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Home My WebLink About1805 COTTONWOOD AVE; ; CB920392; PermitBUILDING PERMIT04/21/92 11 52 Page 1 of 1 Job Address 1805 COTTONWOOD AV Permit Type PLUMBING Parcel No 215-503-37-28 Valuation 0 Construction Type NSW Occupancy Group Description REPAIR GAS LINE Str Permit No CB920392 Project No A9201076 Development No• Fl ste7317 04/21/92 0001 01 02 C-PRMT 10-00 Class Code Appl/Ownr CENTRAL PLUMBING & HEATING 6152 MISSION GORGE ROAD #H- SAN DIEGO, CA 92120 Status ISSUED Applied 04/21/92 Apr/Issue 04/21/92 Validated By DC 619 283-5531 CONTRACTOR CENTRAL PLUMBING "'.' '( 6152 MISSION GORGE ROAD #H; SAN DIEGO/, CA 92120' *** Fees Required - *** /.Lie.. C ,478128 619-283-5531 1 .- •' •' ••' \ *•*•* Fees Col lee ted & Credits *** Fees .10.00 Adjustments .00 Total Fees •' 10. QO Fee description ;-;•_ Total, Credits ':• \ : ;.:;Total /Payments : .:-- ... Balance),Due"\ . ,j~ ,Un11 s , / ?F e'e/-y'ri. 11' 00 00 10 00 Ext fee Data Enter "Y" for Plumbing Issue Fe£.-..Lj> -., iP .)' Gas Piping System . * PLUMBING TOTAL 2.50; / 7 50 Y 2 50 10 OU APPROVAL DATE 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 (sig) PERMIT TYPE | n COMMERCIAL QNEW Q TENANT IMPROVEMENT Q INDUSTRIAL QNEU QTENANT IMPROVEMENT GRESIDENTIAL DAPARTMENT ggcoNDO QSINGLE FAMILY DWELLING OADDITION/ALTERATION DDUPLEX DEMOLITION DRELOCATION OMOBILE HOME OELECTRICAL QMECHAWICAL QPOOL QSPA nRETA!NING WALL QSOI.AR PROJECT INFORMATION PLAN CHECK No EST VAL PLAN CK DEPOSIT_ VALID BY DATE FOR OFFICE USE ONLY Address/" /Nearest Cross Streets LEGAL DESCRIPTION Subdivision Name/Number CHECK BELOW IF SUBMITTED Energy Calcs Structural Calcs D? Soils Report Q 1 Addressed Envelope ASSESSOR'S PARCEL £ | 5" -JJQ 3 - 3*7 -p> g"EXISTING USE PROPOSED USE DESCRIPTION OF WORK BLOC SO FTG # OF STORIES 3 CONTACT PERSON ii/J\ NAME "I' CITY SIGNATURE ADDRESS STATE ZIP CODE DAY TELEPHONE APPLICANT 53CONTRACTOR PL-Um6iW4 | HEAT) Md DAGENT FOR CONTRACTOR NER GAGENT FOR OWNER „ . /TJI5S^/U <ZO£. <$C K-D CITY SAA)ED ZIP CODE DAY TELEPHONE 5 PROPERTY OWNER NAME CITY j^V ADDRESS ZIP CODE <3DTtoAJ GTENANT DAY TELEPHONE CITY STATED ZIP CODE <? ,3 I 5 O STATE L1C it LICENSE CLASS DAY TELEPHONE C? & ^ ~5-5 3 ( T / /<£>&£)CITY BUSINESS LIC # SIGNATURE / J^ DESIGNER NAME CITY ' 7 WORKERS' l/M _''/' ' COMPENSATION /V\j TiTLETK;6S(1D0U ADDRESS S 1 A 1 1 ZTJTDOE " 1 DATE ~f at I 7 cX 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 I EXPIRATION DATE Certificate of Exemption 1 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 8 OWNER-BUILDER DECLARATION Owner BuiLder Dec Iaration I hereby affirm that I am exempt from the Contractor's LI cense Law for the following reason [~] I as owner of the property or my employees with wages as tneir 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 rfriproves thereon,, and who does such work himself or through his own employees provided that such inprovements are not intended or offered for sale If however the building or improvement is sold within one year of complefon 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 70i4 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) 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 [$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 hazaraous materials registration form or risk management and prevention program under Sections 25505 25533 or 25534 of the Presley Tanner Hazardous Substance Account Act7 DYES Quo Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district"5 DYES QNO Is the facility to be constructed within 1 000 feet of the outer boundary of a school site7 IF ANY OF THE ANSWERS ARE YES A FINAL CERTIFICATE OF OCCUPANCY HAY 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 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(i) Civil Code) LENDER'S NAME LENDER'S ADDRESS 10 APPLICANT'S SIGNATURE t 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 [ 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 CUT OF CARLSBAD AGAINST ALL LIABILITIES JUDGMENTS, COSTS AND EXPENSES WHICH MAY 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 shall expire by limitation rind 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) APPLICANT'S SIGNATURE OWNER CONTRACTOR PHONE APPROVED BY DATE WHITE File YELLOW Applicant PINK Finance VtfSCHEPVUP #/2o /&3DATE "/ok^/^a< INSPECTOR PERMIT * PLANCK # JOB ADDRESS TIME ARRIVE: TIME LEAVE: CD LVL DESCRIPTION ACT COMMENTS""" ~\ , bp&vu PERMITS 6/1S/89