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Home My WebLink About1316 CORVIDAE ST; ; CB961742; PermitBUILDING PERMIT 09/12/96 13 50 Page 1 of 1 Job Addre 1316 CORVIDAE ST Permit Type ELECTRICAL Parcel No 215-690-10-00 Valuation 0 Occupancy Group Referenced Description. 2- 110 VOLT OUTLETS & GAS TO BBQ Appl/Owir ALLSCAPE 905 LILAC CT SAN MARCOS CA 92069 - *-*-v Fees Required *** .xf •-./. • /"'."'"• Suite Lot# Permit No CB961742 Project No A9602472 Development No 9666 09/12/96 0001 01 02 C-PRKT 47-00 Construction Type NEW Status- ISSUED Applied. 09/12/96 Apr/Issue: 09/12/96 Entered By• RMA 619 480-4041 e ef i_'u>l.ec ted & Credits * ^ * Fees Adjustments Total Fees• Fee description 47/( o /',-.\, /. o ' • J :Cat £.]:>Pa . 00 00 47 00 Ext fee Data Enter "Y" for Electr'i Enter "Y" for Remodfl Other i A ELECTRICAL TOTAL 'i INCORrORATED 10 00 Y 10 00 Y 27 00 GAS PERMIT 47 00 CLEARANCE CITY OF CARLSBAD 2075 Las Palmas Dr , Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION City of Carlsbad Building Department 2075 Las PaIBBS Dr., Carlsbad. CA 92009 (619) 438-1161 T PERMIT TYPE From List 1 (see back) give code of Permit-Type For Residential Proiects Only From List 2 (see back) give Code of Structure-Type Net Loss/Gam of Dwelling Units . 2. PROJECT INFORMATION PLAN CHECK NO. EST VAL PLAN OX DEPOSIT .. VALID BY UP- DATE. G 1LLre- O.LXL f hi FOR OFFICE USE ONLY Address / 31 (P Nearest Cross Street or Suite No LEGAL DESCRIPTION Lot No Subdivision Name/Number Unit No Phase No CHECK BELOW IF SUBMITTED D 2 Energy Calcs Q 2 Structural Gates Q 2 Soils Report D1 Addressed Envelope DESCRIPTION OF WORK SQ FT # OF BATHROOMS 3 UUN IALTI ptm>(jN in Qinerent from applicant) NAME (last name first) CITY STATE ADDRESS ZIP CODE DAY TELEPHONE 4 APPLICANT .x'&tJONrRAC.IOK Q AGENT t-UR CON I KALI UK UUWNtK U AUhN 1 rUK UWNtK NAME Oast name first) c~ > • OJ , ADDRESS ZIP CODE^ 2,0(0^ DAY TELEPHONE (^ | 5 PROPERTY OWNER NAME (last name first) CITY DRESS STATE IP CODE DAY TELEPHONE UUNTHAlu\jvn i nsu_ i un (\ \ \NAME (last name first) T\\\ ^ <L^J>'O — STATE ZIP CODE #l|i004 CITY DAY TELEPHONE STATE LIC #LICENSE CLASS "*- /CITY BUSINESS LIC # UEblGNtK NAME (last name first)ADDRESS CITYWORKERS' COMPENSATION STATE ZIP CODE DAY TELEPHONE STATE LIC # Workers' Compensation Declaration I hereby attirm that I have a certificate ot consent to selt-insure issued by the Director of 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 pertormance oFthe work tor which this permir is issued, I shall not employ any person in any manner so as to become subject to] the Workers' Compensation Laws of California S1GNATU DATE ensau.z. 8 OWNER-BIT DECLARATION Uwner-tluiltler Declaration 1 hereby affirm mat I am exempt rrom Uie Contractors License LawTor 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 intendedor 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 ) O 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 exempt therefrom, and the basis for the alleged exemption Any violation of Section 7031 S by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [S500]) SIGNATURE DATE (JUMPUi'l't 1HIS 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 nsk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act?D YES D NOIs the applicant or future building occupant lequired to obtain a permit from the air pollution control district or air quality management district? 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 THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT (JJNbTKU(JTlUN LENDING ACiENUY I hereby attirm that there is a construction lending agency tor tne performanceolthe work tor which this permit is issued (bee 3097(1) Civil Code) LENDER'S NAME LENDER'S ADDRESS 10 APfUCANl 1 cenity that 1 have read the application and state that the above information is correct lagree to comply with all City ordinances and btate 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 CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SATO OTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT OSHA. An OSHA permit is required for excavations over S'O" 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 abandonedat any timeSafter the work is commenced for a period of 180 days (Section 303(d) Uniform Building APPLICANTS SIGNATURE/- * \ A^_,L_ DATE ~Idmg/Code) / ^-pzrfil? WHITE. File YELLOW- Apphcani PINK. Finance CITY OF .CARLSBAD INSPECTION"REQUESTPERMIT* CB961742 FOR 10/18/96 INSPECTOR AREA PDDESCRIPTION: 2- 110 VOLT OUTLETS & GAS TO PLANCK# CB961742BBQ OCC GRP TYPE: ELEC CONSTR. TYPE NEW JOB ADDRESS: 1316 CORVIDAE ST STE: LOT: APPLICANT: ALLSCAPE PHONE: 619 480-4041 CONTRACTOR: PHONE: OWNER: PHONE: REMARKS: MW/MARK/480-4041 SPECIAL INSTRUCT: INSPECTO TOTAL TIME: CD LVL DESCRIPTION 34 EL Rough Electric ACT COMMENTS ***** INSPECTION HISTORY ***** DATE DESCRIPTION 100196 Gas/Test/Repairs 092696 Gas/Test/Repairs 091696 Gas/Test/Repairs 091696 Electric/Conduit/Wiring ACT INSP AP PD CO PD CO PD AP PD COMMENTS CONDUIT ONLY City of Carlsbad Building Department WORKERS' COMPENSATION DECLARATION hereby affirm under penalty of perjury one of the following declarations 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 I have and will maintain workers' compensation, as required by section 3700 B. of the Labor Code, for the performance of the work for which this permit is issued. My workers' 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 ($100) OR LESS) 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 C) workers compensation laws of California Signature Date Warning- Failure to secure workers' compensation coverage is unlawful, and shall be 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. March 3, 1995 2075 Las Palmas Dr • Carlsbad, CA 92OO9-1576 • (619) 438-1161 - FAX (619) 438-O894