HomeMy WebLinkAbout1308 OAK AVE; MULTI-PERMIT FILE; CB111771; Permit"' City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
08-16-2011 Electrical Permit Permit No: CB111771
Building Inspection Request Line (760) 602-2725
Job Address: 1308 OAK AV CBAD
ELEC Status: Permit Type:
Parcel No: 1561903200 Lot#: 0 Applied:
Reference #:
PC#:
Project Title: AWAD: REMOVE ELECTRICAL RUN
(UNPERMITIED) TO BEDROOM.
Applicant:
AWAD GEORGE G&AIDA K
5480 CARLSBAD BL VD
CARLSBAD CA 92008
Electric Issue Fee
Single Phase per AMP
Three Phase per AMP
Three Phase 480 Per AMP
Remodel/Alteration per AMP
Remodel Fee
Temporary Service Fee
Test Meter Fee
Other Electrical Fees
Additional Fees
TOTAL PERMIT FEES
0
0
0
0
Entered By:
Plan Approved:
Issued:
Inspect Area:
Owner:
AWAD GEORGE G&AIDA K
5480 CARLSBAD BL VD
CARLSBAD CA 92008
ISSUED
08/16/2011
JMA
08/16/2011
08/16/2011
$10.00
$0.00
$0.00
$0.00
$0.00
$10.00
$0.00
$0.00
$0.00
$0.00
$20.00
Total Fees: $20:00 Total Payments To Date: $20.00 Balance Due:
Inspector: ~ FINAL APPROVAL
Date: ~,./11/;1 Clearance:
$0.00
NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
referred to as 'fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must
follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for
processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack,
review, set aside, void, or annul their imposition.
«~~ ~ CITY OF
CARLSBAD
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
760-602-2717 / 2718/ 2719
Ave...
Fax: 760-602-8558
www.carlsbadca.gov
SUITE#/SPACE#/UNIT#
Plan Check No.
Est. Value
Plan Ck. Deposit
Date I '4 / t I
APN
PHASE# TENANT BUSIN NAM
l
SWPP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
R,~MOV 'V\
So wo..-\c..
EXISTING USE GARAGE (SF)
ADDRESS
,~~
CITY STATE ZIP
(! A , oc.K
PHONE FAX
ARCH/DESIGNER NAME & ADDRESS STATE UC.#
PATIOS (SF) DECKS (SF) FIREPLACE
YES D #_ N~
APPLICANT NAME (Secondary Contact)
ADDRESS
CITY STATE
PHONE FAX
CONTRACTOR BUS. NAME
ADDRESS
CITY STATE
PHONE FAX
EMAi
STATE UC.# CLASS
AIR CONDITIONING
YES D NO~
ZIP
ZIP
CITY BUS. UC.#
\ \
FIRE SPRINKLERS
YES D NO ~
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, Improve, demolish or repair anl 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, commending with Section 7000 of Division 3 of the Business and Professions Code] or !hat 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]).
Worken.' Compensation Declaration: I hereby affirm under penatty of petjury one of the following dec/ara6ons:
D I have and will maintain a certificate of consent to self-Insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
D I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carTier and policy
number are: Insurance Co. Policy No. Expiration Date----------
This section need not be completed if the permit is for one hundred dollars ($100) or less. D 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. WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, interest and attorney's fees.
~ CONTRACTOR SIGNATURE 0AGENT DATE
I hereby affirm that I am exempt from Contractor's License Law for the following reason:
V \, 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 I"' License Law does not apply to an owner of property who builds or improves thereon, and who does such work himsett or through his own employees, provided that such improvements are not intended or offered for
'
sale. 11, 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:
1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. Cl Yes Cl No
2. I (have I 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 {include name address I phone I contractors' license number):
4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work {include name I address I phone f contractors' license number):
5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated {include name I address I phone I type of work):
~ PROPERTY OWNER SIGNATURE ClAGENT DATE
Is the applicant or future building occupant required to submtt 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 15(No
Is the applicant or future building occupant required to obtain a permtt from the air pollution control district or air quality management district? D Yes l!'lNo
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D Yes .l:!f,,No
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
I certify that I have read the application and state that the above information is correct and that the information on the plans Is accurate. I agree ID comply with all Cttyordinances and State laws relating 1D building construction.
