HomeMy WebLinkAbout2703 VIA FESTIVO; ; CB931381; Permit12/28/93 09:57
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B U I L D I N G
Job Address: 2703 VIA FESTIVO
Permit Type: PLUMBING
P E R M I T
Suite :
Lot#:
Permit No: CB931381
Project No: A9301986
Development No:
Parcel No: 167-300-50-00
Valuation: O
Construction Type: NEW
Occupancy Group: Reference#: Status: ISSUED
12/28/93
12/28/93
DC
Description : GAS REPAIR
Appl/Ownr : BROWN, ARTHUR PLUMBING
2697 STATE STREET
CARLSBAD, CA 92008
*** Fees Required
Fees:
Adjustments:
Total Fees:
***
27 .0 0
.oo
27.00
***
Applied:
Apr/Issue:
619
Entered By:
729-4914
Fees Collected & Credits
Total Credits :
Total Payments:
Balance Due:
.00
.00
27 .00
***
Fee description Units Fee/Unit Ext fee Data
---------------------------------------------------------------------------
Enter "Y" for Plumbing Issue Fee >
Gas Piping System >
* PLUMBING TOTAL
CITY OF CARLSBAD
1 7 .00
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
20.00 Y
7.00
27.00
PERMIT APPLICATION
City of Carlsbad Building Department
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 EST . VAL. ______________ _
1.
A
B
C
2.
PLAN CIC DEPOSIT, ___________ _
VALID. BY ______________ _
PERMIT DATE _______________ _
COMMERCIAL TENANT IMPROVEMENT
0 INDUSTRIAL QNEII QTENANT IMPROVEMENT
□RESIDENTIAL □APARTMENT QCONDO QSINGLE FAMILY DIIELLING QADDITION/ALTERATION □DUPLEX QDEHOLITION □RELOCATION Q M081LE HOME □ELECTRICAL ~UMBING
QMECHANICAL QPOOL QSPA QRETAINING IIALL QSOLAR QOTHER, _____ _
PLAN CHECK No.
Bu, ld1ng or Suite No.
LEGAL DESCRIPTION Subd1v1sion Name/Nl.llt>er Unit No. Phase No.
CHECIC BELOII If SUIINITTED:
3.
D 2 energy Cales 02 Structural Cales
ASSESSOR'S PARCEL
DESCRIPTION OF WORK
BLDG. S0. FTG. 7
CONTACT PERSON
NAME -::>v~
CITY
SIGNATURE
0 2 Soils Report 0 1 Addressed Envelope
EXISTING use
((2ftN2--
# OF STORIES
STATE
ADDRESS
ZIP CODE DAY TELEPHOHE
PROPOSED use
4. APP 0 Ay~NT FOR CONTRACTOR
'hftlrl. r, NAME
CITY STATE/
6. CONTRACTOR __ 17 NAME s '""'<-Cf S
7.
41 ,,
CITY STATE ZIP CODE
STATE LJC. # ;;i ib-10 / =? / LICENSE CLASS -6,1--,~-=-'L.'-~YJ
SIGNATURE
oes I GNER NAME
CITY
WORKERS' COMPENSATION
STATE
TITLE
ADDRESS
ZIP CODE
DAY TELEPHONE
CITY BUSINESS LIC. #
DATE
DAY TELEPHONE STATE LJC. #
Workers• COl"l1)Cnsat1on Declaration: hereby affirm that I have a cert1ficate of consent to self·1nsure issued by the D1re-ctor of Jndustrutl Relations,
or a certificate of Workers' Coq,ensation Insurance by an actnitted 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 of Exeo.,tion: I certify that in the performance of the work for which this perroit is issued, I shall not eo.,loy any person in any manner
so as to become s lbject to the \lork.ers' Coq,ensation Laws of California.
SIGNATURE DATE
8. OWNER-BUILDER DECLARATION
0Wner-Bu1lder Declaration: I hereby aff1rm that I am exen-.:,t from the Contractor's License Law for the follow1ng reason;
D I as owner of the property or rrry en-.:,loyces with wages as the1r sole Call)Cnsation, wil l do the work and the structure is not intended or offered for sale
(Sec. 704t., Business and Professions Code: The Cont rector I s L 1 cense Law does not apply to an owner of property who builds or improves thereon,. and who
does such work himself or through his own eo.,loyees, provided that such i~rovements are not intended or offered for sale. If, however, the buil ding
or i~rovement ;s sold wi thin one year of C0ff1.)letion, the owner-builder w1ll have the burden of proving that he did not build or 1"1)rove for the purpose
of sale.).
O I, as owner of the property, am exclusi vely contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code:
The Contractor's License Law does not apply to an ~r of property who builds or i~roves thereon, and contracts for such projects with contractor(s)
licensed pursuant to the Contractor's License Law).
0 I am exeo.,t under Section __________ _ Business and Professions Code for th1S reason:
(Sec. 7031.S Business and Professions Code: Any City or County which requires a permit to construct, alter, i~rove, 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, coornencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is ex~t therefrom,
and the basis f or the alleged exeo.,tion. 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 dol I ars CS500J).
SIGNATURE DATE
COMPLETE 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 prevent ion
program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act?
Oves O NO
Is the applicant or future building occ\4'.)Bnt required to obtain a permit from the air pollution control dutrict or alr qualhy management d;str1ct?
Ores □No
1 s the facil I ty to be constructed within 1,000 feet of the outer booodary ot a school site?
QYES
If AMY Of THE AlfS\olcRS ARE YES, A FINAL CERTIFICATE OF OClll'ANCY IIAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS IIET OR IS IIEETING THE REQUIREIENTS
OF THE OFFICE Of ENERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
9. CONSTRUCTION LENDING AGENCY
hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(i) Civil Code).
LENDER 'S NAME LENDER'S ADDRESS
10. APPLICANT'S SIGNATURE
f certify that J have read the appl1cat1on and state that the above 1nformat1on 1s correct. I agree to CQnl>lY with all C1ty ordinances and State laws relat ing
to building construction. I hereby authorize rcpresentat1vcs of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO
AGl!EE TO SAVE INOENIIIFY ANO KEEP HARMLESS THE CITY Of CARLSBAD AGAINST ALL LIABILITIES, JWGIENTS, COSTS ANO EXPENSES IIHICH IIAY IN ANY IIAY ACCRUE AGAINST SAID
CITY IN CONSEQUENCE Of THE GRANTING Of THIS PERMIT_
YELLOW: Applicant PINK: Finance
DAT!! /;2 ~.Jo -1;}
PERMIT • f)Bc? /
UNSCHEDULED INSPECTION
INSPECTOR £4
PLANCX t _____ _
JOB ADDRESS c;)_ 7 0 3 ~~
TI!a ARRIW: _____ TI!a I.EAVE: ____ _
CO LVL
PDXITS
6/15/19
OESClUPTION
' rr
·-
ACT COMMENTS 1£. f;utvh_