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Home My WebLink About2606 EL CAMINO REAL; ; CB941324; PermitB U I L D I N G P E R M I T Permit No: CB941~24 Project No: A9401737 Development No: 10/19/94 11 :21 1 Page 1 of 1 Job Address: 2606 EL CAMINO REAL Suite: Permit Type: MISCELLANEOUS 9192 10/19/94 0001 01 02 Parcel No: Lot#: C-ffiHT 30-00 Valuation: 0 Construction Type: VN Occupancy Group: B2 Reference#: Description: DEMO NON-BEARING WALLS Appl/Ownr : BOSTON PACIFIC , INC 1200 NORTH HARBOR BLVD ANAHEIM, CA 92803 *** Fees Required Fees: Adjustments: Total Fees: Fee description Miscellaneous Fee#~ * MISCELLANEOUS TOTAL 714 490-7523 Status: ISSUED Applied: 10/19/94 Apr/Issue : 10/19/94 Entered By: DC .00 .00 30 .00 *** Ext fee Data 30.00 PERMIT 30,00 FI NAL APPROVAL 1 ~SP. --DATE ' r 1ANCE ___ , L_ CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION City of Carlsbad Building Department 2075 Las Palms Dr •• Carlsbad. CA 92009 (619) 438-1161 1. PEltMft 1'YPE From List 1 (see back) give code of Pennit-Type: ------------ For Residential Projects Only: From List 2 (see back) give Code of Structure-Type:--------------------- Net Loss/Gain of Dwelling Units------------------ 2. PRQJF.CT INFORMATION Address ~ l::,l_.. CAM.I NO 12-E?Al-Building or Suue No. Nearest Cross Street LEGAL DESCRIPTION l.ot No. Subd1V1s1on Name/Number CHECK BEillW IF sODMI 11 ED: D 2 Energy Cales D 2 Structural Cales D 2 Soils Report D I Addressed Envelope DESCRIPTION OF WORK ()i .M-U O .>J 1 EXISTING USE PLAN CHECK NO. 1'--~ -\ ~ L-'°{ EST.VAL;.._ __________ _ PLAN CK DEPOSIT ________ _ VAUD.BY __________ _ DATE·-------------~ FOR OFFICE USE ONLY Unit No. Phase No. PROPOSED USE SQ. IT. # OF STORIES # OF BEDROOMS # OF BATI-IROOMS 3. WN IACI PERSON (tf dttlerent from applicant) NAME (last name first) ADDRESS CI1Y STATE ZIP CODE DAY TELEPHONE ~ ,.), ,-J 6'.JCfDDRESS "f'. a . f?C'f-57~ ~ CA R..~, ff CI1Y CA'2..01~::rtte~ATE cJA-ZIP CODE 1'2.t:)"1 DAY TELEPHONE &Jt1 -~'!,,f -l/'ZZ, s. PROPERlY OWN NAME (last name first) ADDRESS CI1Y STATE ZIP CODE DAY TELEPHONE 6. rnNTRACiOR NAME (last name first) ~,j ~c flC , I~ ADDRESS ~""1/2,, S · HA e..e,o ~ ex-Jo CI1Yb,,J.At-t8tM,. STATECA-ZIPCODE q1.,~?) DAYTELEPHONE(Jl'f:) 4qt) r7&tD STATE UC.# LICENSE CLASS CI1Y BUSINESS UC. # DESIGNER NAME (last name hrstJ AODR£sS CI1Y STATE ZIP CODE DAY TELEPHONE STATE UC.# 1. WORKERS' WMPENSA'lioN Workers· compensauon uectarauon: I hereby alftnn lhat I have a ceruhcate of consent to sell-insure issued by lhe Director ol 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 Inspection Department (Section 3800, I.ab. C). INSURANCE COMPANY POLICY NO. EXPIRATION DATE Ceru!tcate of Exemption: I cerufy lhat in lhe pertonnance ol lhe work lor which this permit ts issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE 8. oWNER-BOIWER DEClARA'IIDN uwner-.tlullaer uec1arafion: I hereby afhnn that I am exempt from the Contractor's Llcense Law tor the following reason: D 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 license I.aw 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 I.aw). 0 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 pennit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such pennit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License I.aw (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 pennit subjects the applicant to a civil penalty of not more than five hundred dollars ($500]). SIGNATURE DATE COMPLETE TRIS SEC! ION FOR NON-RESIDENTIAL BOil.DiNG PERMI i's ONLY: Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration fonn or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES ONO Is the applicant or future building occupant required to obtain a pennit from the air pollution control district or air quality management district? 0 YES ONO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? DYES D NO IF ANY OF nm ANSWERS ARE YES, A FINAL CER11FICATE OF ocx:upANCY MAY Nor BE~ AFI'ER JULY ], 1989 UNLESS nm APPUCANT HAS MET OR IS MEETING nm REQUDlEMENTS OF nm omCE OF EMERGENCY SERVICES AND nm AIR POlllJTlON CDNlllOL DISJ'RJCT. 9. WNSl1t0Cl10N LENO[NC XCENCY I hereby afftnn ihat lhere 1s a construcuon lending agency for lhe perfonnance of lhe work lor which lhts penntt 1s issued (Sec 3097(1) ClVII Code). LENDER'S NAME LENDER'S ADDRESS 10. APPIJCANI CERl1FICA110N I cerufy lhat I have read lhe appltcauon and state that the above informauon 1s correct. I agree to comply w1lh all City ordinances 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 AISO AGREE 10 SAVE INDEMNIFY AND KEEP HARMLF.s.5 nm crJY OF CARIS8AD AGAINST AIL UAB~ JUDGMENTS, CDSI'S AND EXPENSE.5 WIDCH MAY IN ANY WAY MXllUE AGAINST SAID crJY IN CDNSEQUENCE OF nm GRANTING OF nns 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 pennit 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 pennit or if the building or work authorized by such pennit is suspended or ndoned at any time a e work is commenced for a period of 180 days (Section 303(d) Unifonn Building Code). APPUCANl"S SIGNATURE DATE: ----