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Home My WebLink About1368 CYNTHIA LN; ; CB921243; PermitBUILDING PERMI 12/02/92 08 10 ' Page 1 of 1 Job Address 13fc>8 CYNTHIA LN Suite Permit Type FACTORY MADE SPA (PLASTIC) Parcel No 156-230-72-00 Lot# Valuation 4., 7 0 0 Construction Type NEW Occupancy Group Description, FIBERFGLASS SPA Reference* Appl/Ownr SAN CARLOS POOL AND SPA P O BOX 1204 LEUCADIA, CA 9202 *** Fees Required Fees Adjustments Total Fees Fee description Building Permit F * SPA TOTAL 619 438-2344 Permit No CB921243 Project No A9202530 Development No 0293 12/02/92 0001 01 02 C-PRMT 75.00 Status IbSUED Applied Apr/Issue 12/D2/92 Entered By DC ected & Credits * ** 00 00 75.00 Ext fee Data 75 00 75 00 APPWML OKKT-S-f CITY OF CARLSBAD 2075 Las Palmas Dr , Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION City of Carlsbad Building Department 2075 Las PaI mas Dr , Carlsbad. CA 92009 <619) 438-1161 I PERMTTTYPE ~~A U Commercial LJ New Building U Tenant Improvement B D Industrial D New Building D Tenant Improvement C D Residential D Apartment D Condo D Single Family Dwelling D Addition/Alteration D Duplex D Demolition D Relocation D Mobile Home D Electrical D Plumbing D Mechanical D Pool CKsPa D Retaining Wall D Solar D Other 2 PROJECT INFORMATION PLAN CHECK NO EST VAI. PLAN CK DEPOSIT VALID BY DATE FOR OFFICE USE ONLY Address Building or auite No LN LEGAL DESCRIPTION Subdivision Name/Numner Phase No CHECK BELOW IF aUHMll ItL) D 2 Energy Calcs D 2 Structural Calcs D 2 Soils Report d 1 Addressed Envelope ASSESSOR S PARCEL EXISTING USE PROPOSED USE SQ FT ACRILIC SPA/ REMOTE EQUIPMENT # OF STORIES J 4 b b UUN TAUl" FEKbUN (n aiiierent from applicant; NAME PATRICK KELLEY CITY STATE APPLICANT U UJN 1 KAC 1 OK fj AGEN I hOK NAME PATRICK KELLEY CITY r A D 1 C D A n STATE r APKDPEK'1 VOwNot0 ° M u ° ** 'NAME PATRICK KELLEY CITY CARLSBAD STATE CA CONTRACTOR NAME SAN CARLOS POOL AND CITY LEUCADIA STATE CA STATE LIC # UbSIGNbK NAMt CITY STATE ADDRESS ZIP CODE CON 1 KAC 1 0 ADDRESS ZIP CODE ADDRESS ZIP CODE DAY TELEPHONE 7201368 1 seti °E YI^ T AWt.W014 ^^ 9^008 DAYTELEPHONE 7?013C» 1368 CYNTHIA LN 92008 DAYTELEPHONE ?2°1368 ZIP CODE DAY TELEPHONE ^/<3^~ eP<3</5~ LICENSE CLASS CITY BUSINESS LIC # AUlJKbSS ZIP CODE DAYTELEPHONE STATE LIC # 7 WORKlilUi' CUMl'KNSAnON Workers Compensation Declaration I hereby allirm that 1 nave a certilicate ot consent to self insure issued by the Director oi 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 Certilicate ot Exemption i ccrtiry that in the perlormance ot the work tor which this permit is issued, so as to become subject to the Workers Compensation Laws of California shall not employ any person in any manner SIGNATURE DATE 8 OWNER-BUILDER UhCLAHAnON Owner Builder Declaration Thereby athrm that I am exempt Irom the Contractors License Law lor 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 Conlractor'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) 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 [$500]) SIGNATURE DATE COMPUTE 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 Act? 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 district7 D YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES D NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS HIE APPIJCANT HAS MET OR IS MIOHTNG TIffi MiQUlREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT 9"CONSTRUCTION LENDING AtJKNCY 1 hereby allirm ttiat there is a construction lending agency tor the perlormance ot the work lor which this permit is issued (Sec 309710 Civil Code) LENDER S NAME LENDER'S ADDRESS 10 APPIJCANT CEK1 If 1CJVI1ON I certity that I have read the application and state that the above intormation is correct I agree to comply with all City ordinances ana 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 AI.SO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE OTY OF CARLSBAD AGAINST AIL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF HIE GRANTING OF THIS PERMIT OSHA. An OSHA permit is required for excavations over 5 0" deep and demolition or construction of structures over 3 stones 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 lime after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code) APPLICANTS SIGNATURE DATE WHITE File YELLOW Applicant PINK. Finance D INSPECTION DATE 12- "S-^7 --- INSPECTOR PERMIT I ?Q /W ^3 PLANCK # JOB ADDRESS 1 ^>6? ^T {3^/0 T>H A TIME ARRIVE: TIME LEAVE: CD LVL DESCRIPTION ACT COMMENTS PERMITS 6/15/89 NOTICE.CITY OF CARLSBAD " ^ ^^ ™ " ^^ ^^~ 438-3550 BUILDING DEPARTMENT "2075 LAS PALMAS DRIVE DATE '•"- / ' ~~~ TIME LOCATION PERMIT NO. /A ^/tfo /fit* -f# LLA *f/of FOR INSPECTION CALL 438 3101 RE INSPECTION FEE DUE? | | YES FOR FURTHER INFORMATION, CONTACT. ^f BUILDING INSPECTOR CODE ENFORCEMENT OFFICER ^"^S^s ,•-• *• "yv{-v"£ s%t gg., j.; .;•; .. '•" '/,#••:> ^v wf!$^*U>^£\& -^l-P:' —,/'•,.:i1 IIA£-"'"/'"-" •>"' #xfa'^v"^'vi-^'^':V"i'!' "/-5.": ^X r"s - ^.sv?.1- ? ••'.•„;•-'•v t-' :"f W ,. "-""'" •.'"< '' ''^;^AC'?«'^'>-..5%'1-.. ;"V' S?^'".' V" ^7%? '.f^e?1 i?"' *' ' v '"i" ' -•.'•" '"j.l-',- •;'"" ii^."i , >"'.|- 'w^ r'"i?^ Vf. «• *'i ".'' >;"' " - v (C/5'-' -5r :'-"-. ' si j • ' ' V.""»"• "'•'•'-t*'\^&£&M'•&>?• *'#*$l^^Q*iir £•"•; •'./'"''JS'J -''I^ /.' '-ft ••.. 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