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Home My WebLink About2707 SOUTHAMPTON RD; ; CB921258; PermitPERMIT APPLICATION PLAN CHECK NO. City of carlsbad Building Depart111e11t 2075 Las PalES Dr., carlsbed, CA 92009 (619) 4l8-1161 PLAN CK DEPOSIT. _______ _ l l!Sf. VAL VAIID. BY __________ _ I. PERM.I I UPE A-UCOmmerc1al ONew Bmldmg Li lenant Improvement B -□ Industrial □ New Building □ Tenant Improvement C -jlJ Residential □ Apartment □ Condo Q"Single Family Dwelling □Addition/Alteration D Duplex □ Demolition □ Relocation □ Mobile Home ~Electrical D Plumbing □ Mechanical □ Pool □ Spa D Retaining Wall □ Solar □ Other DATE 2. PRarncr INFORMATION FOR OFFICE USE ONLY AclOress 2 707 5G .,f),,,..rt•" l:..c/ BuHdmg or Suite No. Nearest Cross Street , et am mt o. CHECK BEWW IF SOBMl 11 EU: Corl< f,,4,/ J't: 1 fl 11'1-I '/ D 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report DESCRIPTION OF WORK SQ. FT. # OF STORIES 3. WN JACI PEl&JN (tr dnferenf from apphcant) NAME ADDRESS CI1Y STATE ZIP CODE DAY TELEPHONE 4. APPUCANi UWNIRAC!OR UAGENI FORWNIRACIOR IZtuWNEk UAGENI F~/WNHR NAME Lcr~7 ?o~fher ADDRESS :ZlO?S.~f)A""f'f.,-,. ,· CITY C,,.r/ri'"' / STATE( fl ZIP CODE "J,),·10 t DAY TELEPHONE 7,J <J~J/o 'i NAME L ,.,.,.7 f>',,-fner ADDRESS 27°7 ~c.,_/J,,.,,,.,f'}"vi Ii', CITY C,-,lri .. ,I STATE Cf'l ZIP CODE 7. oo/j DAY TELEPHONE 1~ 7-;JO NAME CITY STATE STATE UC.# ADDRESS ZIP CODE LICENSE CLASS DAY TELEPHONE CITY BUSINESS UC. # CITY STATE ZIP CODE DAY TELEPHONE STATE UC.# 7. WORRERS' WUPENSAIION Workers1 t.Zmpensatton 0eciaratlon: I hereby aihrm that I have a certificate of consent to self-msure issued by the Director of lndustnal Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer1 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 Ceruhcate of Exemption: I certify that m the performance of the work for which this pemut 1s issued, I shall not employ any person m any manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE~'--DATE /1-1'1/'1 Z... 8. oWNmt-80 dwner-Bmlder Oeclarat1on: I hereby afhnn that I am exempt from the Contracto?s Lcense Law for the followmg reason: jD 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.). 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 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 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]). 51:~~'E IRIS s~~ESIDENIIAt BDILbiNC PERMirs ONLY: DATE IP/111 '- 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 IP ANY OP 11ffi ANSWERS ARE YES, A FINAi.CERTIFICATE OF oa:uPANCY MAY Ncrf BE ISSUED AFI1m.JIILY I, 1989 IINIJ!SS 11ffi APPUCANT HAS MIIT OR IS MEIITING 11ffi RF.QUIREMENTS OF nm OFFICE OF EMERGENCY SERVICES AND 11ffi AIR POlllmON CDNTIIOL DISfRICT. 9. WNSIROCIIUN LHNDING AGENCY I hereby afhrm that there 1s a construction lendmg agency for the performance of the work for which this penmt 1s issued (Sec 3097(1) Civil Code). LENDER'S NAME LENDER'S ADDRESS IO. APPUCANJ CRklll'iCAIIDN I certify that I have read the apphcat1on and state that the above mformatlon ts correct. I agree to comply with all C1fy 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 TO SAVE INDEMNIFY AND KEEP HARMLESS 11ffi CI1Y OF CARISBAD AGAINST AIJ. IJABIIJTIES, JUDGMENTS, <DSTS AND EXPENSES WIIlCH MAY IN ANY WAY ACDUJE AGAINST SAID CI1Y IN CDNSEQIJENCE OF 11ffi GRANTING OF TIIIS PERMIT. OSHA: An OSHA pennit 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 such permit is not commenced within 365 days from the date of such permit or if the building or work authorized by such pennit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code). APPLICANTS SIGNATURE DATE: / 2-/7 /4 l ~AA.. 7 WHITE: File YELl.OW: Applicant PINK: Finance CITY OF CARLSBAD •• INSPECTION REQUEST PERMIT# CB921258 FOR 12/08/92 DESCRIPTION: MISC ELEC WORK ALREADY DONE TYPE: ELEC JOB ADDRESS: 2707 SOUTHAMPTON RD APPLICANT: PORTNER, LARRY CONTRACTOR: OWNER: REMARKS: MH/LARRY/729-3108 SPECIAL INSTRUCT: TOTAL TIME: PHONE: PHONE: PHONE: INSPECTOR AREA PY PLANCK# CB921258 OCC GRP CONSTR. TYPE NEW STR: FL: STE: 619 451-4325 '--- CD LVL DESCRIPTION ACT COMMENTS 34 EL Rough Qect~ic /\of ______________ _ -----11~-~-c..,,..J_,___.,,J._~_,}_< _____ ---.f~I · ____________ _ -------------------~r-w -------------------- ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS