HomeMy WebLinkAbout2801 VIA CASCADA.; ; CB911391; PermitB IJ I L D I N G P E R M I T
lll/l"i/91 08:50
Pc1ge 1 of 1
Job Adnress: 2801 VIA CASCADA
Permit TypP: PLUMBING
Pctrcel No: lb7-300-16-0U
Vciluation: O
Constn,ction Type: NEW
Occupancy Group :
Descr1pt1on: GAS LINE REPAIR
Str:
Cla.:;s Code :
Permit No: C8911391
Project No: A91017~8
Development No:
Fl: Ste:
480110/15/91 0001 01 02
C-PRMT
C.AsH
10-00
S t a t u .: : ~ , S .l F .. >
Applied: 10/15/91
A1 1r/Is.::ue: 10/-5/ql
Vcilidate<l By: ~BB
Appl/Ownr : SCHAEFER, STEVE 619 471-1700
2801 VIA C\SCADA
CAARLSBAD, CA 92008
Fees Required
Fees:
Adjustments:
Total Fees:
Fee description
Enter "Y" for Plum
Gas Piping System
A PLUMBING TOTAL
CITY OF CARLSBAD
FINAL
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
.00
.no
1CJ.OO
/,; A A
Ext fee Data
7,5l) Y
2.50
lU.00
PERMIT APPLICATION
City of Carlsbad Building Departlllel"lt
PLANCHECKNO. fl-/3 1/
2075 Las Pal-s Dr., Carlsbad, CA 92009 (619) 438-1161
1. P£ltMI I IYPE
A -U Commercial U New Bu1ldmg U l'enant Improvement
B -D Industrial □ New Building D Tenant Improvement
C -)4 Residential D Apartment )!!leondo □ Single Family Dwelling □Addition/Alteration
□ Duplex □ Demolition □ Relocation □ Mobile Home □ Electrical Jl!l'Plumbing
□ Mechanical D Pool □ Spa □ Retaining Wall □ Solar D Other ____ _
VALID.BY
DATE
2. PRQJECT INFORMATION FOR OFFICE USE ONLY
Address ;}go/ Vtq CetSCCcc/q Bu1ldmg or Suite No.
Nearest Cross Street
LEGAL DESCRlr'I loN Lot No. SuixhV1s1on Name/Number Unit No. Phase No.
cAEck SEWW IF SOBMI 11 Eb:
□ 2 Energy calcs D 2 Structural Cales D 2 Soils Report D 1 Addressed Envelope
ASSESSOR'S PARCEL EXJSTING USE PROPOSED USE
DESCRIPTION OF WORK ~,r-cflqS
# OF STORlES
ADDRESS
CITY STATE ZIP CODE
4. .APPUCAN I □ CON I RAC !OR □ AGEN I POR CON I RAC! OR
NAME 5:' &(' 11-1<
CITY
a.s rib(/1,,-(_
STATE S. ~~~ER~:tz ev
CITY
6. ~~'ltACmR Alo,, e..
CITY
DESIGNER NAME
CITY Al ori.-e....
STATE
STATE UC.#
STATE
1. WOllkIDtS' OOMPENSAIION
ADDRESS
ZIP CODE
ADDRESS
ZIP CODE
ADDRESS
ZIP CODE
LICENSE CLASS
ADDRESS
ZIP CODE
$;aYh.f!. e-1.s c. boi--c:..
DAY TELEPHONE Y 7 1-I 7&o
~WNER □AGENI FOR OWNER
DAY TELEPHONE
DAY TELEPHONE
DAY TELEPHONE
CITY BUSINESS UC. #
DAY TELEPHONE STATE UC.#
Workers' Compensation beclarauon: I hereby alhrm that I have a cenihcate of consent to sell-msure 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
I certify that m the perlormance of the work lor which this permit 1s issued, I shall not employ any person m any manner
rn.-,,r\/Vorkers' Com sation Laws of California.
u1 er arauon: ere ya 1rm t at am exempt rom e ntracto s cense w or t e o owmg reason:
, 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 10 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 peer 9, commencing with Section 7000 of Division 3 of the Business and Professions Code)
or that he is exempt therefrom, a 1n-'"""-i1,1s1s for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit
subjects the applicant to • • n n-fwe-hundred dollars [$500]).
SIGNATIJRE DATE / ~-/
, ..... ~_..=,ure building occupant required 10 submit a business plan, acutely hazardous materials registration form or risk management and
gram under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act?
□ 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?
□ 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 11-IE ANSWERS ARE YES, A FINAL CERTfflCATE OF oa:tJPANCY MAY Nor BE ISSUED AFTER JULY 1, 1989 UNl1'.SS 11-IE APPLICANT
HAS MET OR IS MEETING TilE REQUIREMENTS OF nrn OFFICE Of EMERGENCY SERVICES AND nm AIR POILUTION CX>NTROL DISfRJCT.
9. OONSIR0CnON LENDING AGENLY
I hereby allarm that there 1s a construction lendmg agency for the perlormance of the work lor which this permit 1s issued (Sec 3097(1) CaVII Code).
LENDER'S NAME LENDER'S ADDRESS
to. APPUCAN'I' C£1tmlcAl1oR
I ceniiy tha t I have read ihe appltcauon and state that the above mlormauon 1s correct. I agree to comply with all city ordinances ana 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 AISO AGREE TO SAVE INDEMNil'Y AND KEEP HARMLESS nIE QTY OF CARISBAD AGAINST AU. UABIU11.F.S, JUDGMENTS, CDSTS
AND EXPENSF.S WIUO-1 MAY IN ANY WAY Aa:RUE AGAINST SAID CTIY IN CX>NSF.QUENCE OF 11-IE GRANTING OF nos 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 ti ter the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code).
APPLICANTS SIGNATURE __---;$::.,.,=:::; DATE:/O--/S-:::-? I ,
PINK: Finance
UNSCHEDULED INSPECTION
DATE / 0 -I~ -°r / INSPECTOR (}Li t-e,, --+-• ..........11-----=--------
PERMIT t q 1 -1 3 °L 1 PLANCK # _____ _
Joa ADDREss ~~o I IL a: {],qsC!&M:
TIME ARRIVE: _____ TIME LEAVE: ____ _
CD LVL DESCRIPTION
~ G11--s ,e-sT
PERMITS
6/15/89
ACT COMMENTS
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