I hereby au~ representative of the City of Carlsbad kl enter upon the above menti:lned property l:>r inspecmn purposes. I .ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LIABILITIES, JU[X;MENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA AA OSHA permit is required br excavations over 5'0' deep and demolition or construcfun of structures over 3 sklries in height.
EXPIRATION: Every permit issued by the Buik1ing Offdal under the provisi:lns of this Code shaft e,qjre by imitatbn and become nul and void ~ the buik1ing or 'M'.ll1< authorized by such permit is not CX>ll1menced v.ithin
100 days from the date of such permit or if the buidingor'M'.ll1< authorized by such permit is suspended or at any time after the 'M'.ll1< is commenced tr a perod of 100days (Sediln 100.4.4 Unoorm Building Code).
,.@S'APPLICANT'S SIGNATURE a /c_, DATE f""IS:20,,
City of Carlsbad Bldg Inspection Request
For: 09/19/2011
Permit# CB111771
Title: AWAD: REMOVE ELECTRICAL RUN
Description: (UNPERMITTED) TO BEDROOM.
Type: ELEC Sub Type:
Job Address: 1308 OAK AV
Suite: Lot: 0
Location:
OWNER AWAD GEORGE G&AIDA K
Owner: AWAD GEORGE G&AIDA K
Inspector Assignment: TP
Phone: 7602247600
Inspector: ?-
Remarks: 2ND REQUEST. OUTLET AT THE PANEL INSPECT
Total Time:
CD Description
34 Rough Electric
~
Act Comments
Requested By: DWANE
Entered By: CHRISTINE
,4/ LIi JCL'IJv/vvt/J C.1/l?V If'
AP ---·-·-----------··~-~-
-------------------·. --------------··--~-----
Comments/Notices/Holds
Associated PCRs/CVs/SWPPPs Original PC#
Inspection History
Date Description Act lnsp Comments
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
04-07-2011 Plumbing Permit Permit No: CB110720
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
1308 OAK AV CBAD
PLUM
1561903200
Status:
Lot#: 0 Applied:
Construction Type: NEW Entered By:
Plan Approved:
Issued:
Project Title: AWAD: INSTALL 2ND SEWER CLEAN
OUT
Inspect Area:
Applicant:
AWAD GEORGE G&AIDA K
5480 CARLSBAD BL VD
CARLSBAD CA 92008
Plumbing Issue Fee
Fixture or Trap
Building Sewer
Roof Drain
Install/Repair Water Line
Water Heater and/or Vent
Gas Piping System
Vacuum Breaker
Other Plumbing Fees
Master Drainage Fee
Sewer Fee
Additional Fees
TOTAL PERMIT FEES
0
1
0
0
0
0
0
Owner:
AWAD GEORGE G&AIDA K
5480 CARLSBAD BL VD
CARLSBAD CA 92008
ISSUED
04/07/2011
JMA
04/07/2011
04/07/2011
$20.00
$0.00
$15.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$35.00
Total Fees: $35.00 Total Payments To Date: $35.00 Balance Due:
Inspector: Clearance:
$0.00
NOTICE: Please take NOTICE that approval of your project includes the 'Imposition' of fees, dedications, reservations, or other exactions hereafter collectively
referred to as 'fees/exactions.' You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must
follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for
processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack,
review, set aside, void, or annul their imposition.
