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Home My WebLink About2508 VIA ASTUTO; ; CB950892; PermitB U I L D I N G P E R M I T Permit No: CB950892 Project No: A9501271 Development No: 07/03/95 12:25 Page 1 of 1 Job Address: 2508 VIA ASTUTO Suite: Permit Type: PLUMBING Parcel No: 167-360-06-00 Lot#: Valuation: O Construction Type: VN Occupancy Group: Reference#: Status: ISSUED Applied: 07/03/95 Apr/Issue: 07/03/95 Entered By: MDP 434-6161 Description: GAS PIPE REPAIR Appl/Ownr : BROWN PLUMBING 619 2697 STATE STREET CARLSBAD, CA. 92008 *** Fees Required *** Fees Collected & Credits *** Fees: Adjustments: Total Fees: Fee description 27.00 .00 27.00 Enter "Y" for Plumbing Issue Fee > Gas Piping System > * PLUMBING TOTAL Total Credits: Total Payments: Balance Due: Units Fee/Unit 1 7.00 .00 .00 27 .00 Ext fee Data 20.00 Y 7.00 27 .00 2578 07/03/95 0001 01 02 C-PRMT '27 . 00 CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PER.MIT APPLICATION City of Carlsbad Building Departaent 2075 Las Palms Dr., carlsbad, CA 92009 (619) 438-1161 1. PER.Mil IYP£ A -D Commercial □ New Bu1Idmg D Tenant Improvement B -□ Industrial D New Building LI Tenant Improvement ~ '1;::, C -D Residential D Apanment D Condo D Single Family Dwelling D Addition/ Alteration D Duplex D Demolition D Relocation D Mobile Home D Electrical O Plumbing D Mechanical O Pool O Spa O Retaining Wall O Solar D Other ____ _ 2. PRQJECf INf'ORMATION Address Nearest Cross Street LEGAL DESCRIP'i ioN Lot No. Suix11V1s1on Name/Number CHECK BEWW IF s0HMI 11 Eb: □ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope ASSESSOR'S PARCEL EXISTING USE DESCRJPTION OF WORK/ l~ (efe< (Y SQ. FT. ~~!, I# OF STORJES 3. WN IACI P N (u dulerent irom applicant) NAME ADDRESS PLAN CHECK NO. EST. VAL. __________ _ PLAN CK DEPOSIT _______ _ VMID. BY ___________ _ DATE FOR OFFICE USE ONLY Onie No. Phase No. PROPOSED USE CI1Y STATE ZIP CODE DAY TELEPHONE 6. OON'l1tACIOlt NAME ADDRESS Cl1Y STATE ZIP CODE DAY TELEPHONE ST A TE UC. ~ '{f)f/0 LICENSE CI.ASS DESIGNER NAME ADDRESS C 3 6 CI1Y BUSINESS UC. # Cl1Y STATE ZIP CODE DAY TELEPHONE STATE UC.# 7. WOIUffiltS' WMP£NSA:110N Workers' Compensauon Oeclara1ion: I hereby alhrm that I have a cerullcate of consent to self-msure issued by the Director of lndustnal Relations, or a cenificate of Workers' Compensation Insurance by an admined insurer, or an exact copy or duplicate thereof cenified by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C). INSURANCE COMPANY POLICY NO. EXPIRATION DATE Ceruhcate of Exempuon: I ceruly that m the performance of the work for which this permit 1s issued, I shall not employ any person m any manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE 8. bWNER-B0IIDmt DFl!i.AltXnoN Owner-Builder Declarauon: I hereby affirm that I am exempt from the Contractor's License Law for the lollowmg reason: D I, as owner of the propeny 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 propeny 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 1, as owner of the propeny, 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 propeny 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]). SIGNA11JRE DATE COMPLETE 'l'Als SEcl'ioN FOR NON-RESIDEN i lAL 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? DYES ONO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ YES □ NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES ONO IF ANY OP TI-IE ANSWERS ARE YF.S, A FINAL CERTIFICATE OFOCDJPANCY MAYNOf BE ISSUED AFTER.JULY I, 1989 UNLF.SS TIIEAPPUCANT HAS MET OR IS MEETING TIIE REQUIREMENTS OP TIIE OFFICE OF PMERGENCY SERVICES AND 1llE AIR POLLlfllON CDNl"ROL DISTRICT. 9. OONS'lll0CnON L£NDlNG XC£NcV I hereby athrm that there 1s a construction lending agency for the performance of the work for which lh1s permit 1s issued (Sec 3097(1) CIVIi Code). LENDER'S NAME LENDER'S ADDRESS to. APPUcAN't CER1TI1CATION I ceruly that I have read ilie apphcauon and state that the above mlormauon 1s correct. I agree to comply with ail Caty ordinances and State laws relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned propeny for inspection purposes. I AlSO AGREE 10 SAVE INDEMNIFY AND KEEP l{AflMLFSS TIIE C11Y OF CARLSBAD AGAINSf AU. UABIIITIF.S, JUDGMENTS, CDS"rS AND EXPENSF.S WIDCII MAY IN ANY WAY ACX:RUE AGAINSf SAID Cl1Y IN CDNSP.QUENCE OF TI-IE GRANTING OF 11flS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories 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 after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code). DATE: _____ _ TE: File YELLOW: Applicant PINK: Finance WIQSIPYYR IMSPlc;it'IQN OAT. __ -______ _ PERMIT•------- rum UAIVI:: co t.VL -Z-:5 z;--- -- PDllllfl 1/15/19 0ISOIP'l'ION - TIKI I..ZAV'I: Ac:'1' ~ ------ C0IOCIMTS