HomeMy WebLinkAbout1384 CYNTHIA LN; ; CB983262; PermitBUILDING PERMIT
09/28/98 09 52
Page 1 of 1
Job Address 1384 CYNTHIA LN Suite
Permit Type. ELECTRICAL
Parcel No Lot#-
Valuation 0
Occupancy Group- Reference*
Description ADD GAS LINE TO FUTURE BBQ,
. 100 AMP SUBPANEL FOR FUTURE USE
Permit No CB983262
Project No A9804255
Development No
1562 09/28/98 0001 01 02
C-PRttT 47-00
Construction Type NEW
Status. ISSUED
Applied. 09/28/98
Apr/Issue. 09/28/98
Entered By BT
Appl/Ownr MARK BERKLITE
1384 CYNTHIA LANE
CARKSBAD CA 92008
*** Fees Required ***
434-8402
Fees" Collected & Credits ** *
,x-
Fees. 47 00-
Adjustments 00
Total Fees 47/00
/ <\Fee description / ,•-•" x
Total Paymen-t's.
Balance'. Due,
'•-;,... Uni'ts \Fe'e/Unit\
00
00
47 00
Ext fee Data
Enter "Y" for Electrize issue/Fe.e.,i;_ >,.___••_• -•--..._ <:'\C~:}"^
Enter "Y" for Temporary Service'^. !>:*;vr":",-; :•::?--"" ->' '.. .-..'''
I (irii 'Other X'27 0.0'
10 00 Y
10 00 Y
27 00 PLUM ' FEE
PERMIT HAS EXPIRED IN ACCORDANCE WITH U B a
SECTION 106.4.4
DATE,.SIGNATURE
FINAL APPROVAL
INSP.DATE
CLEARANCE.
CITY OF CARLSBAD
2075 Las Palmas Dr , Carlsbad, CA 92009 (619) 438-1161
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr, Carlsbad CA 92009
(760)438-1161
1 PROJECT INFORMATION . ' \.
FOR OFFICE USE ONLY
PLAN CHECK NO
EST VAL
Plan Ck Deposit
Validated By
Date
Address (include Bldg/Suite tt)
' e
Business Name (at this address)
HZ33 _
Legal Description Lot No Subdivision Name/Number Unit No Phase No Total tt of units
Description ef Work
2 ""' CONTACT PERSON (if different from applicant) I:-v,^-,..,.
/frt».%ftP
#or Stortes
Proposed Use
tt of Bedrooms tt of Bathrooms
Name Address
3" APPLICANT "D Cbntractbr Q Argent fbrXontractor [owner
City
Argent for Owner
State/Zip Telephone tt Fax tt
ffi
Name
4 PROPERTY OWNER
Address'City State/Zip Telephone tt
Name Address City State/Zip Telephone tt
S CONTRACTOR - COMPANY NAME : 'V S
(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, commending 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 five hundred dollars [$500])
Name
State License #
Address
License Class
City State/Zip
City Business License tt
Telephone
Designer Name i Address City State/Zip Telephone
State License tt
6 ,..., WORKERS' COMPENSATION. L. „.. i, „„,.'"!.:. ,* .... ,..:: ......: .. :.L.. i ... . ,„ „
Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations
n I have and will maintain a certificate of consent to self-insure for workers compensation as provided by Section 3700 of the Labor Code, for the performance
of the work for which this permit is issued
l~l I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued My worker's compensation insurance carrier and policy number are
Insurance Company Policy No Expiration Date
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESS)
Hi 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
WARNING Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred
thousand dollars ($100 000) in addition to the cost of compensation damages as provided for in Section 3706 of the Labor code, interest and attorney s fees
SIGNATURE DATE
7 OWNER-BUILDER DECLARATION '"~- % , V „ , , "
I hereby affirm that I am exempt from the Contractor's License Law for the following reason
C/ 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)
n 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)
0 I am exempt under Section Business and Professions Code for this reason
1 I personally plan to provide the major labor and materials for construction of the proposed property improvement 0 YES QNO
2 I (have / have not) signed an application for a building permit for the proposed work
3 I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number)
4 I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone
number / contractors license number)
5 I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type
of work) ^ /f /
PROPERTY OWNER SIGNATURE ^Wr- -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? C] YES Q NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? O YES n NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Q YES Q NO
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE
REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT
83 CONSTRUCTION LENDING AGENCY^:;: i:-T' : , '" '' r
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(0 Civil Code)
LENDER'S NAME LENDER'S ADDRESS
9 APPLICANT CERTIFICATION . •,'••"' • "s' ,. --.J ,•„ „„ ,.• '!9 ...•
I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate I agree to comply with all
City ordinances and State laws relating to building construction I hereby authorize representatives of the CitV 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 MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS 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 cq/nmencad foradenod of 180 days (Section 106 4 4 Uniform Building Code)
APPLICANT'S SIGNATURE f* /0M^ V J MiA DATE
WHITE File YELLOW Applicant PINK Finance
jg tserKxice, FiarK 4* i^race
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•f Property Address
' 1384 Cynthia Ln
City County State Zip Code
Carlsbad San Dieqo CA 92008
Lender
Chase Manhattan Mortqaqe Corp
1 )
t ' ... 6/V5
IPATJO ' 5 <2T
t ^^"""^.
29'
BATH
1551 BEDROOM
BEDROOM
10'
49'
BEDROOM
355'
BEDROOM
4'
17
[L
2°' BATH
BEDROOM NOOK J4-
30' KITCHEN
LIVING 9
ROOM
ier ROOM
AQ'PORCH *
FOYER
331 FAMILY
ROOM
6' 16'
™CLOSET
10-
BATH 21
21' 3(
SECOND LEVEL t.
FIRST LEVEL I Sff
1
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ftlx • %L> tfw^3
m^ »^
SCALE 1 inch = 18 00 feet
AREA CALCULATIONS SUMMARY
Area Name of Area Size Totals
GLA1 First Floor 1448 00
GLA2 Second Floor 1346.00
P/P Porch 297 00
Balcony 40.00
Patio 118 00
GAR Garage 642 00
1448 00
1346 00
455 00
642 00
LIVING AREA CALCULATIONS
Breakdown Subtotals
5 00 X 65 00
2 00 X 65 00
2 00 X 65 00
20 00 X 63 00
6 00 X 63 00
-9 00 X 49 00
-10 00 X 33 00
-1 00 X 2 00
-1 00 X 2 00
29 00 X 61 00
^^^ l
325 00
130 00
130 00
1260 00
378 00
-441 00
-330 00
-2 00
-2 00
1769 00
-10 00 ^% ^^W% -4M 00^
6 00 ^Jw 1^0 ^\ J&W^ ^
V ^Jf ""T^-J