'
' J
---t
.·
~ Building Permit Application Plan Check No. ('J_? \ \ 0 «(~ 1635 Faraday Ave., carlsbad, CA 92008 Est. Value ~ CITY OF 760-602-2717 / 2718/ 2719
CARLSBAD Fax: 760-602-8558 Plan Ck. Deposit
WWW.Qsjrl~QslQQsj.gQV Date '111 / II lswPP
g-, C,lttk Ave_ SUITE#/SPACE#/UNIT# IAPN ---!OB ADDRESS} 3 0
CT/PROJECT # ILOT# l PHASE# r OF UNITS
1
# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. lYPE I occ. GROUP
,J>ESCRIPTION OF WORK: Include Square Feet of.Affected Area(s)
' e~~C9L.\.\
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) I FIREPLACE l AIR CONDITIONING I FIRE SPRINKLERS
YES D #_ NOD YES D NOD YES D NO 0
CO~CT NAME ,,, Different t:: Applin) Al) APPLICANT NAME c.~r';)<... G-.· A"-' r...f) <-0 ~°'I <-• (.,v
ADDRESS ADDRESS
CITY STATE ZIP CITY STATE ZIP
PHONE I FAX PHONE \FAX
EMAIL EMAIL
PROPERTY OWNER NAME C.~o('-~~ C.., l\w A[) CONTRACTOR BUS. NAME
ADDRESS f 3, e,~ e>O....l~ I\VC ADDRESS
CITY <:t,._r \ .S ba..d STATq C\ ZIP CITY STATE ZIP
'l..oo&-
PHONE?&o ..,~g-1~ ~~3 1F, be>-t./38"-~sct 0 PHONE (AX
EMAIL EMAIL
ARCH/DESIGNER NAME & ADDRESS I STATE UC.# STATE LIC.# I CLASS I CllY BUS. UC.#
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct. alter. improve, demolish or repair an~ 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 (Cha'fter 9, commending 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 703 .5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500)).
-c,""'' " • • • • "' • ' --,,_ ,.,-• --~' • • • •• • ~ -·" ~
· WORl(ERS ' COMPENSATION ·-. . ., -,_ -~ . . ~ . . -. . -, --·
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following decJara/ions:
0 I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code. for lhe performance of the work for which this permit is issued.
0 I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy
number are: Insurance Co. Policy No. Expiration Date ----------
This section need not be completed tt the permil is for one hundred dollars ($100) or less. D Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
Calilornia. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&10-0,000), in
addttion to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees.
,,1$ CONTRACTOR SIGNATURE 0AGENT DATE
I hereby affirm thal I am exempt from Contractors Ucense Law for the following reason:
0 I, as owner of the property or my employees with wages as their sole compensation, wiil 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 lo an owner of property "Mio builds or improves thereon, and who does such work himsett or through his own employees, provided that such improvements are not inlended 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 nol build or improve for the purpose of sale).
·o 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 lo 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).
O I am exempt under Section Business and Professions Code for this reason:
1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. O Yes O No
2.1 (have I 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 (include name address I phone I contractors' license number):
4.1 plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name I address I phone I conlractors' Hcense number):
5. I will provide some ol the work. but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone/ Jype of work):
,,1$ PROPERTY OWNER SIGNATURE Cl AGENT DATE
.·
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? 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 UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
I certify that I haYe read the application and state that the abolle infonnation ls correct and that the infonnation on the plans is aa:urate. I agree to comply with all City ordinances and State laws relating to building construction.
I hereby au1hori2.e rep,esenlative of the City of Carlsbad kl enter upon the above menooned property for i1specoon ~s. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN mt WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: AA OSHA pennit is required b excavations CNer 5'0' deep and demolition or construcoon of structures CNer 3 sklries 11 hei;lht.
EXPIRATION: Every permi1 issued by the Building Offtial under the provisions of this Code shall expie by Imitation and become nun and void l the buidrig or work autiorized by such perTrit is not corrmenced \\1lhi1
180 days from the date of such pemit or ff the buidrig or work autiorized by such pennit is suspended or abandoned at any tine after the work is commenced for a period of 180 days (Secoon 106.4.4 lklimn Buildrig Code) .
