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Home My WebLink About1341 CORVIDAE ST; ; CB970147; PermitBUILDING PERMIT Permit No CE970147 01/22/97 12 22 Project No- A9700204 Paq-e j. of 1 Development No, Job Address- 3341 CORVIDAE ST Suite PeriTit Type PATIO/DECK Parcel No 215-691-04-00 Lot#- Valuation 1,599 Construction Type. VN Occupancy Group Reference* Status ISSUED Description 237 SF PATIO COVER Applied: 01/22/97 • CITY SPECS Apr/Issue 01/22/97 Entered By• MDP Appl/Ownr OHLSON, DAVID 619 931-8467 1341 CORVIDAE STREET CARLSBAD, CA. 92009 A** Fees Required *** Fees- 62 fu; Ad ~ius tmen ts .0 0 Total Fees 62,UL> Fee description :, llected & Credits •Jc-i lance Due - L:n.its Fee/V 00 00 62 00 Ext fee Data Building Permit Plan Check Strong Motion Fee A BUILDING TOTAL 37. 00 24 00 1 00 62 00 2049 01/22/9? 0001 OJ 02 C-PRMT 62 PPROVAL CLEARANCE 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 FOR OFFICE USE ONLY PLAN CHECK NO.? "7 A/7 EST VAL Plan Ck Deposit. Validated By Date Address (incli/de Bldg/Suite #) Legal Description '2./5~ (031 O^-OO Assessor's Parcel tt -» - Description of Work ___ Business Name (at this address) Lot No Subdivision Name/Number Existing Use C. t/-\J ^. /9~t-*S 2-37 V S//^ SQ FT #of Stories Unit No Phase No Proposed Use # of Bedrooms Total tt of units tt of Bathrooms CONTACT PERSON (if different from applicant). Name Address City 3. .APPLICANT Q Contractor " Q Agent for Contractor, J2fOwner _ 'D.Agent for Owner ; VAUI0 fcit+UsaJ iZif/ ££>£t)/£>?*r 9r State/Zip Telephone tt Fax # Name Address fi&ifr'J City ^J^ii.^liS^iLiSikiSiS State/Zip Telephone #' Siiia Name Address City r^^^sr^pr^^r^isai^-i^^r-" •TSTC'VPS?-"''"*- "#?«' "•E".ivSSii.**'''":!: K"4-*y~^ii:'iiEP»S'83sgaaS^SsS^^^i^a^Kii^iSiw;.^^^-^!^ State/Zip Telephone tt (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, commending 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]) Name State License tt Address License Class City State/Zip City Business License tt Telephone # Designer Name State License tt Address City State/Zip Telephone !ri:. i. ....^.".:Ii^!^_ '": *,ii- '. '.*' ..V. r-w'1^ :.,,•....:; ''.^ V~~*~~UM J#;U?C£1 tf ..• ~ .U'iii^*.'^- ~~*'J1~.4't.'.*'. .1. .i-'~ . .~^.£... .--1^^,: ': : Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations f~l 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 Q I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued My worker's 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) B3 CERTIFICATE OF 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 /tobecome subject to the Workers' Compensation Laws of California WARNING Failure to secure workers' compensation coverage is unlawful, and shall 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 Labq/ code, interest and attorney's fees SIGNATURE DATE 7 OWNER-BUILDER DECLARATION ,L , , .. :i , - I hereby affirm that I am exempt from the Contractor s License Law for the following reason T3L. '• 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 MSec 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) l~l 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) Q I am exempt under Section Business and Professions Code for this reason 1 I personally plan to provide the major labor and materials for construction of the proposed property improvement ffiH YES QNO 2 I (have / have not) 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 (include name / address / phone number / contractors license number) 4 I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone number / contractors license number) _ .^___^^__^__^_ 5 I will provide some of the work, but of work) ired) the following persons to provide the work indicated (include name / address / phone number / type J> PROPERTY OWNER SIGNATURE £QMPilJTE.TMISSECTlbNiFOB;/V!£W^^ 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? Q YES Q NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Q YES Q NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Q YES Q NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT S. ' CONSTRUCTION LENDING AGENCY : '?--"j •:••'"": ;"" ; ""'.jjfV. :i S':^l-25i^SS^IiS'SffilSgV;l;:- "^ , , . / I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(0 Civil Code) LENDER S NAME LENDER S ADDRESS Si ..: APPLICANT CERTIFICATION " '".'''.'.. '"''•• ••...'•'-.: .'2E*7.; JlV".,.: ~l> " ' " ", I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate I agree to comply with all City ordinancos 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 ALL LIABILITIES JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT OSHA An OSHA permit is required for excavations over 5'0* deep end demolition or construction of structures over 3 stories in height EXPIRATION Every permit issued^byTjthe Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or meed within 365 days from the date of such permit or if the building or work authorized by such permit is suspended ^rwv^. _. J ' 180 days (Section 106 4 4 Uniform Building Code) work authorized by such permit is/not A:om ievv/rkMs,or abandoned at any time after APPLICANT'S SIGNATURE"DATE WHITE File YELLOW Applicant PINK Finance CITY OF CARLSBAD INSPECTION REQUEST PERMIT* CB970147 FOR 04/01/97 DESCRIPTION: 237 SF PATIO COVER CITY SPECS TYPE: PATIO JOB ADDRESS: 1341 CORVIDAE ST APPLICANT: OHLSON, DAVID CONTRACTOR: OWNER: REMARKS: RS/DAVE/931-8467 SPECIAL INSTRUCT: INSPECTOR AREA DC PLANCK# CB970147 OCC GRP CONSTR. TYPE VN STE: LOT: PHONE: 619 931-8467 PHONE: PHONE: INSPECTQ TOTAL TIME: —RELATED PERMITS—PERMIT# TYPE STATUS CB970186 ELEC ISSUED CD LVL DESCRIPTION ACT COMMENTS 19 ST Final Structural ***** INSPECTION HISTORY ***** DATE DESCRIPTION 013097 Ftg/Foundation/Piers ACT INSP AP DC COMMENTS