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Home My WebLink About2548 STATE ST; ; CB921234; Permit• • n yp : NE l • : wnr : • • P Ull e l n l t Fe l:.nter Y f r VERH!:.A N W. ul:.A ti l A .. n +-,#. 02s4 11130;92 0001 01 02 ::i:o.oo C-PhMT - f t ten , H: 'NU l ( Art f nt l V l t APPROVAL INSP.~_DATE,S·t5 ·1 1 CLEARANCE .1;.,2o -e 1 11w1v CITY OF CARLSBAD 2075 Las Palrnas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT tPUCATION PLAN CHECK NO. City of Carlsbad Building Departaent 2075 Las PalllOS Dr., C&rlsbad, CA 92009 (619) 438-1161 i. PRkMI I JiPE I E.ST. VAL PIAN CK DEPOSIT _______ _ VAUD. BY __________ _ DATE A -U Commercial LI New Blllidmg Li lenant Improvement B -□ Industrial □ New Building D Tenant Improvement C -□ Residential D Apartment LI Condo □ Single Family Dwelli~ □Addition/Alteration □ Duplex □ Demolition □ Relocation □ Mobile Home R-Biectrical D Plumbing □ Mechanical □ Pool □ Spa D Retaining Wall □ Solar □ Other 2. PROIECI' INFORMATION Address FOR OFFICE USE ONLY 2~hR State Street Nea~7t'ross Street BuUdmg or Suite No. A & B llGXL DESCRIJ911UN Lot No. &8£~?£9J ~~g&j1 rnrr,0 Su&l1V1s1on Name/Number Seaside Lands onvert overhea SQ. IT. city of ¥~f~Rft~ 3. WN IACI PFJtSON (I[ amerent from appJJcantJ NAME CITY STATE ADDRESS ZIP CODE ~ ~ ~ OmtNo. DAY TELEPHONE 4. APPDCANI NAME □WNIRACIOk □AGENI FORWNIRACIUR DOWNER □AGENI FOR OWNER ADDRESS CITY STATE ZIP CODE DAY TELEPHONE NAME W.Dean/Marian E. MilleJ!'DDREss P.O. Box 672 Phase No. cITY Poway STATE CA ZIP CODE 92074 DAY TELEPHONE 61 9 / 748-161 6 6. WNlkACIOk NAME OWNER TO DESIGKATE •• ADDRESS CITY STATE ZIP CODE DAY TELEPHONE STATE !JC.# IJCENSE CLASS CITY BUSINESS !JC. # CITY STATE ZIP CODE DAY TELEPHONE STATE !JC.# 7. WOIOMts WMP£NSAIION Workers' Compensation Declarat1on: I hereby affirm that I have a cert1hcate of consent to selt-msure issued by the b1rectorof 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 Ins~tion DeJ><!rtment (Section 3800, Lab. C). 1175240-92 Continuous policy INSURANCE coMPANY State Comp. Ins. Fun<l>oucv No. EXPIRATION DATE _ _ 0 rt1 1cate o xemptlon: cert1 t at mt e pe ormance o t e wor or w so as to become subject to the Workers' Compensation Laws of California. rson m any manner SIGNATURE DATE 8. OWNkk-B0fil>Ek DECLAkAIION □ □ Owner-Builder Oedarat1on: I hereby affirm that I am exempt from the Contracto?s Llcense Law for the followmg 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 Ccxle: The Contractor's Llcense Law does not apply co an owner of property who builds or improves thereon, and contracts for such projects with contractor{s) licensed pursuant to the Contractor's Llcense 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 permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]). SJGNATIJRE DATE COMPLEIE IRIS SECIION FOR NON-RESIDENrlAL B0IWING PERMll'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 ONO Is the applicant or future building occupant required co 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 ONO IF ANY OF TI-IE ANSWERS ARE YES. A FINAL CERTIFICATE OF cxx:t.JPANCY MAY Nm BE ISSUE) AFTER JULY 1. 1989 UNI.F.SS nm APPIJCANT HAS MET OR IS MEETING TIIE RF.QUIREMENTS OP nIE omCE OP EMERGENCY SERVICES AND TIIE AIR POIJ.IITION OONTII.OL D1511UCT. 9. WNSIROCIION LF.NDING XCENCi 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) Civil Code). LENDER'S NAME LENDER'S ADDRESS 10. APP1lcAN I CEklfilit!AltoN I cenlty that I have read the apphcatton and state that the atx>ve mformauon 1s correct. I agree to comply with ail 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 ID SAVE INDEMNIFY AND KEEP HARMLESS TIU! CITY OF CARISIIAD AGAINST ALL IJABIIJTIES, JUDGMENTS, CDSTS AND EXPENSF.S WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN OONSEQIIENCE OF TIIE GRANTING OP TIUS PERMIT. OSHA: An OSHA permit is required for excavations over S'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 any time after the work is commenced for a period of 180 days {Section 303(d) Uniform Building Ccxle). DATE: ______ _ TE: File YELI.OW: Applicant PINK: Fmance ., 05/19/93 INSPECTION HISTORY LISTING FOR PERMIT# CB921234 DATE INSPECTION TYPE 12/22/92 Final Electrical 12/22/92 Final Electrical HIT <RETURN> TO CONTINUE ... INSP ACT COMMENTS RI RI MH/753-9473 PD CO PARTIAL ROUGH -----··-"··-,---