• ~ APPLICANT'S SIGNATURE DATE -7-1Ao/
City of Carlsbad Bldg Inspection Request
For: 11/01/2011
Permit# CB110720
Title: AWAD: INSTALL 2ND SEWER CLEAN
Description: OUT
Type: PLUM Sub Type:
Job Address: 1308 OAK AV
Suite: Lot: 0
Location:
OWNER AWAD GEORGE G&AIDA K
Owner: AWAD GEORGE G&AIDA K
Remarks: permit status check. No response to lett~('
Total Time:
Description Act Comments
Inspector Assignment: PD
Requested By: CHRISTINE
Entered By: CHRISTINE
CD
29 M Pr Ji tr"
Final Plumb.~in_g ______ j___ ~----------
Comments/Notices/Holds
[Notice Work was done prior to pulling permit. See Scott R. for information.
Associated PCRs/CVs/SWPPPs Original PC#
Inspection History
Date Description Act lnsp Comments
04/14/2011 22 Sewer/Water Service CO PD BOXES -CALLED DWAYNE
B U I L D I N G P E; R M I T Permit No: CB960~35
. Project No: A9600494
Development No:
03/01/96 09:23
Page 1 of 1
1Job Address: 1308 OAK AV
Permit Type: MECHANICAL
Parcel No: 156-190-32-00
Valuation: 0
Suite:
Lot#:
Occupancy Group: Reference#:
Description: BRIND FAU UP TO CODE
Appl/Ownr: BERCKS PLUMBING
938 ANDREASON DRIVE #H
ESCONDIDO, CA. 92029
*** Fees Required "A * *
Fees:
Adjustments :
Total Fees:
Fee description
Enter 'Y' for Mechanl
Install Furn/Ducts/Hat * MECHANICAL TOTAL
619
CITY OF CARLSBAD
6287 03/01/96 0001 01 02
24-00 Construction Typ~-PRl'UN
Status: ISSUED
Applied: 03/01/96
Apr/Issue: 03/01/96
Entered By: MDP
737-8670
.00
.00
24.00
***
Ext fee Data
15.00 Y
9 .00
24.00
2075 Las Palmas Dr., Carlsbad, CA 92()()() (619) 438-1161
PLAN CHECK NO. q ~ • 31,~ PERMIT APPLICATION
City of Carlsa.t Buildi'llil Depertmnt
2075 Las Palms Dr., Carlsa.t, CA 92009 (619) 438-1161 EST.VAL,__ __________ _
1. PERMIT IYPE PLAN CK DEPOSIT _______ _
VAIJD.BY __________ _
DATE
From List 1 (see back) give code of Permit-Type: ------------
For Residential Projects Only: From List 2 (see back) give
Code of Structure-Type:---------------------
Net Loss/Gain of Dwelling Units------------------
2. PRClJF.C'f INFORMATION FOR OFFICE USE ONLY
LEGAL DESCRIMioN Lot No. subd1V1s1on Name/Number Unit No. Phase No.
CAECR BEillW IF susMI 11 Eb:
D 2 Energy Cales D 2 Structural Cales D 2 Soils Report D 1 Addressed Envelope
ASSESSOR'S PARCEL EXISTING USE PROPOSED USE
DESCRIPTION OF WORK l3£« ~ (r 7flic..)
