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Home My WebLink About2220 PALOMAR AIRPORT RD; ; CBC2022-0046; Permit                                                                  (Cityof Carlsbad Catyof Carlstiad COMMERCIAL BUILDING PERMIT APPLICATION B-2 Plan Check _C_B_C_2_0_22_-_0_0_46 __ Est. Value PC Deposit Date 2/10/22 Job Address2220 Palomar Airpart Rd. Suitf!:, _______ APN: 160-221-3.6-00 Tenant Name #:._A_o.::..ya_l_Jet __ i:...l_nc_·. _________ ___,Lot#:. ____ Year Sulit: ________ _ Velar Builtt.___ Occupancy: __ _ conwuction Type!.__ Rre sprinklen:QvEsf)No A/C!C)vES0No BRIEF DESCRIPTION OF WORK: UST Removal to be r.eplaced with AST UST: Underground Storage Tank AST: Aboveground Storage Tank 0 Addition/New:,. _____________ N.ew SF and Use,"-. ___________ .New SF and Use ______ SF Deck, SF Patio Cover, S.F Other (Specify) ___ _ □Tenant Improvement: ____ SF, Existing Use: ______ Proposed Use: _____ _ ____ SF, Existing Use: Proposed Use:------ 00ther: ______________________________ _ PRIMARY APPLICANT Name: Ha.di stein Address: 8355 La Jolla Shores. Dr. PROPERTY OWNER Name.: Royal Jet, Inc. Address· 8355 La Jolla Shores Dr. City: La Jolla ~tate! CA Zip! 92037 City: La Jolla State1 CA Zip.: __ 9_20_3_1 __ _ Phone: 619 247 4200 Phone: 619 247 4200 Email: hasteln@me.com Emalh hastein@me .. com DESfGN PROFESSIONAL CONTRACTOR OF RECORD Name: ________________ Business Name: Whillock Contractir,g,.lnc. Address: Address: P,O.aox 2322 City: ______ _,,state: ___ Zlp: ____ Qty; La M•sa state; CA Zlp;_9_19_4_3 ___ _ Phone: Phone: 81'9 579 0700 Email• Email: estimating@whillockcontracting.com ArchltectStateLicense: CSL8License#· 572217 C1ass.tA.B,C12,C21,Asb Carlsbad Business Ucense # (Required): BLOS1242299 APPLICANT CERTIFICATION: I certtfythat!have read th.e appllc:ationandstate thattheaboveinformation is correctandthat the fnformatlooon the plans isaccura.te; I agree tocamply Wfth all City ordfnanc.esand State laws relatin9 to building construction. ~ NAME {PRINT); . Hacli Stein SIGN: ~~ ;:. DATE: 01/S1 /2022 1635 Faraday Ave Carlsbad,CA 92008 Ph: 760-602•2719 Fax: 760. ~ Email: Bultding@carlsbadca.lPY 1 Re\'. 10IZ1 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 LETTER IS REQUIRED PRIOR TO PERMIT ISSUANCE. (OPTION A): LICENSED CONTRACTOR DECLARATION: lherebyaffirmunderpenaltyofperjurythatlamlicensedunderprovisionsofChapter9(commencingwithSection7000)ofDivision3 of the Business and Professions Code, and my license is in full forceandeffect. 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 Labor Code, for the performance of the work which this permit ls issued. PolicyNo. ___________________________________ _ -OR- 15(11 have and will maintain worker's compensation, as required by Section 3700 of the Labor Code, fo h ~y workers' compensatl n insura ce rr rand 11olicy number are: Insurance Company Name: _.. ........ .,_""-'-'L..:..+--+"'H":c'F.ar::::-::..---c:::!"'FL......,""-"':::....::~ ...... ...:.+ Polley No. ----~--...L"""""-"'"'--'iz:;..~-------------Expiration Date: --w4-'L+-'--==='--""'.....,"-------- -OR- Ocertlficate of Exemption: I certify that In the performance of the work for which this permit is Issued, I shall not .employ any person In any manner so as to become subject to the workers' compensation Laws of California. WARNING: Failure to secure workers compensation coverage Is unlawful and shall subject an employer to criminal penalties and civil fines up to $100,000.00, In addition the to the cost of compensation, damages as provided for In Section 3706 of the Labor Code, Interest and attorney's fees. CONSTRUCTION LENDING AGENCY, IF ANY: construction lending agency for the performance of the work this permit is issued (Sec. 3097 (I) Civil Code). CONTRACTOR CERTIFICATION: I certify that/ have read the application and state that the above information is correct and that theinformationontheplansisaccurate. /agree to comply with all City ordinances and State laws relating to building construction. NAME(PRINT): to\t-3wi+ruoc\t SIGNATURE~ DATE: ?--B-2-z. Note: If the person signing above Is an authorized agent for the contractor provide ~or letterhead. -OR - (OPTION B): OWNER-BUILDER DECLARATION: I hereby affirm that I am exempt from Contractor's License Law for the following reason: n 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. ~44, 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 employees, provided that such Improvements are not Intended or offered for sale. If, however, the bull ding 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). -OR- D1, 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 Law). -OR-□1 am exempt under Business and Professions Code Division 3, Chapter 9, Article 3 for this reason: AND, D FORM B-61 "Owner Builder Acknowledgement and Verification 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, I cannot legally sell a structure that I have built as an owner-builder if it has not been constructed in its entirety by licensed contractors./ understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application Is submitted orat the following Web site:http://www.leginfo.ca.gov/ ca/aw.html. OWNER CERT/FICA TION: I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. /agree to comply with all City ordinances and State laws relating to building construction. NAME (PRINT): ________ _ SIGN: __________ DATE: _____ _ Note: If the person signing above is an authorized agent for the property owner Include form B-62 signed by property owner. 1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov 2 REV. 07/21                                  {city of Carlsbad