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Home My WebLink About2562 STATE ST; D; CB950418; PermitBU" Li>ING p E R M J f F-e1mit N,: -B~ ':il ll 2 .. ,/95 10:J2 Page ... r,f 1 Job Aldl~~s: 2562 ~TATE sr Permit Tvp,-: MI::.,CELLANE, ,-, P:u:cel No: .;i.o-a IO I a~e,V Valuation: Con~t1uct1on Type: VN Occupancy Group: ll Descr1pt1on: ADD NON-BEARING : EXISTING OFFICE Appl/Own1 GLOCKER, HERMAN P.O. 726 CARLSBAD , CA. Fees Required Fees : AdJustments: Total Fees: Fee de'"'cr1pt1on M1~cellaneous Fee * MISCELLANEOUS T Pru J .. ct No : A 1 S o , 5 ~ t) DeveloJJJri@nt No: Suite : D 1170 03/23/95 0001 01 02 L ,t#: C-PRMT 35.00 Reference#: PARTION TO I NO ELEC . OR MECH. t) l 9 CITY OF CARLSBAD Statui:;: Appli,:d: Apr/ls$ue: Entered By: 434-3l42 1S~LIED 0J/2':l/Q5 03/.:J/95 M[>P .00 .OU JS.OU Ext f~e L>at.:1 J~•. 00 PERMIT 35.0U 2075 Las Palmas Dr., Carlsbad, CA 92009 (6 19) 438·1161 PERMIT APPLICATION 11!\ ~ PIAN CHECK NO. City of carlsbad Building D-rtment 2075 Las PalES Dr., carlsbad, CA 92009 (619) 438-1161 I. JSRkMl I fiPE PlJ\N CK DEPOSIT _______ _ I ESf. VAL =-BY __________ _ 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. PRQIECf INFORMATION FOR OFFICE USE ONLY Address :i_5~ .5,A°"' Nearest Cross Street /...A Gv/J It LEGAL DEsCkiPIION Lot No. CHECK BEWW IP SOBMII IEO: Bu1idmg or Suite No. Suba:1V1s1on Name/Number □ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope ASSESSOR'S PABCEL DESCRIPTION OF WORK SQ. Ff. P.00 f/u ,-., ~ {StAa.""5,Q_,4.,., ~ ,\; # OF STORIES 0 e}"--4DFn*OOMS 1 1 eren ram app 1can NAME (last.name first) ADDRESS Omt No. CITY STATE ZIP CODE DAY TELEPHONE 4. APPLiCANI UWNIRACIUR NAME (last name first) OAGENI FORWNiRACIUR ADDRESS DOWNER UAGENI FOR OWNER CITY STATE ZIP CODE DAY TELEPHONE Phase No. # OF BAlHROOMS 5. PROPEkiY OWNPA Cl f> NAME (lase name first)G,[Ac.i;.el. 1 ~MM ADDRESS 'to AAJ e_.,p fl\., ,,:r Po '1 ~f CITY~j,4<) STATEC,4 ZIPCODE9'.l0/'5s' DAYTELEPHONE t/'J,.'f-)~'fe, 6. WN1 1t NAME (lase name first) ADDRESS CITY STATE STATE !JC.# ZIP CODE LICENSE CIASS DAY TELEPHONE CITY BUSINESS !JC. # DESIGNER NAME (last name hrst) ADDRESS CITY STATE ZIP CODE DAY TELEPHONE STATE !JC.# 7. WOIUMts WMPf!.NSAliuN Workers; Compensauon beclarauon: I hereby aiftrm that I have a cert1hcate of consent to selt-msure 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). INSURANCE COMPANY POLICY NO. EXPIRATION DATE Certthcate of Exemphon: I cerufy that m the performance of the work for which this penmt IS tsSued, I shall not employ any person many manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE 8. OWNER-D0llDRk UEd.JutAiiuN Owner-BuUder Deciarafion: I hereby afunn that I am exempt from the Confraciofs license Law for the ioliowmg 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]). SIGNATIIRE DATE WMPLEIE 'IRIS SECIION FOR NUN-RESIDEN IIAL BOUJ51NG PERMli'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 □ 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 1HE ANSWERS ARE YES, A FINAL CERTIFICATE OF oa:IJPANCY MAY NOT BE~ AFTER JULY 1, 1989 UNIB.5S 1HE APPIJCANT HAS MET OR IS MEIITING 1HE REQUIREMENTS OF 1HE OFFICE OF EMERGENCY SERVICES AND 1HE AIR POlLlfl10N CDNTI!.OL D151111CT. 9. WNSIKUCl1ON LENDING AGENCY I hereby afnrm that there lS a construction iendmg agency for the perlonnance of the work for which this permit 1s issued (Sec 3097(1) Civil Code). LENDER'S NAME LENDER'S ADDRESS 10. APPIJCAN I CFJllll'ICAIION I certify that I have read the application and state that the a&5ve miormat1on lS correct. I agree to comply with all 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 AISO AGREE TO SAVE INDEMNIFY AND l(I!EP HARMIJlSS 1HE CI1Y OF CARlSIIAll AGAINST AIL LIAIIIUl1l!S, JUDGMENTS, <XlSTS AND EXPENSES WlllCH MAY IN ANY WAY ACCRUE AGAINST SAID CI1Y IN CDNSF.QUENCE OF 1HE GRANTING OF nllS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. WHITE: File ·--·· 0 , PERMIT# CB950418 DESCRIPTION: ADD NON-BEARING EXISTING OFFICE TYPE: MISC CITY OF CARLSBAD INSPECTION REQUEST FOR 04/04/95 PARTION TO / NO ELEC. OR MECH. INSPECTOR AREA PD PLANCK# CB950418 OCC GRP CONSTR. TYPE VN STE: D LOT: JOB ADDRESS: 2562 STATE ST APPLICANT: GLOCKER, HERMAN CONTRACTOR: OWNER: REMARKS: MW/DAVE/434-3242 SPECIAL INSTRUCT: PHONE: 619 434-3242 (L PHONE: ~ PHONE: ~ ~ '- INSPECT~-~="-"'....;;.____;;:=;__-- TOTAL TIME: --RELATED PERMITS-- CD LVL DESCRIPTION PERMIT# TYPE CB950446 ELEC STATUS ISSUED ACT COMMENTS _1_9 __ s_T __ F_i_n_a_1_s_t_ru_c_t_u_r_a_1 _______ f ______________ _ ------------------------------------ ***** INSPECTION HISTORY***** DATE 032495 032495 DESCRIPTION Interior Lath/Drywall Frame/steel/Bolting/Welding ACT INSP AP PD AP PD COMMENTS I:======>------·----------···&=:::====:;1' \VAITlt-.JGt AP.l=.A DD AOMUJI ~RATlotJ □ DD ,. 8' fi1--;~f I 4' D D I) A-JC _s o "1 tJ,1\6 rf Jf r);}cj)_ r -,