat1on: I hereby affirm that I am exempt from the COntracto?s Llcense Law for the followmg 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 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.). D 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 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 Llcense 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 pennit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]). SIGNATIJRE DATE COMPLEIE IHIS S£CIIUN FOR NON-RESlDEN IIAL BUILDING PERMil'S 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? □YES □NO Is the applicant or future building occupant required to obtain a permit 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 ANYOF111EANSWERS ARE YES, A FINAL CERTIFICATE OFO<X:UPANCY MAY NOT BE ISSUED AFl1!RJIJLY 1, 1989 UNU!SS TIIEAPPIJCANT HAS MET OR IS MEimNG nm REQ\llREMENTS OF nm OFFICE OF EMERGENCY SERVICES AND 11IE AIR POWffiON rnNTROL DISl1IICT. 9. WNSJROCJION I.RNDING AGENCY I hereby aUlrm that there 1s a construction lend mg agency for the performance of the work for which this penn1f 1s issued (Sec 3097(1) Civil Code). LENDER'S NAME LENDER'S ADDRESS IO. APl'UCANJ C£klMCA:liON I certify that I have read the apphcauon and state lbat the above mformauon ts correct. I agree to comply with all Caty ordmances and State 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 ID SAVE INDEMNIFY AND KEEP HARMUSS 11IE CITY OF CARISIIAD AGAINST ALL LIABIUI1ES, JUDGMENTS, <DSI'S AND EXPENSES WHICH MAY IN ANY WAY A£DmE AGAINST SAID CITY IN rnNSEQUENCE OF 11IE GRANTING OF 11DS PI!RMIT. OSHA: An OSHA permit is required for excavations over 5'~~ 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 bu· in r w k authorized by such permit is not commenced within 365 days from the date of such pennit or if the building or work authorized by us nd or abandoned at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code). DATE: _____ _ . -File YELLOW: Applicant PINK: Fmance