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Home My WebLink About2265 MASTERS RD; ; CB961531; PermitB l I I .., [l I !\i <_; 09/t.;';/ 0 J. • , Pu..JC: l (, f. " }b Ac1dr •ss: 2 .. 05 MA-':ER3 kl, Permit 'IypE>: RETAINING WA~,~ Par c e ' N <, : .{; : 2 -1 4 t' -"> 9 -o ~ Va~uat1on: i ,c ~J PEF,;,MIT Su1+-e: Lit#: Occuf an._ y Gr 0ur..: Referer~ci::#: [)P.-rr 1ptior.: l6J SF RETA!N WA:.L-:.r,E E FIL:. : PER 1'ITY SPEt'S Perm.t N": E r:-., c., Erc,3-:_ t Nv. A:1'"> ::>eve .or ner. t [\;n: 9549 9/09t96 ~OCl ' r Con5truc•1un fype: ~s~ Std tu_: ~ ~~,l.'EC Apr1 l 1 t:, l : (, o / 2. l / it Apr/IS."Uf': ( J,Cq/C, EntE.•rP,1 By: •• "IA Appl10wnr ~,HEA HJME~ 619 549-!t$f-i 1•,721 TfEENA S'", srE iOO $AN DIEGC CA 9G131~.-~ Fe('S Requ1re~i FPe::;: At.;lu twent.·: 'T,dtct L t, es: FULL 1ir.q Perrott Pl~r. ,·1 f-'t k Stt<.ng Mot1on feP :<. HUrLDIN; TOTAL I INSP. J ~LEAR CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 b Cr c,d l ts r, lflc-,.ll) t Ext !: ( (; D< ,. ~ b 3. l 0 41. (I·) ! . () ( 105.llJ I PPRO' _/ J _DAT 3/~ 17 ----"""""'=========--:---=~~-::--::=--:---:----, PERMIT APPLICATION PLAN CHECK NO. City of Carlsbad Building Departaent 2075 Las Palms Dr., carlsbad, CA 92009 (619) 438-1161 I. P£kMll NPE 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. PROJF.Cr INFORMATION FOR OFFICE USE ONLY Address Y"'-Ill-">~-<; IZ-b Building or Suite No. Nearest Cross Street mt o. ase o. □ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope ASSESSOR'S PARCEL DESCRIPTION OF WORK r/. € t ie..-, ,., I ,-. C., EXISTING USE PBOPPSED USE SQ. IT. # OF BATHROOMS t I eren rom app 1can NAME {last name first) ~(:,.f, D£...A1> ~DRESS CllY STATE ZIP CODE DAY TELEPHONE 4. APPIJCANI 1o'WNIRACIOR OAGENI FORWNIRACIOR DOWNER DAGEN I FOR OWNER NAME (last name first) ";)~ r.> ~~ ADDRESS l C>'1 -,.. 1 ~ ._ S "T'° ♦ )-1:1"0 CilY S,sw..., D->,E; '10 I STATE CA ZIP CODE "'I :).-1 °3 ) DAY TELEPHONE ~,I&\ :S"-( ,_ ? I S"(.::. 5. PROPEkiY UWNrut _,, , L-NAME {last name first) -,H,!A its,••-ADDRESS IV-, ?--1 ~,_ -'"" 11,.7-crc, CITY s-....., )>-i,~ STATECA ZIP CODE DAY TELEPHONE t., L NAME (last name first) II C •• .e-s ADDRESS lo-1 -:;i. l ~,.. CilY s....... 'l) ('6-C,0 STATE ZIP CODE tl.z.-1 ~ ,J UCENSE CLASS f!? DAY TELEPHONE (I, "l S-\.! '7 '"'!,1 S-b CITY BUSINESS UC.# /1.o-1,1,l'/'!, STATE UC.# ast name 1rst CilY STATE ZIP CODE DAY TELEPHONE STATE UC.# 7. WOkk£Rs WMPF.NSA llUN Workers' Compensation beclarauon: I hereby affmn that I have a certthcate of consent to self-msure issued by the Director of Industnal 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 lnjpes,tion Department (_Section 3800, Lab. C). I A-n 1,uC..1'LJC~'4~ QA- INSURANCE COMPANY ._,<j l.O ~ ve: ;"Jc POUCY NO. EXPIRATION DATE 1.,1 SIGNATURE DATE 8. OWNER-HODDER DEt!OOtAllUN .. a 0 Owner-Budder Declaration: I hereby affmn that I am exempt from the Contradofs License Law for the followmg 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 Llcense Law). I am exempt under Section ________ Business and Professions Code for this reason: (Sec. 7031.S 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.S by any applicant for a permit subjects th pplicant to a · 'I penalty of not more than five hundred dollars [$5001). P"f SIGNATURE J4--i>r5-DATE o , / q I=, \ 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 ONO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □YES ONO ls the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ YES ONO IF ANY OF TIIE ANSWERS ARE YES, A FINAL CERTIFICATE OF oa:IJPANCY MAY Naf BE Il:lSUED AFrnRJULY I, 1989 IJNLF.'iS TIIE APPLICANT HAS MET OR IS MEIITING TIIE REQUIIIEMENTS OF TIIE OFFICE OF EMERGENCY SERVICES AND TIIE Am. POILUTION OONTROL DISfRICT. 9. WNSIROCIIUN mNDING AGENCY I hereby afhrm that there 1s a construction lendmg agency for the performance of the work for which this permit 1s 1SSued (Sec 3097(1) CiVII Code). LENDER'S NAME LENDER'S ADDRESS 10. APPDCAN i CEkiOICAIWN I certtfy that I have read the application and state that the atx>ve mformat10n 1s correct. I agree to comply with ail 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 ALSO AGREE 1U SAVE INDEMNIFY AND KEEP HARMLESS TIIE CflY OF CARISBAll AGAINSf AIL LlABIIITIES, JUDGMENTS, CXlSTS AND EXPENSES WIIlCH MAY IN ANY WAY AOCRUE AGAINSf SAID CflY IN OONSEQ\IENCE OF TIIE GRANTING OF nDS PERMIT. OSHA: An OSHA pennit is required for excavations over S'O" 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 rmit is not commenced within 365 days from the date of such permit or if the building or work authorized by such permit is suspended or aban at any tim~er the work is commenced for a period of 180 days (Section 303(d) Uniform Buildipg Code). APPUCANT'S SIGNATURE l5-7 DATE: gild JIU:, WHITE: File YELLOW: Applicant PINK: Finance 0 PLANNING/ENGINEERING APPROVALS ?6 -;S-!:,o PERMIT NUMBER CB ?6-/ .)3) ADDRESS Z? 6 J //Y /J > T~ f?j) ~ RESIDENTIAL ADDITION MINOR ( < $10,000.001 PLANNER l/ ()&L ENGINEER @(; C:\WPS 1\FILES\BLDG.FRM .... •···•· -- TENANT IMPROVEMENT PLAZA CAMINO REAL VILLAGE FAIRE COMPLETE OFFICE BUILDING DATE_q __ '-1_-_~_L __ Rev 11 /15/90 .. --