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Home My WebLink About1001 PINE AVE; MULTI-PERMIT FILE; CB960982; PermitI U/- J C' B U I L U :L N 6 P E P 11 IT Permit No: CB960902 106/03/96 15:07 Project No: A960139E3 Page 1 of 1 Development No Job Address : 1001 PINE AU Suite: Permit Type: PLUMBING 4u 06,'03/96 0001 01 Parcel No Lot#: 02 Val ua tion: 0 Construction Type: UN Occupancy Group: Reference#: Status: ISSUED Description , REPLACES PERMIT C596"-890 i Applied 06/03/96 C696-861 Apr/I.M06/0 3/96 Entered By t MDP 13 00 A1::p 1/0rtr LLOYDS PLUMBING 619 735-9050 301 H WEST EScONDIDO, CA, 92026 Fees Required ,, e; 1ec ted & Credits -. .• • -e-_ 8• 70 Ajj \.kr—\' ~~k djustments CO) \) To a1\1i.:.\ .00 - t _\ \ Total r-ee ) .'t ... i \ - d- - -S.'-. .. i I _: c,j añç -4&ir 3300 Fee description / , / fl.4k its F' , Ext fee Data -- -- -. - -- -- - - -- -- - ............."- ------------------------- -- -- -- - -- - .........---..-- IC7 Enter "V' for P1 urrib \)2 \ 20 .00 Y Gas Piping Systeri A , \ 700 Other k1 / 6/00 6.00 OUTLETS * PLUMBING TOTAL 'V \ / "--" 3300 flW APPROVAL I N SP ______ DATE 1L CLEARANCE CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMiT APPLICATION -- City of Carlsbad Building Department 2075 Las PaLmes Dr., Carlsbad, CA 92009 (619) 438-1161 PLAN CHECK NO. ~ (~,^ Ct Y:? — EST. VAL PLAN CV. DEPOSIT______________ VALID. BY DATE From List I (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. PROJECT INFORMATION FOR OFFICE USE ONLY Address A z Building or Suite NT Nea rest Cross Street CHECK BELOW IF SUBMITTED: 02 Energy Calcs 02 Structural Calcs 02 Soils Report 0 1 Addressed Envelope ASSESSOR'S PARCEL EXISTING USE PROPOSED USE DESCRIPTION OF WORK .._- ) AC ( SQ. FT. # OF STORIES # OF BEDROOMS # OF BATHROOMS GUN IALT PERSON (ii different [rom applicant) NAME (last.name first) S ADDRESS ?o CITY STATE NAME (last nanN1rst) \ c- CITY (Z( .çt ) STATE C4— ZIP CODE e7 ' Q'2 (,,. DAY TELEPHONE q 0 PROPERTY OWNER NAME (last name first) ':f.3-fc4-:L?2).g ADDRESS CITY STATE ZIP CODE DAY TELEPHONE (X)NTRACFOR NAME (last name first) t/LO'-1)S ç ADDRESS CITY ? STATE ZIP CODE , DAY TELEPHONE S ?) ..S, STATE DC. # LICENSE CLASS CITY BUSINESS DC. # DESIGNER NAME (last name brat) ADDRESS CITY STATE ZIP CODE DAY TELEPHONE STATE DC. # 7 WORKERS' WMPENSA1TON Workers' Compensation Declaration: I hereby affirm that I have a certificate 01 consent to sell-insure issued by the Director of Industrial 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. I' i9"RA11ON DATE I so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE -. 8 OWNER-BUilDER DECLARATION Owner-Builder Declaration: 1 hereby affirm that I am exempt from the Contractors license law for the following reason: O 1, 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 loan 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.). o 1, 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 loan owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). 0 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 [$5001). SIGNATURE DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL 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? DYES 0 N Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? DYES ONO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? DYES ONO IF ANY OF lifE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. WNSTRUUI1ON LENDING AGENCY 1 hereby affirm that there is a construction lending agency for the perlormance of the work for which this permit is issued (Sec 3097(1) Civil Code). LENDER'S NAME LENDER'S ADDRESS APPLICANT CERtIFiCATION I certify that I have read the application and state that the above information is 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 CI1Y OF CARlSBAD AGAINST ALL UABILI11ES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST!D CITY IN CDNSEQUENCE OF THE GRANTING OF THIS PERMIT. 0511k An OSHA permit is required (dr excavations over 5,ep md demolition or construction of structures over 3 stories in height. Expiration. Every permit issued by theJBuilding Official q4dqqthe povisions of this Code shall expire by limitation and become null and void if the building or work authorized by such1prmit is not commdncqU~'t hiñ 365 days from the date of such permit or if the building or work authorized by such permit is suspended or,abandorll at any time afte th vrk is commenced for a period of 180 days (Section 303(d) Uniform Buildipg Code),. APPLICANTS SIGNAT9KE \- DATE: t' q17 P. i9'Q-41 t-D1i'< WRITE IT DON'T SAY IT! Date Jq4 19 To 0 Reply Wanted From 0 N Reply Necessary (LYDS /21 C / 1 0 L Lof 417, 47C2S 4,i'ad 7 11 c14 c— PRINTED IN USA BUILDING PERMIT Per mitNo: CB960982 06/07/96 09:13 Project No: A9601398 Page 1 of 1 Development No: Job Address: 1001 PINE AV Suite: Permit Type: PLUMBING Parcel No: Lot#: Valuation: 0 Construction Type: VN Occupancy Group: Reference#: Status: FINAL Description: (REPLACES PERMIT CB96-890 & Applied: 06/03/96 : CB96-881 Apr/Issue: 06/03/96 Entered By: MDP Appl/Ownr : LLOYDS PLUMBING 619 735-9050 301 N. WEST ESCONDIDO, CA. 92026 *** Fees Required *** Fees Collected & Credits Fees: 33.00 Adjustments: .00 Total Credits: .00 Total Fees: 33.00 Total Payments: 33.00 Balance Due: .00 Fee description Units Fee/Unit Ext fee Data Enter "Y11 for Plumbing --------------------------------------------------------------------------- Issue Fee > 20.00 Y Gas Piping System > 1 7.00 7.00 Other > 6.00 6.00 OUTLETS * PLUMBING TOTAL 33.00 - ..-- -4-. 3 - - 0- - 4: S 44W4P# '%*44 _>O)%fluth 4S4i. 11ffLE*C#.34tnaS..v.S 0 _flt'. :73 B U I L 0 I N G E R N IT 'Permit No 08 40 . Project No A9601260 ~/96 -qe I of 1 k 39eue1opmerI 0 b Address 100l FnINE AV Suite t Type PLUMBING .o 05/17/96 0001 01 02 ~rce l No . to 135 -00 kW -'Fiancy Group- GAS MAINS T Entered B' RMA Apol'Owrr PLUMBING :4 --li 1 4321 VIA TEFICEI 0 .,' Ot FANS IDE CA 97Q6 '-' Fees Required . --------------------------- 15. Fee description --------------------- F t er "Y f r P 1 u rn b i Gas Pipiiq System J J Other PLUMBING TOTAL - ct.d& çc.ed its .00 - 00 135.00 ' t Ex "fee' Data ---------------- 0.0o Y 80,00 4-IS33UEFEE Fees A d iii st men r Total Fees: FINAL APPROVAL NSP. DATE t2~ CLEARANCE CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 eJJc'3. B U I L 0 I N 6 P E R ii I T F'er.riit No: CB96089 )5/17/96 00 56 •9601;261 ae 1 of 1 - Ho J o b Hodre 1015 PiNE AV Suite t Type: PL. JMBING 70 05/17/96 0001 01 02 -arcei No4 Lot#: C-PRMT. 27.00 Va 1 u a t i or,: 0 Construction Type: IEW Occupancy Group: Refererice#: - Status: ISSUED 0: -criptioiu REIIflCE Gfli NIN TO 6LDG,UNLT Atp1ed O/1/c Apr/Issue: 05/17/96 Entered BY6 RMF1 Bpp i/Drir PLUMBING 4-U 619-631---1793 4321 VIA TEFCER0', OCERNSIDE CA 92056 S -' Fees Reguir ed ** q** Fe lected & Credits - ---------------------- - - - - - - - - — -_ - ---- ') us. tmeflt Fee description ts Ext fee Data Enter 'Y" for P1uubi -20.00 •: F'ipirtq Sy'.ter:V . ,-, 7 00 1* H UMLiNG TO1 i 27 00 1952 . -; :. .:.- FlNALAPPROVAL NsR9 DATE CLEARANCE —2- -7 CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 9 hr B U I L 0 1 F4 C P E R M I T 0/15/96 1152 Pei, .1 of I Job Address: 1001 PINE AV Suite: Prm I t Ty:i PLU IS' I'C P a rcel No Val uatiorj 0 Occupancy Groc: Refer eric: Description REPAIR GAS LINE i p p 1 / Own r PLUMBING 4--U - 4321 VIATEPEERU OCE:(ThIS IDE, ("A . 92054 ** Riuj red •.- . & Cred its -- ................... F -- - 7 4 . •-.. / ' \ / C - / /ç) c To Fc-' ,e Otci tal ant Enter !Y! for P Iub 1t.l (t54 [/ Piping System * P 1.., li III B 111G TOT A L. Perciiit No: CB9600PJ Project No: F9601244 Doue ioprrierit No 7543 05/15/96 0001 01 02 L o t 44. J 27 00 Construction rvpc: . N Status ISSUED p,i ied: 05/15/96 Rpr/Issue 05/15/96 FL nc er ed By MD 619 631. 1793 00 00 \ 27.00 Ext fee Data 20.00 V 7.00 ci:)) 27.00 FINAL APPROVAL INSP. CLEARANCE CITY OF CARLSBAD 2075 Las Palinas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION City of CarLsbad Building Department 2075 Las Patinas Dr., CarLsbad, CA 92009 (619) 438-1161 PLAN CHECK NO. EST. VAL PLAN CV. DEPOSiT_______________ VALID. BY DATE From List I (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 PROJECT INFORMATION FOR OFFICE USE ONLY Address j,,.-, / J Building or Suite No. ,&o'/ r',r.e- Nearest Cross Street v (3k. L-rw L'1Lo.. CHECK BELOW IF SUBMITTED: 02 Energy Calcs 02 Structural Calcs 02 Soils Report DI Addressed Envelope DESCRIPTION OF WORK 7Y7Ax..1 SQ. FT. # OF STORIES # OF BEDROOMS # OF BATHROOMS 4-0151IA(1 PERSON (ii Oliterent from applicant) NAME (last name first) ADDRESS CITY STATE ZIP CODE DAY TELEPHONE APPLICANT UCONTRACIUR [JAGENI FOR CONIHACFOR Li OWNER LJAGENT FOR OWNER NAME (last name first) ADDRESS CITY STATE ZIP CODE DAY TELEPHONE PROPERTY OWNER NAME (last name first) $/f3 ADDRESS 3 Jw' &g. - 7 it/. 8. CITY STATE ZIP CODE DAY TELEPHONE (DNTRACOR NAME (last name first) Crfr5/4 VJ4viO W/ t/(,* ADDRESS CITY STATE ZIP CODE DAY TELEPHONE STATE LIC. #4(?' (7 LICENSE CLASS C3f CITY BUSINESS LIC. # 'c ç- \- i,l(;NFR NAME I LsF n,me lirct) ADDRESS CITY STATE ZIP CODE DAY TELEPHONE STATE LIC. # WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby atlirm that I have a certificate of consent to self-insure issued by the Director of Industrial 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 Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE OWNER-BUILDER DECLARA11ON Owner-Builder Declaration: I hereby affirm that I am exempt from the Contractor's License Law for the following reason: O 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.). 0 1, 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). E3 1 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 SECTION FOR NON-RESIDENTIAL 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? DYES ONO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? DYES ONO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? DYES 0 N W ANY OF THE ANSWERS ARE YES A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISI1UCf. WNSTHUCITON LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance ot the work for which this permit is issued (Sec 3097W Civil Code). LENDER'S NAME LENDER'S ADDRESS APPLICANT WI.ICATION I certify that I have read the application and state that the above information is 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 CITY OF CARlSBAD AGAINST ALL LIABILITIES, JUDGMENTS, (X)S'IS AND EXPENSES WHICH MAY IN ANY WAY A(X2ILJE AGAINST SAID CI1Y IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA An OSHA permit is r9quiredor excavations over 5'O" deep and demolition or construction of structures over 3 stories in height. Expiration. Every pe Vdafned e Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work au/ermit is not commenced within 365 days from the date of such permit or if the building or work authorized by such permit is sus p at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Buildinj Cod - APPIJCANVG DATE: £xJ -.-/t1 74 1%