The URL can be used to link to this page

Home My WebLink About2525 VIA ESPARTO; ; CB972233; Permit08/07/97 16:49 Page 1 of 1 B U I L D I N G Job Address: 2525 VIA ESPARTA Permit Type: PLUMBING P E R M I T Suite: Lot#: Permit No : CB972233 Project No: A9702813 Development No: Construction Type: Parcel No: 167-400-01-00 Valuation: O Occupancy Group: Reference#: Statu s : NEW ISSUED 08/07/97 08/07/97 RMA Description: GAS LINE REPLACED : GARAGE AND HOUSE BETWEEN Appl/Ownr : REASONS, COLLEEN 2525 VIA ESPARTA CARLSBAD CA 92008 *** Fees Required *** Fees: Adjustments: Total Fees: 27.00 .00 27.00 *** Applied: Apr/Issue: 760 Entered By: 434-6582 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 20.00 Y 7.00 Gas Piping System * PLUMBING TOTAL 27.00 APPROVAL ~~ DATE t-/5·1Z CLEARANCE _____ _ CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 'ERMIT APPLICATION FOR OFFICE USE o;JL Y I) 3 3 PLAN CHECK NO.~ J2 F ~ CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 EST. VAL. _________ _ (760) 438-1161 Plan Ck. Deposit ------,----- Validated By~"T""---,----,.,.-"''----- Date, ___ lf-+--f-1'6-t'--,,q...----- me let this address) Unit No. Phase No. Total I of units Existing Use Proposed Use SO. FT. lot Stories I of Bedrooms II of Bathrooms Name Address City r:i., APPLICANT -0 Comracior "tJAgent for ~actor ~EJ15wnir'V0 ,lg~ni for Ownir ... •-:ii,r,;i:i:- Telephone I Fax II Address City State/Zip Telephone I Name Address 6. CONTRACTOR -COMPANY NAME___.... (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, commending 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 1$500)). Name Address City State/Zip Telephone I State License I _________ _ License CIISs _________ _ City Business License I _______ _ Designer Name Address City State/Zip Telephone State License I _________ _ 6. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: O I have and will maintain a certificate of consent to sell-insure for workers' compensation IS provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. O I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My worker's compensation Insurance carrier and policy number are: Insurance Company_____________________ Policy No._____________ Expiration Date _______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) O CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Fallur cover• la unlawful, and ahall aubject an employer to criminal panaltlaa and civil fines up to one hundred compensation, damages •• provided for In Sactlon 3706 of tha L~ cocJa, Interest and attorney'• fHa. SIGNATURE'_j,---=-...::::::1:~1:.::~~=----1-..1.-&~~~~::s:z..--------DATE 4 a L t:J z x-7. OWNER-BUILDER DECLARATION 1 • .. • I hereby affirm that I am exempt from the Contractor's License Law for the following reeson: 0 I, as owner of the property or my employees with wages IS 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. II, 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). O I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business end 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) licen■ed pursuant to the Contractor's Licmse Law). 0 I am exempt under Section ______ Business and Professions Code for this re1Son: 1. I personally plan to provid• the major labor and materials for construction of the proposed property improvement. 0 YES ONO 2. I (have / have not) signed an application for • building permit for the proposed work. 3. I have contracted with the following person lfirml to provide the proposed construction (include name / address / phone number / contractors license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone number/ contractors license numberl:. ______________________________________________ _ !; wolr:t" provide some of the wo'Xave contracted {hire~sons to provide the work indicated (include n~• / ~dress / phone number / type PROPERTY OWNER SIGNATURE Wlu4« ~ t1 /7.z;; z :coMPLETE THIS SECTION FOR NON-RU/DEN11Al.'11uilb.i.o PERMITi ONLY••· ,1 •-";•'~"' •• ~ r.... ~ ,~ :; ... : ' • 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 26505, 25633 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES O NO Is the applicant or future b1.,ilding occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of • school site? 0 YES O NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES ANO THE AIR POLLUTION CONTROL DISTRICT. I hereby affirm that there is a construction lending agency for the performance of the work for which this permit Is luued (Sec. 3097(1) Civil Code). LENDER'S NAME _____________ _ LENDER'S ADDRESS _______________________ _ I certify that I have read the application and state that the above Information Is correct and that the information on the plans Is accurate. I agree to comply with all City ordinances and Stata laws relating to building construction. I hereby authorize reprnentatives of the Citt of Carlsbad to enter upon the above mentioned property for Inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY ANO KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit Is required for excavations over 5'0" dHp and demolition or construction of structures over 3 stories In height. EXPIRATION: Every permit issued by the Building Official under e provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit i ot commenced within 36 a from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time afte od of 180 days (Section 106.4.4 Uniform Building Codel. -~ APPLICANT'S SIGNATURE ~:t:t:.:G::!Ll?.:::..~-IL~~~~~~i;,....,....________ DATE "'!'/7 /)7 z ••1111Tr-, c :1,. vc,, nv.,, f\...,..,,;,..=-... • Olf\JV· t:in,nro t~~ \DIAVY\~ <2/~t UNSCBf:PUI1ED BW1DING INSPECTION INSPECTOR _\?~a~!~CT>=::::;.._ ____ _ PER.MIT# -----PLAN CHECK# ____ _ 10B ADoRESs -~~;..wch5~ ____ v.=s~~:.-lae;;:;;;:a___.T-=o---------------- oEsCRIPTioN _G>=-a~-~-➔ ~;...=,--=~fL>R~~~~· -=------------ TI~ ARRIVE: -----TIME ____ _ CODE DESCRIPTION ACT COMMENTS -----& ~~Arv