HomeMy WebLinkAbout1648 CORMORANT DR; ; CB960112; PermitPermit No C89b01l2
Project No A9600183
Development No
B LI I L D I N G P E R M 1 T
01/22/96 09 i9
Page 1 of 1
Job Address 1648 CORMORANT DR Suite
Peimit Type PATIO/DECK
Parcel No 215-650-04-13 Lot#
Valuation 1,553 Construction Type. NEW
Occupancy Group Reference* Stai-ui-s-n ISSUED, .
Description 230 S.F PATIO COVER-PER CITY SP Applied'' 01/22/7Vb'
Apr/Issue 01/22/96
Entered By RMA
Appl/Ownr F V? KOCHD L. ROBERTS CONSTRUC 619-489-0258
2270 MEYERS AVE
ESCONDIDO, CA 92029
* * * Fees Required A- ** A *Fees Collected & Credit;* A
Fees 62.00
Adjustments ,00
Total Fees 62,00
Fee description
Total Credits:
Total.Payments:
Balance Due:
; Units Fee/Uni-
00
0 0
t>2 00
Ext fee Data
Building Permit
Plan Check
Strong Motion Fee
* BUILDING TOTAL
37 00
24 00
1 0 0
62 00
DATE
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
T PKKMJT TYPE
From List 1 (see back) give code of Permit-Type
For Residential Proiects Only From Last 2 (see back) give
Code of Structure-Type C-O^W
Net Loss/Gam of Dwelling Units
PLAN CHECK NO.
EST VAL / S
PLAN CK DEPOSIT
VALID BY
DATE
»*/,
111:
2. PROJECT INFORMATION FOR OFFICE USE ONLY
Ad
Nearest Cross Street
Building or Suite No
LEGAL DESCRIPTION Lot No Subdivision Name/Number Unit No Phase No
- lH-012.^*0
CHECK BELOW IF SUBMI1 lliLJ
D 2 Energy Calcs D 2 Structural Calcs C 2 Soils Report D 1 Addressed Envelope
ASSESSOR'S PAR
DESCRIPTION OF WORK
SQ FT £g>0
PROPOSED USE f^-fiO C*i
# OF STORIES # OF BEDROOMS # OF BATHROOMS
3 IJUN I Ain Kl'JthlJN (.11 dillerent Trorn applicant)
NAME (lastname first-
CITY STATE
ADDRESSmgs
ZIP CODE DAY TELEPHONE
4 APPLICANT M CONTRACTOR D AGENT FOR CON ITIACTOR LJ OWNER U AGENT FOR OWNER
NAME (last name first) fcfcl. ^JX^ P-LI hWiefcl* ADDRESS 2.-2.-7Q t*&&^
-~
CITY STATE ZIP CODE DAY TELEPHONE
5 PROPERTY OWNER
NAME (last name first)
CITY
ADDRESS
STATE £ZIP CODE DAY TELEPHONE
6 CXJmTlACTOR
NAME (last name first)
CITY
ADDRESSt>.L& gear's-
STATE "Z^r* ZIP CODE ^ 2-O2tf^ DAY TELEPHONE
STATE LIC #fc3l2-9loS LICENSE CLASS 13H CITY BUSINESS LIC #
DESIGNER NAME (last name tirst)
CITY STATE
ADDRESS
ZIP CODE DAY TELEPHONE STATE LIC #
WORKERS'
Workers Compensation Declaration I hereby atrirm that I have a certificate of consent to self-insure issued by the Director oTTndustrial
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
Certificate or Exemption 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 Workers' Compensation Laws of California
SIGNATURE
8 OWNKR-BUlLDl
DATE I-1
Owner-Builder Declaration 1 hereby allirm that 1 am exempt from the Contractors License Law lor the following reason
D 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 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 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 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
HASI METOR.IS MEETING THE^REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE A1H POLLUTION CONTROL DISTRICT
9 CONSTHUCl'lUN LANDING AGENCY
I hereby allirm that there is a construction lending agency tor the perlormance ot the work tor which this permit is issued (Sec 3097(i) Civil Code)
LENDER'S NAME LENDER'S ADDRESS
1U Al rLJUAn 1
l certily that l nave read the application and state that the above information is correct I agree to comply with an 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 THE CITY OF CARLSBAD AGAINST AIL LIABILITIES, JUDGMENTS, COSTS
AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SATO CI'IY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT
OSHA. An OSIIA 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 OfficiaLuqder 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 (;<Sfnmen§ed witbm 365 days from the date of such permit or if the building or work authonzed by
such permit is suspended or aban
\ APPLICANTS SIGNATURE V
any tin aftgwfee wo/k is commenced for a period of 180 days (Section 303(d) Uniform Building Code)
\~7 I < fx' DATE f~~' »2-J^"
-WHITE: File YELLOW Applicant PINK: Finance
CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT* CB960112 FOR 04/09/96 INSPECTOR AREA
DESCRIPTION: 230 SF PATIO COVER-PER CITY SP PLANCK# CB960112
OCC GRP
TYPE: PATIO CONSTR. TYPE NEW
JOB ADDRESS: 1648 CORMORANT DR STE: LOT:
APPLICANT: F.W. KOCHD.L. ROBERTS CONSTRUC PHONE: 619-489-0258
CONTRACTOR: PHONE:
OWNER: PHONE:
REMARKS: BJN/DAN/489-0258 INSPECTOR^)
SPECIAL INSTRUCT:
TOTAL TIME:
CD LVL DESCRIPTION ACT COMMENTS
19 ST Final Structural -A? W/woC-
***** INSPECTION HISTORY *****
DATE DESCRIPTION ACT INSP COMMENTS
San Diego. Ca92128
LOCATION 1648 Cormorant. Carlsbad
PROJECT Construct 282 sq ft open patio cover on existing sfr
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
I I The site is not located within the coastal zone as established by the California Coastal
Act of 1976, as amended
I I The proposed development is included in Categorical Exclusion No
adopted by the California Coastal Commission
I I 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 the Coastal Act)
1X1 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 the 14 Cal Admin Code
I I 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 10%
or more of internal floor area, b) an increase in height over 10%, or c) a significant
non-attached structure (Sections 30610(a) of the Coastal Act and Section 13250(b)(4)
of Administrative Regulations)
I I The proposed development is an interior modification to an existing use with no
change in the density or intensity of use (Section 30106 of the Coastal Act)
(over)
STATE OF CALIFORNIA-THE RESOURCES AGENCY PETE WILSON, Governor
CALIFORNIA COASTAL COMMISSION
SAN DIEGO AREA
3111 CAMINO DEL RIO NORTH, SUITE 200
SAN DIEGO, CA 92108-1725
(619) 521-8036
EXEMPTION LETTER
DATE January 16. 1996
NAME Dan Roberts
17480 Fairhope Ct
Page 2
I I 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)
I I 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)
I I 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)
D Other
Please be advised that only the project described above is exempt from the permit
requirements of the Coastal Act Any change in the above 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 information 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,
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
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,
hall not employ any person in any manner so as to become subject to the
orkers compensation laws of California
Signatun Date A 3Z
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