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HomeMy WebLinkAbout1307 CORVIDAE ST; ; CB961938; PermitB U I L D I N G PERMIT 10/10/96 10 34 Page 1 of 1 Job Address- 1307 CORVIDAE ST Permit Type PATIO/DECK Parcel No 215-690-02-00 Valuation 1,020 Occupancy Group Referenced Description 240 SF PATIO COVER Suite. Lot# Permit No CB961938 Proiect No- A9602775 Development No Appl/Ownr LANDSCAPE ARTISTRY 3790 VIA DE LA VALLE #204 DEL MAR, CA 82014 *** E^ees Required **A :, •-" '.-,•,-•, 0291 10/10/96 0001 03 02 C-PRMT 65.00 Construction. Type VN Status ISSUED Applied 10/10/96 Apr/Issue. LO/10/96 Entered By. MDP 619 792-5C30 Collected & Credits •k * * Fees • 65 , Ou ? . Adjustments ,00 ' : : Total Fees . .-6 j ,.-H) :;! •^ ' '-'I:'' Fee description • •> Building Permit Plan Check Strong Motion Fee * BUILDING TOTAL ^^'SS^o-' .Balance .Due: 65 •', •:••• Units Fee/Uni*:: Ext fe .': . -.:...'•.-. '-'-..'•.•••""-• '"' ' '•'.: •' • 33 '.''"" • •• '• ' . ' 25 ':• ; : .-•' • •': .' . ' 1 ••: :'•'; ••'' .• •'•'.' .: " • 65 00 00 00 e Data 00 00 00 no PPROVAi.wnuLzzfr CITY OF CARLSBAD 2075 Las Palmas Dr , Carlsbad, CA 92009 (619) 438-1161 PERMlt APPLICATION City of Carlsbad Building Department 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 T PERMIT TYHE From List 1 (see back) give code of Permit-Type For Residential Proiccts Only From List 2 (see back) give Code of Structure-Type Net Loss/Gam of Dwelling Units PLAN CHECK NO. EST VAL PLAN CK DEPOSIT^ VALID BY DATE 2. PROJECT INFORMATION 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 SUBMIITED 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 2 *4 O 0 C & # OF STORIES # OF BEDROOMS # OF BATHROOMS j UJN1AC.1 FliKiaJN (.it clillerent Irom applicant; NAME (last name first) Jen f^ \4C-\ CITY 3~~l°( O \J\Oi. CU Uc_, \J(SJJUL^ /LjE £-/\ ZIP CODE <^3P-£> ) *-}' DAY TELEPHONE "ft 2~ ~ S O 7l> O 4 APPLKIANTD CONTRACTOR HAGENI FOR CONTRACTOR DOWNER NAME (last name first) 'h^a-aa-iW~ ^^^ T ADDRESS FUR OWNER CITY Q5L^H/V^ STATE d.A ZIP CODE42! P-£> I W- DAY TELEPHONE _$4 -5 PROPERTY OWNER NAME (last name first) CITY ADDRESS STATE C- A"ZIP CODE DAY TELEPHONE 6 CONT CITY first) L/V^PSC-A^VV+lSlrU ADDRESS '• f--J f\-fl__ STATE C/^— ZIP CODE ~~^3(D \ ^f DAY TELEPHONE "7 STATE UC # tf(o°llS>(f> LICENSE CLASS ^,~1^1 CITY BUSINESS LIC # DESIGN EH NAME (last name lirstj CITY STATE ZIP CODE DAY TELEPHONE STATE LIC # WORKERS' COMPENSATION Workers' Compensation Declaration I hereby altirm that 1 have a certilicate of consent to selMnsure 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 Q CL I - ( O *V^POLICY NO W-^5 41 61 "70 [EXPIRATION DATE *• /Certificate of Exemption I certify that in the performance of the work lor 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 SIGNATUR DATE lo 111/. 8 OWNER-BUTldJER DhCLARAnON Owner-Builder Declaration 1 hereby allirm tnat l am exempt trom tne contractor's License Law tor the lollowing 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 Piofessions 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 COMPLETE THIS SECTION FOR NON-RF.SIDENTIAL 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 district? D YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Q YES D NO IF ANY OF TIIE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS T11IK APPLICANT IIAS MET OR IS MEETING Tl IE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICliS AND THE AIR POLLUTION CONTROL DISTRICT 5 CONSTRUCTION LENDING AGENCY I^^Z^ZIZ! I hereby allirm that there is a construction lending agency tor the performance ot the work tor which this permit is issued (Sec 3097(i) Civil Code) LENDER'S NAME LENDER'S ADDRESS TO Al'I'UCAIMT U'lK IlFICAIlON 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 authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes I AISO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL UABIUTIES, JUDGMENTS, COSTS AND EXPENSES WIDCH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF TIDE GRANTING