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Home My WebLink About1379 NIGHTSHADE RD; ; CB960760; PermitBUILDING PEPMIT Permit No: CB960760 04/24/96 13:55 Project No: A9600785 Page 1 of 1 Development No: Job Address: 1379 NIGHTSHADE RD Suite: Permit Type: PLUMBING . Parcel No: 215-641-25-00 Lot#: * Valuation: 0 Construction Type NEW . Occupancy Group: Ref erence#: Status: ISSUED Description: RUN GAS LINE FOR BBQ Applied: 04/24/96 Apr/Issue: 04/24/96 Entered-By: RMA Appl/Ownr : MOORE, BRETT 942-5588 1689LEORALN LEUCADIA CA 92024 - Fees Required * ** ** Fees Oøecte Fees: 27 C-PRIIT 27.00 Adjustments: 0 \ AáA c'z it .00 .1 Total Fees: 2/.00 Total aen: \ .00 27.00 Fee description J its 4Lit\ Ext fee Data Enter tY" for-Plumbi4 sue/e, \ 20.00 Y Gas Piping System > -1 0 7.00 * PLUMBING. TOTAL 27.00 . INCORPORATED . FINAL APPROVA. kINSP.!_rDATE . J\RANCE • . - CITY OF CARLSBAD - 2075 Las Palmãs Dr., Carlsbad, CA 92009 (619) 438-1161 I. PERMrr &PUCATION City of Cartsbed Building Depart.41 2075 in Palass or., Carlsbad, CA 92009 (619) 438-1161 W'. - PLAN CHECK NO.-71 EST. VAL PLAN Q( Dr______ From List I (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. PROAMT INFORMATION FOR OFFICE USE ONLY Address 7t or Suite No. Nearest Cross Street LEGAL DESCRIPTION Lot No. Subdivision Name/Number Unit No. Phase No. CHECK BELOW IF SUBMITTED: 02 Energy CMos 02 Structural Calcs 02 Soils Report Dl Addressed Envelope ASSESSOR'S PARCEL EXISTING USE PROPOSED USE .. DESCRIPTION OF WORK SQ. rr. &'c L.i 1E 41 OF STORIES # OF BEDROOMS 41 OF BATHROOMS 3 Wfi IAL.1 rJtJN til aillerenc From applicant) NAME (last name first) ADDRESS CITY STATE ZIP CODE DAY TELEPHONE APPLICANT LI WN I HAt.. IUK LI AGENT FOR WNTHACWH DOWNER U AGENT FOR OWNER NAME (Wt name first) ADDRESS CITY STATE ZIP CODE DAY TELEPHONE PROPERTY OWNER NAME (last name first) JC7E ADDRESS / 379 ,V//iZ.971 CITY STATE ZIP CODE DAY TELEPHONE U. WrIi iUV.iUi NAME (last name first) Mcopci3l2.TT ADDRESS DAY TELEPHONE IIc2.2 -9 CITY STATE ZIP CODE3 CITY BUSINESS LIC. # STATE LIC. #433UCENSE CITY STATE ZIP CODE DAY TELEPHONE . STATE LIC. 41 12_0 Z72 7 WORKERS! WMPENSATION Workers' Compensation Declaration: I hereby affirm that I have a certilicate of consent to sew-insure issued by the Director 01 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. Q. INSURANCE COMPANY POLICY NO. EXPIRATION DATE Certificate of Exemption: I certify that in the performance of the work tar which this permit is issued, I shall not employ any person in any manner so as to ubject to the Workers' Compensation laws of California. SIGNATU - - DATE 4 -2.4 Owner-Builder Lieclaration: I hereoy allirm that i am exempt tram the Contractors License Law [Or the tollowing reason: 0 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.). 0 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). o 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 dollars [55001). SIGNATURE 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? DYES 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 El NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? DYES 0 N IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUSI) AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POU.LJTION (X)NI1tOL DISIR1Cr. 1 hereby allirm that there is a construction lending agency tar the performance or the work br which this permit is Issued (sec 3097(i) CIvil Code). LENDER'S NAME LENDER'S ADDRESS 10. ?iPFlACAN[ I.Z1IHHC&IIUN I certify that I have read the application and state that the above inlormation 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 10 SAVE INDEMNIFY AND KEEP HARMLESS THE (flY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMEWIS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID OW IN CONSEQUENCE OF THE GRANTING OF THIS PERMrr. Cflhl& 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 such permit is not commenced within 365 days from the date of such permit or lithe 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). APPLICANTS SIGNATURE DATE: WI-LITE: File YELLOW: Applicant PINK. Finance A p. . ctTY.oF CARLSBAD INSPECTION REQUEST PERMIT# CB960760 . FOR 04/25/96 .. INSPECTOR AREA DESCRIPTION: RUN GAS LINE. FOR BBQ. PLANCK#. CB960760 OCCGRP TYPE: PLUM . CONSTR. TYPE NEW JOB ADDRESS: 1379 NIGHTSHADE RD. STE: LOT: APPLICANT: MOORE, BRETT . . PHONE: 942-5588 CONTRACTOR: . PHONE: . OWNER: PHONE: REMARKS: MW . . INSPECTOR' . . SPECIAL INSTRUCT:- TOTAL TIME: --RELATED PERMITS-- PERNIT# TYPE STATUS CB960568 PATIO ISSUED . CD LVL DESCRIPTION . ACT COMMENTS 23 PL Gas/Test/Repairs . . . .4g... ***** INSPECTION HISTORY DATE DESCRIPTION . . . ACT INSP COMMENTS El