The URL can be used to link to this page

Home My WebLink About2032 PLAYA RD; ; CB920588; PermitPERMIT APPLICATION • City of Carlsbad Building Department EST. VAL. ______________ _ 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 . 1. A ' PERMIT TYPE COMMERCIAL 0 INDUSTRIAL □NEW □RESIDENTIAL □APARTMENT OouPLEX □DEMOLITION □MECHANICAL □POOL • PLAN CK DEPOSH ___________ _ VALID. BY _____________ _ DATE ______________ _ . TENANT IMPROVEMENT QTENANT IMPROVEMENT QCONDO □SINGLE FAMILY DWELLING QAODITION/ALTERATION □RELOCATION QMOBILE HOME □ELECTRICAL □PLUMBING QSPA QRETAINJNG WALL □SOLAR QOTHER 2. PROJECT INF A cm 2.0'°'$ U PLAN CHECK No. Building or Suite No. Nearest Cross Streets LE~l DESCIIPTICII Lot No. Subd1v1sion Name/Ni..ri>er Unit No. Phase No. CHECK BELOW If SUBMITTED: Q2 Energy Cales p2 Structural Cales p2 Soils Report p 1 Addressed Envelope ASSESSOR'S PARCEL EXISTING USE PROPOSED USE BLOG. SO. FTG. # OF STORIES 3. CONTACT PERSON ""' Cl.{1,t.,_, Vlr0'-1..1"\. t' lct "'lb 1½ CITY STATE SIGNATURE ADDRESS ZIP CODE DAY TELEPHONE 4. APPLICANl_ "'"'ad:"'1"" 1>.0-0"\ CONTRAClOlt \UVI\Olv'5 0 AGENT FOR CONTRACTOR ADDRESS STATE 0. O0IJNER 0 AGENT FOR OIJNER CITY Cacb:bad 2\P CODE DAY TELEPHONE 5. PRQPEl OWti~R -::, "'"' \ki"l a ¥•<.... Ctl<r. CITY ""'Jn>'\ 0 OIJNER STATE& ~-~ R.L~SSEE ADDRESS zz_.;-,.__,. -.._..,._,.,..., -s,,.",j..e ZIP COOE 2 L DAY TELEPHONE <,,-'S/1 6. CO~TRACTOR "'"' q,\\,i..,,-&-o u,V\ P\u"'1l:>;"'5 CO. ADDRESS Z6q/ ~¼_. ~~ 7. 8. CITY ~h't,a.d SIGNATURE DESIGNER NAME CITY STATE ~ WORKERS' COMPENSATION STATE Ca. Q,., .,v-,..,.. ZIP COOE ~, ~U LJC. # Z-Yfil.fio STATE LICENSE CLASS G 35(, TITLE ADDRESS ZIP CODE DAY TELEPHONE CITY BUSINESS LIC. # DATE DAY TELEPHONE STATE LIC. # Workers• C~sat1on Declaration: hereby affirm that have a cert1fic:ate of consent to setf-1nsure 1ssued by the Director of Industrial Relations, or a certificate of l.lorkers' COl!l)ensat ion Insurance by an admitted insurer,' or an exact copy or duplicate thereof certified by the Di rector of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C). INSURANCE Cc»IPANY POLICY NO. E)(PJRATION DATE Certificate of Exemption: I certify that in the perfor111ance 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 l.lorkers' C~nsation Laws of California. SIGNATURE DATE OWNER-BUILDER DECLARATION Owner-Builder Declaration: I hereby affirm that I am exerrpt from the Contractor's License Law for the followmg reason: 0 I as owner of the property or my errp\oyees with wages as their sole c~nsation, 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 ilrproves thereon,. and who does such work himself or throuah his own employees, provided that such iirprovements are not intended or offered for sale. If, however, the building or iirprovement is sold within one year of c~letion, the owner·builder will have the burden of proving that he did not build or ifll'.)rove 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 License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed p..irsuant to the Contractor's License Law). 0 J am ex~t 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 p..irsuant to the provisions of the Contractor's License Law (Chapter 9, conmencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is ex~t 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 (S500J ). SIGNATURE DATE COMPLETE THIS SECTIOtl FOR NON-RESIDENTIAL BUILDING PERMITS ONLY: Is the applicant or future bui tdi ng occupant required to sul::xni t a business plan, acutely hazardous 111ater i al s regi strati on 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 111anagement district? □YES ONO Is the fac i l i ty to be constructed within 1,000 feet of the outer boundary of a school site? □YES IF t.MY OF THE ANS\ERS ARE TES, A FINAL CERTIFICATE OF OCO.WAIICY MAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS NET OR IS MEETING THE REQUIREMENTS OF THE OFFICE Of EMERGENCY SfRVICES AND THE AIR POLLUTION CONTROL DISTRICT - 9. CONSTRUCTION LENDING AGENCY hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(i) Civil Code). LENDER'S NAME LENDER'S ADDRESS 10. APPLICANT'S SIGNATURE I certify that I have read the application and state that the above information is correct. I agree to comply with all City ordinances 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. ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JI.OGMENTS, COSTS AND E)(PENSES WHICH MAY IN ANY WAY ACCRUE A~INST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. 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 corrmenced within 180 days from the date of such permit or if the building or wod; authorized by such permit is suspended or abandoned at any time after the work is conmenced for a period of 180 days (Section 303(d) Uniform Building Code). APPLICANT'S SI GNAT URE □ OWNER □ CONTRACTOR Dev PHONE WHITE: File YELLOW: Applicant PINK: Finance _______ ._ ______ .. APPR0'IED BY+ DATE: YHSCHEPULIQ INSPECTION DATE 4i -/f _ 'j.).... INSPECTOR __ -_..;;../_-_,.,_~...,,_/___;_. __ _ PERMIT • 'J,)_ -S-F 3 J'OB ADDRESS d O 3J.. 4,£.. ,,,al PLANCK# _____ _ TIME ARRIVE: _____ TIME LEAVE: _____ _ CO LVL ,;i_3 DESCRIPTION ~~ ACT COMMENTS a7i: f"e'~ CIOU-Si-/P ,{t'h1 .,(/ 67"",::, / .A/t> ?Ad' ,'€' t!' /P ,tJ I It. ,m ,l!J .lJ-<.. .f' ,It? ,K) t:, / IV~ A :J' ,<7 A-t/)6 ~ -~ --✓ --;;r;F .rr ,Pf!, ,<.... ,,c/o vr<... ,:: / ,vc:.__ 6 k__ Ct::,-JO AL,,,0 ~ ~,t...-,It.~ -I-) e, J.-__ - VI" ;Jl!"I/U'),;/ f .,P~J./!. ,,c'"v"TV~ /t,-e,t?J#I/C.. '11V f"~~ L tN'C.. /-,,, ,v .!? / ,,,e-. PDNITS 6/15/lt