HomeMy WebLinkAbout2710 VIA ROBERTO; ; CB950563; PermitJ .. L r: I N C, P F. 1-< M I ' P .tm1+-Nn: oc;
05/ 4/ 5 H:43
Pa<r8 l ot 1
Pro--ect No: A
Dr>velc prrent N :
Jo~ Addr~ss : 2710 VIA RLBERTU Suite:
P ".t m1 t 'ype: PLUMBING
Parc""l No: 1o7-50-13-00 Lot#: 1758 05/04/95 0001 01 02
Valuation: c C-PRMT 27 .oo
Conzt-ruct1on Ty1,e: NEW
Occupancy G.t0up: Reference•: Status : ISSUED
Aoplied: 0"'/04/ 5
Apr/I sue: 05/04/
En-te-rel By: RMA
.:>19-72b-2002
Desc~iption: GAS LINE rtE?AIR
ApJ.>l/Ownr : HANNA PLUMBING
Fees;
Adjustments:
Total Fees :
b~3 S SANTA FE AVE
VISTA , CA
Fee description
Enter "Y" fo1 Plum
Ga..: P 1 p1n<r System
, PLUMBING TOTAL
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
.00
. 01
2 7. 0(
Ext fee Data
20.00 Y
7,(10
27 .JO
PERMlj APPLICATION PLAN CHECK NO. er 5 D 5 6 3
City of Carlsbad Building Department
2075 Las Pal.as Dr., carlsbad, CA 92009 (619) 438-1161 FSf.VAL. ____ ....,.... _____ _
t. PERMl'I' 'i"YPE PLAN CK DEPOSIT._k,=:..,7f------
VALID. BY~R,~+.....-~~----
From List 1 (see back) give code of Permit-Type: ____________ _
DATE S/4/qs=
For Residential Projects Only: From List 2 (see back) give
Code of Structure-Type: _____________________ _
Net Loss/Gain of Dwelling Units __________________ _
2. PRQJECT INFORMATION FOR OFFICE USE ONLY
Address L 110 V Io.. Roberfo Building or SU1te No.
Nearest Cross Street
LEGAL DESCRIPTION ti.it No. SubchV1s1on Name/Number Onie No. Phase No.
cAECR BEWW IF s08MII 1£0:
D 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report D 1 Addressed Envelope
ASSESSOR'S PARCEL EXISTING USE PROPOSED USE
DESCRIPTION OF WORK • r-.Po\oce '6t.ction of e.x1s-hnq G\~ \1~ SQ.r't. # OF STO~ # OF BEDROOMS # OF BATIIROOMS
3. WN IACI PERSON (1f dmerenf from applicant)
NAME (last name first) ~no.. 1)\1.,t.m~ or ADDRESS
CITY N£l1A9&itf1'le1 I ij ZIP CODE DAY TELEPHONE
4. APPUCANI OCONIRACIOR J8:,\G£NI FoRCONIRACIOR DOWNER DAGEN! FOR OWNER
NAME (las_t name first) l-lcogesh-oa...+, ~--he-nDRESS lA'3 :J. Sa;,~ re, Ave.,
CITY 0-STATE a._ ZIP CODE DAY TELEPHONE lo/ 7~-2.COZ
• NAME (last name first) Phil\,5 No..u.ca\e.r ADDRESS 2.110 vi0-IZow-b
CITY ~ bb:d STATE C'(A. . ZIP CODE 9 2A') DAY TELEPHONE
6
" ~~ (lase name first) Ho.nY"IO-Ph.,LrY'b\(\3 ADDRESS tA-3 5. '5o.n+o.. R, Av~
CITY V 10-+o.. STATE Co.. ZIP CODE 92.063 DAY TELEPHONE (.ro19) 72.L.-2.002
STATE UC. # UCENSE CIASS (.-CITY BUSINESS UC. #
STATE ZIP CODE DAY TELEPHONE STATE UC.#
Workers' Compensauon beclarauon: I hereby af11rm that I have a ceruhcate of consent to sell-insure issued by the Director of lnduscnal
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).
so as to become subject to the Workers' Compensation Laws of California.
SIGNATURE DATE
A. oWNEk-B0fiDER OFfi.ARA'noN
□
□
□
Owner-Builder Declaration: I hereby afhrm that I am exempt from the Contractor's Lcense 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.).
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)).
SIGNATURE DATE
COMPLETE THIS sEcMON FOR NON-RESIDEN11At 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 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 nm ANSWERS ARE YF.S, A FINAL CER11FICATE OF OCDJPANCY MAY NOf BE ISSUED AJ:,i"ER JULY 1, 1989 UNIBSS THE APPUCANT
HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICFS AND THE Am POIJ..UTION OONTilOL DISTIUCT.
9. 00NSIR0Cl10N ll'.NOlNG AGENCY
I hereby alb rm that there 1s a construction lending agency for the performance of the work for which this permit 1s issued (Sec 3097(1) CIVli Code).
LENDER'S NAME LENDER'S ADDRESS
10. APPUCAN I CER I lFICA 110N
I cerufy that I have read the apphcauon and state inat the aoove mformauon 1s correct. I agree to comply w1in all C1ry 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 1U SAVE INDEMNIFY AND KEEP HARMLF.SS 1HE 01Y OF CAlUSBAD AGAINST All. IJAB!llTIF.S, JUDGMENTS, CDSTS
AND EXPENSE'; WJ-DCH MAY IN ANY WAY Acx:RUE AGAINST SAID Cl'lY IN OONSEQURNCE OF THE GRANTING OF TI-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 susiiended or abandoned at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Buildi"JJ:ltf:
AP~~ DATE: ;5"1 '5
WHITE: File YELl..OW: Applicant PINK: Finance
0
----tlJ!SQl!!DYL.IP IMS PICOU QM ~
OATl __ s-_~_s--_~9_:::>___ INSPIC'TOR __ J.d__ _________ _
PERMIT •-------PUNCJt •------
J'OB A001l!SS __ ;J_7_{ __ 0 __ l/.....;l;.;,.,A--;..___r2v ___ ,.~~~--------
TIMZ AJUlIVZ: _____ TIMI t.EAVI: _____ _
CO LVL OISCJtIPTION
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