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Home My WebLink About2802 VIA RICARDO; ; CB941260; Permit10/07/94 10:05 Page 1 of 1 B U I L D I N G Job Address: 2802 VIA RICARDO Permit Type: PLUMBING P E R M I T Suite: Lu t#: Permit No: CB941260 Project No: A94018U3 Development No: Par cel No: 167-330-19-00 Valuation: O Construction Type: NEW Occupancy Group: Reference#: Status: ISSUED Description: GAS REPAIR Appl/Ownr : ERIKS PLUMBING 1725 CAMEO DRIVE VISTA, CA. 92083 Fees Required Fees: Adjustments: Total Fees: Fee description *** 27 .00 .00 27.00 Enter "Y" f or Plumbing Issue Fee > Gas Piping System > * PLUMBING TOTAL 8998 10Ju1AAid1 o101<02 /9 4 Apr/IssOflHU0/07/g~.OO 619 Entered By: MDP 941-9171 Fees Collected & Credits Total Credits: Total Payments: Balance Due: .00 .00 27 .00 *** Units Fee/Unit Ext fee Data 1 7.00 20.00 Y 7.00 27.00 CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 • PERMIT APPLICATION City of Carlsbad Building Departae'lt 2075 Las Palms Dr .• carlsbad, CA 92009 (619) 438-1161 t. PERM.IT 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. PROJECf INFORMA110N Address 2.-£0 '2-. V,A-R lC-~ing or Suite No. Nearest Cross Street ~ A-tv CL ~l,._J <:::J o-? LEGAL DESCRIPTION Lot No. subd1v1S1on Name/Number CHECK BEWW IF sOBMI I I Eb: D 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report D 1 Addressed Envelope ASSESSOR'S PARCEL EXISTING USE DESCRIPTION OF WORK Pl.AN CHECK NO. FSf.VAL. ___________ _ PLAN CK DEPOSIT ________ _ VAIID.BY ___________ _ DATE FOR OFFICE USE ONLY Unit No. Phase No. PROPOSED USE # OF BEDROOMS # OF BATIIROOMS I NAME (last name first) crrYcA--!20~a-.O STATE CA ADDRESS CITY STATE ZIP CODE DAY TELEPHONE CITY STATE ZIP CODE DAY TELEPHONE 6. mN'mACIUR ;e__Jif£J!.A. 1 £/c{fc.._ ADDRESS /77.-S-Cfa-~t:::= Q--2 NAME (last name first) CITY II l :> .,-A-STATE CA-ZIP CODE o/p,Ob°3oAYTELEPHONE o/..;:./ _c;/ 7 / STATE UC. LICENSE CLASS C ~ l <-CITY BUSINESS UC. # ast name 1rst CITY STATE ZIP CODE DAY TELEPHONE STATE UC. # 1. WORKERS' mMPERsA'i1ON Workers' Compensation Declarauon: I hereby affirm that I have a cemltcate of consent to sell-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 Ceruhcate of Exemption: I ceruly that m the performance of the work for which this permit 1s issued, I shall not employ any person many manner so as to pbject to ~e Workers' Compensation Laws of California. g_s:,cw~~!ifunnm~o~i; DATE ✓crzl9 y Owner-Builder Declarauon: I hereby affirm that I am exempt from the Contractor's License Law for the lollowmg reason: D 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, a lter, 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]). SIGNATIJRE DATE COMPLE'i Enns SECTION FOR NON-RESIDENTIAL BOILbiNG PERM[ l's ONLY: Is the applicant or future building occupant required co 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 ONO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ YES ONO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ YES ONO IF ANY OF TI-IE ANSWERS ARE YES, A FINAL CER"IlFICATE OF OCCUPANCY MAY NOf BE IS.SUED AFfER JULY 1, 1989 UNLESS TI-IE APPUCANT HAS MET OR IS MEETING 1HE RF.QUDlEMENTS OF 11-IB OFFJCE OF EMERGENCY SERVICES AND TI-IE AIR POU.\ITION CDNTROL DIS11UCT. 9. mNS'I R0Cl10N LENDING AGENCY I hereby affirm that there 1s a construction lending agency for the performance of the work tor which this permit 1s issued (sec 3097(1) CIVli Code}. LENDER'S NAME LENDER'S ADDRESS lo. APPUC:AfH CfiltnFICAIION I certify that I have read the appltcauon and state that the above mlormanon 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 ro SAVE INDEMNIFY AND KEEP HARMLESS THE CTIY OF CARL5BAD AGAINST All. UABIIIl1ES, JUDGMENTS, CDS'l'S AND EXPENSES wmrn MAY IN ANY WAY ACXJUJE AGAINST SAID CTIY IN CDNSEQUENCE OF THE GRANTING OF n-ns 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 at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Buildin e) APPUCAN1"S SIGNATURE ' • <-DATE: f-r 0 UMSCHEDQU:Q INSP!c;TIQM CATI l6[ J/ Ct X INSPECTOR __________ _ PERMIT t &1,~-I~ PI.ANCX t _____ _ JOB ADDRESS ::z_8o"L (J 1 ~ TIKI ARRIVE: _____ TIKI t.EAVI: _____ _ CO LVL DESCRIPTION PDlllft t/15/lt - (i;AS. v4pA C Tl ACT COMMENTS f:_ fl(ll~