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HomeMy WebLinkAbout2760 VICTORIA AVE; ; CB961029; PermitB U I L D I N G Ob/07/lb 14:48 Page 1 of 1 1 Job Address; 2760 VICTORIA Permit Type: PLUMBING Parcel No: 167-490-2b-OO Valuation: o AV P E R M I T Suite: Lot#: Permit No: CB~bl029 Project No: A9601468 Development No: 7939 06/07 /96 0001 01 02 Occupancy Group: Reference#: Construction Type,M'flEW 27 .00 Status: ISSUED Applied: Ob/07/96 Apr/Issue: 06/07/96 Entered By: RMA 619-630-8700 Description: NEW GAS LINE TO STOVE & SPA Appl/Ownr : SUNSET PLUMBING P.O. BOX 295 VISTA CA 92085 I< I< le Fees Required Fees: Adjustments: Total Fees: .00 ,00 27.00 I<* I< Fee description Ext fee Data Enter "Y" for Plumb'ng Gas Piping System j. PLUMBING TOTAL f\NJ\l A1 ..., • INSP. J2 -~ CLEARANC~ - CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 20.00 Y 7.00 27 .00 ) PEiOflT APPLICATION PLAN CHECK NO. City of Carlsbad Building Department 2075 Las Pal111as Dr., Carlsbad, CA 92009 (619) 438-1161 i. pERMJ I IYPE From Llst 1 (see back) give code of Pennit-Type: ____________ _ --------------------------····· .. ·-----------·------------ For Residential Projects Only: From List 2 (see back) give Code of Structure-Type: _____________________ _ Net Loss/Gain of Dwelling Units __________________ _ 2. PROJECT INFORMA110N FOR OFFICE USE ONLY Building or Suite No. Nearest Cross Street ~l1PA-O 1'11/~ Pd , Unit No. Phase No. CECAL DESCRIP1 ION Lot No. SubchV1s1on Name/Number cAECR BEWW IF sOBMI 11 Eb: □ 2 Energy calcs □ 2 Structural Cales □ 2 Soils Report 0 1 Addressed Envelope ASSESSOR'S PARCEL DESCRIPTION OF WORK .:IAJS~I/NCr-µeA.J P.1:: t1;51JNG us~ PROPOSED USE SQ. FT. # OF STORIES # OF BEDROOMS # OF BAH:IROOMS 3. WN IACI PERSON (11 dulerenl from applicant) NAME (last name first) WtNC J;:¥tv10 ADDRESS /'b 6 .,K 2.9r- ~,c.1~ ;r f¥-v/ff/3/rt £,- CITY V,.S ~(~-STATE CA-ZIP CODE 9-z.o ~ ..),-DAY TELEPHONE /,P:J'O "8 700 4. APPUCANI O ON IHACIOll DAGEN I FOR CON IRACIOll DOWNER DAGEN! FOR OWNER NAME (last name first) ~ C ADDRESS CITY STATE ZIP CODE DAY TELEPHONE 5. J>HOPffit'IY OWNEI( ==ss1e-e. ,El,</ V/ .D :27,,. __,, ,.,,.,_ ...... _,...., NAME (last name first) oc; • ADDRESS <-v .-, -l'""'L ..--, .,,.....,,e- CITY ~s.73Aof' STATE ~ ZIP CODE '77-.!:o y DAY TELEPHONE 6. OONTitACIOR NAME (last name first) _>l/.;(.)SE/ R-v ~ 131 ""Gr-ADDRESS CITY J/t5r,;r STATE ("'4 ZIP CODE qzo Vs-DAY TELEPHONE b 3 V ~ 7 0 0 STATE UC. # C,if ?b07 LICENSE CLASS C 3 C:> CITY BUSINESS UC. # t •2 O z SO f=> DESIGNEH NAME (last name lirs1J ADDRESS CITY STATE ZIP CODE DAY TELEPHONE STATE UC.# 1. WOilRT-:lts' 00Ml>ENsA11ON Workers' Compensa11on Deciara11on: f hereby all1rm lhat I have a cer11llca1e ol consent 10 sell-insure issued by the Director of lndustnal Relations, or a certificate of Workers' Compensation Insurance by an admi1ted insurer, or an exact copy or duplicate thereof certified by lhe Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C). C'AL; ,:-, Ce. Nf,PeN~-n~.,,,, .:i:;v~ Cv • 6,95"1½ IIIC'/"3 INSURANCE COMPANY POLICY NO. EXPIRATION DATE /0 -7 -5' b Cerulicate of Exempllon: I ceruiy that m the perlonnance ol the work for which this penn1t 1s issued, I shall not employ any person m any manner so as to become subject to the Worker..' Compensation Laws of California. SIGNATURE DATE A. OWNEll-B0fiDIDl bEU.ARA'llON Owner-Builder Declarauon: I hereby ailirm that I am exempt from the Contractor's License Law for tfie iollowmg reason: □ LI 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.). 