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Home My WebLink About1743 CEREUS CT; ; CB940712; PermitSuite: \ BUILDING PERMIT 06/10/94 13:59 Page 1 of 1 Job Address: 1743 CEREUS CT Permit Type: MISCELLANEOUS Parcel No: 215-516-43-00 Lotff- Valuation: 4,000 Construction Type: NEW ., Occupancy Group: " **ference#: Description: REMODEL EXISTING BATH Permit No: CB940712 Project No: A9400991 Development No: V353 06/lC/?4 3001 :?_ 0^ Status: ISSUED Applied: 06/10/94 Apr/Issue: 06/10/94 Entered By: JPY Appl/Ownr : NIWA, HIROO 1743 CEREUS CT CARLSBAD, CA 92009 ^** Fees Required ****** 619-929-9654 Fees Collected & Credits *** Fees: Adjustments: Total Fees: Fee description Miscellaneous Fee #1 Miscellaneous Fee #2 * MISCELLANEOUS TOTAL 91.00 .00 91. 00 Total Credits; .Total Payments: ; ~.Balance .Due: Units Fee/Unit .50.00 : 41.00 .00 I; .00 91.00 Ext fee Data 50.00 PERMIT 41.00 PLUMBING 91 . 00 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 (619) 438-1161 1. PERMIT TYPE From List 1 (see back) give code of Permit-Type:. For Residential Projects Only: From List 2 (see back) give Code of Structure-Type: Net Loss/Gain of Dwelling Units PLAN CHECK NO.-7/JL EST.VAL PLANCK DEPOSIT. VALID. BY " DATE ,</»/ <? 2. PROJECT INFORMATION FOR OFFICE USE ONLY Address eus Or.arest Cross Street/7f3Neares Building or Suite No. j- £ C j- LEGAL DESCRIPTION Lot No.Subdivision Name/Number Unit No.Phase No. CHECK BELOW IF SUBMITTED: D 2 Energy Calcs D 2 Structural Calcs D 2 Soils Report D1 Addressed Envelope ASSESSOR'S PARCEL EXISTING USE PROPOSED USE DESCRIPTION OF WORK SQ.FT.66 5g.fr W <• # OF STORIES # OF BEDROOMS # OF BATHROOMS 3. ujNTAur FEKI*JN (_\\ ditterent rrom applicant} NAME (last name first) CITY STATE ADDRESS ZIP CODE DAY TELEPHONE APPLICANT D CONTRACT OR NAME (last name first) CITY QAGENI I-OR CONTRACTuRT ADDRESS STATE ZIP CODE LJ OWNER U AGENT FOR OWNtR DAY TELEPHONE PROPERTY OWNER NAME (last name first) CITY it >. -ADDRESS ct STATE ZIP CODE DAY TELEPHONE 9454- 6. CONTRACTOB NAME (last name first) CITY DESIGNER NAME (last name first) ADDRESS <734-<?C All tan f£ Rcwd STATE STATE LIC. #5B22 ZIP CODE LICENSE CLASS DAY TELEPHONE £, CITY BUSINESS LIC. # ADDRESS CITY 7. WORKERS'COMPENSATION STATE ZIP CODE DAY TELEPHONE STATE LIC. # Workers' Compensation Declaration: I hereby attirm that I have a certificate ot consent to self-insure issued by the Director ot 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 Certificate ot Exemption: I certify that in the performance ot 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 a TTwner-Builder Declaration: i hereby arrirm that 1 am exempt trom the contractors License Law tor me ToIIowing 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 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 exemp_tthereftom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicanpto/ civil penalty ofrjot more than five hundred dollars [$500]). SIGNATURE /^/ _/\ /TTv, _ DATE COMPLETE THIS SECTION FOR NON-R AL 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? Q 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?Q 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 THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE ATR POLLUTION CONTROL DISTRICT. 9. CONSTRUCTION LENDING AGENCY 1 hereby attirm that there is a construction lending agency tor the performance ot the work tor which this permit is issued (Sec 3097(1) Civil Code). LENDER'S NAME LENDER'S ADDRESS 10. AFl-UCANl ChKllMUUION I certify that I have read the application and state 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 CTTY OF CARLSBAD AGAINST All. UABILTTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SATO CTTY 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-aTiy time after the wrfrk is commenced for a period of 180 days (Section 303(d) Uniform Buildin APPLICANTS SIGNATURE DATE: E: File' YEELOW: Applicant PINK: Finance PERMIT* CB940712 DESCRIPTION: REMODEL EXISTING CITY OF CARLSBAD INSPECTION REQUEST FOR 08/10/94 BATH TYPE: MISC JOB ADDRESS: APPLICANT: CONTRACTOR: OWNER: 1743 CEREUS NIWA, HIROO CT PHONE! PHONE: PHONE: INSPECTOR AREA PD PLANCK# CB940712 OCC GRP CONSTR. TYPE NEW STE: LOT: 619-929-965^ REMARKS: MW/ERIK/431-9148 SPECIAL INSTRUCT: INSPEC TOTAL TIME: CD LVL DESCRIPTION 19 29 39 49 ACT COMMENTS ST Final Structural PL Final Plumbing EL Final Electrical ME Final Mechanical ***** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP 071594 Frame/Steel/Bolting/Welding AP PD 071594 Rough Electric AP PD 071394 Rough/Topout AP PD COMMENTS City of Carlsbad Building Department OWNER-BUILDER VERIFICATION Attention Property Owner: An 'owner-builder' building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) . ( 2. J I (have/have not) signed an application for a building permit for the A^^ proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name : Address • __ City Phone Contractors License No. 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and provide the major work: Name H. <C E-H. Address 934"? C AI.Yflirfe R<t. City Phone £/?- 4-5 1" 9/4-$ Contractors License No. 5. I will provide some of the work but I have contracted (hired) the foflowing persons to provide the work indicated: Name Address Phone Type of Work I Signed: Property Owner \ ,/)*/ , • —' ' Date: ) ^ £ //" / ^4^/ / ' Las Palmas Drive • Carlsbad, California 92OO9-1576 • (619)438-1161 u I 0 03& rh Cio rr,