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Home My WebLink About1044 LAGUNA DR; 15; CB931335; Permit12/09/93 12:51 Page 1 of 1 B U I L D I N G P E R M I T Suite: 15 Lot#: Permit No: CB931335 Project No: A9301911 Development No: Job Address: 1044 LAGUNA DR Permit Type : PLUMBING Parcel No: 155-272-20-15 Valuation: 0 Construction Type: NEW Occupancy Group: Reference#: Status: ISSUED 12/09/93 12/09/93 DC Description: GAS LINE REPAIR Appl/Ownr : BROWN, ARTHUR PLUMBING 2697 STATE STREET CARLSBAD, CA 92008 *** Fees Required *** *** 619 Applied: Apr/Issue: Entered By: 729-4914 Fees Collected & Credits *** -------------------------------------------- Fees: Adjustments: Total Fees: Fee description 27.00 .00 27.00 Total Credits: Total Paymen ts: Balance Due : Units Fee/Unit .00 .00 27.00 Ext fee Data --------------------------------------------------------------------------- Enter "Y" for Plumbing Issue Fee > Gas Piping System > * PLUMBING TOTAL CITY OF CARLSBAD 7 .00 2075 Las Palrnas Dr., Carlsbad, CA 92009 (619) 438-1161 20.00 Y 7.00 27.00 PERMIT APPLICATION 4\ .. City of Carlsbad Building Department EST. VAL. ______________ _ 2075 Las Palmas Dr., Carlsbad, CA 92009 {619) 438-1161 PLAN CIC DEPOSIT, ___________ _ VALID. BY, ______________ _ 1. PERMIT TYPE DATE _______________ _ A ' C 2. COMMERCIAL 0 INDUSTRIAL □NEW TENANT IMPROVEMENT □TENANT IMPROVEMENT □RESIDENTIAL □APARTMENT □CONDO □SINGLE FAMILY OIJELLING □ADDITION/ALTERATION □DUPLEX □DEMOLITION □RELOCATION □MOBILE HOME □ELECTRICAL _)K1'PLUMBING □MECHANICAL □POOL OSPA □RETAINING WALL □SOLAR □OTHER PROJECT INFORMATION PLAN CHECK No. ,.,,.,. I O '-( '{ Nearest Cross st1iets or Suite No. L"l ()/1 e,/ =# i?diog J~ LEGAL DESCRIPTIC. Lot No. ~ivis1on Name/Nuit>er Unit No. Phase No. CIIECIC BELCV-IF SUBJIITTED: 3. 02 Energy Cales 02 Structural Cales 02 Soils Rep0rt D 1 Addressed Envelope EXISTING USE f ,~N! rep,:;,. " BLOG. S0. FTG. # OF STORIES CONTACT PERSON ""' ~ Jr-e ~-;(\!>Q0 CITY STATE ADDRESS ZIP COOE DAY TELEPHONE SIGNATURE PROPOSED USE 7c) 4-'!q I 1/ 4. APPLICl}NT ''"' fl/ ..-(1-....JY' 12. ...zr CONTRACJjR b □ AGENT vaJ;.vt/1 r1/vr-,. iM."') /STATE FOR CONTRACTOR □Ql,INER 0 AGENT FOR Ql,INER ADDRESS "7c)-c,-vq,V CllY OWNER STATE (fl Z!P COOE ADDRESS ZIP CODE DAY TELEPHONE 31S-Tl'l ,'/J~ft'::]" □TENANT 9:){} ;i y DAY TELEPHONE 6. CONTRACTpR d . 1 ""' /Jf'flt<.1( p-(1),.,..,11 CITY ADDRESS ZIP COOE DAY TELEPHONE 7. 8. SIGNATURE DESIGNER NAME CITY STATE UC. # ____ _ STATE WORKERS' COMPENSATION LICENSE CLASS Tl TLE ADDRESS ZIP COOE CITY BUSINESS LIC. # DATE DAY TELEPHONE STATE LIC. # Workers' C~nsat,on Declaration: hereby affirm that have a certificate of consent to self-insure issued by the Director of Industrial Relat1ons, or a certificate of Workers' C~nsat ion Insurance by an actni t ted insurer, or an exact copy or duplicate thereof certified by the Di rector of the insurer thereof f i led with the Bui ld i ng Inspection Department (Section 3800, Lab. C). INSURANCE COMPANY POLICY NO. E)(PJRATION DATE Certificate of Ex~tion: I certify that in the performance of the work for which this permit is issued, I shall not ~toy any person in any manner so as to become subject to the Workers' COft1)ensat ion Laws of California. SIGNATURE DATE OWNER-BUILDER DECLARATION Owner-Builder Declaration: I hereby affirm that I am exempt from the Contractor•s License Law for the following reason: D I as owner of the property or my eirployees with wages as their sole c~nsation, 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 e<Jllloyees, pro¥ided that such improvements are not intended or offered for sale. If, howe¥er, the building or improvement is sold within one year of c~letion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale.). D J, 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 bui Ids or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). D I am exeflllt 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, at so requires the appl i cant for such permit to f i le a signed statement that he is licensed pursuant to the provisions of the Contractor's license Law (Chapter 9, coomencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is ex~t 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? QYES QNO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Ores □No Js the facility to be constructed within 1,000 feet of the outer boundary of a school site? □YES 0,0 IF ANY OF THE ANS\ERS ARE YES, A FINAL CERTIFICATE OF 0Ca.PANCY NA.Y NOT BE ISSl.ED AFTER JULl 1, 1989 IMLESS THE APPLICANT HAS NET OR IS MEETING THE RECI.JIREMBITS Of THE OFFICE Of EMERGENCY SERVICES All> THE AIR POLLUTION CONTROL DISTRICT. 9. CONSTRUCTION LENDING AGENCY hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(i) Civil Code). LENDER'S NAME LENDER'S ADDRESS 10. APPLICANT'S SIGNATURE I certify that I have read the application and state that the above information is correct. ! 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 ANO KEEP HARfllESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JlDGMENTS, COSTS AND EXPENSES WHICH NAY IN ANY WAY ACCRUE AGAIMST SAID CITY IM CONSEQUENCE OF THE GRANTIMG Of TIIIS PERMIT. f)(piration. 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 corrmenced within 180 days from the date of such permit or if the building or work authori:i:ed by such permit is suspended or abandoned at any time after the work is coomenced for a period of 180 days (Section 303(d) Uniform Building Code). DOWNER □ CONTRACTOR □ BY PHONE APPROVED BY: _______ _ DATE: HITE: File YELLOW: Applicant PINK: Finance . PERMIT# CB931335 DESCRIPTION: GAS LINE REPAIR CITY OF CARLSBAD INSPECTION REQUEST FOR 12/10/93 INSPECTOR AREA PLANCK# CB931335 ace GRP TYPE: PLUM JOB ADDRESS: 1044 LAGUNA DR APPLICANT: BROWN, ARTHUR PLUMBING CONTRACTOR: OWNER: REMARKS: MH/JUNE PHONE: 619 PHONE: CONSTR. TYPE NEW STE: 15 LOT: 729-4914 INSPECTOR fl SPECIAL INSTRUCT: ASKED FOR THURSDAY PM OR PHONE: ~ FIRST THING---,,,F~R~I~D~~~ 1 -, -AM~,+------- TOTAL TIME: --RELATED PERMITS-- LVL DESCRIPTION PERMIT# TYPE CB910128 PLUM CD 23 PL Gas/Test/Repairs STATUS · EXPIRED ACT COMMENTS £ ____ _ ------------------ ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS