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Home My WebLink About1368 CYNTHIA LN; ; CB900765; PermitBUILDING PERMIT 05/10/90 08 20 Page 1 of 1 Job Address 1368 CYNTHIA LN Str Permit Type RESIDENTAL ADDITION/ALTERATION Parcel No Valuation 1,188 Construction Type NEW Occupancy Group Class Code Description 132 SF DECK Permit No Project No Development No Fl Ste 534? 05/10/90 000.1 01 C-PRMT Status Applied Apr/Issue Validated By *** Fees Required **** **Fees Collected & Credits CB900765 A8903540 49.00 ISSUED 05/10/90 05/10/90 JPY *** Fees 49 00 Adjustments 00 Total Fees 49 00 Fee description Total Credits Total Payments Balance Due Units Fee/Unit 00 00 49 00 Ext fee Data Building Permit Plan Check Strong Motion Fee * BUILDING TOTAL 29 00 19 00 100 49 00 FWAl APPROVAL HATP 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 (eig) 438-nr,i L PERMIT TYPE ~A [^COMMERCIAL QNEW QTENANT IMPROVEMENT B G INDUSTRIAL QNEW QTENANT IMPROVEMENT c QRESIDENTIAL DAPARTMENT QCONDO QSINGLE FAMILY DWELLING QADDITION/ALTERATION DDUPLEX DEMOLITION nRELocAnoN DM°BILE HOME GELECTRICAL [^MECHANICAL QPOOL QsPA n^ETAINING WALL nsOLAR [HnTHER_ 2 PROJECT INFORMATION PLAN CHECK No ( M--? 6<3 }FOR OFFICE USE QNL Y Address 136R Cynthla Nearest Cross Streets GreCfOrV BuilHing or"Suite No EST VAL PLAN CK OEPOSIT_ VALID BY DATE LEGAL DESCRIPTION Lot^No SubdjM si op-Name/NumberMb / D /Phase No CHECK BELOW IF SUBMITTED DZ Energy Calcs Q2 Structural Calcs Q2 Sol Is Report Addressed Envelope EXISTING USE JbU'JJASSESSOR'S PARCEL DESCRIPTION or WORK 156-23Q-6Q-3 PROPOSED USE BLDG SO FTGConstruct 3 CONTACT PERSON NAME Patrick Kelley CITY _ - ADDRESS STATE ZIP CODE T5AT TELEPHONE 4 5 Oceanside SIGNATURE APPLICANT D CONTRACTOR NAME cm SAme ae abovePROPERTY OWNER NAME Same as above CITY ""' CA ' c 92054 O AGENT FOR CONTRACTOR Q OWNER ADDRESS STATE ZIP CODE OWNER ADDRESS STATE ZIP CODE 433-5139 D AGENT FOR OWNER DAY TELEPHONE DLESSEE QTENANT DAY TELEPHONE 6 NAPNTRACTOR Edgar Mullen Const ADDRESS P.O. Box 1480 7 CITY Carlsbad STATE SIGNATURE DESIGNER NAME £& AO,OV£. (CH^f CITY WORKERS' COMPENSATION Workers Compensation Declaration STATE ZIP CODE Ca 92008 LIC # LICENSE CLASS TITLE ,--n\ ADDRESS^M d 1 STATE ZIP CODE I hereby affirm that 1 have a certificate of consent to self «nsatlon Insurance by an admitted insurer or an exact copy DAY TELEPHONE CITY BUSINESS LIC DATE DAY TELEPHONE 4342233# STATE LIC # insure issued by the Director of Industrial Relations or duplicate thereof certified bv the Director of the INSURANCE COMPANY 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 8 OWNER-BUILDER DECLARATION Owner Builder Declaration I hereby affirm that I am exempt from the Contractor s License Law for the following reason f~~) 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 ) |~1 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) J~] I am exempt under Section Business and Professions Code for this reason SIGNATURE DATE COMPLETE THIS SECTION FOR NON RESIDENTIAL BUILDIMG 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 DYES DNO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district' DYES DNO Is the facility to be constructed within 1 000 feet of the outer boundary of a school site7 DYES QNO 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 I CONSTRUCTION LENDING AGENCY 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097( i) Civil Code) LENDER'S NAME LENDER S ADDRESS 10 APPLICANT'S SIGNATURE I certify that I have rend the application and state that the above information is correct I agree to comply with oil 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 purpose;; I ALSO 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 SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT 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 180 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) APEL1CANP SSI GNtlLIRE .— Vp OWNER [I] CONTRACTOR fj BY PHONE APPROVED BY DATE WHITE File YELLOW Applicant PINK Finance