HomeMy WebLinkAbout2051 CIMA CT; ; CB940689; PermitSuite
06/03/94 09 22 BUILDING PERMIT
Page 1 of i
Job Address 2051 CIMA CT
Permit Type ELECTRICAL
Parcel No 216-491-is-ooValuation 0 Lot*
Construction Type NEW
Occupancy Group D „
Description ADD OUTLETS IN PATIOReference#
Permit No CB940689
Project No A9400956
Development No
Appl/Ownr COLET, JERARD
2051 CIMA CT
CARLSBAD, CA 92009 f <- \
619 944-5650
Status ISSUED
Applied 06/03/94
Apr/Issue 06/03/94
Entered By MDP
***Required ******
Fees
Adjustments
Total Fees
Fee description
Enter Y for
Enter Y for Remodel
* ELECTRICAL TOTAL
20 00
f 00
20. 00
/
/Fees .Collected & Credits
Total Credits
, Total-Payments
'Balance'%Due
*3 j^"* »s**
Oo
00
20 00
Ext fee Data
10 00 Y
10 00 Y
20 00
FlNAbAPPROVAL
INSP .^W DATE
T CITY OF CARLSBAD
Las Palmas Dr Carlsbad CA 92009 (619) 438 1161
/PERMRT APPLICATION
City of Carlsbad Building Department
3075 Las PaImas Dr 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 ^ C-( - (Q
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
DESCRIPTION OF WORK
SQ FT # OF STORIES # OF BEDROOMS # OF BATHROOMS
3 CuNTAd FtRSUN (it aitterent from applicant;
NAME (last name first)
CITY STATE
ADDRESS
ZIP CODE DAY TELEPHONE
APPLICANT U CONTRACT OR LJ AGENT FOR CONTRACTOR LJ OWNER U AGENT frOR OWNER
NAME (last name first) ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE
5 PROPERTY OWNER
NAME (last name first)~ ADDRESS
STATE CA ZIP CODE fy&fj /SO I DAY TELEPHONE
6 CONTRACTOR
NAME (last name first)
CITY STATE
ADDRESS
ZIP CODE DAY TELEPHONE
STATE LIC #LICENSE CLASS CITY BUSINESS LIC #_
DESIGNER NAME (last name nrstj
CITY STATE
AJJUKESS
ZIP CODE DAY TELEPHONE STATE LIC #WORKERS' COMPENSATION
Workers Compensation Declaration I hereby affirm that I have a certificate of consent to self insure issued by the Director or Industnal
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
Certificate ol
so as to bgcoi
SIGNATUR:
that in the performance ot the work tor which this permit is issued I shall not employ any person in any manner
dcers Compensation Laws of California
DATE
/; _wner Builder Declaration I neTeby^Ihrm that 1 am exempt 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 )
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-ap31icant to a ojal penair^Bf not more than five hundred dollars [$500]),
SIGNATURE V /SJ^L*J 5*^( cL^\y DATE
COMPLETE T-ffiS 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 nsk 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
HASI METOR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT
9 CONSTRUCTION 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(i) Civil Code)
LENDER S NAME LENDERS ADDRESS
10 AFPUCANI CJiRIll-lLAllON
I certify that Ihave read the application and state that the above information is correct 1 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 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 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 sucjj-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 afendoned at any trtffi nfrrrrhrwnrlr n rnmmrnrrrl-fnr a period of 180 days (Section 303 (d) Uniform Building Code),
APPLICANTS SIGNATURED jg,^. t J^C JVlJ DATE &-3-?<J
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