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Home My WebLink About155 CHINQUAPIN AVE; ; CB891571; PermitBUILDING PERMIT 10/17/89 13 55 Page ^3 of 1 Job Address 155 CHINQUAPIN AV Str Permit Type PLUMBING Parcel No Valuatj on 0 Construction Type NEW Occupancy Group Class Code Description INSTALL GAS LINE REAR YARD Permit No CB891571 Project No A8902707 Development No Fl Ste %87 10/17/89 0001 03 C2 C-FRMT 10 0 Status ISSUED Applied 10/17/89 Apr/Issue Validated By CD *** Fees Required ******Fees Collected & Credits *** Fees 10 00 Adjustments 00 , Total Fees 10 0:6 Fee description ',">*" ua'jLairae !* ". ' 00 00 10 00 Ext fee Data Enter "Y" for Plumb Mag, Issue Fee > Gas Piping System «•""•' ,. > * PLUMBING TOTAL . " 1 00 2 5.0" 7 50 Y 2 50 10 00 CLEARANCE CITY OF CARLSBAD 2075 Las Palmas Dr, Carlsbad CA 92009 (619) 438-1161 PERMIT APPLICATION City of Carlsbad Building Department 2075 Las Pal mas Dr , Carlsbad, CA 92009 (ei9) 438 nei L PERMIT TYPE ~A [] COMMERCIAL QNEW OTENANT IMPROVEMENT B D INDUSTRIAL QNEU QTENANT IMPROVEMENT c QRESIDENTIAL DAPARTMENT QCONDO nslNG|-E FAMILY DUELLING Q] ADD IT ION/ALTERATION DDUPLEX GDEMOLITION DISLOCATION QMOBILE HOME DELECTRICAL QPLUMBING (^MECHANICAL OPOOL QSPA nRETAINING 2 PROJECT INFORMATION PLAN CHECK No//^/ /r^ / /FOR OFFICE USE ONLY Addressress t r— »— '55Nearest Cross Streets LEGAL DESCRIPTION Lot No Subdivision Name/Number CHECK BELOW IF SUBMITTED D? Energy Calcs Structural Calcs Sol Is Report Addressed Envelope ASSESSOR S PARCEL EXISTING USE PROPOSED USE DESCRIPTION OP WORK /Mf?Fif-t BLDG SO FTG # OF STORIES CONTACT PERSON CITY SIGNATURE ADDRESS ZIP CODE DAY TELEPHONE "7;2(").- "7 T, P 4 APPLICANT NAME , ^CO D AGENT FOR CONTRACTOR QOWNER ADDRESS STATE ZIP CODE Q AGENT FOR OWNER DAY TELEPHONE 5 PROPERTY OWNER NAME QLESSEE [^TENANT ADDRESS ZIP CODc DAY TELEPHONE CONTRACTOR CITY ADDRESS ZIP CODE LICENSE CLASS P"' DAY TELEPHONE CITY BUSINESS LIC # SIGNATURE j^f DESIGNER NAME CITY 7 WORKERS ' '<**t«f 'w .^V^ COMPENSATION i^r TITLE yrer/crf* ADDRESS STATE ZIP CODE 44 DATE lOin/V^ DAY TELEPHONE STATE LIC # Workers Compensation Declaration I hereby affirm that 1 have a certificate of 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 of Exemption I certify that in the performance of the work for which this permit is issued I 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 DECLARATION Owner Builder Declaration I hereby affirm that I am exempt from the Contractor s License Law for the following reason 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 complet on the owner builder will have the burden of proving that he did not build or improve for the purpose of sale ) 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) I am exempt under Section Business and Professions Code for this reason 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 Acf DYES DN° Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district7 DYES QNO Is the facility to be constructed within 1 000 feet of the outer boundary of a school site7 DYES ONO IF A«r OF THE ANSWERS ARE YES A FINAL CERTIFICATE OF OCCUPANCY NAY 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 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097O) Civil Code) LENDER S NAME LENDER S ADDRESS 10 APPLICANT'S SIGNATURE I certify that I have read the application and state that the above information is correct 1 agree to comply with all City ordinances and State laws relating to building construction 1 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 HAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT Expiration Every permit issued by the Building Official under the provisions of this Code shaft expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandyfT^d at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code) APPLICANT/ S E1GNATLIRI OWNER ) CONTRACTOR BY PHONE APPROVED DATE WHITE File YELLOW Applicant PINK Finance CITY OF CARLSBAD INSPECTION REQUEST PERMIT* CB891571 FOR 10/18/89 DESCRIPTION INSTALL GAS LINE REAR YARD JOB ADDRESS 155 CHINQUAPIN AV APPLICANT CROWN RIDGE CONSTR CO CONTRACTOR OWNER REMARKS T3/MH/720-7383 SPECIAL INSTRUCTIONS STR: PHONE: 720 7383 PHONE: PHONE: /) INSPECTOR INSPECTOR AREA PLANCK* CB891571 OCC GRP CONSTR TYPE NEW FL: STE: TOTAL TIME: CD LVL DESCRIPTION 23 PL Gas/Test/Repairs ACT COMMENTS DATE DESCRIPTION ***** INSPECTION HISTORY ***** ACT INSP COMMENTS