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Home My WebLink About122 ACACIA AVE; ; CB981734; Permite- BLJILDING PERMIT 06/!15/98 08:ll Project No: A9802305 Permit No: CRY81734 . Paqe- 1 of 1 Development No : ' Job Address: 122 ACACIA AV Permit Type: PLUMBING Parcel No: 204-233-09-00 Valuation: 0 Occupancy Group: Reference#: Description: EMERGENCY GAS LINE REPAIR ~/a?@ffliWi:0106~5/98 Suite: Lot#: Construction Type: NEW Stat.us : ISSUED Apr/IsGnRRtfT06/05/2180(, Entered By: JM Appl/Ownr : MARVIN BOYLE 760 758-5229 4861 GLENHOLLOW CIRCLE Credits *** . 00 , 0 0 27.00 Ext fer? Data 20.00 Y """""""" 7.00 i ' FINALIAPPROVALT d CITY OF CARLSBID 2075 Las WLmas Dr., Carlsbad, CA 92W (619) 438-1161 ARMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 Address (include BidglSuitm XI Business Name la1 this addral Legal Description Lm No. Subdivision NamdNumkr Unit NO. Phase No. Tomi X of units Ases.sor's Parcel X Existing Use Propowd Usa I have and will maimain a certificate of consam to rdf-insure for workars' fompmsation as provided by Ssnion 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maimain workers' compensation, as required by Section 3700 of the Labor Coda. for tha performance of the work for which this pwmit is issued. My worker's compensation insurance carrier and policy number am: Insurance Company Policy NO. Expiretion Date ITHIS SECTION NEED NOT M COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS I$( 001 OR LESS1 MERTIFICATE OF EXEMPTION: i cartify that in the performance of the work for which this parmit is isswd, I shall nm amploy any person in any mannw so as to become subject to the Worken' Cmnparuation Laws of Califomis. WARNiNQ FaUure to urn worked Conqmndon wwnge is mb4, and .h* subi.n n mlVlOW 10 nlmhll pma*. d cMI Rus up lo m hMdnd saswrnid.dfahS.cti~3706ofth.L.bacod. s1ndanmm'sh.I. DATE d -5- pT '7. 0WNER.BUILDER DECURATION i hereby affirm that i am exempt from the Contractor's License Law fOf the fDliowing roason: I, as owner of the properly or my employees with wages as their sole compmnration, will do the work and the structure is nm intended or Offered for sale ISec. 7044, Business and Professions Code: The Comractor's License Law doas nm apply 10 an owner of propeny who builds or imwovcn therm. and who dm Such work himself or through his own employees. provided that such imprwemems are not intended or offered for saie. if, however, the building or improvament ia soid within one year of completion. tha owner-builder will ha"* tha burden of proving that he did not build or imwove for the purpose of sdd. 0 I, as owner of the property. am exciusivdy contracting with licensed comracton to construct the projrt ISK. 7044, Business and ROf~iOns Cod.: The Contractor's License Law doer not apply to an owner of property who builds or improves thereon, and cmncls for such Projects with comractor~sl licwed pursuant to the Contractor's License Law). i am exempt under Section Business and Rofasim Coda for this mason: 1. I personally plan to provide tha major labor and matarills far construction of the propaed Prownv improvemem. 0 YES ON0 2. i (haw I haw nml signed an application for a building permit for the propaaed work. 3. I haw contracted with the following person lfirml to provide tha proposed ConstrUEtion IinclLda rum I addra I phone number I ComractoR license numhrl: 6 . ,,,,. .. , .., , ,~~..,~. . . l,.ii,cl ,.*t",.i ;, ,, . ;:.:*i:c.:. .P*t..+=.., , .,-,, . .. .., ,. 4. i plan to provide portions of the work. but I have hired the following penon to cootdinate, supmian 8nd provide the major wwk [include name I nddreas I phom number I contractors license numberl: 5. I will provide some Of the work. but I have comracted [hired) tha foilowing persons to provide the work indicated linclude MmO I address I phona numbsI I type ,"-E+nlssECTloNK)RN~~UILDD(O.-~O~~~~~,'~1.;~ ::;:"'r ,~,:~,.~,~,",~~-~~~~~~~~~~~~~~,..~~~~~,~~~~~~'~~~~'~~, "'!.,, :$.,,',::. .~".h; ':':!-, PROPERTY OWNER SIGNATURE .. . . .. DATE .,: .. .., . is the applicllm or future building mcupsm required to submit e business plan, acutaiy hazard- materials registmion form or risk managemat and prevention program under Sections 25505, 25533 or 25534 of the Rasley-Tanner Hazardous Substance Account Act7 0 YES NO Is the applicant or future building OCcupam required to obtain permit from the air pliution control disttict or air quality marugamem district7 YES 0 NO 1s thB facility to be constructed within 1,000 fern of the outer bounderv of a schwl rital YES NO IF ANY OF THE ANSWERS ARE YES. A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETINQ THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 6. ~CONSTRUCTIONLENDlNGAGENCY ;,., ; , , : .-'.,:. ,'.,. ,. , ,,,z~,~,':s~crE: --.,li..,,. i.iil.,z. z,~;;~L;'.*,:.;,+ - ' I hereby affirm that there io a COnstNction lending agency for the performance of the work for which this permit is issued [Sac. 309711) Civil Codal. LENDER'S NAME LENDER'S ADDRESS , ,. " ,. ., j.,~~ .,,. ~.,..,wrf:: )i .,,. : (( ". ->,,.:.,",.* ,... (>^ , , ' , . , . .- 7" ,.,..I . ', 9. .App&JC~~~~~~o\T10H ,,. , ,, ,,, ,,.,,L ,,, ,,; ~.:,~.'-*~~~~~~~~~~~~~~;~:,!,~~~::~~~~~~~~~~~~~~~~~~,:~~~~~~~~~~~~~~~,~,,~~,~~~~ #,;,,rS r - , . .. ,. , ;e,"..*." ,..,,"" . ,* , .. . i Certify that I have read the application and state that tho above information is correct and that the information on the plans is accurate. I agree to comply with ail City oldinances and State iaws relating to building construction. I hereby authorira represmatives of the CitV of Carlrbad to enter upon the above msmioned JUDGMENTS. COSTS AND EXPENSES WHiCH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT, property far inspection p~rposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABiUTIES. OSHA An OSHA permit is required for excwations over 5'0" deep and demolition or Con¶Nction of st~ctures over 3 stories in height. EXPIRATION EVW permit issued by the Building Officiai undar the wovisiona of this Coda shall expire by limitation and become null and void if the building or work authoriznd by Such permit is not commenced within 365 daw from the date of such permit or n the building or work authorized by such permit is suspended or abandoned at any time after t cammyneed for a Pe ' d of 1 0 days ion 106.4.4 Uniform Building Code). APPLiCANT5 SIGNATURE /A- (447 DATE ..*~,~. .,, x-*,..*.**, ,,'a.~s.-'. .. ii _.i .,.. ,h. , , . ", . ' WHITE File YELLOW. Applicant PINK Finance . TIME ARRIVE: TIME CODE 23 DESCRIPTION ACT COMMENTS