HomeMy WebLinkAbout2502 VIA ROJO; ; CB961602; PermitB U I I. D I N G PERM I" Permit N>: CB96 ~
ProJe·t No: A960~l9
Development N :
tl/-B/96 13:1':>
Page 1 of 1
Job Audre..,s: 2502 VIA ROJO
Perm1 t Tvpe: PLUMB.ING
Parcel No: 167-411-05-00
Valuat1on: o
Occupancy Group:
Description: REPAIR GAS LINE-TAKE
: UNDER PATIO SLAB
Appl/Owt r : BEST SERVICE CO
5360 EL ARBOL
CARLSBAD CA
Fees Requ ll: ed
Fees:
Acl Justments:
Total Fees:
Fee desci:1pt1on
Enter "Y for Plu,
Gas Piping System
* PLUMBING TOTAL
o..>Ul te:
Lot#:
Reference#:
OU'!' FROM
619
I
C
CITY OF CARLSBAD
9350 08/28/96 0001 0t
C
Construction Type:
Statu..,:
Applied:
Apr/I~sue:
Entered By:
438-3989
NfW
ISSL-ED
08/28/96
08/28/96
RMA
.00
.OU
27.00
A A •
Ext fee Datd
20.0C Y
7.00
2.7.(0
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
--
PERMr.I' APPLICATION
City of carlsbad Building Department e . . PLAN CHECK NO. q, ( hiJ ;L
2075 las Pal-Dr., carlsbad, CA 92009 (619) 438-1161
i. PERMt'i IYPE
From List 1 (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. PRQJF.CT INFORMATION FOR OFFICE USE ONLY
Address e OJ l) Building or sune No.
Nearest Cross Street
LEGAL btscRIPiioN lot No. SutxhVlston Name/Number Um1 No. Phase No.
cAEcR BEWW IF sOBMI I I ED:
□ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope
DESCR1PTION OF WORK b ,?S f: e,p14 ,' .e.,
SQ. IT. # OF STORIES
3. WN IACI PERSON (11 different from apphcan[J
NAME (last name first) ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE ◄. APPUCAN"i IGeOJCi I RAC !OR O AGEN I FOR CON I RAC !OR UUWNt.K DAGEN! FOR OWNER
NAME (last name first) j? t!!-5 r l,V ,q.-y tv e__ ADDRESS
CITY t!),11-ff,(56~-,;, STATE ZIP CODE
55tl> bf' /7-nio I
~ " DAY TELEPHONE 5 $ -$' 9 ff
NAME (last name first) f/!<>5r-,'fv7S
STATE h.,
ADDRESS 2, > D D ).41,f: e.. f}-,,,-elc f.,,-/
6-~~ponr ZIP CODE 92,-6/? l) DAY TELEPHONE 7 / 'f--_5,f--$ -Z4-t >'
-::s-~/( e Co ADDRESS S°5" 6 ° £/' ~" t. _j5c:5r
STATE~-
NAME (last name first)
CITY ZIP CODE lfj µo ,! DAY TELEPHONE ~~tf'--~'J J7J
STATE UC.# 2 2-LICENSE Cl.ASS C-Zt:J C~ ~ CITY BUSINESS UC. # 7/ 5 .> d 0
as1 name 1rs1
CITY STATE ZIP CODE DAY TELEPHONE STATE UC.#
1. WdR.KERS' mMPENsAlidN
Workers' Compensauon beclarauon: I hereby all1rm that I have a cerulicate of consent 10 sell-insure issued by the b1rec1or ol lndusmal
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
Cerulicate of Exempuon: I certtfy that in the performance of the work for which this permit 1s issued, I shall not employ any person in any manner
so as 10 become subject to the Workers' Compensation Laws of California.
8. s~;~~;f.~t~~ATE k -zt;lf t,
Owner-Builder Ucclarauon: I hereby ali1rm that I am exempt from the Contracfo?s License Law for the following 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.).
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 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 10 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]).
SIGNATIJRE DATE
COMPLElt mis SECll0N FOR N0N-RESlbENTIAL BU!LDlNG 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? 0 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 within 1,000 feet of the outer boundary of a school site?
□ YES □ NO
IF ANY OF THE ANSWERS ARE YFS, A FINAL CERTIFICATE OF cxx:uPANCY MAY NOf BE~ AFI'ER JULY 1, 1989 UNU:SS THE APPLICANT
HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POILUTION OONTROL DlSl'RICT.
9. WNSlituCnON ll'.Numc AG£Ntv
I hereby affirm that there IS a construcuon lending agency tor the performance of the work tor which this permit 1s issued (sec 3097(1) CIVIi Code).
LENDER'S NAME LENDER'S ADDRESS
10. APPUCAN I C£kiiFICl\110N
I cerufy that I have read the applicauon and stale that the above mlormauon 1s correct. I agree to comply with all City ordinances and 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 ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CTIY OF CARLSBAD AGAINSf AIL UABILITIE.5, JUDGMENTS, CDSTS
AND EXPENSES WlllOI MAY IN ANY WAY Acx:RUE AGAINSf SAID CTIY IN OONSEQUENCE OF THE GRANTING OF nns 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 pennit 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 a any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Buildin Code .
APPUCANl"S SIGNATURE DATE:.=L...::.~,t..J..6
PINK: Finance ,. ._.,
CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT# CB961602 FOR 08/29/96
DESCRIPTION: REPAIR GAS LINE-TAKE OUT FROM
UNDER PATIO SLAB
TYPE: PLUM
STE:
INSPECTOR AREA
PLANCK# CB961602
OCC GRP
CONSTR. TYPE NEW
LOT: JOB ADDRESS: 2502 VIA ROJO
APPLICANT: BEST SERVICE CO
CONTRACTOR:
PHONE: 619 438-3989
OWNER:
REMARKS: MW/WAYNE/438-3989
SPECIAL INSTRUCT: PG 966-8501
:~g:: ~ /JI~ /J/J
INSPECTM~'----4.,;-~--------
NO GAS SINCE MON/PAGED HIM AT 1PM TO SEE IF READY/N/A
TOTAL TIME:
--RELATED PERMITS--
LVL DESCRIPTION
PERMIT# TYPE
CB960220 PLUM
STATUS
ISSUED
ACT COMMENTS CD
23 PL _G_a_s_l_T_e_s_t_l_R_e_p_a_i_r_s _______ 1f__ A ,} In--
***** INSPECTION HISTORY*****
DATE DESCRIPTION ACT INSP COMMENTS