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Home My WebLink About180 CHERRY AVE; ; CB920332; PermitBUILDING PERMI03/31/92 16:12 Page 1 of 1 Job Address: 180 CHERRY AV Str: Permit Type: PLUMBING Parcel No: 204-231-05-00 Valuation: • o Construction Type: NEW Occupancy Group: Description: GAS REPAIR Permit No: CB920332 Project No: A9200890 Development No: F11038 03/3iS/92 'OOOI 01 02 C-PRHT 10.00 Class Code:<T 4- -n 4- i , f*T . T r"1 f~* t T n rs Appl/Ownr PETERSON, ROGER 180 CHERRY AVENUE CARLSBAD, CA 9200 619 Status": ISSUED Applied: 03/31/92 Apr/Issue: 03/31/92 Validated By: DC 434-5635 *** Fees Required Fees : Adjustments: Total Fees: Fee description Enter "Y" for Plum: Gas Piping System * PLUMBING TOTAL cted & Credits ** . 00 .00 10. 00 Ext fee Data 7. 50 Y 2. 50 10. 00 PROVAL 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. PERMIT TYPE A - U Commercial D New Building U Tenant Improvement B - D Industrial D New Building D Tenant Improvement C - D Residential D Apartment DCondo D Single Family Dwelling D Addition/Alteration D Duplex D Demolition D Relocation D Mobile Home D Electrical D Plumbing D Mechanical D Pool D Spa D Retaining Wall D Solar D Other 2. PROJECT INFORMATION PLAN CHECK NO. EST.VAL PLAN CK DEPOSrr_ VALID. BY DATE FOR OFFICE USE ONLY Address Nearest Cross Building or suite NO. LEGAL DESCRIPTION t>UDaiv\sion Name/NumDer CHECK BELOW IF SUBMI1 ILL): D 2 Energy Cajcs " D 2 Structural Calcs D 2 Soils Report D 1 Addressed Envelope ASSESSOR'S EXISTING USE PROPOSED USE DESCRIPTION OF WO1 SQ. FT.iF STORIES 3. UUNTAUT (itaflitterent trom appycant) ADDRESS 4. !>. 6. '1. CITY &fif!>i**£6£) STATE/*/ APPLICANT Q liUN 1 RAC f OR LJ AGENU NAME - Ojl»<i < CITY STATE PROPERTY OWNER NAME ClAWl^" CITY STATE CONTRAC1UK NAME CITY STATE STATE LIC. # DESIGNER NAME CITY STATE WORKERS' UOMPliNSATKJN J' ZIP CODE tjIs&Ot FOR CON 1 RAC'i C5H )fl OV ADDRESS X' ZIP CODE ADDRESS ZIP CODE ADDRESS ZIP CODE LICENSE CLASS AUfJRESS ZIP CODE ¥ DAY TELEPHONE ^J T^'O b $4 O *L tSVY/V^ VNEH LJAGKN1 hOR OWNER DAY TELEPHONE DAY TELEPHONE DAY TELEPHONE CITY BUSINESS LIC. # DAY TELEPHONE STATE LIC. # " ' ' ' . <••- , Workers' Compensation Declaration: I hereby allirm that I nave a certificate ol consent to sen-insure issued by the Director of Industrial Relations, or a certificate of Workers' Compensation Insurance by an admitied'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 ot Exemption: I certify that in the performance of the work for which this permit is issued, f 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 OfaUARAIlON D Owner-Builder Declaration: I hereby affirm that I am exempt trom the Contractors 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. 7,044, 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 improvemerits;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.). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The'iSojntractor^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 str\icrure|pripr to its issuance, also requiressthe applicant for such permit to file a signed statement that he is licensed^pursuant to the provisions* qfi the Contractor's License Law (Chapter 9, commencing with Section 7000 of Division 3 of the Business and Professions Code) or that he'isaexemptatherefrom, 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]). SIGNATURED DATE COMPLETE THIS^SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY: Is the applicant of 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? , 0 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 OFH.THE,ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1, 198g;UNLESS THE APPLICANT HAS MET^OR|ISJMEE'11NG THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POIlMoJM^NTO^jJjSlSTRICT. 9. UONbTKUJL-TlON^LKNUlNG AGENCY '•'.'?. •'.' "^'f ""• ^ f tiereby-attirm that there is a construction lending agency tor the performance ot the work tor which this permit is Issued (Sec 3097,00 Civil Code). LENDER'S NAME LENDER'S ADDRESS 10. APPLICANT CERTlHtAnON 1 certify that.,1 have read tne application and state tnat tne above information is correct. I agree to comply with al( City prainancesiand State Taws relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mefttibnSsprpperty 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 peFmitJsjsuspended or abandoned at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code). APPU DATE: WHITE: File YELLOW: Applicant PINK: Finance DATE PERMIT JOB ADDRESS UNSCHEDULED INSPECTION INSPECTOR PLANCK # TIME ARRIVE: _ CD LVL DESCRIPTION TIME LEAVE: ACT COMMENTS <£4S PERMITS 6/15/89