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HomeMy WebLinkAbout1353 CORVIDAE ST; ; CB951263; PermitBUILDING P E E M I T permit Ho _ CB951263 09/13/95 15 51 Development No JobeAddress ^^X4oRVIDAE ST Suite: 3660 ()9/13/95 0001 ()1 02 Permit Type- PLUMBING c_PRHr 47,00 Parcel No 215-691-06-00 Lot Constructlon Type: NEW Valuation. 0 Reference* Status ISSUED SSLTS; a HO ELECT TO B^ ^J^I J^";" Entered By RMA Appl/Ownr UNLIMITED LANDSCAPE 619-485-1600 11374 CAMINITO CORVIENTE SAN DIEGO, CA 92128 * * ****Fees Collected & Credits * * * Fees • Adjustments Total Fees . 47.00 .00 47.00 Total Credits Total Payments: Balance Due: Units Fee/Unit .00 00 47 00 Ext fee Data Enter "Y" for Plumbing Issue Fee > Gas Piping System > Other . > * PLUMBING TOTAL 1 20 00 7 00 20 00 Y 7.00 20 00 ELECT PER 47 00 FINAL APPROVAL !NSP. DATE_ CITY OF CARLSBAD 2075 Us Palmas Dr , Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION City of Carlsbad Building Department 2075 Las PaImas 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/Gam of Dwelling Units 2. PROJECT INFORMATION PLAN CHECK NO. EST. VAL_ PLANCKDE VALID BY DATE FOR OFFICE USE ONLY / I J "Neares ST Building or Suite No t C ross Street 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 D 1 Addressed Envelope ASSESSOR'S PARCEL —EXISTING USE PROPOSED USE DESCRIPTION OF WORK SQ FT ^ 5 line H?r \ # OF STORIES . . _ _ / 1I574 Marci)* (DUO OF BEDROOMS OF BATHROOMS 3 UJNTACT FEKbUN (it qijierenl irom applicant; NAME (last name ~ CITY di(ierenl irom applicant III III JUnliwited KWA \)\&c5£> STATE PA IZIPCODE ,.jORTRACTORa AGENT FOR CONTRACTOR DOWNER D AGENT STATE 0^ ZIP CODE $2-12-% PAY TELEPHONE 5 PROPERTY OW1> NAME (last name.first)^ CITY ADDRESS ZIP CODE M2OO-1 DAY TELEPHONE J546! 6CONTRACTOR NAME (last name first) CITY 1 1 UK |(ZCI ADDRESS \\%7^- fyw\\ft \\£> , DAYTELEPHONE ^^ >ATELIC # 3Q6=^0|LICENSE CLASS (153^027 CITY BUSINESS LIC # / DESIGNTR NAME (last nameTirsI) CITY STATE ZIP CODE DAY TELEPHONE STATE LIC # WORKERS^ COMI'LNSA IKJN Workers Compensation Declaration I hereoy affirm that I have a certificate of consent to self-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 j/f^he msujef thereof filfd with the Building Inspection Department (Section 3800, Lab C) 03512171INSURANCE COMPANY UCYNO EXPIRATION DATE Certificate of Exemption II certify that in the performance so as to-pecome subjectjw y£ Workers' Compensation La SIGNAl OWBTE the work for which this permit is issued, I shall not employ any person in any manner of Califo Owner-builder her D ylallirm that 1 am exempt Irom the contractors License Law lor the following reason 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 ) 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) I am exempt under Section _ Business and Professions Code for this reason sub] SIGNATUR (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 of the Contractor's License Law (Chapter 9, commencing with Section 7000 of Division 3 of the Business and Professions Code) is exempt therefrom, and the basis for the alleged exemption Any violation of Section 7031 5 by any applicant for a permit :he applicant to a civil penalty of not more than five hundred dollars [$500]) DATE provis or ths : SECTION FOR NON:RESIDENTIAL BUILDING PERMITS ONLY Is the applicarHspr 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 NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management distnct? 