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Home My WebLink About2810 MADISON ST; ; CB950375; PermitB U • L D I N G P E R M I T P·nn1t No: CB95 Jl 0J/lt>/'95 ll):ll4 Pa,re 1 )f 1 Job Address: 2~10 MADISON ST Su1tP : Permit Type : MISCELLANEOUS Parcel Nu: 203-110-30-00 Lot#: Va.luat-1on: o Construction ~y~e· VN Occupanry Grou~: Reference# Description : MOVE FRONT DOOR APP0X. 3FT. Appl/Ownr : HUSTON, TUCKER _____ 619 2810 MADISON STREET CARLSBAD, CA . >, A A Fees Required Fees: AdJustments: Total Fees: fee description Miscellaneous fee ~ MISCELLANEOUS T TA CITY OF CARLSBAD Pr o j e ct N (, : Development No: 1088 03/16/95 0001 01 C-PRMT Status : Applied: Apr/Issue: Entl:'lf:'.'c'l By : 729-22139 02 30-00 I SSIJE[> )3/ll/'..-15 >3/lb/95 MDP A A A . 0 (J . on ~ 0. uo Ext f1~e [>ata 3U,UO PERMlT JO .Oil 2075 Las Palrnas Dr., Carlsbad, CA 92009 (619) 438-1161 ----------------~-----,--- PERMIT APPUCATI6N PLAN CHECK NO. q (· ~I (' .City of ca,Lsbad Building Depanaent 2075 Las Pal-D, •• ca,Lsbad, CA 92009 (619) 438-1161 I. PF.kMJ:I fiPR From Llst 1 (see back) give code of Pennit-Type: ___________ _ l ~V~DF.POSIT ________ _ VAIJD. BY __________ _ DATI! For Residential Projects Only: From Llst 2 (see back) give Code of Structure-Type: ____________________ _ Net Loss/Gain of Dwelling Units 2. PROJF.Cf INFORMATION , FOR OFFICE USE ONLY Address )...?; / 17 ;&,) l( d' / S , ,1Y'3! t--Buildmg or suace No. Nearest Cross Street .,;;;--: I s::., CHECK BEWW IP SOBMll lill: □ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report D 1 Addressed Envelope PROPOSED USE SQ. FT. # OF SlORIES # OF BEDROOMS # OF BATIIROOMS 3. WN [ACI PERSON (IC duferenf from apphcani) NAME (last name first) ADDRESS CJ1Y STATI! ZIP CODE DAY TELEPHONE 4. APPIJCAN[ UCUNll<.AClUK UAGENI FORWNIRACIUR ADDRESS □ OWNER O AGEN I FOR OWNER NAME (last name fint) CI1Y STATI! ZIP CODE DAY TELEPHONE 1 5. PROPEkiY OWNkk NAME (last name first) -· 1-/-JUC 1~;&1,s )._'i{'/P N .4" !S r/n/ DAY TELEPHONE .:) ..2, :2._ .!?° "?- NAME (last name first) CI1Y ZIP CODE LICENSE CLASS ADDRESS DAY TELEPHONE STATI! I.IC. # CI1Y BUSINESS I.IC. # DESIGNER NAME (last name fu'St) ADDRESS CI1Y STATE ZIP CODE DAY TELEPHONE STATI! I.IC. # 7. WOkkRRS' WMPENSAIION Workers' t.Zmpensat1on Declarat1on: I hereby affirm that I have a certificate of consent to self-msure issued by the Ulrector of lndustnal Relations, or a certificate of Worker..' 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, Lab. C). INSURANCE COMPANY POLICY NO. EXPIRATION DATE Cemhcate of Rx.emption: I certify that m the performance of the work for which thts permit 1s issued, I shall not employ any person many manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE 8. OWNRK-B0llDfilt OFLLARAl1UN Owner-Builder Declaration: I hereby afhrm that I am exempt from the Confraciofs license law for the followmg 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 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.). D I, as owner of the property, am exclusively contracting with licensed contractor.. 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 punuant to the Contractor's license Law). □ 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 permit to file a signed statement that he is licensed punuant 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 the applicant to a civil penalty of not more than five hundred dollar.. [$500]). SIGNATURE DATI! COMPlllE IAIS SEGIION FOR NON-RESIDEN IIAL BOIWING PERMll'S ONLY: 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 □NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □YES □NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ YES □ NO IF ANY OF TIJEANSWERS AREYES, AFINALCERTIFICATl!OF OOCUPANCY MAYNCTf BE ISSUED AFTER JULY 1, 1989 UN1J'.SS TIIE APPIJCANT HAS Min" OR IS MEIITING TIIE REQUIREMENTS OF TIIE OFFICE OF EMERGENCY SERVICES AND TIIE AIR POUlJTION ffiNTROL DISI111CT. 9. WNSIKUCIIDN LENDING AGENCY I hereby afhrm that there 1s a construction lending agency for the performance of the work for which tfi15 permit 1s issued (Sec 3097(!) CIVli Code). LENDER'S NAME LENDER'S ADDRESS JO. APPilCAN I CERilFICAlIDN I certify that I have read the apphcaoon and state that the above mfonnat1on 1s correct. I agree to comply with ail 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 ID SAVE INDEMNIFY AND KEEP HARMLESS TIIE CJ1Y OF CARISBAD AGAINST AU. IJABIUl1ES, JUDGMENTS, CXJSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CJ1Y IN ffiNSF.QIIENCE OF TIIE GRANTING OF TIIlS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0" 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 permit 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 abandoned t any ti e aft the work is com need for a period of 180 days (Section 303(d) Uniform Building Code). APPLICANTS SIGNATURE DATE: ___ _ PINK: Finance 0 PERMIT# CB950375 DESCRIPTION: MOVE FRONT TYPE: MISC CITY OF CARLSBAD INSPECTION REQUEST FOR 03/31/95 DOOR APPOX. 3FT. STE: INSPECTOR AREA PY PLANCK# CB950375 OCC GRP CONSTR. TYPE VN LOT: JOB ADDRESS: 2810 APPLICANT: HUSTON, CONTRACTOR: MADISON ST TUCKER PHONE: 619 729-2289 PHONE: OWNER: PHONE: REMARKS: MW/TUCKER/729-2289 SPECIAL INSTRUCT: INSPECTOR TOTAL TIME: CD 19 LVL DESCRIPTION ST Final structural .A[_ _c_o_MME __ N_T_S __________ _ ------------------------------------------------------ ***** INSPECTION HISTORY***** DATE 032395 032195 DESCRIPTION Interior Lath/Drywall Frame/Steel/Bolting/Welding ACT INSP AP PY AP PY COMMENTS