HomeMy WebLinkAbout1640 CORMORANT DR; ; CB941283; Permit10/12/94 13-15 BUILDING
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Job Address 1640 CORMORANT DR
Permit Type MISCELLANEOUSParcel No
Valuation 0
Construction Type VN
Occupancy Group
Descnption- MOVE SALES OFFICE FROM
GARAGE TO ANOTHER
Appl/ownr • HORTOW, D.R
10179 HUENNEKENS STREET
SAN DIEGO, CA. 92121'
PERMIT
Suite
Lot# •
Permit No CB941283
Project No A9401850
Development No
9077 10/12/94 0001 01 02
619 452-3700
.Applied 10/12/94
Apr/Issue 10/12/94
Entered By MDP
*** Fees Required
Fees :
Adjustments.
Total Fees
Fee description
Miscellaneous Fee #1' '•
* MISCELLANEOUS TOT^L
* * * ,-'
25 00
:' -o.o
'25-. b'CK
& credits
Total' Credits • \
.. Total-Payments '
'• -••'• Balance'-,
- ;.,25 Ot) ?\ i,'. 1, .
25 OQ
Ext fee Data
25 00 PERMIT
25 00
FINAL APPROVAL
INSP. /^ DATE ^
CLEARANCE
T „ C'TY OF CARLSBAD
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
1 PERMIT TYPE
From List 1 (see back) give code of Permit-Type
For Residential Protects Only From List 2 (sec back) give
Code of Structure-Type
Net Loss/Gam of Dwelling Units _
PLAN CHECK NO.
EST VAL
PLAN CK DEPOS1T_
VALID BY ~
DATE
2. PROJECT INFORMATION FOR OFFICE USE ONLY
Address
Nearest Cross Street
VK. Building or Suite No
LEGAL DESCRIPTION Lot No Subdivision Name/Number
CHECK BhLUW It 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
(JTJN1AL.I FfcJUiUN lit Uifterent trom applican
NAME (last name first)
STATE
canTL
£>]2- .ADDRESS //^/
ZIP CODE
APPUCAN1 U CON TRACTOR Q AGEN rFOR CONTRACT I OR
NAME (last name firsO/^^J^^y 7)/2__ ADDRESS
CITY STATE ZIP CODE
5 PHCJPliKl i UWNER
NAME (last name first)ADDRESS
CITY
t» CONTKA171UK
NAME (last name first)
CITY
STATE
fj&TZSKy^) D*
STATE
STATE LIC #d7lD&
ZIP CODE
^
ZIP CODE
^?LICENSE CLASS
DAY TELEPHONE
ADDRESS
DAY TELEPHONE
&^-~i CITY BUSINESS LIC #
DhbluNhK NAMt (last name lirstj
CITY STATE ZIP CODE DAY TELEPHONE STATE LIC #
WOKKUia COMPENSATION
WorkersTCompensation Declaration Thereby allirm that I have a certificate ol consent to sell-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 \f^Oj^>^J POLICY NO *f?jiS>\<>> t *$> EXPIRATION DATE ) |
Certificate or Exemption I certily that in the pertormance of the work for whu
so as to become subject to the Workers' Compensation Laws of California
this permit is issued, I shall not employ any person m any manner
SIGNATURE DATE
8 OWNER-BUnjJER DECLARATION
Owner-Builder Declaration l hereby allirm that I am exempt trom the contractors License Lawior 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
(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])
SIGNATUREJ DATE*E/
ETE TlCOMPLE FE 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 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 UNI.ESS THE APPLICANT
HAS MET OR IS MEF/1TNG THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT
9 CONSIKUUTIUN LENDING AGENCY
I hereby allirm that there is a construction lending agency tor the performance ot the work tor which this permit is issued (Sec 30y/(.i) Civil Code)
LENDER'S NAME LENDER'S ADDRESS
I certify that f have read the application and state that the above intormation is correct I agree to comply with all City ordinances and Slate 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 SAID OTY 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 any time afterthfij«/ork is ebmrnenced for a period of 180 days (Section 303(d) Uniform Building Code)
APPLICANT'S SIGNATURE\r~7--v >*-> ^*^ // DATE
OW: Applicant PINK: Finance