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HomeMy WebLinkAbout1368 CORVIDAE ST; ; CB960057; PermitB U I L D I N G P E R M 1 T Permit No CB960057 01/11*796 10 36 Project No- A9600102 Page 1 of 1 Development No Job Address: 1368 CORVIDAE S'T Suite Permit Type ELECTRICAL :, Parcel No 215-691-26-00 Lot* "' ^ Valuation. 0 Construction 3-VT?jff NEW ^7.,.-/-, Occupancy Group Referenced Status- ISSUED "" Description ELECT & GAS TO BBQ IN REAR \RD Applied 01/11/96 Apr/Issue- 01/11/96 Entered By RMA Appl/Ownr UNLIMITED LANDSCAPE 619-485-1600 11374 CAMINITO CORRIENTE SAN DIEGO, CA 92128 *** Fees Required ***•A A Fees Collected & Credits * * * Fees Adjustments Total Fees Fee description 47. 47. OU 00 00 Total Credits- Total Payments : Balance Due: Units Fee /Unit 00 . 0 0 47 00 Ext fee Data Enter "y" for Electric Issue Fee > Enter "Y" for Remodel •. "> Other > A ELECTRICAL TOTAL 27 00 10 00 Y 10 0 0 Y 27 00 GAS LINE 47 00 c -. L.B-. CITY OF CARLSBAD 2075 Las Palmas Dr , Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION City of Carlsbad Building Department 2075 Las Palaas Or., Carlsbad. CA 92009 (619) 438-1161 1 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/Gain of Dwelling Units . 2. PROJECT INFORMATION PLAN CHECK NO. Q £ £> ft ^ ~J EST VAL PLAN CK DEPOSIT VALID DATE Jt FOR OFFICE USE ONLY Address Nearest Cross Street Building or Suite No 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 DESCRIPTION OF WORK SQ FT POOL C\ Lfe PROPOSED USE TTR # OF STORIES # OF BEDROOMS # OF BATHROOMS 3 GUNTAUI FEKSUN (ii aiiterennromjapplica NAME (last name first) " ' OTY\WI U£g\r /of h> DAY TELEPHONE 4 APPLICANT NAME (last na CITY O, 1 OR LJ AGtNT rOR COIN 1RAL1UK UUWNhH P AUtN 1 rOR UWNtK STATE (3f\ ZIP CODE DAY TELEPHONE e <4o''s'"5 PROPERTY OWNER NAME (last name first)' CITY STATE ZIP CODE DAY TELEPHONE 6 CONTRACTOR NAME (last name first) CITY STATE TATE uc # (137^ADDRESS ZIP CODE ^ITX DAY TELEPHONE 0 LICENSE CLASS 0,2-7 ^ (? *S 3 CITY BUSINESS UC # DESIGNER NAMF (last name tirst) CITY 7 WORKERS'COMPENSATION STATE ZIP CODE DAY TELEPHONE STATE LIC # Workers CompensatiorTDecIaration Thereby affirm that I have a certificate ot consent to self-insure issuedoy the Director of Inaustnar 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) INSURANCEO Certificate dt[Exemption v Wcerttfy that in the performance'dt the work tor which this permit is issued, I shall not empljbyiiny persoriTiTany manner^ so as to become subject tojhe^orkers' Compensation Lawstof California SIGNATUF " 8 OWNER-1 Uwner;uund«' Declar 1 hereby atti/m that 1 am exempt from; tne Contractors License Law lor tne loiiowmg reason or my employees with wages as their sole compensation, will do the work and the structure is not intended orD I, as owner of the p offered for sale (Sec 7034, 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 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 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 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 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 CONTROi DISTRICT 9 CONb'l'HUCnON LhNlJUNCj ACiENUY 1 hereby allirm that there is a construction lending agency tor the performance ot tne work lor which this permit is issued (Sec 30V7UJ Civil Code) LENDER'S NAME LENDER'S ADDRESS TO AFFUCJAN'I CERTIFICATION I certify that 1 have read tne application and state that the above information is correct I agree to comply with all City ordinances anoState laws relating to building construction 1 hereby authorize representauves 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 