HomeMy WebLinkAbout145 CHERRY AVE; ; CB920071; Permit01/21/92 13:27
o CHERRY AV
Permit Type: PLUMBING
Parcel No : 204-232-16-00
Valuation:
Construction Type: NE*
BUILDING PERMIT
Str:
Permit No: CB920071
Project No: A9200217
Development No;
. Ste:
5997 01/21/92 0001^01 02 ^
Code:
LEAKING GAS LINE
SSUED
Applied: 01/21/92
Apr/issue: 01/21/92
Validated By: SBB
619 729-0961
CARLSBAD,, CA 92008
miXFTRACTOR = CHUCK'S PLUMBINGCONTRACT OK 3goo wESTHAVEN DR
CARLSBAD, CA 92008
*.** Fees Required *** __***
Lie, C 287305 619-729-0961
Fees Collected & Credits ** *
10.00
,00
10,00
Fees :
Adjustments:
Total Fees:
Fee description
~Enter~~Y~ for Plumbing Issue Fee >
Gas Piping System
* PLUMBING TOTAL
Total Credits:
Total Payments:
Balance Due:
Units Fee/Unit
, oc
, 00
10 . 00
Ext fee Data
2.50
7.50 Y
2 . 50
10. 00
APPROVAL
DATE
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 (619) 438-1161
1. PKRM1TTVPK
A - Q Commercial U New Building LJ Tenant Improvement
B - D Industrial D New Building D Tenant Improvement
C - D Residential D Apartment D Condo D Single Family Dwelling D Addition/Alteration
D Duplex D Demolition D Relocation D Mobile Home D Electrical
D Mechanical DPool D Spa D Retaining Wall D Solar D Other
2. PROJECT INFORMATION
PLAN CHECK NO.~7 f
EST. VAL
PLAN CK DEPOSIT,
VALID. BY:
DATE /-^
FOR OFFICE USE ONLY
Address
Nearest Cross Street
building or auite JNO.
LEGAL DESCRIPTION subdivision Name/Number Phase No.
CHECK BELOW U- bUBMH IhD:
D 2 Energy Calcs O 2 Structural Calcs D 2 Soils Report D 1 Addressed Envelope
ASSESSOR'S PARCEL EXISTING USE PROPOSED USE
DESCRIPTION OF WORK
SQ.FT.# OF STORIES
3. uuNTAUl PhHbON \\\ Qillerent from applicant;
NAME
CITY STATE
ADDRESS
ZIP CODE DAY TELEPHONE
4. APPUCAPr l_l AGhN 1 rOK (-.UN 1KAL. 1 UK
ADDRESS
ZIP CODE
LJUWNhK LJ AGfcN 1 rUR OWNhK~
STATE DAY TELEPHONE
NAME
CITY STATE
ADDRESS
ZIP CODE DAY TELEPHONE
ADDRESS
ZIP CODE SLrf O jf~ DAY TELEPHONE
LICENSE CLASS CITY BUSINESS LIC. #
DESIGNER NAME
CITY STATE
ADDRESS
ZIP CODE DAY TELEPHONE STATE LIC. #
7. WORKERy CJUMPLNSAnON
workers Compensation Declaration: I hereby attirm that 1 have a certiticate ot consent to self-insure issued by the Director of Industnal
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
Certificate of Exemption: Tcertiry that in the pertormance or the work tor which this permit is issued, 1 shall not employ any person in any manner
so as to become subject tpjthe Workers' Compensation Laws of California.
f/t
SIGNATU:
8. OWNER-BU JEK UhLJ-AKAIION
Owner-Builder Declaration: I hereby attirm that 1 am exempt trom the Contractors License Law tor 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 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]).
SIGNATURE DATE
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY:
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 AFTER JULY 1, 1989 UNLESS THE APPLICANT
HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
9. CONSTRUCTION LliNUlNG AGENCY
I hereby attirm that there is a construction lending agency tor the pertormance ot the work tor which this permit is issued (Sec 309710 civil Code).
LENDER'S NAME LENDER'S ADDRESS
10. APPLICANI CJiHllHCAnON
I certify that 1 have read trie application and state that the above information is correct. 1 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 CTTY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS
AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SATO 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 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 if the 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 SI DATE:
WHITE: File YELLOW: Applicant PINK: Finance
v» CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT* CB920071 FOR 01/22/92
DESCRIPTION: REPLACE LEAKING GAS LINE
TYPE: PLUM
JOB ADDRESS: 145 CHERRY AV
APPLICANT: CHUCK'S PLUMBING
CONTRACTOR: CHUCK'S PLUMBING
OWNER:
REMARKS: MH/CHUCK'S/729-0961
SPECIAL INSTRUCT:
INSPECTOR AREA PY
PLANCKtf CB920071
OCC GRP
CONSTR. TYPE NEW
STR: FL: STE:
PHONE: 619 729-0961
PHONE: 619-729-0961
PHONE:
INSPECTOR
TOTAL TIME:
CD LVL DESCRIPTION
23 PL Gas/Test/Repairs
ACT COMMENTS
Q./T. -7-0
DATE DESCRIPTION
***** INSPECTION HISTORY *****
ACT INSP COMMENTS