The URL can be used to link to this page

Home My WebLink About2356 LARIMAR AVE; ; CBR2022-1686; Permit                                                        (Cityof Carlsbad {eicy of Carlsbad RESIDENTIAL BUILDING PERMIT APPLICATION B-1 P-lan Cheek ______ _ Est. Value .PC Deposit ______ _ Date ______ _ JobAddress 23S(p Laritnar Ave. Unit._• _____ APN:. ________ _ CT/PrQiect#: 1.ot#:._ __ vear Sulit. _______ _ Fire S?rinldersOE()No Air Conditioning:Q YESQ NO Electrical Panel UpgradeQv.es()No sRJEFDEScruPTioNofwomr: Repta u fur-na c.e., A{c CDi I i candenS,ey 0 New SF : __________ living SF,-= __ Deck SF, _____ Patio SF,. ___ Garage SF __ Is this to create an Accessory Dwelling Unit?QvQ N New Fireplace? QYQN • if yes how many? __ 0Remodel:. ___ _,SF of affected area Is the area a conversion or change of use?QYQN 0 Pool/Spa: SF Additional Gas or Efectricaf Features? _________ _ osolar: ____ KW, ___ -....:Modules., Mounted0oo0Ground, TIIt.OvO N, RMA:QYQN, Battery:Qv QN, Pane! Upgrade:C)v QN D Reroof: ·-----------------------------[Sl Plumblng/Mechanical/Electrical D Only: Other: fflfMMV APPUCANT PROPERTY OWNER Name:Julia Solore:z Name:VtVJL vl~bta ti i\ddr0$$: 1 t:t Sl Amo Y'Jt,D..~Q Dy, Address:232'? Ioorruzr: v~ Cfty! Cartsbad State~__.±A_.Zip:921l09 City; ca~1$~(1d State:._.___,ztp42ooq Phone; JfQ0:81 s-,sgg 1,. Phone3,ji_~u~o.-l-~"-'1.L..3:: ...... -..J(p~4:~l--3:,.__ _____ _ EmanJ1,t li Q$0IQ re,.1-@sw:gtaJ:>«f hd ematr. ______________ _ DESlGN PROFESSlONAL eok'TRAC'fOR -OJ! RECORD ~ /' l !--: Nama: ______________ BusinessName:Cna s,Nl = ~r="r 4 non Address: Address: 31 R ~~ \ft~ I~ ~i!\1 I I~ Citv:. _____ .State:. __ zip:. ___ ~ Ieoor@f(l State: CA Zip: q2512 Phone:. _____________ Phone~ Jf,1,)-56/p-3:158 • Email• Email;C. Dtl$;MJLf ena«a•h'Ot:12H:23@9~~ Architect state license: _________ CSL8 Ucense#~~~':!_2 q Class.I Cc 2 0 carlsbad Business License #(Requtred):B feOS O 09 01 l • 0 I· 202 .APPLJCANT CERTIFICATION: f certifythatlho.vereadthe '1[JpffcationandstatethattheabovefII{ormatfoniscorrectandthatthe informationantheplansiiaccuratT?. lagreetocompty with all City ordinances and State laws relating to building construction. l NAME{PR1NTJ;Jyfi4 $olare:z s1GN:.~... oATE: 5t1p/22- 163s Farauav Ave Carlsbad, CJ!,92008 l'b: 760-602.-2719-Fax: ~ 0 Emall: i)\f'.¢if'-l@m;:l~b;\d;;a.YW~ REV.07121 THIS PA-GE REQUIRB> AT PERMIT ISSUANCE PLAN CHECK NUMBER: --------A SUIOOING PERMlT CAN SE !SSUED TO Bl'ttERA.STA.Ta ~ alNlM.CroR ORA. PROPERTf OWNER. R= TME PERSON S{GN«(G nus RlR-C'd ii AN AGENT FOR. EfRi.fR ENnlY ll.NJlJ.ffflOR.!l..tl'i'YON FORM OR lE'f'fER 6 R"EQUIREO PRIOR TO ~ lSSUA:l"'lCE. {OOTIONAJ: UCENSEOCONTR..4,crQR oeqARATION: I herebyaffirmunderpenaltyofperju.rythatJam licensedunderprovfsionsofChapter9(cammendngwithSection 7000)ofDivi.sion3 of the Business and Professions Code, andmyUcenseisinfullforceandeffect l alsoaffirmunderpenaltyof perjuryoneof the followf ng dedaratlons (CHOOSE ONE); Q1 have and will maintain a certificate of consent to self.inSUre for workers' compensation providet! by Sectlon37DO of tf\Q labor Code, ftJrth9 perfamrance of the worl<whtchthispermltislssul!d.PoltcyNo.'--______________________________ _ -OR- f1<'i1 have and will maintain workQl's compemtlon, as required bySectlon 3700 of the Labor Code, for~~c:e of!eworlcfu;wh.chthls parmitis issUed. ~i'WOrke~· mp tloqlnsurance.canierandpolicynumberara;lnsuranceCompaRyName:M 1 ~en_UY\I J_a,,5. Polley No, ..r;;;J"""-t..111L.:l...x...J..u....Q. _______________ Exp~tonDate:_...rn-.i~L__.2.