CITY 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 EveJw 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 worklauthonzed 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 islsuSDendecfor abandoned at any time after the work is commenced for a period of 180 days (Secoon 303(d) Uniform Building r ' " " APPLIC^DATE YELLOW: Applicant PINK. Finance f <V CITY OF CARLSBAD M INSPECTION REQUEST f PERMIT* CB960057 FOR 02/15/96 INSPECTOR AREA PD ' DESCRIPTION: ELECT & GAS TO BBQ IN REAR YRD PLANCKfl CB960057 OCC GRP TYPE: ELEC CONSTR. TYPE NEW JOB ADDRESS: 1368 CORVIDAE ST STE: LOT: APPLICANT: UNLIMITED LANDSCAPE PHONE: 619-485-1600 CONTRACTOR: PHONE: OWNER: PHONE: REMARKS: MW/DEBRA/485-1600 INSPECTOR SPECIAL INSTRUCT: TOTAL TIME: —RELATED PERMITS— PERMIT! TYPE STATUS CB951814 POOL ISSUED RW950188 ROW ISSUED CD LVL DESCRIPTION ACT COMMENTS 29 PL Final Plumbing 39 EL Final Electrical ***** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP COMMENTS 011596 Gas/Test/Repairs AP PD U/G CONDUIT 011596 Rough Electric AP PD U/G GAS TEST 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 workers' compensation as provided by section 3700 of the Labor Code, for the performance of the work for which this permit is issued 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 workers' compensation insurance carrier and policy number are. INSURANCE COMPANY POLICY NO EXPIRATION DATE mm (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 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 92009-1576 • (619) 438-1161 • FAX (619) 438-O894 A CORD >6-O PRODUCER TANENBAUM-HA 11610 IBERIA SAN DIEGO, C (619) 487-88 HBER OF CA. INC. L PL., SUITE 200 ALIFORNIA 92128 39 INSURED UNLIMITED LANDSCAPE, INC. 11374 CAMINITO CORRIENTE SAN DIEGO, CA 921^g LITY INSURAK^EII DATE (MM/DD/YY) 8/28/95 - 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 COMPANIES AFFORDING COVERAGE COMPANY A REPUBLIC INDEMNITY COMPANY OF CAI COMPANY B i COMPANY C COMPANY ! D ^^T>y 5p*l!p^*^^ > ffJ&Siu. •>.?"„>„ .\fM< %• >.v wJtavt •'•&.* •*&£&&&*£ AV.A^^-rf.^^wK^ft-Sfr^Ks^*^.*: vCvy»x- --I-VA >. *. ^ x — v ~ v. ... s Os^x^ &c.^\ -. ^ ***.*« x ., '' * Xv" 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 A TYPE OF INSURANCE GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY 1 CLAIMS MADE j | OCCUR OWNER'S & CONTRACTOR'S PROT AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOSH JSARAGE LIABILITY ANY AUTO EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM WORKERS COMPENSATION EMPLOYERS' LIABILITY THE PROPRIETOR/ PARTNERS/EXECUTIVE OFFICERS ARE OTHER AND S^" JNCL /V EXC>- POUCY NUMBER I i POLICY EFFECTIVE POLICY EXPIRATION DATE (MM/DD/YY) DATE (MM/DD/YY) ] ii i i i 03512171 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS CERTIFICATE HOLDER^! .^<:^^^^I^:^ ,„ „ CITY OF SAN DIEGO 1222 FIRST AVENUE SAN DIEGO, CA 92101 FAX(619) 492-5098 ACORD 25-S (1/95) " -— * ' -• 8/01/95 8/01/96 1 1 LIMITS GENERAL AGGREGATE PRODUCTS COMP/OPAGG PERSONAL B, ADV INJURY EACH OCCURRENCE FIRE DAMAGE (Any one lire) MED EXP (Any one person) COMBINED SINGLE LIMIT BODILY INJURY (Per person) BODILY INJURY(Par accident) PROPERTY DAMAGE AUTO ONLY - EA ACCIDENT OTHER THAN AUTO ONLY EACH ACCIDENT AGGREGATE EACH OCCURRENCE AGGREGATE V / WC STATU I \XTOTHV, ' TORY LIMITS ! XJ ER EL EACH ACCIDENT EL DISEASE - POLICY LIMIT EL DISEASE - EA EMPLOYEE * *$ $ $ $ $ $ $ $ $ s $ $ $ $ $ l.OOO.OOC s l.OOO.OOC s l.OOO.OOC CANCELLATION. l^^/^^^, , * „ , A SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 3 0 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 I »»