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Home My WebLink About2212 PLAZA BONITA; ; CB940531; Permitct# /d--Jj 05/11/94 09:50 Page 1 of 1 B U I L D I N G Job Address: 2212 PLAZA BONITA Permit Type: MISCELLANEOUS Parcel No: 215-232-20-35 Valuation: o Construction Type: VN P E R M I T Suite: Lot#: Permit No: CB940531 Project No: A9400759 Development No: Occupancy Group : Reference#: Status: ISSUED 05/11/9 4 05/11/94 MDP Description : REMOVE NON-BEARING WALLS/ : RELOCATE EXISTING PLUM & ELEC Appl/Ownr : DUFFY, JOHN 2212 PLAZA BONITA CARLSBAD , CA. 92009 *** Fees Required *** Fees: Adjustments: 619 Applied: Apr/Issue: Entered By: 931-9836 Fees Collected & Credits Total Credits: *** Total Fees: 72 .00 .00 72.00 Total Payments: .00 .00 72.00 Fee description Miscellaneous Fee #1 Miscellaneous Fee #2 Miscellaneous Fee #3 * MISCELLANEOUS TOTAL Balance Due: Units Fee/Unit 25.00 20 .00 27.00 • Ext fee Data 25.00 WALLS 20.00 ELECTRIC 27 .00 PLUM 72 .00 ''N I I PPROVAL ~~-DATE L2-# CLEARANCE _____ , CITY OF CARLSBAD 2075 Las Palrnas Dr., Carlsbad, CA 92009 (619) 438-1161 . PERMIT APPLICATION PLAN CHECK NO. qu_-S 3\ City of Carlsbad Building Department 2075 Las PalllllS Dr., Carlsbad, CA 92009 (619) 438-1161 EST. VAL'------------ 1. l'P.RMll fiPR PIAN CKDEFOSIT _______ _ VAIID.BY __________ _ DATE From Llst 1 (see back) give code of Permit-Type: ___________ _ For Residential Projects Only: From list 2 (see back) give Code of Structure-Type: ____________________ _ Net Loss/Gain of Dwelling Units 2. PROJECr INFORMATION FOR OFFICE USE ONLY BuUdmg or Suite No. ~/.:l PIFtZAl2DNJTfr Nea'rest 6055 Street 4:U ~ JD; UGAl bESCklfrnoN l~o. Subd1vis1on Name/Number 0mt No. Phase No. CHECK BEWW IF SOBMl 11 ill: □ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope v "' L '.£ o ""'-- SQ. Ff. c,M cJ V L ;J,:, Af. # OF STORIES # OF BEDROOMS ei( ,'i,+ w '-# OF BA TIIROOMS 1 1 eren ram app 1can NAME (last.name first) ADDRESS ZIP CODE CI1Y STATE DAY TELEPHONE 4. Al'l'LlU\Nl □WNIRACIOR NAME (last name first) DAGEN I FORWNIRACIOR ADDRESS □OWNER DAGEN I FOR OWNER CI1Y STATE ZIP CODE DAY TELEPHONE S. ~,~!, ~:'!'e9}rs,) Dur:: Fe/ J JOH ,J ADDRESS cJ.;}) ,J_ p I ff Zif-/.!JC)~ I m CI1Y C!rR(-SbC<.d.. STATE CIJ--ZIPCODEqd{J()9 DAY TELEPHONE 93/-98 34,, 6. WN l'IW'.!'IUK D , . , ) ,:;-,'J NAME (last name first) c,v /\.., C rs...... ADDRESS CI1Y STATE STATE UC.# ZIP CODE UCENSE CLASS DAY TELEPHONE CI1Y BUSINESS UC. # DESiGNER NAME (last name hrst) ADDRESS CI1Y STATE ZIP CODE DAY TELEPHONE STATE UC.# 7. WOkkF.RS' WMPENSAIIUN Workers• COmpensat1on Oeclarauon: I hereby affirm that I have a certthcate of consent to seli-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 POUCY NO. EXPIRATION DATE Certthcate of Exemption: I certify that m the performance of the work for which this permit 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. OWNER-B0IIDRk IJl.:CLARAituN □ X □ Uwner-BulJder Declaration: I hereby afnrm that I am exempt from the l!onfradoPs Llcense Law for the foliowmg 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 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 pe lty of not more than five hundred dollars [$500]). SIGNATURE -DATE 5 -1 /-9 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 ANY OF llil!ANSWERS ARE YES, AFINALCERllFlCATEOF O<x:IJPANCY MAY NOT BE~ AFTER JULY 1, 1989 UNLESS llil!APPUCANT HAS MET OR IS MEETING 1lII! REQUIREMENTS OF 1lII! OFFICE OF EMERGENCY SERVICES AND 1lII! AIR POLLUTION OONTROL DISllUCT. 9. WNSIR0CllUN i£NDING AGF.Nti' I hereby affirm that there 1s a construction lendmg agency for the pefiormance of the work for which this permit ts issued (Sec 3097(1} CIVIi Code). LENDER'S NAME LENDER'S ADDRESS 10. APPLiCAN I CFJtiiFICAIION I certify that I have read the apphcatJon and state that the aOOve mformatton ts correct. I agree to comply wuh ali City 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 TO SAVE INDEMNIFY AND KEEP HARMLESS 1lII! crIY OF CARI5BAD AGAINST All. LIABILITll!S, JUDGMEN'IB, 00STS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID crIY IN OONSF.QUENCE OF 1lII! GRANTING OF 1lDS 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 from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at an time after the work is commenced for a period of 180 days (Section 303(d) Uniform Bui6~e). V APPUCANrs SIGNATUR . . DATE: ..// ? PINK: Fmance