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Home My WebLink About1050 GRAND AVE; ; CB950354; PermitBUILDING PERMI 03/13/95 10:19 Page 1 of 1 Job Address: 1050 GRAND AV Suite Permit Type: PLUMBING Parcel No: Lot#: Valuation: 0 Construction Type: VN Occupancy Group: Reference*: Description: WATER PIPE REPAIR Permit No: CB950354 Project No: A95Q0514 Development No: 1033 03/13/95 0001 01 C-PRMT Status Applied Apr/Issue 02 27-00 ISSUED 03/13/95 03/13/95 Entered By: MDP Appl/Ownr PARISI, JOE 3344 SEACREST DRIVE CARLSBAD, CA. 9 619 729-7755 *** Fees Required Fees : Adjustments: Total Fees: Fee description Enter "Y" for Plu: Each Install/Repa * PLUMBING TOTAL cted & Credits * kit . 00 . 00 27. 00 Ext fee Data 20 . 00 Y 7. 00 27.00 CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATIONCity of Carlsbad Building Department2075 Las Pa IMS Dr., Carlsbad, CA 92009 (619) 438-11611. PERMIT TYPKFrom List l (see back) give code of Permit-Type:For Residential Projects Only: From List 2 (see back) giveCode of Structure-Type:Net Loss/Gain of Dwelling Units PLAN CHECK NO.EST.VALPLAN CK DEPOSIT.VALID. BYDATE2. PROJECT INFORMATION FOR OFFICE USE ONLY/j- VC.Bunding or SuiteNo.Nearest Cross Street LEGAL DESCRIPTION Lot No.Subdivision Name/Number Unit No.PhaseNoT CHECK BELOW IF SUBMITTED: D 2 Energy Calcs D 2 Structural Calcs D 2 Soils Report Q1 Addressed Envelope ASSESSOR'S PARCEL F-XTSTTNC; USE PROPOSF.D USE DESCRIPTION OF WORK SQ.FT. ffl # OF STORIES # OF BEDROOMS # OF BATHROOMS 3. (junIACT FKK5LJW UTainerent irom applicant; NAME (last, name first) CITY STATE ADDRESS ZIP CODE DAY TELEPHONE 4. APPLICANT TJ CONTRACTOR QACiENT FOR CONTHACTUR DOWNER U AGENT FOR OWNER NAME (last name first) ADDRESS CITY STATE ZIP CODE DAY TELEPHONE 5. PROPERTY OWNER ^ NAME Oast name first) CITY e,t* «T- $-<a f f 5 / ADDRESS ^ ' STATE &A ZIP CODE ^ZxPgS^" DAY TELEPHONE - 7 pjj ".5"' O. CONTRACTOR NAME (last name first) CITY STATE ADDRESS ZIP CODE DAY TELEPHONE STATE LIC. #LICENSE CLASS CITY BUSINESS LIC. # LJESIUNEK NAME uast name tirstj CITY STATE AUUKEbS ZIP CODE DAY TELEPHONE STATE LIC. # 7. WORJUiKS- UUMFCNSATIUN Workers Compensation Declaration: I hereby affirm that I nave a certiticate 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 Exempdon: I certiry that in the performance ot 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 8. OWNER-BUILDER DECLARATION uwner-Buflaer Declaration: i nereoy attirm mat ram exempt tram the Contractors ucense law tor the touowing 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 Contractors License Law). n I am exempt under Section _ Business and Professions Code for this reason: (Sec. 703 1.5 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 COPLETE ' jEUTO OR 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? Q 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 OP OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1, 19»9 UNLESS THE APPIJCANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. UJH&lHUUriUN JJJNUINU AGEHtY ________ I hereby attirm that there is a construction lending agency tor the performance ot the work; tor whicn this permit is issued (sec 3U97UJ civil code;. LENDER'S NAME LENDER'S ADDRESS 10. APPQCAWl CKHllFICAilUN I certiry that I have read the application and statetnat 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 OTY OF CARLSBAD AGAINST All. UABIUTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID 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 stories 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 peri' APPLICANTS SIGNATURE '_ ^)W: *ft>licant P:WHITE: lSO days (Section 303(d) Uniform Building Code). DATE: a~j*- Finance City of Carlsbad Building Department OWNER-BUILDER VERIFICATION Attention Property Owner: An 'owner-builder' building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1 . I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) _ signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name _ , _ Address _ _ _ City _ Phone Contractors License No. 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and provide the major work: Name . Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner /. Date: 2O75 Las Palmas Drive • Carlsbad, California 92OO9-1576 • (619) 438-1161