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Home My WebLink About1624 CORMORANT DR; ; CB960419; PermitBUILDING PERMIT 04/22/96 11 46 Page 1 of 1 Job Address 1624 CORMORANT DR Permit Type PATIO/DECK Parcel No 215-650-04-07 Valuation 1,668 Permit No CB960419 Project No A9600609 Development No. Suite Lot* Occupancy Group Reference*' Description 250 SF PATIO COVER PER SPECS Appl/Ownr KIMO'S LANDSCAPE P O BOX 230866 ENCINITAS, CA 92024 7173 0^/22/96 0001 01 0? Construction Type' ""WEW Status ISSUED Applied 03/13/96 Apr/Issue 04/22/96 Entered By DC 619 436-0359 *** Fees Required *** . .**-* Fees Collected & Credits * * * Fees Adjustments • Total Fees Fee description 65 00 . 0 0. 6 5 . d 0 Total Credits; Total Payments: . Balance Due-. . Units Fee/Unit. 00 00 65 00 Ext fee Data Building Permit Plan Check Strong Motion Fee * BUILDING TOTAL 39 00 25 00 1 00 65 00 ,-yfr 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 T PKKJVU'l" ' 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 . 2 PROJECT INFORMATION PLAN CHECK NO. EST VAL PLAN CK DEPOSIT VALID BY ~ DATE 77* FOR OFFICE USE ONLY Address Nearest Cross Street r—r 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 EXISTING USE PROPOSED USE DESCRIPTION _OF WORK fV^\ (O Coo SQ FT i.f<0 (p # OF STORIES # OF BEDROOMS # OF BATHROOMS CUIT rACl rhKSiJN (.it ditterent trom applicant; NAME (last name first) CITY R.ui(A.c/ STATE 64- - ZIP CODE ADDRESS f .^. ~2- Jo %<a ( DAYTELEPHONE • I \ ~ C( !> Cj -yc\ _ 4 APPUCANT O. CONTRACTOR NAME (last name first) CITY U AGENT FOR CONTRACTOR J L^^^ ADDRESS STATE ZIP CODE U OWNER U AGENT FOR OWNER DAY TELEPHONE 5 PROPERTY OWNER NAME (last name first) CITY dj^-^AAc,STATE (3-efty ADDRESS / fc> "*-S C ZIP CODE 9£°O °( DAYTELEPHONE *-f ^ f - 6 CONTRAC. IOR NAME (last name first) CITY C, STATE ADDRESS ZIP CODE DAY TELEPHONE STATE LIC # UhSlGNEK NAME (last name first) CITY STATE LICENSE CLASS ZIP CODE CITY BUSINESS LIC ADDRESS DAY TELEPHONE # | -) p M^ [ 1 STATE LIC # 7 WORKERS' COMPENSATION Workers Compensation Declaration I hereby all irm that I nave 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 of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab C) INSURANCE COMPANY ±U/-» (r POLICY NO EXPIRATION DATE M — \, — Certificate of Exemption I certify that in the performance ot the work tor which this permit is issued, 1 so as to become subject to the Workers' Compensation Laws of California shall not employ any person in any manner SIGNATURE DATE 8 OWNER-BUILDER DECLARATION Owner-builder Declaration I hereDy artirm that 1 am exempt trom 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) 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 lhan 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 risk 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 UNIJSS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT 9 (JUNsTHUUrilJN LENDING ACJI'INCY 1 hereby attirm that there is a construction lending agency tor the performance ol the work for which this permit is issued (Sec 309/0.) Civil Code) LENDER'S NAME LENDER'S ADDRESS 1U Arrl JdAN 1 1 certity that l have read the application and state that the above inlormation 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 TI IE CTI Y OF CARLSBAD AGAINST ALL LIABIIJTtES, JUDGMF.NTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CTIY IN CONSEQUI'INCE OF THE GRANTING OF THIS PERMIT OSIIA. An OSHA permit is required for excavations over S'O" deep and demolition or construction of structures over 3 stories in height Every pcrrmTissued^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 slteh 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 abandoVed^yany time after the work is^ommenced for a period of 180 days (Section 303(d) Uniform Building Code) APPLICANT'S SIGNATURE ^/ "^-^ - K f) DATE _ —J^—WHITE: FFile >W. Apphcaiit PINK: Finance CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB960419 FOR 05/02/96 INSPECTOR AREA DC DESCRIPTION: 250 SF PATIO COVER PER SPECS PLANCK* CB960419 OCC GRP TYPE: PATIO CONSTR. TYPE NEW JOB ADDRESS: 1624 CORMORANT DR STE: LOT: APPLICANT: KIMO'S LANDSCAPE PHONE: 619 436-0359 CONTRACTOR: PHONE: OWNER: PHONE: REMARKS: MW/BETTY/431-8232 INSPECTOR P SPECIAL INSTRUCT: CODE POUND 1123 TOTAL TIME: CD LVL DESCRIPTION ACT COMMENTS 19 ST Final Structural " " •-••-- ^ ***** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP COMMENTS 042396 Final Structural CO DC NO ACCESS-LEFT MSG STATE OF CALIFORNIA—THE RESOURCES AGENCY PETE WILSON, Governor CALIFORNIA COASTAL COMMISSION SAN DIEGO COAST AREA 3111 CAMINO DEL RIO NORTH, SUITE 200 SAN DIEGO, CA 92108-1725 (619) 521*036 EXEMPTION LETTER DATE: March 27. 1996 NAME: Kim Rusina P.O. Box 230866 Encinitas. Ca 92023 LOCATION: 1624 Cormorant PROJECT: Construct 19' x 14' overhead trellis OP sits of existing single-family home. This Is to certify that this location and/or proposed project has been reviewed by the staff of the Coastal Commission. A coastal development permit Is not necessary for the reasons checked below. The site is not located within the coastal zone as established by the California Coastal Act of 1976, as amended. The proposed development is included in Categorical Exclusion No. adopted by the California Coastal Commission. The proposed development is judged to be repair or maintenance activity not resulting in an addition to or enlargement or expansion of the object of such activities (Section 30610(d) of Coastal Act). The proposed development is an improvement to an existing single family residence (Section 30610(a) of the Coastal Act) and not located in the area between the sea and the first public road or within 300 feet of the inland extent of any beach (whichever is greater) (Section 13250(b)(4) of 14 Cal. Admin. Code. The proposed development is an improvement to an existing single family residence and is located in the area between the sea and the first public road or within 300 feet of the inland extent of any beach (whichever is greater) but is not a) an increase of 101 or more of internal floor area, b) an increase in height over 101, or c) a significant non-attached structure (Sections 30610(a) of Coastal Act and Section 13250(b)(4) of Administrative Regulations). ' ; ; (OVER) Page 2 The proposed development is an interior modification to an existing use with no change In the density or intensity of use (Section 30106 of Coastal Act). The proposed development involves the installation, testing and placement in service of a necessary utility connection between an existing service facility and development approved in accordance with coastal development permit requirements, pursuant to Coastal Act Section 30610(f). The proposed development is an improvement to a structure other than a single family residence or public works facility and is not subject to a permit requirement (Section 13253 of Administrative Regulations). The proposed development is the rebuilding of a structure, other than a public works facility, destroyed by natural disaster. The replacement conforms to all of the requirements of Coastal Act Section 30610(g). Other: Please be advised that only the project described above is exempt from the permit requirements of the Coastal Act. Any change in the project may cause it to lose its exempt status. This certification is based on information provided by the recipient of this letter. If, at a later date, this infonpation is found to be incorrect or incomplete, this letter will become invalid, and any development occurring at that time must cease until a coastal development permit is obtained. Truly yours, Title: £ PLANNING DEPARTMENT APPROVAL BY: DATE: / !//>»/ ci /» 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 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- (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 2\ f 3 / 1 Co 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) 438-0894