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Home My WebLink About1790 COTTONWOOD AVE; ; CB891835; Permit„ > BUILDING 11/28/89 15.35 Page 1 of 1 Job Address: 1790 COTTONWOOD AV Permit Type PLUMBING Parcel No. 215-503-37-17 Valuation. ° Construction Type NEW Occupancy Group. Class Description- CHANGE GAS LINE CONTRACTOR CENTRAL PLUMBING 6152 MISSION GORGE RD SAN DIEGO, CA 92120 Fees Required *** *** PERMIT Str Permit No. CB891835 Project No. A8903256 Development No Fl Ste1659 11/28/89 0001 01 02 10-00 Code Status: ISSUED Applied 11/28/89 Apr/Issue Validated By. CD Lie. C 478128 283 5531 *** Fees Collected & Credits *** Fees . Adjustments Total Fees- Fee description 10 . 00 . 00 10 00 Total Credits- Total Payments• Balance Due. Units Fee/Unit Enter "Y" for Plumbing Issue Fee > Gas Piping System > * PLUMBING TOTAL 1 00 2'. 50 00 00 10 00 Ext fee Data 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 Palmas Dr , Carlsbad, CA 92009 (619) 438-nei L PERMIT TYPE | ~AQ COMMERCIAL QNEWQ TENANT IMPROVEMENT B n INDUSTRIAL QNEW QTENANT IMPROVEMENT C PRESIDENTIAL QAPARTMENT Q CONDO QSINGLE FAMILY DWELLING Q ADDITION/ALTERATION D DUPLEX DDEMOLITION QRELOCATION QMOBILE HOME Jj^LECTRICAL JgfpLUMBING QPOOL QSPA n^ETAINING WALL QSOLAR [>OTHER-y i, ^> 2. PROJECT INFORMATION PLAN CHECK No EST PLAN VALID DATE Jf VAL *^LS CK DEPOSIT BY / 11/7/6/ •) 1 .^2 '' / rrf1 is j 21 FOR OFFICE USE ONLYAddress Nearest Cross Streets LEGAL DESCRIPTION Subdivision Name/Number Phase No CHECK BELOW IF SUBMITTED Q2 Energy Calcs Q2 structural Calcs D2 Soils Report Addressed Envelope ASSESSOR'S PARCEL EXISTING USE PROPOSED USE DESCRIPTION OF WORK 3. 4 5 6 7 BLDG SO FTG , CONTACT PERSON NAME CITY SIGNATURE APPLICANT D CONTRACTOR NAME CITY PROPERTY OWNER NAME CITY CONTRACTORNAME CITY STATE LIC # SIGNATURE DESIGNER NAME CITY WORKERS' COMPENSATION # OF STORIES ADDRESS STATE ZIP CODE O AGENT FOR CONTRACTOR QOWNER ADDRESS STATE ZIP CODE OWNER ADDRESS STATE ZIP CODE ADDRESS STATE ZIP CODE LICENSE CLASS TITLE ADDRESS STATE ZIP CODE DAY TELEPHONE D AGENT FOR OWNER DAY TELEPHONE DLESSEE ^TENANT DAY TELEPHONE DAY TELEPHONE CITY BUSINESS LIC * DATE DAY TELEPHONE STATE LIC # Workers' Compensation Declaration I hereby affirm that I 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 I 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 ) II 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 (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 IS500]) 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 Act7 DYES DNO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district' DYES DNO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site' DYES ONO 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 REQUIREMENTSOF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT 9. CONSTRUCTION LENDING AGENCY 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(1) 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 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 UAY 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 shall 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 abandoned at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code) APPLI CffT si SIGNATURJ H/M/Vtrl OWNER CONTRACTOR PHONE APPROVED BY DATE WHITE File YELLOW Applicant PINK Finance PERMIT* CB891835 DESCRIPTION: CHANGE GAS LINE CITY OF CARLSBAD INSPECTION REQUEST FOR 11/30/89 TYPE: PLUM JOB ADDRESS; APPLICANT: CONTRACTOR: OWNER: 1790 COTTONWOOD AV CENTRAL PLUMBING CENTRAL PLUMBING PHONE: PHONE: PHONE: STR: 283 5531 283 5531 INSPECTOR AREA PD* PLANCK* CBS91835 OCC GRP CONSTR. TYPE NEW FL: STE: REMARKS: T2/MH SPECIAL INSTRUCTIONS: INSPECTOR TOTAL TIME: CD LVL DESCRIPTION 23 PL Gas/Test/Repairs ACT COMMENTS DATE DESCRIPTION ***** INSPECTION HISTORY ***** ACT INSP COMMENTS