HomeMy WebLinkAbout1320 CHINQUAPIN AVE; ; CB980681; PermitBUILDING PERMIT Permit No CB980681
03/04/98 11 32 Project No A9800877
Page 1 of 1 Development No
Job Address 1320 CHINQUAPIN AV Suite
Permit Type PLUMBING
Parcel N,o 206-262-10-00 Lot#
Valuation 0 Construction Type NEW
Occupancy Group Referenced Status ISSUED
Description GAS LINE TO OUTDOOR KILN Applied 03/04/98
Apr/Issue 03/04/98
Entered By JM
Appl/Ownr ERICKSON LINDA 760 730-3221
1320 CHINQUAPIN AVENUE
CARLSBAD CA 92008 „__ ..
*** Fees Required *** „ <-'*'"*** « *"1?ee5 Collected & Credits ***
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PPROVAL
CLEARANCE
CITY OF CARLSBAD
2075 Las Palmas Dr , Carlsbad, CA 92009 (619) 438-1161
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 las Palmas Dr, Carlsbad CA 92009
(760)438-1161
PROJECT INFO ,TION
/W ^'^,^08
FOR OFFICE USE ONLY
CSS}
PLAN CHECK NO /T)(
EST VAL _
Plan Ck Deposit
Validated By
Date *
. -
Address (include Bldg/Suite t) (j I
Legal Description
Assessor s Parcel #
Description of Work _l
Business
Lot No Subdivision Name/Number
Existing Use
, SQ FT
Name (at this address)
Unit No Phase No Total * of units
Proposed Use
<7 , / f°' ««P"«»7 . » of Bedrooms / / /i * of Bathrooms
2 CONTACT PERSON (tt drffeianrirofn applicant)
Name
3 APPLICANT
k~lM_c/fiL
Q Contractor
Name
, 4 PROPERTY OWNER a
*£ ikluAt 1 P& fE/HcJks0«
Name
1 / Address
D Agent for Contractor
Address
Address '
City
P3L°wner D Agent for Owner
D 1 City
*«c^(^c Gu-UWl
U ( City
State/Zip
State/Zip
ClLT, 'iaoo
State/Zip
Telephone * Fax #
>0£<?
Telephone f
8 c'76o)730-l>3i.
Telephone *
(Sec 7031 5 Business and Professions Code Any City or County which requires a permit to construct altar 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 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 7031 5 by any applicant for a permit sublets the applicant to a civil penalty of not more than five hundred dollars ($5001)
Name
State License 9
Address
License Class
City State/Zip
City Business License f
Telephone 1C
Designer Name Address City State/Zip Telephone
State License *
6 WORKERS COMPENSATION ~ ~
Workers Compensation Declaration I hereby effirm under penalty of perjury one of the following declarations
Q I have and will maintain a certificate of consent to self insure for workers compensation es provided by Section 3700 of the Labor Code for the performance
of the work for which this permit is issued
O I have and will maintain workers compensation as required by Section 3700 of the Labor Code tor the performance of the work for which this permit is
issued My worker s compensation insurance carrier and policy number ere
Insurance Company Policy No Expiration Date
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1*100) OR LESS)
0 CERTIFICATE OF EXEMPTION I certify that in the performance of the work for which this permit is issued I shell not employ eny person in any manner so es
to become subject to the Workers Compensation Laws of California
WARNING Failure to secure workers compensation coverage Is unlewtul and shall subject an employer to criminal penalties and civil tinea up to one hundred
thousand dollars 1*100 000) hi addition to the cost of compensation damages as provided for ki Section 3706 of the Labor code Interest and attorney a fees
SIGNATURE DATE
.7 OWNER BUILDER DECLARATION ~ —.,...# ,-L , fi-r
1 hereby effirm that I am exempt from the Contractor s License Law for the following reeson
H— 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 burids or Improves thereon and who does
such work himself or through his own employees provided that such improvements are not Intended or offered for aale If however the building or Improvement is
sold within one yesr of completion the owner builder will have the burden of proving that he did not build or Improve tor the purpose of sale)
53— I as owner of the property am exclusively contracting with licensed contractors to construct the project (Sec 7044 Business end Professions Code The
Contractor s License Law does not apply to an owner of property who builds or improves thereon end contracts for such projects with contractors) licensed
pursuant to the Contractor s License Law)
0 I am exempt under Section Business and Professions Code for this reason
1 I personallypjan to provide the major labor and matenels for construction of the proposed property improvement jQ^YES QNO
2 (^rtlvj^i|ji^^ffiigned 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 / phone number / 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 / address / phone
number / contractors license number) ____^^^_^^^______^^_^^___^^_^^^_____^_^__^^__^^^^^^_^^___^^__^^_^^^^^^^__^_5 ~~~~ ~~~ '
I will
of work)
some of the a but I have contracted (hired) the following persons to provide the work indicated (Include name / address / phone number / type
"J ^PROPERTY OWNER SIGNATURE -g, (PATEN
COMPLETE THIS SECTION FOR WCMrWO5tD£V7M£ BUILDING PERMITS ONlf
Is the applicant or future building occupant required to submit a business plan acutely hazardous matenels registration form or risk management and prevention
program under Sections 25S05 25533 or 25534 of the Presley Tenner Hazardous Substance Account Act? Q YES D NO
Is the applicant or future building occupant required to obtem e permit from the air pollution control distnct or air quality management district? Q YES D NO
Is the facility to be constructed within 1 000 feet of the outer boundary of a school site? Q YES Q 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
A CONSTRUCTION LENDING AGENCY " " " ** "" *T •—-•"- - - - - — ,. - .
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(0 Civil Code)
LENDER S NAME LENDER S ADDRESS
9 APPLICANT CERTIFICATION --—_,,-_„, _, „ _„„, _ _
I certify that I have read the application and stste that the above information is correct and that the Information on the plans is accurate 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
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 shell expire by limitation and become null and void if the building or
work authorized by such 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
or abandoned at any time after th/ yorlus. commented for aiJgjod of 180 days (Section 106 4 4 Uniform Building Code) \A
^APPLICANT S SIGNATURE Cfec^iAjCjfi Q- CU Ji "^J&AfrA. DATE *f ilitigjtA L?9S
WHITE File YELLOW Applicant PINK Finance
CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT* CB980681 FOR 04/09/98
DESCRIPTION GAS LINE TO OUTDOOR KILN
TYPE PLUM
JOB ADDRESS
APPLICANT
CONTRACTOR
OWNER
1320 CHINQUAPIN AV
ERICKSON LINDA PHONE
PHONE
PHONE
INSPECTOR AREA
PLANCK* CB980681
OCC GRP
CONSTR TYPE NEW
STE- LOT.
760 730-3221
REMARKS C/
SPECIAL INSTRUCT
INSPECTO:
TOTAL TIME
CD LVL DESCRIPTION
23 PL Gas/Test/Repairs
ACT COMMENTS
DATE DESCRIPTION
***** INSPECTION HISTORY *****
ACT INSP COMMENTS