HomeMy WebLinkAbout2763 STATE ST; ; CB930997; Permit.,
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INSP. ,1..-,-.-.;;;;;;;._ 0ATE t, -!~
CLEARANCE _____ ,
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
•
-PERMIT APPUCATION PI.AN CHECK NO. f 3
City of Carlsbad Building Departaent
2075 Las Pal1ms Dr., carlsbad, CA 92009 (619) 438-1161 EST.VAL. __ ,+-l...::..._....,,.,.-,=,---:J.1-A~/
PLANCKD
VAUD.BY_L..;'.=-,~--J'-+---,~~-+-
1. PEltM.1 I IYPE DATE. _________ _,_...c..._....:...._
A -U Commercial □ New Butldmg U Tenant Improvement
B -D Industrial □ New Building D Tenant Improvement
C -U Residential D Apartment D Condo D Single Family Dwelling □Addition/Alteration
U Duplex D Demolition U Relocation □ Mobile Home D Electrical D Plumbing
U Mechanical □ Pool □ Spa □ Retaining Wall D Solar □ Other ____ _
2. PROJECf INFORMATION ~ l
FOR OFFICE USE ONLY
Addrd 7h-..:5 :.;;i/ B~ildmg or Sutle No.
Nearest Cross Street
LEGAL bEscRil>'l ioN wt No. Subd1V1s1on Name/Number UmL No. Phase No.
CA£Ck 8£WW IF SOBMI 11 £0:
D 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report D I Addressed Envelope
ASSESSOR'S PARCEL EXISTING USE PROPOSED USE
DESCRJPTION OF WORK /
/l -/~ 4~tJC) ;rf ors~~ ~~() G
SQ. IT. ~ # OF STORIES
3. WN IACI PEJtSUN (tr dtllerenl from appltcan[)
NAME ADDRESS
ZIP CODE DAY TELEPHONE
DAY TELEPHONE
y. CITY ~~E
STATE
STATE UC.#
ZIP CODE
LICENSE CLASS
ADDRESS
DAY TELEPHONE
CITY BUSINESS UC. #
CITY STATE ZIP CODE DAY TELEPHONE STATE UC.#
1. WOiu<£1tS' WMP£NS1rnON
Workers· compensation uec1a rauon: I hereby al It rm that I have a certiltcaLe of consent to sell-msure issued by the Director ol lndustnal
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, Lab. C).
INSURANCE COMPANY POLICY NO. EXPIRATION DATE
Cerultcate of Exemption: I cerufy that m the performance of the work for which this permit ts issued, I shall noL employ any person m any manner
so as to become subject to the Workers' Compensation Laws of California.
SIGNATURE DATE
8. oWNER-BUtlDEit OEUARAnoN
D
D
D
Owner-Builder Declarauon: I hereby ail1rm that I am exempt from lhe contractor's Llcense Law for Lhe lollowmg reason:
I, as owner of the property or my employees with wages as their sole compensation, will do Lhe work and the structure is not intended or
offered for sale (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 who does such work himself or through his own employees, provided Lhat 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 License Law does not apply 10 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).
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 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 License 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 Lhe alleged exemption. Any violation of SecLion 7031 .5 by any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars ($500]).
SlGNATURE DATE
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS 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?
U YES O NO
ls the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
□ YES D NO
ls the facility to be constructed within 1,000 feet of the outer boundary of a school site?
□ YES D NO
IP ANY OF TiiE ANSWERS ARE YF.S, A FINAL CERTIFICATE OF oc:nJPANCY MAY NOT BE ISSUED AFTER JULY l, 1989 UNLF.SS TiiE APPUCANT
HAS MET OR IS MEETING nm REQUIREMENTS OF nm OFFICE OF EMERGENCY SERVICES AND nm AIR POU.lJTION CX)NTilOL DISllUCT.
9. WNS'i1t0Cl1ON LENDING AGENCY
I hereby alhrm that there 1s a construction lending agency lor the perlormance of the work lor which this permit 1s issued (Sec 3097(1) C1V1l Code).
