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Home My WebLink About2702 VIA JUANITA; ; CB900570; PermitB U I L D I N G P E R M I T 04/09/90 12:39 Page 1 of 1 Job Address: 2702 VIA JUANITA Permit Type: PLUMBING Str: Permit Project Development Fl: Ste: l. o-+, ~J No: CB900570 No: A9000673 No: .1. 01 ✓} KMr 10.00 Parcel No: 167-310-23-00 Valuation: 0 Construction Type: NEW Occupancy Group: Class Code: Status: ISSUED Description: GAS REPAIR CONTRACTOR OWNER LEUCADIA PLUMBING 137 CADMUS LEUCADIA CA 92024 DOMINGUEZ, CONSTANCE 2702 VIA JUANITA CARLSBAD CA 92008 *** Fees Required *** *** Fees : Adjustments : Total Fees: Fee description Enter "Y" for Plumbing Gas Piping System * PLUMBING TOTAL 10.00 .00 10.00 Applied 04/09/90 Apr/Issue 04/09/90 Validated By: JPY Lie. C NO 942-8170 Lie. 729-6368 Fees Collected & Credits *** Total Credits: Total Payments: Balance Due: Units Fee/Unit 1.00 2.50 .00 .00 10.00 Ext fee Data 7.50 Y 2.50 10.00 CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 PERMIT APPLICATION City of Carl s bad Building Department EST. VAL, ______________ _ 2075 Las Pal mas Or., Carl s bad, CA 92009 (619) 438-1161 PLAN CK DEPOSIT ___________ _ 1. PERMIT A COMMERCIAL B D INDUSTRIAL ONEIi C D RESIDENT !AL D APARTMENT □DUPLEX 0 0EMOLI T I ON 0 MECHAM I CAL □POOL TENANT IMPROVEMENT 0 TENANT IMPROVEMENT OCON0O □SINGLE FAMI LY DIIELLING OADOITION/ALTERATION □RELOCAT ION OMOSILE HOME □ELECTRICAL □PLUMBING OSPA □RETAINING IIALL □SOLAR VALID. BY ______________ _ DATE _______________ _ 2. PROJECT INFORMATION PLAN CHECK No . ,__, ~e~ 02-I A :::ru ~U I TA Hearest Cross Streets LEGAL DESCRIPTION Lot No, Subdi v1 s ion Name/Nu,ber Unl t No. Phase Mo. CHECK BELOJ I F SUBIIITTED: 3. D 2 Energy Cales 02 Structural Cales ASSESSOR'S PARCEL 0 2 Soils Report D 1 Addressed Envelope EXISTING USE PROPOSED USE 'Co~ACT PERSON , -r-" u NAME(.;ltVS~Lt.,/h i'.)c~uJ<i,t.t,E..L AooREss~7o~ v,·~ ·.) "t..4-.cl~,'4 CITY C,lf-.(Jf./)4"{) STATEO,f, ZIPCOOE 'f,9_tJC0 OAYTELEPHONE1~9-~~68 SIGNATURE 0 AGENT FOR CONTRACTOR AOORESS~ STATEfil'/• ZIP COOE ~ , _..,, □.A~,(OR OIINER &?;. Yi 4 ~l( ~-,1 ~J ;t '.:)_ ()/)8 DAY TELEPHONE 7. ~ ~ ,rl -□LESSEE □TENANT ADDREss;/_? 1t 2., J J ft--~l{ Jt-lllf/J- z IP COOE 9; oqfj DAY TELEPHONE STATE 6. CONTRACTOR , NAME L '-c<,1(-~ /\. Piv"""6,¾., AooREss / J l c,-,..,,.., n ZIP COOE '7' µ.l Y CITY i.~c/./P /). STATE C4,_ 0AY TELEPHONE ~ STATE SIGNATURE ,~c~ LIC. LICENSE CLASS C,.. ]{ C--'<J CITY BUSINESS LIC. # DATE oes I GNER NAME ADDRESS '-.. CITY STATE ZIP COOE 0AY TELEPHONE STATE LIC. # 7. WORKERS' COMPENSATION Workers• Corrpensat1on Declaration: hereby affirm that I have a cert ificate of consent to self-1nsure 1ssued by the 01rector of Industrial Relations, or a certificate of Workers• COff1:)ensation Insurance by an actnitted insurer, or an exact copy or duplicate thereof certified by the Director of the 8 . insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C). I NSURANCE COMPANY FvAA:J POLICY NO. Certificate of Exeq>tion: I certify that in the performance of the work for which this permit 1s issued, I shall not en-ploy any person in any manner so as to become subject to the ~ork.ers • Corr.,ensat ion Laws of California. SIGNATURE DATE OWNER-BUILDER DECLARATION Owner-8u1\der Declaration: t hereby aff1rm that I am exempt from the Contractor's License Law for the following reason: 0 I as owner of the property or my e"l)loyees with wages as their sole compensat1on, will do the work and the structure is not intended or offered for sale csec. 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 effl)loyees, provided that such iffl)rovemcnts are not intended or offered for sale. If, however, the building or improvement is sold within one year of cOll'1)letion, the owner-builder will have the burden of proving that he did not build or irrprove for the purpose of sale.). 0 1. 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 i"1)roves thereon, and contracts for such proJects with contractor(s) licensed pursuant to the Contractor Is License law). 0 I am exefll)t under Section __________ _ Business and Professions Code for thls reason: (Sec . 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, irrprove, 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, conmencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is exefl1)t therefrom, and the basis for the alleged exenl)tion. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not dollars [$50 J ). SIGNATURE DATE COMPLETE THIS SECTI ON FOR NON·RESI0ENTIAL 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? □YES □No Is the applicant or future bu1lding occupant required to obtain a permit from the air pollution control d1strict or air quality management district? OrEs O•o Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □YES IF ANY OF THE ANS\IERS ARE YES, A FINAL CERTIFICATE OF OCaJPANCY NAY NOT BE I SSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES ANO THE AIR POlLUTIOII CONTROL DISTRICT. 9. CONSTRUCTION LENnING AGENCY hereby affirm that there is a construction lending agency for the performance of the work for wh1ch this permit is issued (Sec 3097(i) Civil Code). LENDER 'S NAME LENDER'S ADDRESS 10. APPLICANT'S SIGNATURE I certify that I have read the appl1cation and s tate that the above information is correct. I agree to ccxrpty w,th all C1ty ord1nanccs and State laws relating to building construct,on. I hereby authorize representat ives of the City of Carlsbad to enter upon the above mentioned property .f.Gi, inspection purposes. I ALSO AGREE TO SAVE IN0EMNI FY ANO KEEP HARMLESS THE CI TY OF CARLSBAD AGAINST ALL LIABILITIES, JWCMENTS. COSTS AND EXPENSES IIHICH NAY IN ANY IIAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. Expiration. Every permi t issued by t he Building Official under the provisions of this Code shall expire by limitation and bccOf'l'IC null and void if the building or work author1zcd by such pcrm1t 1s not coomcnced w1thin 180 days from the date of such permit or if the b!J1ld1ng or work. authorized by such pcrm1t is suspended or abandoned at any time after the work 1s conmenced for a period of 180 days (Sect ion 303(d) Un1 form Bu1 ld1ng Code). 0 BY PHONE APPROVED BY: _______ _ DATE: __________ _ YELLOW: Applicant PINK: Finance