=-F ________ _ -0:R-o c.ertifi~ of Exemption: I certify that in the performance cf the workfarwhidt this petmitis i!sued, I ~hall not employ any person In any manner SI) asto become subjecttotheworkei:s' cmnpansatlon I.Bws ofCalifomla. WARNING:.Failureto S!l:U18worke.rscompensation mverage Is unlawful and shall subject an employer to crlrnlnalpenaJtresandcivilflnesup1D$l.oO,ODO.OO,lnaddltian.thetothecostm'~mpensatlo11,damagesa:.pnividedforinSectlon3706ofthelahorCode, Interest anti .itn7roey'$ llill$, CDNSWJJCTION U:NUlNG A.GENCYc IF Al\lY: 1 hereby affirmthatthere lsaronro-uct10n.leo<iinga1encyf-ortlleperfomr.mceofthe workthls pennJtls Issued {Sec.3097 {I) Civil Code), l.ender'sName:. ________________ __,Lender's.Addrei.s: ________________ _ CONTRACTOR CERT/FICA TION: l certffythatlhavereadthe applfcatlonandstatethattheabovefnfarmationiscorrectandthat theinformationon theplansisaccurate. l agreetocomply with all City ordinances and State Caws relating to building construction. NAME(PRINT1,J.dio Si>tarez SIGNATURE:~~ DATE: s/1h/µ-- Note: If the 11erson signing above ls an authorized agent for the contrattor provide leofauthorion contratl'or Iettemud. -OR - {OPTION 6): OWNER..fiUU.OER DECi.ARA.1JON; I hereby affirm that 1 am exempt from Contractors License Law for the following reason: n I, as owner ofthe property or my employees witt1 Wc!ges asthelrsule compensation, will do1he workandthestrudure Is natmtended or offered for sale {Ser. Y044, Susin!!SS and Profess Tons code: Toe Contracmt's Ucense l.;iw doesnotapply1Dan owner of property who builds or improves thereon, and who does strch work himself or through his own employees, •provided that such lmprovementsara not lnhmded or offered for sale. If, however, the bulld"mg or Improvement ts sold witnin one yarof completion, the owner-bui!derwm have the burden of proving that lie dlcl oatlluJld or improwfurthe l)Ul'l1QSII wsale}. ,-.., -0R-u ~ as owner of tha propef'ti1, am exclusively contractrn1wlth lfcensed amttactoll'tn o:mstructthe projett{Sl!c. 7044. ~an~~"-' C!lde: T."l!? Contractor's Ucense Law does not apply to an owner of propartywho builds or improvesthareon, and contractsforsuch proJedswitb amtractorts) licensed pursuant to the Contractor's Ucense Law). ,Ok• 0 I am exempt under Business and Professions Code OMslon S, Chapters, Article3 forth!s reasorr: • AND, OroRM B-61 "OWner Guilder Aclmowled~em:and Verlficafion l'orm" is raqulradfuranypermitissued to;l propert)Tawnec. sy mysigni!tlire below I acknowledge that, lcXceptformy personal residenC!! ln whlch I must have resided wrat least one year prior to completion of1he Improvements covered by this pertnlt, 1 cannot legally .st!ll a structure. tlr.lt I have built as ;m owner-btli!dw if It has not biran conmuttBd in its entir~ty by l!~nsed (l)ntractars.lunder.sttlndthatQcapyof theapplicablelaw,Secti01J7044oftheBusinezand/Jro[essicnsCade,JsavailabCeuponrequstwhenth1sappl(cationts submitted or at the followillg Web me: http: I lwww.legfnfo.m.gavfr.alaw.htm!. OWNER CERTIF1CATION: lcertifythatlhavereadtheoppl'icationandstatethattheabaveinformationiscorreetandthatthe information on thepl(lflSisacrurate. Jagreetocomply wtth afl City ordinances and state laws relating to building amstructfon. NAME {PRINT): ________ _ SIGN: _________ OATE: _____ _ llote! lf tnQ 11arson sJgnJng above Is an auUtortzed agentfortheproPQrty ownerfm:fudeform B-szslgneli.bypro)ll!l'tV llWll!i!r. lS3S Fara ca~ Ave Carlsfiad, CA 92008 Ph: 760-602'-2719 i:a:c 760-602-355l! Email: mif~@&V! R.e/.07l2t                                    {city of Carlsbad