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Home My WebLink About2449 LAPIS RD; ; CBR2022-1807; Permit                                                           (Cityof Carlsbad Ccicyof Carlsbad RESIDENTIAL BUILDING PERMIT APPLICATION B-1 Plan Check _______ _ Est. Value PC Deposit Date Job Address 2.41-t'f LAP j S R J . Unit:,--, APN: 2t3Zsooeoo CT/Project#: _______________ Lot#:. ____ vearBuilt: ________ _ BRIEFDESCRIPTIONOFWORK: Pt! !;;ofa, {t>o.f mount UrJ~r ltJl<.IJ 0 New SF : Living SF, ____ Deck SF, ___ Patio SF, ____ Garage SF __ _ Is this to create an Accessory Dwelling Unit? OY ~N New Fireplace? O ~ N, if yes how many? __ _ DRemodel: ____ SF of affected area Is the area a conversion or change of use? 0 YON D Pool/Spa: ____ SF Additional Gas or Electrical Features? __________ _ ~Solar:.J.i:l_KW,_l _8_Modules, Mounted:~Roof OGround, Tilt: ovJ N, RMA: O Y ~ N, l~ery:OY~ N, Panel Upgrade: Ov ~ Other: PRIMARY PPUCANT Name:o.tr,d ~c,"'.., ,·t Address:k.$"4g VV)1S$1po &Oi'j( (' d • .i3L{fo City: (Q!') {)(fj_l) State:.Ga..._Zip: qzrzo Phone: b(q • 7/,7 • f 2Z4 Email: p $0,m j t £ S()l. i nu,q,erjy • Y/".1 PROPERTY OWNER Name: C: bo.rl~~e S-r-t.,·n hautr Address: V:tL;M L«pi ,S rJ • City: Cu ( s bg J State:.c.et.._Zip: 'i'2.a:>C7 Phone: 206 -7q'-( -fl 70 Email: c:,hctrht./yr tP.JMai/.co,.,-, DESIGN PROFESSIONAL CONTRACTOR OF RECORD Name:. _______________ BusinessName: S,zL,;...1<, EM~sy Address: Address: '8S:';'9 W],~(,i,n C:tvjr rd ~St./6 City:. ________ State: __ Zip: City: So') D, 'JP State:~Zip: 'f2rzo Phone: Phone: b(f•7f,7·8Z'Zl/ Email: Email: p>$l1,,,.,, it e? 5oL i ~k ('1 ~')y . CoW"l Architect State License: CSlB License #: q OS w ll Class: Cl O C,J,t (, Carlsbad Business License# (Required): l>L Os oa '1135-ftJ-@1& APPLICANT CERT/FICA TION: I certify that I hove reod the opplicatlon and state that the above information is cotrert ond that the information of the plans is accurate. I ogrtt to comply with oil Oty ordinances and State faws rrJating to building construction. NAME (PRINT): ¥-t .,..,;ck ~di"" ,' f SIGN? .P.-DATE: .S· 2':i · l?. 1635 Faraday Ave Carlsbad, C.A 92008 Ph: 442-339-2719 Email: sullding@carlsbadca.gov REV. 04/22 THIS PAGE REQUIRED AT PERMIT ISSUANCE PLAN CHECK NUMBER: ______ _ A BUILDING PERMIT CAN BE ISSUED TO EITHER A STATE LICENSED CONTRACTOR OR A PROPERTY OWNER. IF THE PERSON SIGNING THIS FORM IS AN AGENT FOR EITHER ENTITY AN AUTHORIZATION FORM OR LmER IS REQUIRED PRIOR TO PERMIT ISSUANCE. (OPTION A): LICENSED CONTRACTOR DECLARATION: /herebyaffirmunderpenaltyofperjurythatlamlicensedunderprovtslonsofChapter9(commencingwithSection7(J()())ofDivision3 of the Business and Professions Code, and my license is in fullforceandeffect. I also affirm under penalty of perjury one of the following declarations (CHOOSE ONE); 01 have and will maintain a certificate of consent to self-Insure for workers' compensation provided by section 3700 of the ubor Code, for the performance of the worlcwhich this permit Is issued. PolicyNo .. _______________________________________ _ -OR- DI have and wlll maintain worker's compensation, as required by Section 3700 of the labor code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Company Name: ----------------------1 Polley No. ________________________ ExplratlonDat1: ______________ -1 -OR- ltl{ Certlflcate of E•emption: I certify that in the performance of the wortc for which this permit is Issued, I shall not employ any person In any manner so as to become ~ject to the workers" compensation uws of California. WAIINING: Failure to seaire worurs compensation cove,..e Is unlawful and shall subtect an employer to criminal penalties and clvll fines up to $100,000.00, In addition the to the cost of compensation, dama1es H provided for In Sectlon 3706 of the Labor Code, lnte,-st and attnnw(s fees. CONSTRUCTION LENDING AGENCY, IF ANY: I hereby affirm that there is a construction lending asency for