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HomeMy WebLinkAbout1640 CORMORANT DR; ; CB941283; Permit10/12/94 13-15 BUILDING Page 1 of i 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