HomeMy WebLinkAbout1450 ALGA RD; ; CB950180; PermitEUILDING PEhMIT Permit No: C8950180
02/u1/35 .10:03 Project No: A950~2'io
Faqe 1 of 1
Job Address: 1450 ALGA RD
F'ermi t Tvne : PLIJMBING
I Lbvelopment No: Suite : __ Parcel No: 215-040-24-00
Valuation: 11
Construction Type: NEW
Lot#: 0526 02/01/75 0001 01 02 C-PRHT 27.00
Occupancy Group:
Description: BACKFLOW PREVENTER FOR MODELS
.. Reference# : Stat.us : ISCUED
Applied: 02/u1/95
Apr/Issue: 02./01/'35 Entered By: DC Appl/Ownr : OAK LEAF LANDSCAPE 714 630-4634
2885 EAST LA CRESTA
*** Fees Required cteti & Crdits ""-"""~""_"_" ***
Fees :
Acliristments:
Total Fees :
. 0 0 . 0 0
2 7 . 0 0
Ext fee Lht.a
20.110 Y
Fee description
Enter ''Y" for Plu
Each Install/Repa * PLUMBING 'TOTAL
- - - - - - - - .. - - - - - - - - - "--""""""_
7.00
2 7 , I1 I!
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438.1161
PERMIT APPLICATION
City of Carlobad Buildina Depertrnt
F-o.4Jyy
2075 Las Palms Dr.. Carlobad. CA 9ZW9 (619) k3E-1161
From List 1 (see back) give code of Permit-Type:
PIAN CK
VALID. BY
..................................................
For Residential Proiects Only: From List 2 (see back) give
Code of structure-Typ: 5 3 A
Net Ims,@f Dwelling Units 4
2 PR~INFoRMAnoN FOR OFFICE USE ONLY
~d- 14.50 tt\~qoa& Bulldlng or Sulte NO. q aC: oq
Nearst C- Street -&a\ ~, q w;lb
ON Lot No. Subdtvlslon NamdNurnber os -2 SYVdF.er\\fQ<. mde\s Unlt No. Phase No. fAu\ckrcL7 UP;\ \ TaVw -6.5
&e /"/v GL
0 2 Energy Calcs 0 2 Structural Calcs 0 2 Sails Report 0 1 Addressed Envelope
G USE PROPQSED USE
SQ. FT. # OF SrORIES # OF BEDROOMS # OF BATHROOMS (rt artterent from applrcanu NAME (last name first1 ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE
STATE LIC. &.3 I 50 3 LICENSE CLASS -21 CITY BUSINESS IIC. #
(last name tmtu
STATE
Workers' cornpensanon Declaratton: I hereby attlrm that I have a CeNtlcate ot consent to selt-Insure lssued by the Director ot 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 tion 3800. lab. C).
INSURANCE CDMPANY n)\ ebr\p am- POLICYNO. mlmmON DATE .7 -1-9 5
CeNhcate ot Exemptlon: 1 certl that m theperf so as to become subject to the W!rkers' Compensation laws of California. ormance ot the work tor whlch thls permtt IS ISSUM, 1 shall not employ any person m any manner
SIGNATURE DATE
uwner-nulmer wclarauon: I hereby attum that t am exempt trom me mnrractors ucense law tor me tollowlng reason:
0 I, as owner of the propeny or my employfm 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 doer not apply to an owner of property who builds
or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will haw the burden or improves thereon, and who doer such work himself or through his own employees, provided that such improvements are not intended
0 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions
of proving that he did not build or improve for the purpose of sale.).
Code: The Contractor's License Law doer not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor($ licensed pursuant to the Contractor's Licen, Law).
0 I am exempt under Section Business and Professions Code for this reason:
(&. 7031.5 Business and Professions Code: Any City or County which requires a prmit 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 [S5001).
SIGNATURE DATE
Is the applicant or future building occupant required to submit a business plan, acutely hamardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act7
Is the applicant or future building occupant required to obtain a permit from the air pollution conml disuict or air quality management district?
Is the facility to be constructed within 1,000 feet of the outer boundaiy of a school site?
IPANYOPTHEANSWERS~YE$A~~~~~~OFDOCUPANCIMAYNOTBElSSUPDAFIWJUlY1,1989UNlFSSTHE~~ HAS -OR IS mG THE REQm OF THE OFTICE OF EMEKGRJCY sWW& AND THE AIR PolLunON CONTROL DISI'RICI'.
1 hereby attmn that there IS a construction lendzng agency tor the performance 01 the work tor WhlCh thls perm11 IS mued (set 30Y/(lJ Clnl code).
0 YES 0 NO
0 YES 0 NO
0 YES 0 NO
LENDER'S NAME LENDER'S ADDRESS
relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection 1 CeNty that I have read the appllcauon and state that the above mtormatlan IS correct. 1 agree to comply wlth all tity ordmancer and State laws
pu'poses. 1ALsoAG~TDsAvEINDEMNIFIAND~HARMLFssTHE~0PcARIsBADAGAINsI'Au.~JIIDG~oDsTs AND WPENSFS WHICH MAY IN ANY WAY AOZRUl? AGAINST SAID CI'KY IN OONSFQUENCE OF THE GRAN'IlNG OF TWIS PER".
OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of StNCtuTes 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 a is commenced for a period of 180 days (Section 303(d) Uniform Bu APPUCANTS SIGNATURE DATE: - WHITE: File YELLOW: Applicant PIIW Finance
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