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Home My WebLink About2086 PLAYA RD; ; CBR2022-4337; Permit                                                            (Cityof Carlsbad ~ RES IDENTIAL Plan Check (_ Cicyof BUILDING PER.MIT Est. Value Carlsbad APP LICAT ION PC Deposit B-1 Date I -· --._ Job Address cJOffe~UN& :R.~ ~ Unit: APN:..J{.$/'-/O 3300 CT /Project#: Lot#: Year Built: /ltfR 1 ~ BRIEF DESCRIPTION OF W9RK: fJ:mfl(e e)/1.SfJJJG i4f(tilttAJ€.~HJMt.EJ,"'1 U~IJ.eLLAV/11~ ~ fl.tlAbD/J. ,. ~W~~CrXlN£Nti,t 11W. ~~lQ.gJJ)_l1"-'.2AllOJJ GOOL S--J;/Vl)~,5 □ New SF: Living SF, liln Deck SF, Patio SF, Gara~F Is th is to create an Acce,;o,Y Dwelling Unit? O Y(JC, New Fi re place? 0 0 , if yes how many? D Remodel: N/ JX SF of affected area Is t area a conversion or change ofuse? 0 YB □ Pool/Spa: t,1 / n SF Additional Gas or Electrical Features? □Solar: KW, Modules, Mounted:0Roof O Ground, Tilt: 0Y~ RMA: OY ~ Battery:OY~anel Upgrade: Ov~ Electric Meter nurn b<er: Other: ~ l -. .. I, ' . APPLICANT (PRIMARY CONTACT) PROPERTY OWNER Name:~ie:}E:. l~&:~-Name :_~ U2 M, I Z.IJ:~ Q Address: =UJ '4 ~ l: i. ltl s-r Address:~.8C, '?l.li~A &b City: Mu,L\\:;5)\ State: <A Zip:925'12. City:~6A:b\ State: (.A Zip: j~002_ Phone: 811. 11, -QO ~ 7 Phone:. leJS • 99 2. 3 2.S!.t Email:~m,oG6, oz1ht f~GL9bEmail: _c.}ttdsoW\12,ul\}o@?a..' \ ·C-0:ID DESIGN PROFESSIONAL CONTRACTOR OF RECORD Name: ~L~ . Busine~s ;,ame: b~ ~Gttf ~ ~~ l2.: Address: P,ddress:_h\~::l (Q~ ~~~ S:1 City: State: Zi p: Citv:.tA\JM.\gr)\ State: CA Zip: O,l,54,2_ Phone: Phone:. ~-Z • ~ ·~I Email: Ema il:_ ==11\@==tl 4.P.u~t. ca~ Architect State license: CSLB License #: \~\'30 Clas,(= S ' Carlsbad Business License# (Required}: ~38 qqo APPLICANT CERTIFICATION: I certify that I have read the application and state that the atiove information is correct and that the information ofth I • agree to comply with all City ordinances and State laws relating to building construction. e P ans ,s accurate. I NAME (PRINT): Qicr il:"f;'iJ Ii) Ii;. l ~-l\ SIG~ Jii;:;J OATE: /lil,/ ~ 163SFa,aday A.o Carlsbad. CA 92008 Ph, 442-339-2719 ~ • . Email: Buildlng@carlsbadca.gov PLAN CHECK NUMBER: ______ _ THIS PAGE REQUIRED AT PERMIT ISSUANCE NSED CONTRACTOR OR A PROPERTY OWNER. IF THE PERSON SIGNING A BUILDING PERMIT CAN BE ISSUED TO EITHER A STAHT~~ll~TION FORM OR LETTER IS REQUIRED PRIOR TO PERMIT ISSUANCE. THIS FORM IS AN AGENT FOR EITHER ENTITY AN AUT (OPTION A)· LICENSED CONTRACTOR DECLARATION: . . . • 1 . th ti mlicensedunoerprovisionsofChapter9(commencmgw1thSect10n7000)ofDivision3 I herebyaff irm underpfenal~yo CpedrJury d ;y icense is in fu/1 force and effect./ also cffirm under penalty of perjury one of the oftheBusmessandPro ess10ns o e, an following declarations (CHOOSE ONE): If • f work •rs' compensation provded by Sertion 3700 of the Labor Code, for the performance of the 01 have and will maintain a certific~te of co_n_s_e_n_t _to-se_-_m_s_u_re_o_r ___ •--------~--------------------------work which this permit is issued. PohcyNo._ CJ ~OR-. . . , . . d by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I..ZT' have and will maintain workers compensation, as require ~~ My workers' compensation insurar:: carrier. lnd PJ)li-'number are: lns!':anc~o2mpany Name: \ J::-"UJ!.11!!;;..~/-.f...x'-~-0-?=-:,=-------- Policy ~o. ~f:"lA,N\u /-~ 3 22 J /~ ' tk _ Expiration Date: ----AJw_ .... .,_~="-'~~t.i,1..,,,....