HomeMy WebLinkAbout1626 CORMORANT DR; ; CB941031; PermitBUILDING PERMIT
08/17/94 14 34
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Job Address 1626 CORMORANT DR
Permit Type ELECTRICAL
Parcel No
Valuation °
Construction Type NEW
Occupancy Group. Reference*
Description. LIGHTS COMMON AREA BLDG15/16
Suite
Lot#-
Permit No CB941031
Project No A9401458
Development No
8261 08/17/94 0001 01 02
C-PRMT 35.00
Status ISSUED
Applied 08/17/94
Apr/Issue. 08/17/94
Entered By DC
Appl/Ownr • HORTON, D R 619 452-3700
10179 HUENNEKENS AVENUE #.100
SAN DIEGO, CA 9212>
Fees Required *** /" (>>* /(^/If ^Collected & Credits * * *
Fees •
Adjustments
Total Fees
Fee description
35. 00 A,....;/ '"' '"" ' '" X ^
/' -00 '"•• ' ,• "'->,
/ 35-00 ^ "" "•/::. ••• • Total Paymerits; \
Total ..Credits,. -x
rotai Paymerit^"
... .- Units.,.? Fe'€
" v,"
Enter "Y" for Electric^ Issue Fee x>
Single Phase Per AMP1'; • | ^.>-v
* ELECTRICAL TOTAL \ . ::. ; •'
00
. 00
35 00
Ext fee Data
10 00 Y
25 00
35 00
crv^r' v \A
\
™AI/APPROVAL
^/ DATE ^A/W
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
1 PERMIT TYPE
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/Gam of Dwelling Units
PLAN CHECK NO.
EST VAL
PLAN GK DEPOSrr_
VALID BY
DATE
2. PROJECT INFORMATION FOR OFFICE USE ONLY
Address
Nearest Cross Street
or Suite No
LEGAL DESCRIPTION
? /x v
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
SQ FT # OF STORIES # OF BEDROOMS # OF BATHROOMS
3 UJN1ALI PEHSUN lit different from applicant;
NAME (last name first)
CITY STATE
ADDRESS
ZIP CODE DAY TELEPHONE
APPLICANT U CONTRACTOR L] AGENT FOR CONTRACTOR LJ OWNER U AGENT FOR OWNER
NAME (last name first) ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE
5 PROPLRIT OWNER
NAME (last name first)
CITY ZIP CODE DAY TELEPHONE
6 CONTRACTOR
NAME (last name first)
CITY
ADDRESS
STATE ZIP CODE DAY TELEPHONE
STATE LIC CITY BUSINESS LIC #
DESIGNER NAME (last name lirstj
CITY STATE
ADDRESS
ZIP CODE DAY TELEPHONE STATE LIC #
7 WORKERS^ COMPENSATION
Workers' Compensation Declaration I hereby allirm that I have a certificate of consent to self-insure issued by the Director or 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 POLICY NO EXPIRATION DATE
Certificate oTExemption I certify that in the performance of the work tor 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 DATE
8 OWNER-BUILDER DECLARATION
Owner^BuiIder Declaranon I hereby atfirm 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
CUMl'LLTE 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 nsk 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?
D YES D NO
IF ANY OF TI IE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS 11 IE APPLICANT
9 CONSTRUL.T1ON LENDING AGENCY
1 hereby affirm that there is a construction lending agency tor the performance of the work tor which this permit is issued (Sec 3097(1) Civil Code)
LENDER'S NAME LENDER'S ADDRESS
1 certify that I have read the application and state that the above information 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 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 and demolition or construction of structures over 3 stones in height
. e Building Offib r ^ .
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
Expiration Every permit issued by the Building Official under the provisions^eif this Code shall expire by limitation and become null and void if the
such permit is suspended or abandoncd'at any time/after/tne wprk'is commenced for a period of 180 days (Section 303 (d) Uniform Building Code)
APPLICANT'S SIGNATURE / J, ^ . A f/^^7'_ l/feV—^ DATE ^? I"/ -
/ WHITE: File YELLOW: Applicant PINK: Finance
INSPECT
DATE «?//<?/4V INSPECTOR
PERMIT * PLANCK #
JOB ADDRESS
TIME ARRIVE: TIME LEAVE:
CD LVL DESCRIPTION ACT COMMENTS
-22. —
PERMITS
6/1S/19