LENDER'S NAME LENDER'S ADDRESS
to. .APruCAN I CElt'l'McA'lioN
I certify that I have read the appltcatton and state that the above mlormauon ts correct. I agree Lo comply w1Lh all City ordinances and Slate 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 ro SAVE INDEMNIFY AND J<EE.P IWlMLF.SS nm crrv OF CAJUSBAD AGAINST AU. UABDJTIES, JUDGMENTS, CDSTS
AND EXPENSES WIDCH MAY IN ANY WAY ACDUJE AGAINST SAID CTIY IN CDNSEQUE.NCE OF nm GRANTING OF nns 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 at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code).
DATE: ______ _
YEllOW: Applicant PINK: Finance
\
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,\..'"';...fl.!'."S: ______ THU: LEAVE: ______ _
L'-/L 8ESCRI ?'l'IOU ~
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,\CT CCtUU:!lTS
Pr
I 1993
UNSECURED PROPERTY TAX BILL
COUNTY OF SAN DIEGO, STATE OF CALIFORNIA
PAUL BOLAND, COUNTY TAX COLLECTOR
1600 PACIFIC HIGHWAY, ROOM 162
SAN DIEGO, CA 92101
MPORTANT
PAY BY
DEMAND DATE
► JUNE 03, 1993
MAERKLE FRED W
OBA CARLSBAD BLDG MATERIAL
5032 TIERRA DEL ORO CARLSBAD CA 92008
CRlmON OF PROPERTY:
1PERTY LOCATION:
203-054-15-00 IMP
2763 STATE ST
FOR PROPERTY SOLO
BEFORE MARCH 1ST OF
THE APPLICABLE TAX
YEAR, PLEASE
COMPLETE THE
ENCLOSED GREEN
NOTICE OF SALE OR
REMOVAL CARO.
PLEASE NOTE THE
ADDRESS CHANGES
CARO FOR ANY
CURRENT OR FUTURE
ADDRESS CHANGE I
I
I
I
I
I
I
I
I ~--------------------------------------------------------------------------· MAIL STUB WITH YOUR PAYMENT. PUT TAX Bill NUMBER ON YOUR CHECK
YOUR CANCELLED CHECK IS YOUR BEST RECEIPT AND PROOF OF PAYMENT
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l.111
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TO!ll 111
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£11-:
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NN QUESTIONS A80UT
WHOM THIS TAX BILL
SHOULD BE ASSESSED
TO OR THE ASSESSED
VALUES SHOULD BE
ADDRESSED TO:
GREGORY J. SMITH
COUNTY ASSESSOR
ROOM 103.
1600 PACIFIC HWY
SAN DIEGO, CA 92101
I., !AUil! !All! I s 18 3 8 41 TELEPHONE (61 9):
RATES AND DISTRIBUTION OF AMOUNTS BY TAXING AGENCIES ASSESSMENTS:
'•
!
VOTER
HIGH OR UNIF
. OTHER ED PURPOSES
SPECIAL DISTRICTS
TOTAL ON NET VALUE
T
0.04078
0.00093
0.01389
1. 05560
7.50
• 1 7 2.55
194.06
Boats and Aircraft ...... 531-5 765
Businesses and
Commercial Real
Eatata .................. 531-5176
EXEMPTIONS:
i-m-ll8f8 ........... 531-5 77 2
,¥6"1~)
b ~I -</3
lnstijutional •............ 531-5 763
QUESTIONS ABOUT TAX
,=,,.YMENTS, REFUNDS,
PENALTIES OR COll..ECTlON
PROCEDURES SHOULD
Cl
BE DIRECTED TO THE I I I I I TAX COLLECTOR ----l 9 4 • 0 6 PHONE:(619)531-5820
KEEP THIS PORTION OF THE Bill FOR YOUR RECORDS • SEE REVERSE SIDE FOR IMPORTANT INFORMATION