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 pennit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such pennit 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 pennit subjects the applicant to a civil penalty of not more than five hundred dollars ($500]). SIGNAWRE DATE COMPLETE TFIIS SECiioN FOil NON-RESIDENTIAL BUILDING PEHMilS ONLY: Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration fonn or risk management and prevemion program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Accounl Act? □ YES ONO Is the applicant or future building occupant required to obtain a pennit from the air pollution control district or air quality management district? □ YES ONO Is the faciliry to be constructed within 1,000 feet of the outer boundary of a school site? □ YES □ NO rF ANY OF TIIR ANSWE.RS All£ YFS, A l:iNAL CE1l1WICATE OF OCX.."UPANCY MAY NITT BE ISSUED AFllill JULY I, 1989 UNLESS 111F. APPLICANT I IAS MET Oil lS MEE'JlNG ·11 m llF.QUUlF.MENTS OF 11 IE O1'1-lCE OF EMERGENCY SEllVIcts AND 111.E Am POU.U110N OON"l1lOL DISl1UCT. 9. OONS lltoCIION LENDING AGENCY I hereby ail1rm that there 1s a construcl1on lending agency for lhe perlormance ol the work for which this pennu 1s issued (Sec 3097(1) CIVIi Code). LENDER'S NAME LENDER'S ADDRESS 10. AJJPUCAN I emu 0-ICA IION I ceruly that I have read the apphcauon and state that the above inlorma11on 1s correct. I agree to comply with all City ordinances and Slate laws relating 10 building construction. I hereby authorize representatives of the City of carlsbad to enter upon the above mentioned property for inspection purposes. I Al.50 AGREE 10 SAVE IND1™Nll'Y AND KEEP HARMLESS 111£ CTIY OF CARJ.SBAD AGAINST AU. UABlUl1ES, JUDGMENTS, CDSTS AND EXPENSES WIU□I MAY lN ANY WAY Aa:RUE AGAINST SAID CTIY IN OONSEQUENCE OF TIIE GRANTING OF nus PERMIT. OSHA: An OSHA pcnnit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Expiration. Every permit issued by e B ldi fficial under he provisions of this Code shall expire by limitation and become null and void if the building or work authorized bys pc it s n t commenced ithin 365 days from the date of such pennit or if the building or work authorized by such pcnnit is suspended or aba i:lon at n t the ork is commenced for a period of 180 days (Section 303(d) Uniform Buil2_ing,Cod}: APPLICANT'S SIGNATURE ,,._--..._~ DATE: _-_0_ -:~- PINK: Finance 0 J PERMIT# CB961029 DESCRIPTION: NEW GAS LINE TO TYPE: PLUM CITY OF CARLSBAD INSPECTION REQUEST FOR 06/14/96 STOVE---& SPA (vtvv~ AV STE: INSPECTOR AREA PLANCK# CB961029 OCC GRP CONSTR. TYPE NEW LOT: JOB ADDRESS: 2760 VICTORIA APPLICANT: SUNSET PLUMBING CONTRACTOR: PHONE: 619-630-8700 PHONE: OWNER: PHONE: REMARKS: MW/DAVE/630-8710 INSPECTORP __________ _ SPECIAL INSTRUCT: PUMPED UP AND READY SIDE GATES UNLOCKED TOTAL TIME: CD LVL DESCRIPTION 23 PL Gas/Test/Repairs -------------------- ACT ;zff_ COMMENTS :Pj#!W' '~ A! ------------------ ------------------ ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS