HomeMy WebLinkAbout1130 CAMINO DEL SOL CIR; ; CB920724; Permit07/27/92 11:39
BUILDING PE
1130 CAMINO DEL SOL CR
PermitTType: PLUMBING
Parcel No: 206-261-12-00
Valuation: • °
Construction Type: NEW Reference*
Occupancy Group:
Description: GAS REPAIR
Appl/Ownr = PRUDHOMME, VIRGINIA
CARLSBAD, CA 9200JJ
*** Fees Required
R M I T
Suite:
Permit No: CB920724
Project No; A9201737
Development No:
8633 07/27/92 000^01 02
Status: ISSUED
Applied:
Apr/Issue: 07/27/92
Validated By: DC
619 729-8154
* * *
Fees :
Adjustments:
Total Fees:
Fee description
Enter "Y" for Plum
Gas Piping System
* PLUMBING TOTAL
cted & Credits * *
.00
.00
10.00
Ext fee Data
7. 50 Y
2. 50
10.00
CITY OF CARLSBAD
2075 Las Palmas Dr., Grisbad, CA 92009 (619) 438-1161
PERMIT APPUCATION
City of Carlsbad Building Department
2075 Las Pat BBS Dr., Carlsbad. CA 92009 (619) 438-1161
1. PERMIT TYPE
A - U Commercial U New Building u Tenant improvement ~"
B - Q Industrial D New Building Q Tenant Improvement
C - D Residential D Apartment DCondo D Single Family Dwelling D Addition/Alteration
D Duplex D Demolition D Relocation D Mobile Home D Electrical D Plumbing
D Mechanical QPool D Spa D Retaining Wall D Solar D Other
2. PROJECT INFORMATION
PLAN CHECK NO.
EST.VAL
PLAN OC DEPOSIT.
VALID. BY
DATE _
FOR OFFICE USE ONLY
.Bunding or Mute no.
LEGAL DESCRIPTION subdivision Name/Numoer Phase No.
CHECK BkLOW 11- SUDM11 IfcJJ:
D 2 Energy Calcs D 2 Structural Calcs D 2 Soils Report D 1 Addressed Envelope
ASSESSOR'S PARCEL .EXISTING USE PROPOSELVUSE
PTION OF RK
# OF STORIES
j. UUPTIAUT FEHSUB lit aitierent irom applicant;
NAME
CITY STATE
ADDRESS
ZIP CODE DAY TELEPHONE
4. APPLICANT
NAME
CITY
tl CONTRACTOR U AGENTTOR CONTRACTOR
ADDRESS
STATE ZIP CODE
U OWNER UAltbNI FOR OWNER
DAY TELEPHONE
5. PKUPfcKT
NAME
JAY TELEPHONE
o. currntALIuK
NAME
CITY STATE
STATE UC. #
ADDRESS
ZIP CODE
LICENSE CLASS
DAY TELEPHONE
CITY BUSINESS UC. #
DESIGNER NAME
CITY STATE ZIP CODE DAY TELEPHONE STATE LIC. #
7. WOHKKKb'
Workers'Compensation Declaration: I hereby affirm that I have a certificate of consent to self-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
certificate of Exemption: I certify 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 LWCLAHAllON
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.S by any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars [$500]).
SIGNATURE DATE
COMPLETE '1M1S JJfcCTlON t-Ofl WON-RESlDENTlAL BUILDING PERMIT'S"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?
O 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, 19S9 UNLESS THE APPLICANT
HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
9. ubHSiKUdiOH LEIMUIHU AUKTHJY . L „
I hereby attirm that there is a construction lending agency tor the performance or the work for which this permit is issued ibec 309/UJ Civil uoaej.
LENDER'S NAME LENDER'S ADDRESS
10. APPLICANT CERTIFICATION
I certify that I have read the application and state that the above information is correct. 1 agree to comply witn 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 ACAmST AIJ. IIABIIJTIES, JUDGMENTS, COSTS
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 commencedwithin 365 days from the date of such permit or if the building or work authorised by
suchspermit is/stispended or abandoned at any time after th^wprk is commenced for a period of 180 days (Section 303(d) Uniform Building/Code).
DATE: 7/Z ?/$ *Z^
' V
'WHITE: File YELLOW: Applicant PINK: Finance
DATE
PERMIT |
JOB ADDRESS
UNSCHEDULED INSPECTION
'-7 INSPECTOR
PLANCK #
TIME ARRIVE:TIME LEAVE:
CD LVL DESCRIPTION ACT COMMENTS