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Home My WebLink About1089 CARLSBAD VILLAGE DR; ; CB911217; Permit08/28/91 10.47 BUILDING Page 1 of i Job Address 1089 ELM AV Permit Type- PLUMBING Parcel No 203^320-31-00 Valuation 0 Construction Type vw Occupancy Group Description. RELOCATE LAVATORY AND Appl/Ownr • BYRD, GERALD PLUMBING 5225 CHEYENNE AVENUE DOWNEY, CA S02429 PERMIT Str Permit No CB911217 Project No- A8900083 Development No• . Ste 4177 08/28/91 0001 01 02 C-PRMT 13-00 A * A Fees Required Fees Adjustments Total Fees * * * 13.00 Fee description Enter ''Y" for Plumbing Iue Each Plumbing Fixture or Trap ^ PLUMBING TOTAL Status: ISSUED Applied 08/28/91 Apr/Issue 08/28/91 Validated Bv: DC 213 861-0002 ^es; <jy.lect;ed & Credits .00 00 13 00 Ext fee Data Balance Units , Fee/Unit Z.&O 7 50 Y 5 00 13. 00 , „ , CITY OF Us 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 A - DCommercial U New Building LI 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 D Plumbing D Mechanical DPool 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 building or Suite NoA/&.. —Nearest Cross Street LMAL DESCRIPTION Tot No 5division Name/Number UriitTTo"PTiaseTNo" CHECK BE'LOW IV D 2 Energy Calcs D 2 Structural Calcs Soils Report C 1 Addressed Envelope ASSFSSOR-S PARCEL EXIST ING USE PROPOSED USE DESCRIPTION OF WORK Q (JDNTALT PEKSUN (.it dillerent Irom applicant) NAME CITY STATE ADDRESS ZIP CODE DAY TELEPHONE 4 APPULAN1 UCON1RACTOR U AOLN I t-UR LON 1RAC1OR UUWNLK U AGENT FOR OWNETF NAME ADDRESS CITY STATE ZIP CODE DAY TELEPHONE b 6 J PKUJ'LK'IY UWNEK NAME CITY STATE CONTRACTOR NAME C#[£,g,4t^> B/^P '*-W**t&> CITY T^E>tO«*fc-y STATE £.1 ^^ ' STATE LIC # "J1^? DESIGNER NAMt. CITY STATE WORKERS' CJUMI'LM^AllUN ADDRESS ZIP CODE 14^^ ADDRESS (i^Z_ *-. 1 ZIP CODE ^0 *-S^3 '?& LICENSE CLASS O \ ADlJKEbb ZIP CODE DAY TELEPHONE ^ DAY TELEPHONE 5£ CITY BUSINESS LIC # DAY TELEPHONE STATE LIC # Workers'Compensation Declaralion I hereby amrm that 1 haveacertilicaieol 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 EXPIRATION DATE Certificate ot Exemption I certify thai in the performance ol the work tor which this permit is issued, I shall not employ any person in any manner so as to become^suhject to the Workers' Compensation Laws of California SIGNATURE DATt- 8 OWNER-BUILDCR Owner-Builder Declaration I hereby afrirm that I am exempt Irom 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-RESID_ENTJAL 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 distnct? D YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES O NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIHCATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS MET OR IS MEETING HIE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. . CUNSIRIHJIIUN LmNG AGENCY ~~"_' I hereby alt inn that there is a construction lending agency tor the perlormance ot the work for which this permit is issued (Sec 3O97(iJ Crvil Code} LENDER'S ADDRESS Tff LENDER'S NAMEAPPLICANT __________ r^^—rr^^—^1 certiry that I haveTredd the application and state that the above information^ correct I agree to comply with all City ordinances and Slate 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 AGAINS'I SATO CTTY 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 period of 180 days (Section 303(d) Uniform Building Code) APP DATE WHITE. 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