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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 / WHITE File Applicant PINK. Finance