HomeMy WebLinkAbout2805 ATADERO CT; ; CB900009; PermitPERMIT APPLICATION
City of Carlsbad Building Department
2075 Las Palmas Dr., Carlsbad, CA 92009 1619) 438-1161
1. PERMIT TYPE
A - uCCUl4ERClP.t UNEU UTENAUT IMPROYEMEYT
EST. VAL
PLAN CI OtPOSIT
VALID. BY
DATE
DA7 TELFPHONE STATE ZIP CWE I ClTl
CITY BUSINESS LIC. X STAlE LlC. X LICENSE CLASS
SlGllATURE TITLE DAlE
DESIGNER WLHE ADDRESS
CITY SIATE ZIP COO6 01" TELEPHONE STATE LIC. X -
7. WORKERS' COMPENSATION Workers' c~nsationneclaratian: I hereby affirm that I have a cerrificare of consent to self-Insure lnrued by fheoirector of lndurfrisl Reiafianr,
or a cerlificafe of Yorkers, Ccnpenrafion lnsursnce by an adniffed insurer, or an exact copy Or duplicafe thereof certified by the Director of the
insurer fhePeof filed with the Building lnspcflan Department (Secfim 3800. Lab. C).
EXPlRATlOLl DATE INSURANCE CCWPANI POLlC" NO.
Certificate of Ex-fion: I cerflfy that in the performance of the work for which this prmlf Is Issued. I shall not employ any person ~n any mnmr
so as to becm subject to the Yarkers' Cqxnsation Laws of California.
SIGNATURE DATE
8. OWNER-BUILDER DECLARATION Owner-Builder Oecleration: I hereby aff>rrn that I am exempt from thc Contractormi Licenrc Leu for fhe fallowing reason:
0 1 as owner of the pmpert~ or my errployees Xllh wages as their sole campenration. wii< do the work and the structure IS nor Inrended or offered for sale
(Sec. 7044. Bus~ness and Professtons Code: The C~nfracfor~s License Law doer not apply lo an owner of properry who builds or improves thereon,. and who
does such work himself or through his own enployees. provided that such 1"provemenfr are not lntended or offered for sale. If. however. the bulldlng or i~rouemenf the awner-bvilder*iIl have the bvrden of prov>ng that he did not build or 3mplp'ove for the purpose
Of Sale.).
,s sold urfhin me year of Conplefion.
0 I. as owner of the properf ecr (Sec. 7044. Business and Professions Code:
The Confraccor'r ~icenre L contracts for such pmiects with confiacfor(r)
licensed pursuant to the C
I am exempt "Mer Sectlo"
ISec. 7031.5 Business and er, iwrove. denallsh. or repair my I~IYCIYIC.
prior to if5 lSSYBnCe, a1 1s llcensed pursuant IO the prov~slonr of the
Contractarms Ilcense Law (Chapter 9. cmencing with Zecflon 7000 of Division 3 of the Builners and Professions Code) Or that he is exempt therefrm.
and the basis far the alleged ezempfion. An? vl~laiion of Section 7031.5 by my applicant far a prrnlr subjects the appllcent fa a civil penally of not
nare than five hundred dollars IIIOOl).
0
SIGNATURE DATE
CCWF'LETE THIS SECTION FOR YON~RESIDELITIAL BUILDING PERMITS ONLY:
Is the applicant Or future bullding occupant requlred to sutmif 8 buSlnerr plan. acutely hazardous materlalr Pegl~lrsfion form or risk management and prevention
pwg~arn under Sections 25505. 25533 or 25534 of the Presley-lanner Hazardous Subrfance Account Act'
YES 0 NO
OW 0 NO
OrEr 0 NO
Is rhe applicant or future building occupant required to obtain a permit frm the alr polluflon confroi dlslricf or air quallly management district'
Is the facility to be conrtrucred within 1.000 feet of the outer boundary of a school site,
lF AMY OF THE UWRS ARE YES. L FIUL CERTIFICATE OF aOlPAYCI PA1 MOT BE 16p1ED MER JULT 1. 1989 UYLESS WE WPLIUNT NAI BET a IS BEElI*G THE REWIRE*EMlS
OF THE OFFICE OF EHEREYCI SEWICES AND THE AIR WLLUTlLM aYTRM DISTRICT.
9. CONSTRUCTION LENXNG AGENCY
I hereby affirm that there IS a cmstr~~fion leming agency for the performance of the work far which fhlr Wrmif is isrued ISec 30PTli) Civil Code)
0" "C IO". er
&GEE TO SAVE IYDOYlFl LYO KEEP HARMLESS THE CITY OF ClRlSBul A
CITT IN COYSEWEWE or THE GRAYTIYG OF Tnis PERMIT.
Explrafion. Every permit ~srued by the Bulldlng Dffvclal under the provisions of lhle Lode shall explre by lirnlfatlon and become null and void If the building
IS not cmmenred *)thin 180 days frm the date of such permit Or If the bulldlng or work authorlied by such permit IS rusperlded such permit
ced far B perlod of 180 days iSecflon 303CdI Unlfarnl Building Code).
APPROMD BY: rg-qo DATE:
0 OYYER OCOMTRACTOR OS' PHONE
WHITE: File YELLOW: Applicant PINK: Finance '
DATE: 01/04/91
TO: KURTA, GEORGE
7953 REPRESA CIR CARLSBAD,CA 92009
PLAN CHECK EXPIRATION PC# CB900009 DATE: 01/05/91
ADDRESS: 2805 ATADERO CT
You have applied to have your plans checked on the date shown above, and you have not obtained your building permit.
The provisions of Section 304(d) of the Uniform Building Code state:
"Section 304(d) Expiration of Plan Review
Applications for which no permit is issued within one year following the date of application shall expire by limitation, and plans and other data submitted for review may thereafter be returned to the applicant or destroyed by the Building Official.
In order to renew action on an application after expiration, the applicant shall resubmit plans and pay a new plan review fee."
Please check the appropriate box indicating your choice and return this letter to the BUILDING DEPARTMENT.
PROJECT ABANDONED. I WILL PICK UP PLANS WITHIN 10 DAYS.
PROJECT ABANDONED. PLANS MAY BE DESTROYED.
If you have any questions, please contact the Building Department at (619) 438-1161.
DORIS COSMAN Building Department