The URL can be used to link to this page

Home My WebLink About1165 CHINQUAPIN AVE; ; CB901201; PermitBUILDING PERMIT 07/18/90 11 35 Page 1 of 1 Job Address 1165 CHINQUAPIN AV Str Permit Type PLUMBING Parcel No 206-140-20-00 Valuation 0 Construction Type NEW Occupancy Group Class Code Description CHANGE GAS METER LOCATION Permit No CB901201 Project No A9001313 Development No Fl Ste 6859 07/16/90 0001 01 0° C-PKMT " 1C '« Status ISSUED Applied 07/18/90 Apr /Is sue Validated By CD OWNER RHODES, GLEN B 1165 CHINQUAPIN AV , , CARLSBAD, CA 9 2 OjJfJ j' \. t* *** Fees Required *** I*.;- ''*.#* * Fees Adjustments Total Fees Fee description - Lie OWNER 4347666 s'CftJllected & Credits **A •*"* - #£&*** #*, .xp.a^. —.—. — — -. — — — — — —. — — — ::'' i'-^'k,\- Enter "Y" for PI Gas Piping System *"Vi"* * PLUMBING TOTAL *** 00 00 1000 Ext fee Data 7 50 Y 2 50 10 00 LAPPROVAL MTF-7 27- CLEARANCE CITY OF CARLSBAD 2075 Las Palmas Dr, Carlsbad CA 92009 (619) 438-1161 PERMIT APPLICATION City of Carlsbad Building Department 2075 Las Pal mas Dr , Carlsbad, CA 92009 (619) 438-iiei L PERMIT TYPE | ~A Q COMMERCIAL QNEW[J TENANT IMPROVEMENT B QINDUSTRIAL DNEW QTENANT IMPROVEMENT c [^'RESIDENTIAL DAPARTMENT QCONDO DINGLE FAMILY DWELLING n*DDiTiON/ALTERATiON DDUPLEX DDEMOLITION DISLOCATION [^MOBILE HOME QELECTRICAL QPI.UMBING QMECHANICAL OfOOL QSPA DRAINING WALL QsOLAR QOTHER PROJECT INFORMATION PLAN CHECK No EST VAl PIAK OC DEPOSIT_ VALID BY DA1E FOR OFFICE USE ONLY Address / f (^, Nearest Cross Streets /I Bui Idmg or Suite No LEGAL DESCRIPTION Lot NO Subdivision Name/Number CHECK BELOU IF SUBMITTED D2 Energy Calcs D2 Structural Calcs D2 Soils Report D1 Addressed Envelope ASSESSOR'S PARCEL EXISTING USE PROPOSED USE DESCRIPTION Or WORK 3 4 5 6 BLDG SO FTG CONTACT PERSON NAME &?(J^^ G> l^xHOf £" ' CITY OVC^fd^ SIGNATURE^*'*'/ /^> ^" — **~-*~-- APPLICANT D CONTRACTOR NAME CITY -^/9r^r s*6 P&A/& PROPERTY OWNER NAME CITY J*t*\f<Sf AS I&&* CONTRACTOR NAME CITY # OF STORIES STATE CA D AGENT ' STATE OWNER l/W STATE STATE ADDRESS //US' CH ZIP CODE ^y }')J FOR CONTRACTOR [JflflNER ADDRESS ZIP CODE ADDRESS ZIP CODE ADDRESS ZIP CODE tcuquw^ Wk DAY TELEPHONE /~, ' / , , D AGENT FOR OWNER DAY TELEPHONE DLESSEE QTENANT DAY TELEPHONE DAY TELEPHONE STATE LIC #LICENSE CLASS CITY BUSINESS LIC # SIGNATURE TITLE DESIGNER NAME CITY STATE DAY TELEPHONE STATE LIC * WORKERS' COMPENSATION Workers' Compensation Declaration I hereby affirm that 1 have a certificate 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 Exemption I certify that in the performance of 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-B DECLARATION Owner Builder Declaration I hereby affirm that I am exempt from the Contractor s License Law for the following reason ' 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 ) 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) 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 ddftTars CS50 SIGNATURE DATE "7 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' DYES QNO Is the facility to be constructed within 1 000 feet of the outer boundary of a school site' DYES QNO IF ANY OF THE ANSWERS ARE YES A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1 1989 UNLESS THE APPLICANT HAS NET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT 9 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(1) 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 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 SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT 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 180 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) CONTRACTOR L~]BY PHONE APPROVED 8* DATE WHITE File YELLOW Applicant PINK Finance CITY OF CARLSBAD INSPECTION REQUEST PERMIT* CB901201 FOR 07/26/90 DESCRIPTION: CHANGE GAS METER LOCATION TYPE PLUM JOB ADDRESS: ^^65 APPLICANT: OWNER CONTRACTOR: OWNER: RHODES, GLEN B REMARKS: Tl/MH/GLEN/ CHINQUAPIN AV STR: INSPECTOR AREA PD PLANCK* CB901201 OCC GRP CONSTR. TYPE NEW FL: STE: PHONE: PHONE: PHONE' 43476 INSPECTOR SPECIAL INSTRUCT: CHANGED DIRECTION OF THE GAS PLUMBING. HAVE GAUGE ON END OF IT AND ITS WELL ABOVE 15 PSI COMPLETED 7-24-90. TOTAL TIME- CD LVL DESCRIPTION 23 PL Gas/Test/Repairs DATE DESCRIPTION ***** INSPECTION HISTORY ***** ACT INSP COMMENTS