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Home My WebLink About2581 REGENT RD; ; CB900676; PermitB U I L D I N G P E R M I T 05/01/90 14:04 Permit No: CB900676 Project No: A9000787 Development No: Page 1 of 1 Job Address: 2581 REGENT RD Str: Fl: Ste: , 1 05, (),. /91) Ov01 01. 02 Permit Type: RESIDENTAL ADDITION/ALTERATION Parcel No: 208-133-12-43 L "'"1 26-00 ~/la~ Valuation: 486 Construction Type: NEW Occupancy Group: Class Code : Status: Applied Apr/Issue Validated By: ISSUED 05/01/90 05/01/90 CD Description: PATIO COVER 81 SF OWNER : O'NEIL,RUTH *** Fees 6980 BATIQUITOS DR CARLSBAD, CA 92009 Required *** Fees: Adjustments: Total Fees: Fee description Building Permit Plan Check Strong Motion Fee * BUILDING TOTAL 26.00 .00 26.00 Lie. 9314786 *** Fees Collected & Credits *** -------------------------------------------- Total Credits: Total Payments: Balance Due: Units Fee/Unit .00 .00 26.00 Ext fee Data 15.00 10.00 1. 00 26 .00 I FINALAPP~OVAL </Jt ! INSP . ....,......~---.iifaN,Mi· ,1JfM'rE .... 1_,,,.,_ CLEAR ~,-~~- CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 PERMIT APPLICATION 4\ • City of Carlsbad Building Department 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 EST. VAL. ______________ _ 1. A B C PERMIT TYPE COMMERCIAL D INDUSTRIAL □RESIDENTIAL D APARTMENT □DUPLEX ODEHOLITION □MECHANICAL OPOOL • TENANT IHPROVEHENT 0 TENANT IMPROVEMENT .CONDO □SINGLE FAHi LY 0\JELLING □ADDITION/AL TE RAT JON □RELOCATION □MOBILE HOME □ELECTRICAL □PLUMBING OSPA □RETAINING \JALL □SOLAR □OTHER _____ _ Adc:tress Bu1 ding or Suite No. PLAN Cl( DEPOSIT, ___________ _ VALID. BY, ______________ _ DATE _______________ _ Nearest Cross Streets /J,:2NT{ A-e LEGAL DESCRIPTION lot No. Subchv1sion Name/Ni.mber Umt No. Phase No. CHECK BELOII IF SUBMITTED: 02 Energy Cales 02 Structural Cales D 2 Soils Report D 1 Addressed Envelope ASSESSOR'S PARCEL EXISTING USE PROPOSED USE 3. SJ GNATURE 4. APP,,.l..ICANT /?I , _ .l]coNTRACTOR NAHE f.:!...v,H C./ 'Nert--0 AGENT FOR CONTRACTOR NER O AGENT FOR OIINER ADDRESS STATeA-ZIP CODE 9;;2.oCJ ~ DAY TELEPHONE'fJ,/ 47 o6 or 1i1-'-l~tf".3 c11v ~S~ 5. PRgfERTY_ OWtlER . /- NAHE ~ C) I IY t:::' I c-~ L -□LESSEE OT~T ADDREss~ ~au I rz:>::s µ ...e..- c JTY ~~o sTATee4=m CODE f ,;loe) 7 DAY TELEPHONE 1 ~/ --11 d1c. OV-'f '-1-t/-"3g-.3 6. CONTRACTOR 7. NAME CITY ow~~ STATE STATE LIC. # ____ _ SIGNATURE DES I GNER NAHE CITY STATE ADDRESS ZIP CODE LICENSE CLASS _____ _ TITLE ADDRESS ZIP CODE DAY TELEPHONE CITY BUSINESS LIC. # DATE DAY TELEPHONE STATE LIC. # WORKERS' COMPENSATION Workers• Coq>ensat1on Declaration: hereby affirm that I have a cert1f1cete of consent to self-insure issued by the 01rector of Industrial Relations, or a certificate of Workers• Coq:,ensation Insurance by an adnitted 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 POLICY NO. EXPIRATION DATE Certificate of Ex"""tion: I certify that in the performance of the work for which this permit is issued, I shall not """loy any person in any manner so as to become subject to the 1/orkers' C°"""nsation Laws of California. SIGNATURE DATE 8. OWNER-BUILDER DECLARATION Owner-Bullder Declaration: I hereby affirm that tam exempt from the Contractor•s Ucense Law for the following reason: O I as owner of the property or my eff1Jloyees with wages as their sole c0!'11)ensation, 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 ilf1)roves thereon,, end who does such work himself or through his own """loyees, provided that such irrprovements are not intended or offered for sale. If, however, the building or iffl)rovement is sold within one year of corrpletion, the owner-builder will have the burden of proving that he did not build or irrprove for the purpose of sale.). 0 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 irrproves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor I s License Law). D l 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, irrprove, 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, conmencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is exeq,t therefrom, and the basis for the alleged ex"°"tion. 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 [S5D0J ). SIGNATURE DATE COMPLETE THIS SECTION FOR N0N·RESI0ENTIAL BUILDING PERMITS ONLY: Is the applicant or future building occupant required to subnit 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? Ores ONO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □YES ONO Is the facility to be constructed with in 1,000 feet of the outer boundary of a school site? OYES IF ANY OF THE AN~RS ARE YES, A FINAL CERTIFICATE OF OCClJPANCY NAY NOT BE JSstl:D AFTER JULY 1, 1989 UMLESS THE APPLICANT HAS MET DR IS MEETING THE REQUIREIIENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POI.LUTION CONTROL DISTRICT. 9. CONSTRUCTION LENDING AGENCY J° hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued ( Sec 3097( i) Ci vi I Code). LENDER'S NAME LENDER'S ADDRESS 10. APPLICANT'S SIGNATURE I certlfy that J have read the applicat1on and state that the above informat1on is correct. I agree to comply with all City ord1nances end State laws relating to building construction. J hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE INDEMNIFY ANO KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIABILITIES, JlJ)QIENTS, COSTS ANO EXPENSES 1/HICH NAY IN ANY IIAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE Gl!ANTING OF THIS PERMIT. Expiration. Every permit issue(j 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 coomenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is coomenced for a period of 180 days (Section 303(d) Uniform Building Code). ~NER O CONTRACTOR OBY PHONE APPROVED BY: ______ _ DATE: _________ _ WHITE: File YELLOW: Applicant PINK: Finance --.J/ I \