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Home My WebLink About2293 COSMOS CT; ; CB941432; PermitSuite BUILDING PERMIT11/09/94 13 35 Page l of 1 Job Address 2293 COSMOS CT Permit Type SIGN Parcel No 213-050-45-00 Lot* Valuation 3,500 Construction Type NEW Occupancy Group Reference* Description ONE WALL SIGN / NO ELEC Appl/Ownr PISARIK, CHRISTINA 1740 E FOURTH STREET #680 SANTA ANA, CA 92705 Permit No CB941432 Project No A9402110 Development No 9497 11/09/94 0001 01 02 C-PRHT 104-00 Status ISSUED Applied 11/09/94 Apr/Issue 11/09/94 Entered By MDP *A* Fees Required **** * 618 438-6610 Fees Collected & Credits * * * Adjustments Total Fees Fee description 104.00 .00 104 00 Total Credits Total Payments Balance Due Units Fee/Unit 00 00 104 00 Ext fee Data Building Permit Plan Check * SIGN TOTAL ft 3 00 41 00 104 00 L APPROVAL _ 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 (619) 438-1161 T 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 iPLAN OK DEPOSIT. VALID BY I DATE 2. PROJECT INFORMATION FOR OFFICE USE ONLY Address earest CrossCosmos Chss 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 rr # OF STORIES # OF BEDROOMS # OF BATHROOMS 3 IJUIM lACTFLKbUN tit dirterenl rrom applicant; NAME (last name first) CITY STATE ADDRESS ZIP CODE DAY TELEPHONE 4 APPLICANT U CON 1 KACTOK NAME (last name first) LJ AGENT FOR CONTRACTI'OH ADDRESS CITY STATE C-A ZIP CODE DOWNER U AGENT FOR OWNER7 Lolce.r Ave W DAY TELEPHONE 5 PROPERTY OWNER NAME (last name first) CITY ADDRESS STATE ZIP CODE DAY TELEPHONE NAME (last name first) / / 1 ^1^- ADDRESS / ,.-. P.3*/e//c , chfastiHA /o^-^ /7ro E.^^ST Su,+* b^° CITY STATE t ZIP CODE DAY TELEPHONE !xw/« AnA.CA 917^TATELic # LICENSE CLASS CITY BUSINESS LIC # DESIGNER NAME (last name lirstj ADDRESS CITY 7 WORKERS' COMPENSATION STATE ZIP CODE DAY TELEPHONE STATE LIC # Workers' Compensation Declaration I hereby affirm that I have a certilicate ol 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 POLICY NO EXPIRATION DATE Certificate of Exemption I certify that in the pertormance ot the work lor 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 Thereby attirm that 1 am exempt trom the Contractors License Law lor the lollowing 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 ) B 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 materials 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 HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT 5 (JUNS~lliUL.~llUN LENDING ACiKNCJY 1 hereby attirm that there is a construction lending agency tor the pertormance ot the work tor which this permit is issued (Sec 3097(i) Civil Code) LENDER'S NAME LENDER'S ADDRESS 10 APPLICAN1 ChKllTlLAMUN 1 certily that 1 have 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 AIJSO 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 OSHA. An OSHA permit is required for excavations over S'O" 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 authorized by suchggwmt 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 abajxWnejMt any time aftefthe work is commenced for a period of 180 days (Section 303(d) Uniform Building Code) APPLICANTS SIGNATURE/VX__ tf P\ ( 1 .i* DATE X/-?-9V WHITE File YELLOW Applicant PINK. Finance PERMIT* CB941432 DESCRIPTION: ONE WALL CITY OF CARLSBAD INSPECTION REQUEST FOR 02/09/95 SIGN / NO ELEC. TYPE: SIGN JOB ADDRESS: APPLICANT: CONTRACTOR: OWNER: 2293 PISARIK, COSMOS CT CHRISTINA REMARKS: BJN/RON/929-6106 SPECIAL INSTRUCT: PHONE: PHONE: PHONE: INSPECTOR AREA PLANCKfl CB941432 OCC GRP CONSTR. TYPE NEW STE: LOT: 619 438-6610 INSPECTO: TOTAL TIME: —RELATED PERMITS—PERMIT# SE910007 C0930090 CB931321 AS930088 AS930091 SE940004 AS940003 CD LVL DESCRIPTION 38 EL Signs TYPE STATUS SWOW ISSUED COFO ISSUED MISC ISSUED ASTI ISSUED ASTI ISSUED SWOW ISSUED ASC ISSUED ACT COMMENTS DATE DESCRIPTION ***** INSPECTION HISTORY ***** ACT INSP COMMENTS