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 POUAJTION CONTROL DISTRICT 9 CUNSTHUL.T1ON 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(iJ Civil Code) LENDER'S NAME LENDER'S ADDRESS TO AJJ1JU(JAN'I' U'.R HFKJVTIUN 1 certify that I have read the application and state that the above information is correct 1 agree to comply with all City ordinances and State laws relating to building construction I hereby authorize representaDves of the City of Carlsbad to enter upon the above mentioned property for inspection purposes IAISO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL IJABUJITES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSIiQUENCE 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 stones in height Expiration Every permit issued pylthe Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by sjb such permit is suspended or aAPPLICANTS SIGNATUR: within 365Mays from the date of such permit or if the building or work authorized hy 'work is commenced fora period of 180 days (Section 303(d) Uniform Buildu DATE V : AjJplkant PINK: Finance CITY OF CARLSBAD INSPECTION REQUEST PERMIT* CB951263 FOR 09/20/95 DESCRIPTION: GAS & 110 ELECT TO BBQ TYPE: PLUM JOB ADDRESS: 1353 CORVIDAE ST APPLICANT: UNLIMITED LANDSCAPE CONTRACTOR: OWNER: REMARKS: MW/DENISE/485-1600 SPECIAL INSTRUCT: INSPECTOR AREA PLANCK* CB951263 OCC GRP CONSTR. TYPE NEW STE: LOT: PHONE: 619-485-1600 PHONE: PHONE: INSPECTO: TOTAL TIME: CD LVL DESCRIPTION 23 PL Gas/Test/Repairs 34 EL Rough Electric £1 £ ACT COMMENTS DATE DESCRIPTION INSPECTION HISTORY ***** ACT INSP COMMENTS 07/22/96 INSPECTION HISTORY LISTING FOR PERMIT* CB951263 DATE INSPECTION TYPE INSP ACT COMMENTS 02/27/96 Compliance Investigatio PD AP 09/20/95 Gas/Test/Repairs RI RI MW/DENISE/485-1600 09/20/95 Gas/Test/Repairs PD AP 09/20/95 Underground/Conduit-Wir PD AP CONDUIT ONLY/NO WIRING 09/20/95 Rough Electric RI RI MW/DENISE/485-1600 09/20/95 Rough Electric PD WC HIT <RETURN> TO CONTINUE... City of Carlsbad Building Department WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations* I have and will maintain a certificate of consent to self-insure for A 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- ®jl/%-j-_j_-j-ys_ IIS SECTION NEED NOT^E COMPLETED IF THE PERMIT IS FDR 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 CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YY) 08/29/95 PRODUCER TANENBAQM-HARBER OF CA. INC. 11610 IBERIA PL., SUITE 200 487^8839 INSURED UNLIMITED LANDSCAPE, 11374 CAMINITO CORRIENTE SAN DIEGO, CA 92130 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW NIA 92128 E , INC . RIENTE ^n COMPANY A COMPANY B COMPANY C COMPANIES AFFC REPUBLIC INDI COMPANY D COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS CO LTR TYPE OF INSURANCE POLICY NUMBER I POLICY EFFECTIVE I POLICY EXPIRATION > | DATE (MM/DD/YY) DATE (MM/DD/YY) I LIMITS ^GENERAL LIABILITY . ' COMMERCIAL GENERAL LIABILITY ' ; ' CLAIMS MADE j i OCCUR ! OWNER S & CONTRACTOR S PHOT ] ! GENERAL AGGREGATE 1 PRODUCTS COMP/OP AGG ' $ I PERSONAL & ADV INJURY EACH OCCURRENCE FIRE DAMAGE (Any one fire) | $ MED EXP (Any one person) j $ AUTOMOBILE LIABILITY i ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS _ HIRED AUTOS NON OWNED AUTOS I COMBINED SINGLE LIMIT j $ BODILY INJURY(Per person)i $ BODILY INJURY (Per accident) '. PROPERTY DAMAGE GARAGE LIABILITY ' ANY AUTO 1 AUTO ONLY EA ACCIDENT OTHER THAN AUTO ONLY EACH ACCIDENT I S !AGGREGATE ,$ EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM j EACH OCCURRENCE | AGGREGATE IS WORKERS COMPENSATION AND ' EMPLOYERS' LIABILITY THE PROPRIETOR/ X I INCL i PARTNERS/EXECUTIVE ——I ; OFFICERS ARE X ' EXCL '•• 03512171 A WC STATU .AITQBY.LIMITS_• OTH L .ER 8/01/95 ! 8/01/96 | EL EACH ACCIDENT '•$ 1,000,00( ! \ EL DISEASE • POLICY LIMIT ] $ 1 ,000 , 00 ( I EL DISEASE EA EMPLOYEE '$ 1,000,OOQ OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS LICENSE #122003 CERTIFICATE HOLDER CITY OF ESCONDIDO ESCONDIDO, CA ACORD 25-S (1/95) CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY. ITS AGENTS OR REPRESENTATIVES AUTHORIZED REPRESENTATIVE ©ACORD CORPORATION 1988 1 r 33S O -n m °o go© ^r 3 w cat © eg 3 ss ft 3 3 S: Sf © 5° 3 — © ffQ