HomeMy WebLinkAbout1311 OAK AVE; ; CB951854; PermitB U I L D I N G P E R M I T Permit No: CB951854
Project No : A9502718
Development No:
... 2/20/95 15:16
Pacre 1 of 1
Job Address: 1311 OAK AV
Permit Type: PLUMBING
Parcel No : 205-020-14-00
Valuation : o
Suite:
Lot#: 5240 .2/20/95 0001 01 ,.. PR!ff Construction Type:
.,
NEW ...
Occupancy Group: Reference#: Status: ISSUED
12/20/95
12/20/95
RMA
Description : MOVE WATER HEATER TO OUTSIDE
: MAKE ROOM FOR NEW CONSTRUCTION
Appl/Ownr : NEFF , RAYMOND
1311 OAK AV
CARLSBAD, CA 92>08
*** Fees Required ***
Fees:
Adjustments:
Total Fees :
Applied:
Apr/Issue:
Entered By :
619-7120-1884
,00
.00
27.00
/( * *
Fee de:::;cription Ext fee Data
Enter "Y" for Plumbin
Each Water Heater
* PLUMBING TOTAL
20. )0 Y
7.00
~7 .00
D PERMIT
·1:RMIT HAS EXPIRED IN ACCORDANCE WlTH U.B.C
SECTION 303 (d)
DATE----S1GNATURE2t£ ~
FINAL APPROVAL
INSP. DATE ___ ,
CLEARANCE _____ ,
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
PERMIT APPLICATION PLAN CHECK NO.
City of Cal"lsbed Buildi,.a Depal"tment
2075 Las Pal ... DI"., Cal"lsbmt, CA 92009 (619) 438·1161
1. PERMIT fiPE
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. PRCllF.CT INFORMATION FOR OFFICE USE ONLY
Address Building or Suite No.
Nearest Cross Scree~
LECAL DESCRIPTION Lot No. Subd1v1S1on Name/Number Unit No. Phase No.
CAECK BEWW IF sOBMI 11 Eb:
0 2 Energy Cales O 2 Structural Cales D 2 Soils Report O 1 Addressed Envelope
ASSESSOR'S PARCEL
DESCRIPTION OF WORK jiAcfVe_.. PBQPQSEQ USE
SQ. IT. # OF STORIES # OF BEDROOMS # OF BATIIROOMS
3. WN IACI P£RSON (1r darlerent from apphcant)
NAME (last name first) ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE
4. APPUCAN'I OCON I RAC IOR 0 AG£N I FOR CON I RACIOR
ADDRESS
DOWNER DAGEN I FOR OWNER
NAME (last name first)
CITY STATE ZIP CODE DAY TELEPHONE
6. wNTRACIOk
I if</
NAME (last name first) ADDRESS
CI1Y STATE ZIP CODE DAY TELEPHONE
STATE UC.# LICENSE CLASS CITY BUSINESS UC. #
DESIGNER NAME (lase name brsc) ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE STATE UC.#
1. WokKERs WMPENsAlioR
Workers' Compensation Oeclarat1on: 1 hereby alhnn that I have a cemhcace of consent to sell-insure issued by the 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
Cerohcate of Exemption: 1 certify that m the pertonnance of the work for which this penn1t as issued, 1 shall not employ any person in any manner
so as to become subject to the Workers' Compensation Laws of California.
SIGNATURE DATE
ara on: 1rm a am exemp rom e n ac o s cense w or e o owing reason:
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 Llcense 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).
[J 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 t ·cs issuance, also requires the applicant for such pennit to file a signed statement that he is licensed pursuant to the
provisions of the n actor's Llcense Law (Chapter 9, commencin ~th Section 7000 of Division 3 of the Business and Professions Code)
or that he is ex p erefrom, an basis for the alleged e ~on. Any violation of Section 7031.5 by any applicant for a permit
subjects the a Ii nt to a civil penalty f not dollars [$500]). ~
SIGNATIJR£ DATE -2_ 0 -~ J
ls the applican r utu building occupant required to su mi a business plan, acutely hazardous materials registration form or risk management and
prevention program u der 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 concrol disoict or air quality management disoict?
0 YES CJ NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
0 YES D NO
IF ANY OF 11IE ANSWERS ARE YE.5, A FINAL CERTIFICATE OF cxx:uPANCY MAY N<Yr BE IS.5UED AFTER JULY 1, 1989 UNLESS 11IE APPUCANT
HAS MET OR IS MEETING 11IE RF.QUIR.EMENTS OF 11IE OFFICE OF EMERGENCY SERVIci:5 AND 11IE AIR POU.lJTION OONTROL D!STRICT.
9. WNS'i'ROCnoN O:NDlNG .AGENcY
I hereby alhrm that there IS a construction lending agency tor the performance of the work tor which this penn1t 1s LSSued (Sec 3097(1) CIVIi Code).
LENDER'S NAME LENDER'S ADDRESS
to. APPUCAN I Cl:lt nFICA 110N
I certify that I have read the appllcauon and state that the above inlormauon 1s correct. I agree co comply w1Ul all City ordinances an<l 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 1U SAVE INDEMNIFY AND KEEP~ 11IE CTIY OF CAR1SBAD AGAINST All. UABllIIlFS, JUDGMENTS, CDSTS
AND EXPENSES WHICH MAY IN ANY WAY ACX:RUE AGAINST SAID CTIY IN OONSEQUENCE OF 11IE GRANTING OF TIDS PERMIT.
OSHA: An OSHA pennit is required for excavations over S'O" deep and demolition or construction of structures over 3 stories in height.
Building Official under the provisions of this Code shall expire by limitation and become null and void if the
nnit is not commenced within 365 ays « the date of such permit or if the building or work authorized by
Expiration. Every permit issued by
building or work authorized by su
such pennit is suspended or aba on
APPLICANT'S SIGNATURE
at any time~the rk · e for a period of 180 days (Section 303(d) Unifo~~~il/2~---iS-
PINK: Finance r.