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Home My WebLink About1011 CHINQUAPIN AVE; ; CB911108; PermitBUILDING PERMIT 08/01/91 14 24 Page 1 of 1 Job Address 1011 CHINQUAPIN AV Str Permit Type PLUMBING Parcel No Valuation 0 Construction Type NEW Occupancy Group Class Code Description GAS REPAIR UNJT I AND 1 Permit No CB911108 Project No A9101381 Development No Fl Ste 3779 08/01/91 0001 01 02 C-PRHT 13-00 ISSUED 08/01/91 08/01/91 DC Appl/Ownr BROWN, ARTHUR 2697 STATE STREET CARLSBAD, CA 92008 *** Fees Required ****** Status Applied Apz/Issue Validated By 619 729-4914 Pees Collected & Credits ** Fees Adjustments Total Fees t Fee description . Enter "Y" for Plumbijag Gas Piping System * PLUMBING TOTAL 15 00 s v 00 _ 13 00 / I0$ue Fee" *„> H i \ Total Credits , Total Payments %, \ Balance Dtie ' ^ Units Fee/Unit „'*""•' ^ - * l ^ ' 2 . , 2 §0 ' 13 Ext f« 7 5 13 00 00 00 56 50 00 00 Data Y CITY OF CARLSBAD 2075 Las Palmas Dr, Carlsbad CA 92009 (619) 438-1161 PERMIT APPLICATION City of Carlsbad Building Department 2075 Las Palmas Dr , Carlsbad. CA 92009 (619) 438-1161 1 PERMITTYPE ~~AU Commercial LJ New Building Q Tenant Improvement B D Industrial D New Building D Tenant Improvement C D Residential d Apartment D Condo D Single Family Dwelling D Addition/Alteration D Duplex D Demolition D Relocation D Mobile Home D Electrical ^Plumbing D Mechanical D Pool D Spa D Retaining Wall D Solar D Other 2 PROJECT INFORMATION PLAN CHECK NO f/ ~ EST VAL PLAN CK DEPOSIT_ VAUD BY DATE FOR OFFICE USE ONLY Address Nearest Cross Streel LEGAL DESCRIPTION Building or suite NOr+L Lot No Subdivision Name/Number Unit No Phase No CHECK BELOW IF bUBMll IhD D 2 Energy Gales D 2 Structural Calcs D 2 Soils Report D 1 Addressed Envelope ASSESSOR S PARCEL EXISTING USE PROPOSED USE DESCRIPTION OF, WORK SQ FT 'i fr-OF STORIES 3 UUNIAUTPEH5LJN (.it outerent from appJicantj NAME , JEW**/ P/XX ADDRESS CITY STATE f ? ZIP CODE DAY TELEPHONE 4 APPLICANT W CONTRACTOR U AGENT FOR CONTRACTOR U OWNER LJ AGENT FOR jJWNhR L (ff) ADDRESS CITY STATE ZIP CODE DAY TELEPHONE 5 PROPERTY OWNER NAME CITY ADDRESS 0$ ZIP CODE DAY TELEPHONE 6 GONT CITY STATE STATE LIC # DESIGNER NAME. CITY WUIUUiKS' COMPENSATION STATE ADDRESS ZIP CODE LICENSE CLASS AUUKEbb ZIP CODE DAY TELEPHONE 7*2. J CITY BUSINESS LIC # <-/ DAY TELEPHONE STATE LIC # Workers Compensation Declaration I hereby aflirm that I have a certificate or consent to self insure issued by the Director of IndustnaT 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 ot Exemption I certify that in the performance of the work tor which this permit is issued 1 shall not employ any person in any manner so as to become subject to the Workers Compensation Laws of California SIGNATURE DATE 8 OWNER BUILUEK DECLARATION Owner Builder Declaration I hereby affirm that I am exempt from the Contractors License Law tor the 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 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) 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 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' 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? Q 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 HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT 9 CONSTRUCTION LKNLUNCj AGENCY I hereby affirm tnat there 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 CER11FICATION 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, 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 authonzed by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code) APPLICANTS SIGNATURE DATE WHITE File YELLOW Applicant PINK. Finance •^ CITY OF CARLSBAD INSPECTION REQUEST PERMIT^ CB911108 FOR 08/02/91 DESCRIPTION GAS REPAIR UNIT I AND 1 TYPE PLUM JOB ADDRESS 1011 CHINQUAPIN AV APPLICANT BROWN, ARTHUR CONTRACTOR OWNER REMARKS MH/ALICE SPECIAL INSTRUCT PHONE PHONE PHONE INSPECTOR AREA PY PLANCK* CB911108 OCC GRP CONSTR TYPE NEW STR FL STE 619 729-4914 INSPECTOR TOTAL TIME CD LVL DESCRIPTION 23 PL Gas/Test/Repairs ACT COJ DATE DESCRIPTION ***** INSPECTION HISTORY ***** ACT INSP COMMENTS