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Home My WebLink About150 CHERRY AVE; ; CB930259; PermitBUILDING PERM I 03/22/33 14:31 Page x of 1 Job Address: 150 CHERRY AV Suite; Permit Type: PLUMBING Parcel No: 204-231-10-00 Lot*: Valuation: 0 Construction. Type: NEW Occupancy Group: Description: GAS LINE REPAIR Reference*: Appi/Cwnr : ARTHUR BROWN PLUMBING 2697 STATE ST CARLSBAD CA 92008 .-•-••"" Permit No: C393C25S Project No: Ay330387 Development No: 1588 03/22/93 0001 01 02 C-PRMT 27-00 Status: ISSUED Applied: 0 3/22/S3 Apr/Issue: 03/22/93 Entered By: TP 619-723-4914 *** Fees Required ******Fees Collected Credits * ** Fees: 27,00 Adjustments: ,00 Total Fees: 27.00 Fee description Total Credits: Total Payments: Balance Due; Unit s Fee/on it . 0 0 . 00 27.00 : fee Enter-"Yri for Plumbing Issue Fee > Gas Piping System > * PLUMBING T01AL 7. CO 20.00 v 7. 00 27, 00 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. PERMIT TiFt A - a Commercial U New Building U Tenant Improvement ~~ B - D Industrial D New Building D Tenant Improvement C - Q Residential D Apartment D Condo D Single Family Dwelling D Addition/Alteration D Duplex D Demolition D Relocation D Mobile Home D Electrical ^Plumbing D Mechanical DPool D Spa D Retaining Wall D Solar D Other 2. PROJECT INFORMATION PLAN CHECK NO. EST.VAL PLAN CK DEPOSIT VALID. BY -"f^P' DATE ~3/3S]-J*i3 FOR OFFICE USE ONLY Address Nearest Cross Street LEGAL DESCRIPTION or suite NO. Lot No. Subdivision Name/Number Unit No.Phase No. CHECK BELOW It aUBMll f EL): D 2 Energy Calcs D 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. UUNTACT FEH5UN (it different from applicant; NAME CITY STATE ADDRESS ZIP CODE DAY TELEPHONE 4. APPLICANT QCONTRACTOK CJ AGENT FOR CON IRACI OR UUWNtH , U£GEN^ frOK OWNER NAME A/lsL,/Y KfliJlrt d^kho ADDRESS CITY K /Sbafl STATE ^y^ZIPCODE DAY TELEPHONE ty *) / 5. PROPERTY NAME CITY «/rt# Wiljef4\/y CaiIsLfl STATE r/^OR ' j I ^ ADDRESS ZIP CODE — . /, // DAY TELEPHONE 6. GONTRAC1 CITY STATE LIC. DESIGNER NAME. STATE DAY TELEPHONE CITY BUSINESS LIC. # CITY 7. WORKERS' COMPENSATION STATE ZIP CODE DAY TELEPHONE STATE LIC. # Workers Compensation Declaration: I hereby affirm that I have a certificate ot consent to self-insure issued by the Director of 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. C). INSURANCE COMPANY POLICY NO.EXPIRATION DATE Certificate or Exemption: 1 certify that in the performance ot the work tor which this permit is issued, 1 shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE 8. OWNER-BUILDER DbCLAHAlION Owner-Builder Declaration: I hereby affirm that I am exempt from the Contractors License Law for 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 permitsubjects 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? O 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 LENDING AGENCY I hereby affirm that there is a construction lending agency tor the performance ot the work tor which this permit is issued (.bee 3097(0 Civil Code). LENDER'S NAME LENDER'S ADDRESS 10. APPLICANT CLRIlFICATION I certify that 1 have read the application and state that the above information 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 TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY 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 S'O" 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). APPLICAN DATE:~ " Gr<? ile YELLOW: Applicant PINK; Finance PERMIT* CB930259 DESCRIPTION: GAS LINE REPAIR CITY OF CARLSBAD INSPECTION REQUEST FOR 03/25/93 TYPE: PLUM JOB ADDRESS: 150 CHERRY AV APPLICANT: ARTHUR BROWN PLUMBING CONTRACTOR: OWNER: REMARKS: MH/JOHN/729-4914 SPECIAL INSTRUCT: INSPECTOR AREA PLANCK* CB930259 OCC GRP CONSTR. TYPE NEW STE: LOT: PHONE: 619-729-4914 PHONE: PHONE: INSPECTO x TOTAL TIME: CD LVL DESCRIPTION 23 23 PL Gas/Test/Repairs PL Gas/Test/Repairs ACT COMMENTS DATE DESCRIPTION ***** INSPECTION HISTORY ***** ACT INSP COMMENTS