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HomeMy WebLinkAbout1384 CYNTHIA LN; ; CB983262; PermitBUILDING PERMIT 09/28/98 09 52 Page 1 of 1 Job Address 1384 CYNTHIA LN Suite Permit Type. ELECTRICAL Parcel No Lot#- Valuation 0 Occupancy Group- Reference* Description ADD GAS LINE TO FUTURE BBQ, . 100 AMP SUBPANEL FOR FUTURE USE Permit No CB983262 Project No A9804255 Development No 1562 09/28/98 0001 01 02 C-PRttT 47-00 Construction Type NEW Status. ISSUED Applied. 09/28/98 Apr/Issue. 09/28/98 Entered By BT Appl/Ownr MARK BERKLITE 1384 CYNTHIA LANE CARKSBAD CA 92008 *** Fees Required *** 434-8402 Fees" Collected & Credits ** * ,x- Fees. 47 00- Adjustments 00 Total Fees 47/00 / <\Fee description / ,•-•" x Total Paymen-t's. Balance'. Due, '•-;,... Uni'ts \Fe'e/Unit\ 00 00 47 00 Ext fee Data Enter "Y" for Electrize issue/Fe.e.,i;_ >,.___••_• -•--..._ <:'\C~:}"^ Enter "Y" for Temporary Service'^. !>:*;vr":",-; :•::?--"" ->' '.. .-..''' I (irii 'Other X'27 0.0' 10 00 Y 10 00 Y 27 00 PLUM ' FEE PERMIT HAS EXPIRED IN ACCORDANCE WITH U B a SECTION 106.4.4 DATE,.SIGNATURE FINAL APPROVAL INSP.DATE 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 (760)438-1161 1 PROJECT INFORMATION . ' \. FOR OFFICE USE ONLY PLAN CHECK NO EST VAL Plan Ck Deposit Validated By Date Address (include Bldg/Suite tt) ' e Business Name (at this address) HZ33 _ Legal Description Lot No Subdivision Name/Number Unit No Phase No Total tt of units Description ef Work 2 ""' CONTACT PERSON (if different from applicant) I:-v,^-,..,. /frt».%ftP #or Stortes Proposed Use tt of Bedrooms tt of Bathrooms Name Address 3" APPLICANT "D Cbntractbr Q Argent fbrXontractor [owner City Argent for Owner State/Zip Telephone tt Fax tt ffi Name 4 PROPERTY OWNER Address'City State/Zip Telephone tt Name Address City State/Zip Telephone tt S CONTRACTOR - COMPANY NAME : 'V S (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, commending 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]) Name State License # Address License Class City State/Zip City Business License tt Telephone Designer Name i Address City State/Zip Telephone State License tt 6 ,..., WORKERS' COMPENSATION. L. „.. i, „„,.'"!.:. ,* .... ,..:: ......: .. :.L.. i ... . ,„ „ Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations n I have and will maintain a certificate of consent to self-insure for workers compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued l~l I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued My worker's compensation insurance carrier and policy number are Insurance Company Policy No Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESS) Hi 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 WARNING Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100 000) in addition to the cost of compensation damages as provided for in Section 3706 of the Labor code, interest and attorney s fees SIGNATURE DATE 7 OWNER-BUILDER DECLARATION '"~- % , V „ , , " I hereby affirm that I am exempt from the Contractor's License Law for the following reason C/ 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) n 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) 0 I am exempt under Section Business and Professions Code for this reason 1 I personally plan to provide the major labor and materials for construction of the proposed property improvement 0 YES QNO 2 I (have / have not) signed an application for a building permit for the proposed work 3 I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number) 4 I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone number / contractors license number) 5 I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type of work) ^ /f / PROPERTY OWNER SIGNATURE ^Wr- -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 Act? C] YES Q NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? O YES n NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Q YES Q NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT 83 CONSTRUCTION LENDING AGENCY^:;: i:-T' : , '" '' r I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(0 Civil Code) LENDER'S NAME LENDER'S ADDRESS 9 APPLICANT CERTIFICATION . •,'••"' • "s' ,. --.J ,•„ „„ ,.• '!9 ...• I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate I agree to comply with all City ordinances and State laws relating to building construction I hereby authorize representatives of the CitV of Carlsbad to enter upon the above mentioned property for inspection purposes 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 OSHA An OSHA permit is required for excavations over 5'0" 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 cq/nmencad foradenod of 180 days (Section 106 4 4 Uniform Building Code) APPLICANT'S SIGNATURE f* /0M^ V J MiA DATE WHITE File YELLOW Applicant PINK Finance jg tserKxice, FiarK 4* i^race / c (cw T 1 M P R O E M E N T S S K E C H A R A C A L C U L A T 1 O N •f Property Address ' 1384 Cynthia Ln City County State Zip Code Carlsbad San Dieqo CA 92008 Lender Chase Manhattan Mortqaqe Corp 1 ) t ' ... 6/V5 IPATJO ' 5 <2T t ^^"""^. 29' BATH 1551 BEDROOM BEDROOM 10' 49' BEDROOM 355' BEDROOM 4' 17 [L 2°' BATH BEDROOM NOOK J4- 30' KITCHEN LIVING 9 ROOM ier ROOM AQ'PORCH * FOYER 331 FAMILY ROOM 6' 16' ™CLOSET 10- BATH 21 21' 3( SECOND LEVEL t. FIRST LEVEL I Sff 1 5fjb^ -£* . ,^W> \ I ftlx • %L> tfw^3 m^ »^ SCALE 1 inch = 18 00 feet AREA CALCULATIONS SUMMARY Area Name of Area Size Totals GLA1 First Floor 1448 00 GLA2 Second Floor 1346.00 P/P Porch 297 00 Balcony 40.00 Patio 118 00 GAR Garage 642 00 1448 00 1346 00 455 00 642 00 LIVING AREA CALCULATIONS Breakdown Subtotals 5 00 X 65 00 2 00 X 65 00 2 00 X 65 00 20 00 X 63 00 6 00 X 63 00 -9 00 X 49 00 -10 00 X 33 00 -1 00 X 2 00 -1 00 X 2 00 29 00 X 61 00 ^^^ l 325 00 130 00 130 00 1260 00 378 00 -441 00 -330 00 -2 00 -2 00 1769 00 -10 00 ^% ^^W% -4M 00^ 6 00 ^Jw 1^0 ^\ J&W^ ^ V ^Jf ""T^-J