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Home My WebLink About2730 STATE ST; ; CB950567; PermitB U I L U I N G P E R M I T PerM1t No: CB951 h PrvJect No : A950(~ DevPlopment Nn: O'"\/C'5/9S 1.3 :01 Paqe 1 of 1 Joh Address : 2730 STATE ST :5uite : 02 Permit Type: MISCELLANEOUS Pd 1:cel No : 203-1 01-11-0u Valuation: U Construction Type: VN L..>t#: 1778 05/05/95 0001 01 C-PRMT 35-00 Occup~ncy Group : Reference#: Description : REPAIR EXISTING BLOCK WALL : WI TH LIKE CONSTRUCTION Appl/Ownr : CONSTRUCTION TEC H. 28924 FRO NT STREET #1 01B TEM ECuLA1 CA. 9259Q -~-~. A I< I< Fees Required Fees: Adj u stments : Total Fees : Fee description StdtUS: Applied : Apr/Issue: Entered By: 909 093-0203 ISSI/ED 05/ lS/ i' 0':,/05 9~ MDP • lU . () () 3 S . 0 () Ext fee Da1-a 35 .00 PERMIT J ,; . 0 0 APPRO~ OAT ~zc/·o/) jlN . CLEARANCE-----1 CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 I PERMIT APPilCATION PLAN CHECK NO. City of Carlsbad Building DepartEnt 2075 Las Palaas Dr., Carlsbad, CA 92009 (619) 438-1161 PST. VAL. ___________ _ i. PERMl1' fiPE t; ,e~ fl , cz,s From Llst 1 (see back) give code of Permit-Type: _c...., ... >JL_.....;.wil, ....... _~_,_(..._I-_~_:--_:~_:--_ Pl.AN CK DEPOSIT _______ _ VAIID.BY __________ _ DATE --------------------------------------------------------- For Residential Projects Only: From Llst 2 (see back) give Code of Structure-Type: _____________________ _ Net loss/Gain of Dwelling Units 2. PROJF.CT INFORMATION FOR OFFICE USE ONLY mt o. ase o. CHECK BEibW IF s08MI I I ED: □ 2 Energy calcs □ 2 Structural ca1cs □ 2 Soils Report D 1 Addressed Envelope 3. WN IACI PEHSON ((Jt~nt l~,u aJp_,!;.can01(&...I )o NAME (last name firs ~C:,T;,,,,1,/.__..,-~. DRESS # OF BEDROOMS # OF BATIIROOMS CI1Y STATE ZIP CODE DAY TELEPHONE ADDRESS CI1Y STATE ZIP CODE DAY TELEPHONE 6 . =~~!mefirst)U~~Or ~JU',,7C,,ADDRESs ~U( /~~t" ~SIi;;;: /D//3 cITI -,V,~l-1}-STATE C,I}-z1PCODE 'fZJ?V DAYTELEPHom(_9t:>Vb13-o2..J:J) STATE uc. it[""fs::3-tl... UCENSE CLASS /3 CI1Y BUSINESS UC. # '{; {/J _rof-- ast name 1rst CI1Y STATE ZIP CODE DAY TELEPHONE STATE UC.# 1. WORKERS' CDMPENSAiiON □ □ □ Workers' Compensation Declaration: I hereby alhnn that I have a ceruhcace of consent to sell-insure issued by the D1rector 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). ,J) ner-u1 r ere ya a am exemp e o owing 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 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.). 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 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 COMPLETE 1 Ats SECMON FOR NON-RESIDENTIAL 80iwiNG PERMI l's ONLY: ls the applicant or future building occupant required to submit a business plan, acutely hazardous ma terials 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 nm ANSWERS ARE YF.S, A FINAL CER11FICATE OF cxx:upANCY MAY NOf BE ~UED AFTER JULY 1, 1989 UNU.SS lliE APPUCANT HAS MET OR IS MEETING nm RF.QUIREMENTS OF nm OFFICE OF EMERGENCY SERVICF.S AND nm AIR POILU11ON CDN1llOL DISilUCT. 9. OONSIR0CnON LENDING AGENcY I hereby afhrm that there 1s a construction lending agency for the performance of the work for which this permit 1s issued (sec 3097(1) C1V1l code). LENDER'S NAME LENDER'S ADDRESS 10. APPUCAN I C£R nFICA 110N I certify that I have read the apphcauon and state that the above information 1s 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. I ALSO AGREE 10 SAVE INDEMNIFY AND KEEP HARMLF.SS nm Cl1Y OF CA1USBAD AGAINST AU. UABilJTIES, JUDGMENTS, CDSTS AND EXPENSES WlilCH MAY IN ANY WAY AOCRUE AGAINST SAID Cl1Y IN CDNSEQUENCE OF nm GRANTING OF nos 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 su it 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 aba ed at any time a the work is com or a period of 180 days (Section 303(d) Uniform Building Code) . ..---- APPUCANT'S SIGNATURE DA~<":('~f ile YELLOW: Applicant PINK: Finance 0 ~~ (}' ~ :I\» a G i,• Q;l ~ ~ i ---").. <i.\ \) z. ~ V:> ~-~ ~ ...... ~ ✓ ..... --- . ··- Q .,, \' f' ft\ --,R4-' .. oA-y y . -.... . \ -·--.-1\ .. ---t ; I /{t) I j l,k . ----?. I