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Home My WebLink About1584 CORMORANT DR; ; CB941168; Permit09/13/94 09 35 B U I L D I N G P E R M I T Page 1 of 1 Job Address 1584 CORMORANT DR Suite Permit Type PLUMBING Parcel No '• r , ,,, , LotffValuation.: 0 Construction Type- NEW Occupancy Group Reference* Description INSTALL GAS LINE Appl/Ownr CURTIS, LEE 1584 CORMORANT DRIVE CARLSBAD, CA 92009 *** Fees Required *** *** 619 431-7533 Permit No CB941168 Project No A9401642 Development No 8607 09/13/94 0001 01 02 C-PRMT 27.00 Status ISSUED Applied 09/13/94 Apr/Issue 09/13/94 Entered By MDP Fees Collected & Credits *** Fees Adjustments. Total Fees 27.00 . 00 27 00 Fee description Enter "Y" for Plumbing Issue Fee > Gas Piping System > * PLUMBING TOTAL Total Credits- Total Payments• Balance Due: Units Fee/Unit 7.00 00 00 27. 00 Ext fee Data 20 00 Y 7 00 27 00 RMAL/PPROVAL INSP. A**' HATF CLEARANCE CITY OF CARLSBAD 2075 Las 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 Proiects Only From List 2 (see back) give Code of Structure-Type Net Loss/Gam of Dwelling Units PLAN CHECK NO. EST.VAL PLAN CK DEPOS1T_ VALID BY DATE Z PROJECT INFORMATION FOR OFFICE USE ONLY Building or Suite No Nearest Cross Street LEG ALDESCRIPTION Lot No Subdivision Name/Number 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 # OF STORIES # OF BEDROOMS # OF BATHROOMS ADDRESS 3 «JUN TAUI" P£KSUN lit tiiiierent irom applicant; NAME (last name first) pv^HS l^tt- CITY Cfr&i£fyfrO STATE Ofl^ ZIP CODE DAY TELEPHONE , 4" APPLICANT U CON TRACTOR U AGENT FOR CON '1 KAL.TUK BfOWNIiR U AGENT h'OK OWNER NAME (last name first) ^^ftS l^£^ ADDRESS ) (LCITY STATE Zjp CODE DAY TELEPHONE ' 7 ^3 3 5 PROPERTY OWNER NAME (last name first) CITY ADDRESS IS% ^ STATE Of)- ZIP CODE /e^VD^ DAY TELEPHONE V ?/«-7J>~3 T? 6 CONTRACTOR NAME (last name first) CITY STATE ADDRESS DAY TELEPHONE STATE LIC #LICENSE CLASS CITY BUSINESS LIC # DESIGNER NAME (.last name tirstj CITY STATE ADDRESS DAY TELEPHONE STATE LIC # 7 WORKERS' COMPENSATION Workers' Compensation Declaration I hereby affirm that I have a certificate ot consent to sell-insure issued by the Director oFIndusmal 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 :emption 1 certity that in the pertormance ot the work lor which this permit is issued, I shall not employ any person in any manner subject to the Workers' Compensation Laws of California DATESIGNATUR: 8 OWNER-B now Uwner^BuiIder Declaration l hereby allirm tnat ram exempt from 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) D 1, 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^xempt therefrom, and the basis for the alleged exemption Any violation of Section 7031 5 by any applicant for a permit subjects tiWipplicanyto a efvjl penally of not more than five hundred dollars [S500]) SIGNATURE ^—j/J^ I J'r ( JM4fd ,. DATE COMPLETE THIS bLCHON hOR NON-RESHJENTIAL 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 Act7 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 TIDE APPLICANT HAS MET OR^ IS MEETING THE^^REQUIREMENTS OF TIIE OFFICE OF EMFJIGENCY SERVICES AND THE AIR POIJ.UTION CONTROL DISTRICT 9 CONbTKUC-'nON LENDING ACiENCY I hereby atlirm that there is a construction lending agency tor the pertormance ot the work tor which this permit is issued (Sec 3097(0 Civil Code) LENDER'S NAME LENDER'S ADDRESS ID APPIJCAm ChRHMCAMON I certify that 1 have read the application and state that the above intormation is correct I agree to comply with all City ordinances and State laws relating to building construction I hereby authonze 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 UABH JTTES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SATO CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT OSIIA. 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 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 aljy tima^fter the work is commenced for a period of 180 days (Section 303 (d) Uniform Building APPLICANTS SIGNATURE (I/. f ' '. IS DATE -/, L/• , „ WHITE: File YE1EOW: Apphcant PINK: Finance o PERMIT# CB941168 DESCRIPTION: INSTALL GAS LINE CITY OF CARLSBAD INSPECTION REQUEST FOR 09/15/94 TYPE: PLUM JOB ADDRESS: 1584 CORMORANT DR APPLICANT: CURTIS, LEE CONTRACTOR: OWNER: REMARKS: MW/CURTIS/431-7533 SPECIAL INSTRUCT: FOR PATIO INSPECTOR AREA PLANCK# CB941168 OCC GRP CONSfR. TYPE NEW PHONE: PHONE: PHONE: STE: 619 431-753; INSPECTOR LOT: TOTAL TIME: —RELATED PERMITS—PERMIT# TYPE STATUS CD 23 -2-* SE930085 SWRSD ISSUED LVL DESCRIPTION ACT COMMENTS PL Gas/Test/Repairs DATE DESCRIPTION ***** INSPECTION HISTORY ***** ACT INSP 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 1 I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) •/-£? 2 I (have/have not) fr/H/t^ 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 Name xA n /I Contractors License No I plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and provide the major work Name Address City Phone W * °' v ' Contractors License No I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated Name Address Phone Type of Work (gos) Property Owner Date Signed ^ /> /? /• Property Owner <^^C LA U£*f r^J 2O75 Las Palmas Drive • Carlsbad, California 92OO9-1576 - (619) 438-1161