------I -OR-D Certificate of Exemption: I certify that in the performance of the worl< for ,vhich this permit is issued, I s~all not emplo_y any person in any man~er so as to become b" t to the workers' compensation Laws of California. WARNING: FailiJre , 0 secure workers compensat·on coverage 1s unlawful and shall subJect an employer to :~i~~~al penalties and civil fines up to $100,000.00, in addition the to th, cost of compensation, damage, as provided for in Section 3706 of the labor Code, interest and attorney's fees. CONSTRUCTION LENDING AGENCY, IF ANY: I hereby affirm that ihere is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name: ________________________ lender's Add·ess: _______________________ _ CONTRACTOR CERTIFICATION: The applicant certifies that all documents 2nd ~!ans clearly and accurately show all existing and proposed buildings, structure,s, access roads, and utilities/utility easements. All proposed modifications and/or additions are clearly lab,,led on tr e site plan. Any potentially existing detail within these plans inconsistent with the site plan are not approved for construction and may be required to be altered or removed. The city's approval of the application is based on the premise that the submitted documents and plans show the correct dimensions of; the property, buildings, structures and their setbacks from property lines and from one another; access roads/easements, and utilities. The existing and proposed use of each building as stated is true and correct; all easements and other encumbrances to development have been accurately shown and labeled as well as all on-site grading/site preparation. Al:;:•;::::~;;;;;::; ;:;:;I;~::::;•-""'°' ,m, ";•~~~:;~:.0-te.l.4•·1/,_/4,~c;;&v~.,j~Claii~:::; No,., O,he p=o ,lgolog abo~ ;, ao •"<ho•l••d .,..a, f<,c •he roo,~ , d ~;,;;;;;;;;;;;;;tt.,h9d. -OR- (OPTION B): OWNER-BUILDER DECLARATION:· ... I hereby affirm that I am exempt-from Contractor's License Law for the following reason: D I, as owoer 9f the property or my employees with wages as their ~ole compensation, will do tfie work and the structure is not intended or offered for sale (Sec. 7044, Business ·and Professions Code: The Contractor's License law does not 3pply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, i;irovided 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 inprove for the purpose of sale). -OR-• • . • • • ' • .• ' ' DI, as owner of the property, am exclusively contracting with licensed cont-actors 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- DI am exempt under Business and Professions Code Division 3, Chapter 9, l>rticle 3 for this reason: AND, D FORM 8-61 "Owner Builder Acknowledgeme~t ~nd Ve;ification 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 ror 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. I f.!ndrrstand that a copy of the applicable law, Section 7044 of the Business and ProfessionsCode, is available upon request when this application is submitted or at the following Web site: http: I I www. legi nf o. ca. gov I co law. html. OWNER CERT/FICA TION: The applicant certifies that all documents and plans clearly and accurately show all existing ard proposed buildings, structures, access roads, and utilities/utility easements. All proposed modifications and/or additions are clearly labeled on the site plan. Any potentially existing detail within these plans inconsistent with the site plan are not approved for construction and may be required to be altered or removed. The city's approval of the application is based on the premise that the submitted documents and plans show the correct dimensions of; the property, buildings, structures and their setbacks from property lines and from one another; access roads/easements, and utilities. The existing and proposed use of each building as stated is true and correct; all easements and other encumbrances to d,,velopment have been accurately shqwn and labeled ~swell as all on-site grading/site preparation. All improvements existing on the property were completed In accordance with all regul.ations in existence at the time of their construction, unless otherwise· ~oted. 1635 Faraday Ave Carlsbad, CA 92008 Ph: 442-339-2719 Email: Bulldlng@carlsbadca.gov 2 ---------------------~------~------------------REV. <Ml2..._. _ ___, B-10 SUPPLEMENTAL REROOF MISSING FOR THIS PROJECT                                   {city of Carlsbad