HomeMy WebLinkAbout2501 VIA ASTUTO; ; CB961220; Permit/OJ/ 6 9:.,_
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B p E T t : r
r J t r,.. : A
b Address: 2 01 V!.A ASTU 0 Suite:
D vel rm n+-N : 8369 07/03/96 0001 01 02
C-PRMT 27-00 Perm:t Type: PLUMBING
P3rcel No: 167-360-10-00 Lot#:
Valuation: 0
Occupancy Group: Reference#:
Description: REPAIR GAS LEAK-PRESSURE TEST
Appl/Ownr : ROUSE, PATRICIA
2501 VIA ASTUTO
CARLSBAD CA 92
Fees Required
Fees:
Adjustments:
Total Fees:
Fee description
Enter ~y" for Plu,
Gas Piping System
* PLUMBING TOTAL
CITY OF CARLSBAD
Con~truct1on Type: NEW
ISSUED
07/03/96
07/03/96
RMA
Status:
Applied:
Apr/Issue:
Entered By:
619-434-1420
.00
.oo
27.00
Ext fee Data
20.00 Y
7.00
27.00
-•~L APPR I
"' ?•t·9fi I NSP. _j.> _ DA
CLEAkAN~~------1
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
PERMIT APPLICATION
City of C.r-lsbed Buildilll Deper-taent
PLAN CHECK NO. 9 i; ;}__ -;}__ o
2075 las Pal_. Dr-., C.r-lstaf, CA 92009 (619) 4311·1161
i. PERMfi" tiPI!
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/Gain of Dwelling Units __________________ _
2. PROJF.CT INFORMATION FOR OFFICE USE ONLY
--Address ,,Z QO
Nearest Cross Scree(
LEGAL oEScRIPiioN Lot O.uMs
CHECK BEtbW IF sOSMI 11 Eb:
□ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope
Unit No. Phase No.
ASSESSOR'S PARCEL EXISTING USE PBQ?OSED USE
-DESC~'J;}ON OF WORK ,,(_6,,19,K
SQ. d.'-£.,P/?-/i€_ 0/"'-G{& STORIES # OF BEDROOMS # OF BATI-IROOMS
3. WN IACI PERSON (II dmerent from applicant)
NAME (last name first) ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE
4. APPUCAN I O cON I RACI OR 0 AGEN I FOR cON I RAC !OR
ADDRESS
DOWNER 0AC£NI FOR OWNER
NAME (last name first)
CITY STATE ZIP CODE DAY TELEPHONE
-s. ~~~Tse ~::e9}rsc) /?CJ/IS£. I P /,? T/21 C'J/21-mDRESS d<-50 I L/2 /7 ff $/t'(_ TO'
• 6. ~~R i!t1zs.Ee1h'RL@)fil () I} ZIP CODE 9 ~(J f7 DAY TELEPHONE{t: tx} L/ ~ 4 -I s,t ~ CJ
NAME (lase name first) ADD.RESS
CITY STATE
STATE UC.#
ZIP CODE
LICENSE CLASS
DAY TELEPHONE
CITY BUSINESS UC. #
DESIGNER NAME (last name hrst) ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE STATE UC. #
1. WoRJCERS' wMP£NsAlidN
Workers' Compensation beclarauon: I hereby all1rm that I have a cemhcate of consent to sell-insure issued by the Director of lndustnal
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
Ceru!tcate of Exempuon: I ceruly that m the performance of the work tor whtch thts permit ts issued, I shall not employ any person many manner
so as to become subject to the Workers' Compensation Laws of California.
SIGNATURE DATE
~8. oWNE1t-SUttn£1t OECOJtArtdN
□
□
Owner-Builder Declarauon: I hereby afhrm that I am exempt from the Contracto?s Llcense Law for 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 Llc~nse 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 ap licant to a civil penalty of not more than five hundred dollars ($500)).
,-SIGNATIJRE _i)ATE
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?
0 YES □ NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control disaict or air quality management disaict?
□ YES □ NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
□ YES □ NO
IF ANY Of TI-IE ANSWERS ARE YES, A FINAL CERTlFICATE Of <XX:UPANCY MAY Nor BE ISSUED AFl'ER JULY I, 1989 UNlESS TI-IE APPUCANT
HAS MET OR IS MEETING TI-IE REQUIREMENTS OF nm orno: Of EMERGENCY SERVI~ AND nm AIR POLLUTION OONTitOL DlS'I'R.ICT.
I). WNSiROClidN c:mmmc .ACENct
I hereby ail1rm that there as a construcuon lending agency for the performance of the work for which this permit ts ISSued (Sec 3097(1) Civil Code).
LENDER'S NAME LENDER'S ADDRESS
10. AVPUCANI CERl'iFICXliON
I certify that I have read the apphcauon and state that the above mformauon 1s correct. I agree to comply with all C1cy 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 HARMLF.sS nm ClTY OF CARLSBAD AGAINS'f AU. UABILITIES, JUDGMENTS, CDSTS
AND EXPENSE.5 WIBOI MAY IN ANY WAY Aa:RUE AGAINS'f SAID ClTY IN OONSF.QUENCE OF nm GRANTING Of nns 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).
APPUCAN~!§N~ -• ~ DATE: ? /:? 1,::_;-/ ~a~ _ &<-< Tod ' ~l (l WHl : File OW: Applicant PINK; Finance
0
UNSCHEDULED BUILDING INSPECTION
DATE 1-1-f {_,
PERMIT# 1ft-IZ zo
JOBADDRESS d-)O/ U/#
DESCRIPTION
INSPECTOR~-~K ___ ' ,_!h _____ _
PLAN CHECK# -----
A51U T 0
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TI~ ARRIVE: TIME ----
CODE DESCRIPTIO?
if /4A-s ~p1r112--
1
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ACT COMMENTS
_:4£__ ____ _