the performance of the work this permit Is Issued (Sec. 3097 (ii Civil Code). Lender's Name,. _____________________ ,Lender'sAcldress: ____________________ _ CONTRACTOR CERTIFICATION: The 1pplklnt certifies thet all documents and ~ans dea,ty and accurately show all e"isting and proposed buildings, structures, xcess roads, and utllltles/utlftty easements. Alt proposed modifk.Uons and/or additions are dearly libeled c;w1 the site plain. Any potentially existing detail withln these plans Inconsistent with the site Pan ire not approved for construction and ffl'f be required to be altered or removed. The dty's approval of the applic..1tion IS based on the premise that the submitted doo.,ments Jind ptans show the correct dimenslons of; the property, buildings, structures and their setbacks from property •nes ffld from one another; 1ccess roads/easemenu, and utilities. The existing and proposed use of each buildi"IM suted is true and COf'f'ect; all easemenu and other encumbrances to development have been accurately shown .and labeled as well as all on-sitegradlng/srte preparation. All Improvement, existing on the property wer~ completed in accord>n•re ,.;th •II r•gul•tions In .. 1S1ence •t th~ construction, unless othen,,;se noted._ NAME (PRINT): '.1titnCt' .s°ch1t1 ,f SIGNATURE: q DATE: ---5 • 2'{ • Z L Note: If the person slp,lns above is an authorized ■cent for the contractor vid• a letter of authorization on contr•ctor letterhead. (OPTION 8): OWNER-BUILDER DECLARATION: I hereby affirm that I am exempt from Contractor's License Law for the following reason: D I; as owner of the propeny 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 License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own empktyee5, 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 provlns that he did not build or improve for the purpose of sale). -OR-D 1, 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 Improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License uw). -OR-DI am exempt under Business and Professions Coch! Division 3, Chapter 9, Article 3 for this reason: AND, 0 FORM 8-61 "0wner Builder Acknowledpment and Verifteatlon Form# is required for any permit issued to a property owner. By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, 1 cannot legally sell a structure that I have built as an owner-buikjer it it has not been constructed in its entirety by licensed contractors. I understand th<lt a copy of the applicable law, Section 7(),f,f of the 8uslMSS and Professions Cod•, is available upan request when this application Is S4Jbmlttedorat the fol/awing Web site: http:/twww.leylnfo.ca.govlcalaw.html. Or.wER CERTIFICATION: The applicant certiftes that aH documents and pans clearly and ac.curately show all existing and proposed buildings, structures, access roads, and utJNtles/utHlty easements. All proposed modifications and/or additions are clnrly l~l!d on the site plan. /Vff potentlally Histing detail wttNn these plans lnccnsistent with the site plan are not approved for construction and may be required to be altered or removed. The city's iipproval of the appficatlon Is based on the premise that the submitted documents ,nd pbins show the correct dimensions of; ttie property, bulldlnp, structures and their set:baicks from property lines and from one another; access roads/easements, and utilitte:S. The e:.clstlng and proposed use of each buikflrc as stated is true: and correct; a~ easements and other encumbrances to develop"Mnt haYe been accurately shown and labeled as well as aN on-site grading/site preparation, All improvements existing on the property were completed In accordince with all regulations In existence at the time of their construction, unless 01herwlse noted. owner Include form 11-62 sl ned b owner. 1635 Faraday Ave carlsbad, CA 92008 Ph: 442-339-2719 Email: Building@carlsbadca.gov REV. 04/22                                 {city of Carlsbad