SQ. IT. # OF STORIES # OF BEDROOMS # OF BATIIROOMS 3. WN IAC"I PEJts()N (tr duterenf from apphcant)
NAME (last name first) ADDRESS
NAME ~ast name first) J3r;/k {U.,t+oiJU.J&-' ADDRESS q3"i? S ~dl2c~c;E.,.J OR. . "5ft;: /f-
CilY p.-6 co,vc) ,c,f6 STATE CA-ZIP CODE 97c,z; DAY TELEPHONE 7 3 7 -8(o 7 0
S. PROPERN oWNER ./ L'
NAME (last name first) c.::rc. /<. U A) ADDRESS / ~ °E' QA(\ /11/,:::::_
CilY U-t2. (, 5 iJ4 /(J ST A TE Cfi-ZIP CODE 9 2. 006 DAY TELEPHONE
6. WN'i'RACIUR ;2..:.11c v J 7.J/,•M,(1-iw 1 ~ O o ~ ,a _() .t!.c'.:-.,;J lJ. /,../-,,-fl NAME(lastnamefirst) (,.,A-f< f 'il I' v V <r ADDRESS 7Jo ..1-/'f.A/Of.kt:;-'r..,.,_ V-:;:::;,11: ... •
CilY £ 7Coµd, rcio STATE CA-ZIP COD"£1 2tf 2Cf DAY TELEPHONE 7'37-8l 70
STATE uc. # Cf3 /'/6Z ucENSE cLASs6 ~"1,'"24 d'Z. CilY BUSINESS uc. # /7-oZ.CJb~-
DESIGNER NAME (last name hrst) ADDRESS
CilY STATE ZIP CODE DAY TELEPHONE STATE UC.#
1. WORKERS' WMPENsAlioN
Workers' Compensauon Oeclarauon: I hereby alhrm iliat I have a ceruftcate of consent to sell -insure issued by ilie Director of lndustnal
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
Ceru!tcate of Exempuon: I cerufy iliac in ilie performance of the work for which this permit 1s issued, I shall not employ any person in any manner
so as to become subject to the Workers' Compensation Laws of California.
SIGNATURE DATE
A. oWREff-eOIIDER DF.Ci.ARA11oN
Owner-Buuder Declaration: I hereby afhrm that I am exempt from the Contradofs Llcense law for 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 exe refrom, and the basis for the alleged exemption. Any violation of Section 031.5 by any applicant for a permit
subjects the to a · · lty of not more than five hundred dollars [$500]).
SIGNA1URE DATE
Is the ap · nt r fu uilding occupant required to submit a business plan, acutely hazardous materials registration form or risk management and
preven on program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES ONO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
DYES ONO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
0 YES ONO
IF ANY OF THE ANSWERS ARE YE5, A FINAL CERTIFICATE OF cxx:upANCY MAY NCJf BE ISSUED AFI'ER JULY I, 1989 UNllSS THE APPLICANT
HA.5 MJIT OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND nm AIR POll.UTION CDNTROL DISl1UCT.
9. WNS'i'RUClioN D:NDlNG AGENCY
I hereby ai11rm iliac iliere 1s a construcuon lending agency for ilie performance of ilie work for which ili1s permit IS tSSued (Sec 3097(1) CIVIi Code).
LENDER'S NAME LENDER'S ADDRESS
lo. APPUCAN I CERl1FICAl10N
I cemfy iliac I have read ilie appltcauon and state that the above mlormauon 1s 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 Al.SO AGREE TO SAVE INDEMNIFY AND KEEP HARMLF.SS THE Cl1Y OF CAR.lSBAD AGAINST AU. UABIUllE.5, JUDGMENTS, CDSTS
AND EXPENSES WI-IlCH MAY IN ANY WAY Aa:RUE AGAINST SAID Cl1Y IN CDNSF.QUENCE OF THE GRANTING OF TIIlS 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 su 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 o n n n time after the work is commenced for a period of 180 days (Section 303(d) Uniform Buildi ).
APPUCANT'S SIGN DATE: .....;:,"'-'-+--'......._
TE: File YEllOW: Aoolicant PINK: Finance
PERMIT# CB960335
DESCRIPTION: BRIND FAU UP TO
TYPE: MECH
JOB ADDRESS: 1308 OAK AV
APPLICANT: BERCKS PLUMBING
CONTRACTOR:
OWNER:
REMARKS: MW
SPECIAL INSTRUCT:
TOTAL TIME:
CD LVL DESCRIPTION
49 ME Final Mechanical
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 03/06/96
CODE
STE:
INSPECTOR AREA
PLANCK# CB960335
OCC GRP
CONSTR. TYPE VN
LOT:
PHONE: 619 737-8670
PHONE:
PHONE:
INSPECTOR ...,..,,/'t_' -·~-c::::-"-------
ACT COMMENTS ff ___ _
***** INSPECTION HISTORY*****
DATE DESCRIPTION
030496 Rough/Ducts/Dampers
ACT INSP
NR PY
COMMENTS