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Home My WebLink About237 NORMANDY LN; ; CB960953; Permitto B U I L C I N G P ER M I T Permit No: CB960953 05/30/96 11:20 Project No: A9601354 Page 1 of I Development No: Job Address: 237 NORMANDY LN Suite: Permit Type: SINGLE FAMILY DWLNG DETACHED Parcel No: 203-023-12-00 Lotj$: Valuation: 0 Occupancy Grbup: Referer,ee#: Description: PRE-PAY WATER IMPACT FEE & SEWER LATERAL FEE-FUTURE SF.D Appi/Ourir : SUKLJP, ROBERT 720-0098 4322 SEA BRIGHT PL CARLSBAD CA 92008 ** Fees Required *** *.* Fe Ucted & Credits - --------- - - ------------- Adjustments: / CC Tot4-i)4 \ .00 Total Fees: 2,4p'OJ0 Tote \ .00 / s- \ 2400.00 Fee description / A its F 6/ riit\ Ext fee Data Enter Number of EDU'/s - 2400.00 * BUILDING TOTAL ( ( 1 2400.00 AA ". INCORPORATED 1952 7779 05/30/96 0001 01 02 Construction TyiI'IEW 2400.0 Status: PENDING Applied: 05/30/96 Apr/Issue Entered I3y: RMR APPROVAL DATEL.1. CLEARANCE CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 SEWER PE,RMIT 05/30/96 11:31 Permit No: 5E960061 Page 1 of 1 Bldg F'lariCk#: Job Address: 237 NORMANDY LN Suite: Permit Type: SEWER - RESIDENTIAL 7780 05/30/96 0001 01 02 Parcel No: 203-02--12-00 1806.0 Description: SEWER PERMIT Status: PENDING SINGLE FAMILY DWELLING Applied: 05/30/96 Apr/Issue: Permitee: SLJKUP, ROBERT 619-720-0098 Expired: 4322 SEA BRIGHT PLACE Prepared By: MAN CARLSBAI) CA 92008 Fees Required FCollected & Credits Fees: 1,806.0 R Adjustments: 0 \ it .00 Total Fees: 1,8O O0 Trte .00 Fee description Enter Number of Unit Total EDUs Sewer Fee Enter Sewer EDUs an SEWER TOTAL I B 9b) 1,806.00 Ext fee Data / \ 1.00 TJ '' 1 0600 t:i(t Area 0 00 1 0 1806.00 ku CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION City of Cartsbad Building Department 2075 Las Palms Dr., Carlsbad, CA 92009 (619) 438-1161 PLAN CHECK NO. 93 FSF. VAL PLAN DC DEPOSiT______________ VALID. BY /24... DATE cJfl IC? , - d f Net Loss/Gain of Dwelling Units PROJBLr INFORMATION FOR OFFICE USE ONLY Address 37 NOMMOV tAkE Building or Suite No. NearestCrossStreet MOUNIA110 \J.tt..) 14 0J LEGAL DESCRIPTION WE No. Subdivision Name/Number Unit No. Phase No. CHECK BELOW IF SUBMITITED: 02 Enerev Caics 02 Structural Calcs 02 Soils Reoort DI Addressed Envelope L4rE. L-4IERAL SQ. Fr. # OF STORIES # OF BEDROOMS # OF BATHROOMS CON MEN rrJJN (ii ciiiierent trom applicant) NAME (last, name first) ADDRESS CITY STATE ZIP CODE DAY TELEPHONE APPLICANT UWNTHA(IUR IAGENT 10K CONTHACTOR DOWNER -4AGEN1 FOR OWNER NAME (last name first) 5 u(up QJADDRESS 6pA--g((ff] PLJ1GE. CITY CARL.SSAD STATECA ZIP CODE 9ZOO53 DAY TELEPHONE ,(°)- 7?0- 009,55 PROPERTY OWNER NAME (last name first) ADDRESS CITY STATE ZIP CODE DAY TELEPHONE WN11tAm'OR NAME (last name first) ADDRESS CITY STATE ZIP CODE DAY TELEPHONE STATE LIC. # LICENSE CLASS CITY BUSINESS UC. # DESIUNEK NAME (last name tirst) ADDRESS CITY STATE ZIP CODE DAY TELEPHONE STATE UC. # WORKERS' COMPENSATION Workers' compensation Declaration: I hereby altirm that I have a certificate 01 consent to sell-insure issued by the Director of 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 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. SIGNATURE DATE & OWNER-BUIWER DEClARATION Owner-Builder Declaration: I hereby affirm that I am exempt from the contractors license Law Tor the following reason: 0 1, 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.). 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). o 1 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 f not more than five hundred d liars [$500]). SIGNATURE V&A" n (j \ DATE 1—;0 / Is the applicant or future building occupant required to stimit 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? DYES ONO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? DYES CINO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? DYES ONO 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 MR POLLUTION (X)N11(OL DISTRICT. I hereby attrm that there is a construction lending agency for the performance 01 the work for which this permit is issued (Sec 3097(i) civil code). LENDER'S NAME LENDER'S ADDRESS 10 APPLICANT CEI(HFICM1UN I certily that I nave react the application and state that the above information 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. 1*150 AGREE '10 SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL UABIIIflES, 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'O" 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 ork isicommenced for a period of 180 days (Section 303(d) Uniform Buildinc e. APPLICANTS SIGNATURE I,.. DATE: STO From List 1 (see back) give code of Permit-Type: --------------------------------------------------------- For Residential Projects Only: From List 2 (see back) give Code of Structure-Type: