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Home My WebLink About1009 CHINQUAPIN AVE; ; CB911107; PermitBUILD 08/01/91 14 20 Page 1 of 1 Job Address 1009 CHINQUAPIN AV Permit Type PLUMBING Parcel No Valuation 0 Construction Type NEW Occupancy Group Description GAS REPAIR UNIT A ING PERMIT Str Permit No CB911107 Project No A9101380 Development No Fl Ste 3779 08/01/91 0001 01 02 C-PRMT 10.00 Class Code Appl/Ownr BROWN, ARTHUR 2697 STATE STREET CARLSBAD, CA 92008 Fees Required ***' Status ISSUED Applied 08/01/91 Apr/Issue 08/01/91 Validated By DC 619 723-4914 Fees Collected & Credits Fees 10 00% Adjustments 00 Total Fees 10 00 Fee description Total Credits Tota'l pay we liits*, \ Balance'" Due „ Units t Fee/Unit 00 00 10 00 Ext fee Data Enter "Y" for Plumbing Gas Piping Syjtem ' * PLUMBING TOTAL ^ 1 -• '2 60 7 50 Y 2 50 10 00 INAL APPROVAL CITY OF CARLSBAD 2075 Las Palmas Dr, Carlsbad CA 92009 (619) 438-1161 PERMIT APPLICATION City of Carlsbad Building Department 2075 Las PaImas Or , Carlsbad, CA 92009 (619) 438-1161 1 P&KM1T A B C LJ Commercial U New Building D Tenant Improvement D Industnal D New Building D Tenant Improvement D Residential D Apartment D Condo D Single Family Dwelling D Addition/Alteration D Duplex D Demolition D Relocation D Mobile Home D Electncal D Mechanical D Pool D Spa D Retaining Wall D Solar D Other 2 PROJECT INFORMATION PLAN CHECK NO EST VAL PLAN CK DEPOSIT_ VALID BY DATE FOR OFFICE USE ONLY Address Nearest Cross Street LEGAL DESCRIPTION building or Miite No Lot No Subdivision Name/Number Unit No Phase No CHECK BELOW [V D 2 Energy Calcs D 2 Structural Calcs P 2 Soils Report D 1 Addressed Envelope ASSESSOR S PARCEL EXISTING USE PROPOSED USE DESCRIPTION OF WORK SQ FT 6 # OF STORIES 3 IZJNTATJTTEHSUN (.if oitterent trom applicant; CITY fL^/2/<?/2v«li) STATE ADDRESS £64? ZIP CODE < 20£}£^ DAY TELEPHONE 4 APPLICANT Jy t,UN 1 RAC1 UK LJ AGKN 1 NAME X^g^^e. (S>fa.f UJA.I fit-rn b CITY STATE 5 V KUPEKTY OWNKR ,, , NAME 2_ ^*<£ C&ftCjQ^/l'/V'p CITY 3*4, fijp/npjp _ STATE $ b CON'rHAUlUR -_ j^y NAME /%/(?•£* \,fc, &/il>&>*\ ffr-snA CITY (\flfct£& &£> STATE (^ STATE LIC #<7>tilK2t UESIGNER NAMfc CITY STATE 7 WORKERS? COMPENSA'IION tOR CON IRACIOR DOWNER fa ADDRESS - ^>sh/ri e ZIP CODE ADDRESS f& fi- $„ ZIP CODE fa 6 yy f ADDRESS J> 6 <? y ty ZIP CODE /&P00' Jt> LICENSE CLASS P~~^ AUUKEbS ZIP CODE LJ AGhN 1 tOK OWNER DAY TELEPHONE &yc w?& DAY TELEPHONE 5^ffrfa ^/^ DAY TELEPHONE /7^2^— ^"^/^ ^ CITY BUSINESS LIC # DAY TELEPHONE STATE LIC # * j, * * > Workers Compensation Declaration I hereby atlirm that I have a certificate ot consent to selt insure issued by the Director ot 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 Certiticate ot Exemption I certify that in the perlormance ot the worlcTorwhich 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 8 OWNER-BUILDER llhtXAHAnuN Owner Builder Declaration I hereby attirm that I am exempt From the Contractor's License Law Forthe following 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 noMntended 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) D 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 anB Professions Code) or,th~af 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 oPfuture 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 Act7 * D YES D NO * Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES D NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1 1989 UNLESS THE APPLICANT fOJ^B^ffiETINGiTTIE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT riON LENLUUNSTKUljriLJlNCi AGENCY I nerebyjarnrm tnat tnere is a construction lending agency tor the performance ot the work tor which this permit is issued (Sec 3097(0 Civil Code) LENDER S*NAME LENDER S ADDRESS 10 APPLICANT 1 certiry that I najge, read,,the application and state that the above information is correct 1 agree to comply with all Cjtyjprdmances and State^laws relating to buildm? construction I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioHedTpfgperty forsmspection purposes^ I ALSO^ AGREESTO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL IlSMLrflES,tjUDGMENfs, COSTS AND EXPENSES WHICH' MAY IN ANY WAY ACCRUE AGAINST SATO CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT OSHA An OSHA permit is required for excavations over 5 0 deep and demolition or construction of structures over 3 stones 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 abandoned at any time after the work is commenced for a penod of 180 days (Section 303(d) Uniform Building Code) APPLICANT'S SIGNATURE DATE WtflTE File YELLOW Applicant PINK. Finance PERMIT^ CB911107 DESCRIPTION GAS REPAIR UNIT A TYPE PLUM JOB ADDRESS 1009 CHINQUAPIN AV APPLICANT BROWN, ARTHUR CONTRACTOR OWNER REMARKS MH/ALICE SPECIAL INSTRUCT CITY OF CARLSBAD INSPECTION REQUEST FOR 08/02/91 PHONE PHONE PHONE INSPECTOR AREA PY PLANCK* CB911107 OCC GRP CONSTR TYPE NEW STR FL STE 619 729-4914 INSPECTOR TOTAL TIME CD LVL DESCRIPTION 23 PL Gas/Test/Repairs ACT COMMENTS DATE DESCRIPTION ***** INSPECTION HISTORY ***** ACT INSP COMMENTS