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Home My WebLink About1265 CYNTHIA LN; ; CB911716; PermitStr BUILDING PERMIT12/24/91 09 52 Page 1 of 1 Job Address 1265 CYNTHIA LN Permit Type PATIO/DECK Parcel No 156-230-19-00 Valuation 800 Construction Type VN Occupancy Group Class Code Description 130 SF ALREADY BUILT Permit No CBS 11716 Pro3ect No A9102211 Development No 5723 12/24/91 0001 01 02 C-PRMT 36-00 Appl/Ownr MCCOMAS , GLENN 1265 CYNTHIA LANE CARLSBAD, CA 9200,8"' Status ISSUED Applied 12/24/91 Apr/Issue 12/24/91 Validated By DC 619 729-3010 ; A *Fees Required ***' , ;; ,,;*** ;• ,^Fe^,-Collected & Credits * * • Fees ,/36,, 00 •::. Adjustments- / V\oo . -'' "* '''"':'-: Total Fees ' 35. "00 /' '''}';/'.. ! u--O"-: /' <: Fee description ' c -. ' x"'"^ Building Permit • (\. J i i \ t'" Plan Check : x J ,-u' , -..-., Strong Motion Fee > \ v->. ; j/ .-, \ ,"''-' * BUILDING TOTAL \ \ •'"N,1'' ' '•' ' '' .,''..,_ ^. ' I \ i ; Tso't a 1 Pa ym e n t d : .' Balan.c^- Efue "-- \ : : U ni'-es; ' Fee /iln i t ' , 2" /rV ( r_ i j V ' ''*r^ ^ ' ' -•*-/> • ', 36 Ext; f 2 /11 14 1 36 00 00 00 ee 00 00 00 00 Data CITY OF CARLSBAD 2075 Las Palmas Dr , Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION City of Carlsbad Building Department 2075 Las PaImas Dr., Carlsbad. CA 92009 (619) 438-1161 I HIiKMIT 'IYPK A - D Commercial U New Building U Tenant Improvement B - D Industrial D New Building D Tenant Improvement C -^Residential D Apartment D Condo Q Single Family Dwelling D Addition/Alteration D Duplex D Demolition D Relocation D Mobile Home D Electrical D Plumbing D Mechanical D Pool D Spa D Retaining Wall D Solar D Other 2 PROJECT INFORMATION PLAN CHECK NO. EST VAL PLAN CK DEPOSIT VALID BY DATE FOR OFFICE USE ONLY Building or Suite NoAddress Nearest Cross Street LEGAL DESCRIPTION Lot No Subdivision Name/Number Unit No Phase No CHECK BELOW IF SUBMITTED D 2 Energy Calcs D 2 Structural Gales D 2 Soils Report Q 1 Addressed Envelope ASSESSOR'S PARCEL EXISTING USE PROPOSED USE D TION OF WORK FT # OF STORIES / 3 CUIMIAI. I HfJUsUlM (.it different trom applicant) NAME CITY STATE 4 APPL1CAN1 UCON1KAUIUR QACjENIf'OK NAME CITY STATE 5 PROPERTY OWNER . ^ NAME ^j{€AAlA £.. MeJLtf'AAAS ^/CIT( CA(2jLS6Ai) STATE CA, 6 CONTHACJUJR NAME CITY STATE STATE LIC # ADDRESS ZIP CODE DAY TELEPHONE CUNIKACIUK LJ OWNER LJAGtNl FOR OWN EK ADDRESS ZIP CODE DAY TELEPHONE ADDRESS \2Js&~ CY/^Tl-flA f-ANE- ZlPCODEj3L.O0fi DAY TELEPHONE "7.2.7 '-ScP/ O ADDRESS ZIP CODE DAY TELEPHONE LICENSE CLASS CITY BUSINESS LIC # DESIGNER NAME CITY STATE ZIP CODE DAY TELEPHONE STATE LIC # 7 WORKERS' COMPENSATION Workers Compensation Declaration I hereby allirm that I have a certificate ol consent to sell-insure issued by the Director oflndustnal 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 Ccrtilicatc ot Exemption I certify that in the performance 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-BUTIDER DFdARAIION Owner-Builder Declaration I hereby atlirm that I am exempt from the Contractors License Law for the following 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 ) 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 Ucense 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 [S500]) 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 risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act7 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 O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES 13 NO IF ANY OF 'HIE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS MET OR IS MEETING 11 IE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT 9 (JUNSIKLUJIION LKN1J1NG AuENCJY 1 hereby attirm that there is a construction lending agency tor the performance ot the work lor which this permit is issued (Sec 3097(.i) Civil Code) LENDER'S NAME LENDER'S ADDRESS 10 APPLICANT CERTIFICATION 1 certify that 1 have read ttie application and stale 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 I ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARISBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SATO CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT OSIIA An OSHA permit is required for excavations over S'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 work is commenced for a period of 180 days (Section 303(d) Uniform Building Code) DATE WHITE- File YELLOW: Applicant PINK: Finance INSPECTION DATE <-~-~ INSPECTOR /' . /X/ PERMIT I ' PLANCK # JOB ADDRESS TIME ARRIVE: TIME LEAVE: CD LVL DESCRIPTION ACT COMMENTS /£ _ _ PERMITS 6/15/89 n -\ < o>— o rn O