OF THIS PERMIT OSIIA. An OSHA permit is required for excavations over S'O" 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 <md void if the building or work authorized bysuch permitis not commenced within 365 days from the date of such permit or if the building or work authorized by such permit is suspended or jSbaffttaried at any time after the work is commenced for a penod of 180 days (Section 303(d) Uniform BuildmaCode) n . APPLICANTS SIGNATURED \)^ / >V /ii n /,/vi ) DATE IO\\ O jn \0 ~V WHITE: File YELLOW: Applicant PINK: Finance CITY OF CARLSBAD INSPECTION REQUEST PERMIT* CB961989 FOR 11/20/96 DESCRIPTION: GAS LINE TO BBQ-NOT UNDER STRUCT SLAB/PATIO TYPE: PLUM JOB ADDRESS: 1307 CORVIDAE ST APPLICANT: CONTRACTOR: OWNER: LANDSCAPE ARTISTRY PHONE: PHONE: PHONE: INSPECTOR AREA PD PLANCK* CB961989 OCC GRP CONSTR. TYPE NEW STE: LOT: 619 792-5030 REMARKS: MW/AMY/792-5030 SPECIAL INSTRUCT: INSPECT TOTAL TIME: —RELATED PERMITS— CD LVL DESCRIPTION 29 PL Final Plumbing PERMIT! TYPE CB961938 PATIO ***** INSPECTION HISTORY ***** DATE DESCRIPTION 110896 Gas/Test/Repairs 110596 Final Plumbing 110196 Underground/Under Floor ACT INSP AP PD CO PD CO PD COMMENTS NOT FINAL NO TEST/PIPE COVERED STATE Of CAIIFORNIA—THE RESOURCES AGENCY - PETE WILSON, Governor CALIFORNIA COASTAL COMMISSION SAN DIEGO COAST AREA 3111 CAMINO DEI RIO NORTH. SUITE 200 SAN DIEGO, CA 92108-1723 (619) 521-8036 EXEMPTION LETTER DATE: NAME: LOCATION: PROJECT: 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 f 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 an> beach (whichever is greater) but is not a) an increase of 101 or more of internal floor area, b) an increase in height over 10%, 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 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, By: Title: 0001F 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 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 Date IQ 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 2O75 Las Palmas Dr • Carlsbad, CA 92OO9-1576 • (619) 438-1161 • FAX (619) 438-O894 ACORD^ CERTIFICATE OF LIABIL PRODUCER TANENBAUM-HARBER OF CA. INC. 11610 IBERIA PL., SUITE 200 SAN DIEGO, CALIFORNIA 92128 (619) 487-8839 INSURED LANDSCAPE ARTISTRY INC. 3790 VIA DE LA VALLE SUITE 204 DEL MAR, CA. 92014 ITY INSURANCE oT/Som 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 FIRST FINANCIAL/MONARCH COMPANY B CALIFORNIA COMPENSATION INS. CO. COMPANY c COMPANY D COVERAGES 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 ^ TYPE OF INSURANCE POLICY NUMBER F GENERAL LIABILITY A XI COMMERCIAL GENERAL LIABILITY F0157G411083 '. ! , ; CLAIMS MADE i X OCCUR OWNER S & CONTRACTOR S PROT ! < AUTOMOBILE LIABILITY ! ' ANY AUTO , ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS ! j , GARAGE LIABILITY ANY AUTO 1 EXCESS LIABILITY ! UMBRELLA FORM OTHER THAN UMBRELLA FORM OUCY EFFECTIVE POLICY EXPIRATION JATE(MMrt)WYY) DATE (MM/DD/YY) LO/12/95! 10/12/96 - iii 1 i i i • WORKERS COMPENSATION AND , B «™«"*"«™ W954101701 4/01/96 4/01/97 THE PROPRIETOR/ 1 ; ..._. 1 j , PARTNERS/EXECUTIVE '• OFFICERS ARE ' ' EXCL ' ' OTHER ! i LIMITS GENERAL AGGREGATE $ 1,000,00( PRODUCTS - COMP/OP AGG $ 1,000,00 PERSONAL & ADV INJURY ' $ 1,000,00 EACH OCCURRENCE $ 1,000,00 FIRE DAMAGE (Any one fire) $ 5 0 , 0 0 ( MED EXP (Any one person) • $ 1 COMBINED SINGLE LIMIT ! $ BODILY INJURY - (Per person) [ ' BODILY INJURY ' . (Per accident) PROPERTY DAMAGE $ AUTO ONLY EA ACCIDENT $ OTHER THAN AUTO ONLY i EACH ACCIDENT $ AGGREGATE $ EACH OCCURRENCE $ AGGREGATE $ $ v WC STATU- OTH X TORY LIMITS ER ' EL EACH ACCIDENT $ 1^000^00 EL DISEASE POLICY LIMIT , $ 1,000,00( EL DISEASE EA EMPLOYEE $ 1 QOO Q0( DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS PROOF OF INSURANCE ONLY. CERTIFICATE HOLDER NAMED INSURED ACORD 25-S (1/95) CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 3Q 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 REBRESfNTATIVE /^?^ ^^ S © ACORD CORPORATION 1988 3