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Home My WebLink About1368 CYNTHIA LN; ; CB901923; PermitB U 1 L D I N G PERMIT 12/10/90 09 54 Page l of 1 Job Address Ut.8 CYNTHIA LN Str Permit Type MISCELLANEOUS Parcel No 156-230-72-Ou Valuation 500 Construction Type VN Occupancy Gi.oup Class Code Description ADD WALL IN GARAGE/i OUTLET Permit No CB901923 Project No A9002204 Development No Fl Ste "7Q9 12/JO/"0 O&OI 01 02 Appl/Ownr KELLEY PATRICK 1368 CYNTHIA LANE! CARLSBAD, CA 92008 Status Applied Apr/Issue Validated By (519 720-1368 ISSUED 12/10/90 12/10/90 DC ifees Required Fees Collected S- Credits Fees 25 00 Adjustments 00 Total Fees 25 00 Fee description Total Credits Total Payments: Balance Due Units Fee/Unit 00 00 2 5 0 0 Ext fee Data Miscellaneous Fee #1 A MISCELLANEOUS TOTAL 25 00 25 00 WALL/GAR 250 0 APPROVAL / DATE/AJii/. CLEARANCE CITY OF CARLSBAD 2075 Las Palmas Dr, Carlsbad CA 92009 (619) 438-1161 PERMIT APPLICATION City of Carlsbad Building Department 2075 Las Palmas Or , Carlsbad, CA 92009 (619) «s-ii6i PERMIT TYPE | QI COMMERCIAL DNEWnTENANT IMPROVEMENT 53/INDUSTRIAL D^EW fjTENANT IMPROVEMENT PRESIDENTIAL DAPARTMENT QCONDO QSINGLE FAMILY DWELLING QADDITION/ALTERATIUN DDUPLEX DDEMOLITION ORELOCATION GH03I|-E HOME QELECTRICAL QPLUMBING QMECHANICAL QPOOL QSPA QRETAINING WALL QSOLAR n°THER_ 2 PROJECT INFORMATION PLAN CHECK No <-?&'*/Y EST VAL_ PLAN CK DEPOSIT_ VALID BY DATE FOR OFFICE USE ONLYAddress Nearest Cross Streets BuiIding or Suite No 5u$dLEGAL DESCRIPTION Lot No ivision Name/Number Phase No CHECK BELOW IF SUBMITTED D2 Energy Calcs D2 Structural Calcs D2 Sol Is Report PJ 1 Addressed Envelope ASSESSOR'S PARCEL EXISTING USE PROPOSED USE DESCRIPTION OF UORK XfcD |*TOia0n. *tejJ~la»>& e>tUXoJ& fcCK2rn7fesj& TCi eKlSJW6- S -C^r^ GA&Ag^ BLDG SO FTG # OF STORIES 3 CONTACT PERSON NAME CITY SIGNATURE ADDRESS : STATE ZIP CODE DAY TELEPHONE jSIGNATURE 4 5 APPLICANT D CONTRACTOR PROPERTY OWNER NAME CITY n AGENT Sp* STATE OWNER STATE FOR CONTRACTOR '-"Q<>WNER ,Wl_ ADDRESS ZIP CODE ADDRESS ZIP CODE D AGENT FOR OWNER DAY TELEPHONE [^LESSEE DAY TELEPHONE f~] TENANT 6 CONTRACTOR NAME CITY ADDRESS ZIP CODE DAY TELEPHONE STATE L1C #LICENSE CLASS CITY BUSINESS LIC # SIGNATURE DESIGNER NAME CITY 7 WORKERS'COMPENSATION TITLE ADDRESS STATE ZIP CODE DATE DAY TELEPHONE STATE LIC # or a certificate of Workers Compensation Insurance by an admitted insurer or an ex£ insurer thereof filed with the Building Inspection Department (Section 3800 Lab C) INSURANCE COMPANY EXPIRATION DATE Certificate of Exemption I certify that in the performance of the work for which this permit is 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-BUILDER DECLARATION Owner Builder Declaration I hereby affirm that I am cxen>pt from the Contractor s License Law for the following 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 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 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 ) |~1 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 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) 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 the alleged exemption Any violation of Section 7031 5 by any applicant for a permit subjects the applicant to a civil penalty of not more than-iutaJmndred dollars [$500]) SIGNATURE DATE Q> 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' DYES QNO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district' DYES nw° Is the facility to be constructed within 1 000 feet of the outer boundary of a school site' DYES ONO IF ANY OF THE ANSWERS ARE YES A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1 1989 UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT I CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097( i) Civil Code) LENDER'S NAME LENDER'S ADDRESS 10 APPLICANT'S SIGNATURE I certify that I have read the application and state that the above information is correctI agree to comply with 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 ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES JUDGMENTS COSTS AND EXPENSES WHICH HAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT 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 cormienccd within 180 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 foj/a period of 180 days (Section 303(d) Uniform Buildinq Code) ] CONTRACTOR PHONE APPROVED BY DATE WHITE File ,OW Applicant PINK Finance WO I 1 Align w floor brn, vent irepbce Centre TER L .;.'#£.•:.. UOOR SC 4°7° 2^6°, :;> V COMMENTS Solid core - entry %J.jamb 11 1! ,' If :-II LIGHT HC Pdnelized tnteridr FRENCH full Ught;. , %jamb HC Panel i zed : s e 1 f-c loser POCKET SLIDERS GAS pro v i de - pi jj>f ntg; fb future socity prdTri'/ \^* * i ^—* *—• • ^ •—u ' • ca£(2) J^' copper 3 e"Vfu t-ure ; plu mbi ng water heater pip ing ; v ..•'' ENfRY CEN TER- COVERED PORCH 10fi. •-•^u • •f er -UBC -503 ® .. j6tnrisg'r :^ in tread Standard 8°wide- tilt-up door w/ ltri/ resawn Jamfc Walk - • - - \. - FLOOR m CO /^ i1 -\N CM••'••-'•/. i/ ^ '/'"'' ?"<&$$?- ' ?»:«•": , ' , . v / C7) -'..•: .' / : i : n ^ •: ' -.'V f ' , ^^ I