HomeMy WebLinkAbout2051 CIMA CT; ; CB940562; PermitBUILDING PERMIT
05/16/94 12 38
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Job Address 2051 CIMA CT Suite
Permit Type PATIO/DECK
Parcel No 216-491-13-00 Lot#
Valuation 1,710 '
Construction Type NEW
Occupancy Group Reference*
Description ICBO PATIO ENCLOSURE #4383P
90 SF
Permit No CB940562
Project No A9400794
Development No
Appl/Ownr MONTELLO, TERRY
4715 60TH STREET
SAN DIEGO, CA 92115
***
Fees
Adjustments
Total Fees
619 229-^-0642
Status ISSUED i
Applied 05/16/94
Apr/Issue 05/16/9,4
Entered By MDP
Building Permit
Plan Check
Strong Motion Fee
* BUILDING TOTAL
& Credits
00
00
69 00
Ext fee Data
41 00
27 00
1 00
69 00
INSP
CLEARA
Afi APPROVAL
DATE
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) 438 1161
1 PERMIT TYPE
From List 1 (see back) give code of Permit Type
For Residential Proiects Only From List 2 (see back) give
Code of Structure Type
Net Loss/Gam of Dwelling Units .
PLAN CHECK NO
EST VAL
PLAN CK DEPOSIT,
VALID BY
DATE
2 PROJECT INFORMATION FOR OFFICE USE ONLY
Address
Nearest Cross Street
Building or Suite No
LEGAL DESCRIPTION Lot No Subdivision Name/Number Unit No Phase No
CHECK BELOW IF SUBMITTED
D 2 Energy Calcs D 2 Structural Calcs D 2 Soils Report D 1 Addressed Envelope
ASSESSOR S PARCEL EXISTING USE_££PROPOSED USE r)
DESCRIPTION OF WORK
SQ FT # OF STORIES /
-I O
# OF BEDROOMS y # OF BATHROOMS
3 UJNTALJl" MiKiiUN (.It
NAME (last name first)
CITY
trom applicantnt) j ///--) / / O / C"
/nO/9/&D&RisS V 7 / S
STATE (^ ZIP CODE ^c^V/jT DAY TELEPHONE O (a </-2
4 APPLICANT D CONTRACTOR
NAME (last name first)
CITY *2> H
AGENT FOR CON TRACTOR QOWNER U AGENT FOfl OWNER
' f(O ADDRESS <!/ 9 / ST
STATE ZIP CODE DAY TELEPHONE £)£,
5 PROPERTY OWN
NAME (last name first)
CITY
ADDRESSl€-* 'A*ITEC^. ZIP CODE T 2D& 9 DAY TELEPHONESTA
NAME (last name first) <> ^(tf /'/(.if
CnY L&.
ADDRESS tfO^)^ *•-<-
STATE (_J^ ZIP CODE ^f *J> V<^~ DAY TELEPHONE
STATE LIC # L? 37<^UdCENSE CLASS K\ I CITY BUSINESS LIC #
DESIGNER NAMK (last name first)
CITY STATE
ADDRESS
ZIP CODE DAY TELEPHONE STATE LIC #
7 WORKERS^ COMPENSATION
Workers' Compensation Declaration I hereby attirm that I have a certificate ot consent to self insure issued by the Director ot Industrial
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 NO ATE
Certificate ot Exemption I certify that in the performance ot the work for which this permit is issued
so as to become subject to the Workers Compensation Laws of California
shall not employ any person in any manner
SIGNATUF DATE
5 CJWNEKBl:vTION
Owner builder Declaration 1 nereDy attirm tnat 1 am exempt trom tne Contractors License 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 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 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)
D 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 five hundred dollars [$500])
SIGNATURE 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 matenals registration form or risk management and
prevention program under Sections 25505 25533 or 25534 of the Presley Tanner Hazardous Substance Account Act?
D YES D NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
D YES D NO
Is the facility to be constructed within 1 000 feet of the outer boundary of a school site?
D YES D NO
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
(JUNSTHUCJT1ON LENDING AGENCY
I hereby attirm that there is a construction lending agency tor the performance ot the work tor which this permit is issued (Sec 3097(1) Civil Code)
LENDERS NAME LENDERS ADDRESS
10 AWL1CAN1 CIKKllrlwVlUJN
I certify that I nave read the application and state that the above intormation is correct I 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 MAY IN ANY WAY ACCRUE AGAINST SATO CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT
OSIIA. An OSHA permit is required for excavations over 5 0 deep and demolition or construction of structures over 3 stones 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 authonzed by such permit is not commenced wjthin 365 days from the date of such permit or if the building or work authorized by
such permit is suspended or abandoned^! any time after_thi^y/artaJs>commenced for a penod of 180 days (Section 303 (d) Uniform Bujldin
APPLICANTS SIGNATURE /I V / fffifff/Ujr /) DATES /Is?
WHITE Fdie YELLOW Applicant PINK. Finance
CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT* CB940562 FOR 06/13/94
DESCRIPTION ICBO PATIO ENCLOSURE #4383P
90 SF
TYPE PATIO
JOB ADDRESS 2051 CIMA CT
APPLICANT
CONTRACTOR
OWNER
MONTELLO, TERRY PHONE
PHONE
PHONE
INSPECTOR AREA
PLANCK# CB940562
OCC GRP
CONSTR TYPE NEW
STE LOT
619 229-0642
REMARKS BJN/CHRIS/469-9556
SPECIAL INSTRUCT
INSPECTOR
TOTAL TIME
—RELATED PERMITS —
CD LVL DESCRIPTION
PERMIT# TYPE
CB940689 ELEC
STATUS
ISSUED
ACT COMMENTS
19 ST Final Structural
34 EL Rough Electric
r
***** INSPECTION HISTORY *****
DATE DESCRIPTION
060694 Final Combo
ACT INSP COMMENTS
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