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Home My WebLink About2812 VIA PAJARO; ; CB960854; PermitJ of 1 J I _ .: 2812 ,J A PAJARO P'' 'llJI"' N, r·. 1 No= 161 320 2 ,-00 clua1on: 0 c,i :11 cy Group= pt1on: GAS ~fPAIR p w r, r : BAD, CA 920 I( ~ ees Re1 J1red A I r .., P E R f'1 s t t . 0 T Pen, , t o: Po ect N • Oeuelopri ,t l'o= 7456 05/0919..: 000• V .I, 01 02 Co ,..,,t,.. ct 1 on v , = N W Refe ericeH= S ta , ;~F:.1M'f S ,... ? n Appl 1ed= 01/ 9/ .:z" Ap /I<.;"',IJf:>: 0. /0 8 r 1 PC Cred't_ 0 00 27 00 Ext tee 20 00 V 7 00 77 Q() a a APPROVAL INSP. _,L~;;.__ DATE f/ql¾ CLEARANCE ~~r...--~=, CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION PLAN CHECK NO. City of Carlsbad Building Department 2075 Las Palmas Dr., carlsbad, CA 92009 (619) 438-1161 EST.VAL. __________ _ 1. PERMtt' 1YPE PLAN CK DEPOSIT. _______ _ VAIID.BY ___________ _ DATE From List J (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. PRCllECf INFORMA'llON FOR OFFICE USE ONLY Address :2 B J Z, II ,. 0 4-l 'A j<. O Building or Sutte No. 114. r '"'--1 ~ Nearest Cross Street LEGAL DESCRIPTION Lot No. SubchvJS1on Name/Number Unit No. Phase No. CHECK BEWW IF sOBMI 11 Eu: □ 2 Energy Gales □ 2 Structural Gales □ 2 Soils Report D J Addressed Envelope ASSESSOR'S PARCEL EXISTING USE PROPOSED USE DESCRIPTION~F WORK G" ~ 5 L./tJ e, SQ. FT. f>bf,<1-/f.. # OF STORIES # OF BEDROOMS # OF BATIIROOMS 3. WN IXCI Pfil&JN (1f dtfterent from apphcant) NAME (last name first) ADDRESS CI1Y STATE ZIP CODE DAY TELEPHONE 4. APPUCAN 1 LI CON lllACIOR 0 AGEN I FDR CON I RACIOR ADDRESS DOWNER UAGENI FOR OWNER NAME (last name first) CITY STATE ZIP CODE DAY TELEPHONE s. PROPER'IY OWNER NAME (last name first) ADDRESS CI1Y STATE ZIP CODE DAY TELEPHONE 6. cxm'rnACIOR f3~,:s-~ke CD NAME (last name first) ADDRESS CllY &,,,,w/5t,NO STATE ~ ZIP CODE r U)D 1 DAY TELEPHONE c;---3 1J -59 fJ 1 STATE UC.# ~CENSE ClASS ~-Yk CllY BUSINESS UC. # ast name 1rst CllY STATE ZIP CODE DAY TELEPHONE STATE UC. # 1. WOit.RElts' CDMPENSAl10N Workers' Compensauon beclarauon: I hereby all1rm that I have a ceruftcate of consent 10 self-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 Certthcate of Exemption: I certify that m the performance of the work for which this permit 1s issued, I shalt not employ any person m any manner so as to become subject to the Workers' Compensation Laws of Galifomia. SIGNATURE tt6-~"""°-. □ □ □ c arat1on: y a 1rm am exemp rom e e o owing 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 License 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 applicant to a civil penalty of not more than five hundred dollars ($500)). ~GNATURE DATE COMPLE'I E I His SEC! ION FOR NON-RESIDENTIAL BUILDING PEHMI l's 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 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 wilhin 1,000 feet of the outer boundary of a school site? □ YES □ NO IF ANY OF 11-IE ANSWERS ARE YF.S, A FJNAL CERTIFICATE OF ~ANCY MAY NOT BE ISSUED AFTER JULY 1, 1989 lJNU.SS THE APPUCANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POU.UTION OONTilOL DISI1UCT. 9. CDNS'IIWCl10N LENDING AGENCY I hereby af11rm that there 1s a construction lending agency tor the performance of the work tor which this permit 1s issued (Sec 3097(1) CtVJl c&le). LENDER'S NAME LENDER'S ADDRESS 10. APPUCAfH CERrnlCAnON I certify that I have read the appltcat1on and state that the above mlormauon 1s correct. I agree to comply w1Lh all City ordinances and State laws relating to building construction. I hereby authorize representatives of the City of Garlsbad to enter upon the above mentioned property for inspection purposes. I AISO AGREE ro SAVE INDEMNJFY AND KEEP HARMLF.SS nm CTIY OF CAIUSBAD AGAINST AU. UABILfllES, JUDGMENTS, CDSTS AND EXPENSES WlllQI MAY IN ANY WAY ACXllUE AGAINST SAID CTlY IN CDNSF.QUENCE OF TI-IE GRANTING OF 11-llS 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 abandon d at any time afte thew k is commenced for a period of 180 days (Section 303(d) Uniform Building Code). APPUCANrs SIGNATURE DATE: PINK: Finance 0 PERMIT# CB960854 DESCRIPTION: GAS REPAIR TYPE: PLUM JOB ADDRESS: 2812 VIA APPLICANT: BEST SERVICES CONTRACTOR: OWNER: REMARKS: MW/WAYNE/438-3989 SPECIAL INSTRUCT: AM PLS TOTAL TIME: LVL DESCRIPTION CITY OF CARLSBAD INSPECTION REQUEST FOR 05/10/96 PAJARO PHONE: PHONE: PHONE: ACT COMMENTS INSPECTOR AREA PLANCK# CB960854 OCC GRP CONSTR. TYPE NEW LOT: CD 23 PL Gas/Test/Repairs A/!. _______ _ ------------------ ------------------ ------------------ ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS