HomeMy WebLinkAbout1844 HIGH RIDGE AVE; ; CB930117; Permit•
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CITY OF CARLSBAD
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1020 02/01/93 0001 01 0.,
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APPROVAL
INS ··~---DATE t·zS-1/
CLEARANCE ____ _
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
PERMIT APPLICATION ~ V
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City of Carlsbad Building Department EST. VAL ______________ _ 2075 Las Palmas Dr., Carlsbad, CA 92009 (6191 438-1161
1.
A
PERM T TYPE
Cg,tMERCJAL
PLAN CK DEPOSIT ___________ _
VALID. BY ______________ _
DATE ______________ _
TENANT IMPROVEMENT
B,-0 INDUSTRIAL □TENANT IMPROVEMENT
C -□RESIDENTIAL □APARTMENT □CONDO ~SINGLE FAMILY DWELLING □ADDITION/ALTERATION
□DUPLEX □DEMOLITION □RELOCATION □MOBILE HOME □ELECTRICAL ~LUMBING
□MECHANICAL □POOL OSPA □RETAINING WALL □SOLAR □OTHER
2. PROJECT INFORMATION PLAN CHECK No. F
Add,m \ /./ H igA
Nearest Cross Streets
Alft. , Building or suite No.
LEGAL DESCRIPTION Lot No. sutxl; v1 s ion Name/Ni..ri>er unit No. Phase No.
3.
7.
8.
Envelo
PROPOSED USE
BLDG, S0. FTG. # OF STORIES
CONTACT PERSON
""' Wru'.wl. 4~ 17 bmbsaQ ,A ~DDRESS / 150 N tnwJ hafJ2 A ve_ .
m, El r~ sTATl--(1,1 ZIP coo, qzoco ,., TELEPHONE l/L/q-3-;rs2
FOR CONTRACTOR OowNER _ QAGENT FOR 0~ER
• ADDRESS 1150 N. m~~ ,., ve .
ZIP COOE Cf 2 0 2 DAY TELEPHONE L/l/q-3 2
STATE t,A ADDRESS / gt./L/ 1./,' f(]/J_ !fjiJt'/J. ve • □TENANT
ZIP COOE Q20 DAY TELEPHONE
ADDRESS , (!l) N rr,IJ..N) hJJ..QJ._ A ue
ZIP CODE C/20"<-C> DAY TELEPHONE LJL/9-3"(>2
CLASSC-36 CITY BUSINESS LIC. # t01lfl/OQ
DES I GNER NAME
CITY
WORKERS' COMPENSATI N
STATE
Tl TLE
ZIP COOE DAY TELEPIH)NE STATE LIC. #
workers' Coq:>ensat1on Dec aration: hereby affirm that have a cert1f1cate of consent to self-insure issued by the Director of Jnd.istr,al Relations,
or a certificate of Workers' Coq,ensat ion Insurance by an aalli t ted insurer, or an exact copy or dupl i cate thereof certified by the Di rector of the
insurer thereof filed with the B•ui lding Inspection Department (Sectio'.1 :lo&_,CCJJ1 ?iO OOOS
INSURANCE COMPANY POLICY NO. EXPIRATION DATE
which this permit is issued, I shalt not
SIGNATUR
owner-Builder Declaration: I hereby affirm that I am exempt from the contractor's License Law for the following reason:
D I as owner of the property or my employees with wages as the1 r 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 corrpletion, the owner-builder will have the burden of proving that he did not build or improve for the purpose
of sale.).
0 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, at so requires the applicant for such permit to file a signed statement that he is l i censed pursuant to the provisions of the
Contractor's License Law (Chapter 9, coo,nenci ng with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom,
and the basis for the alleged e11emption. 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 hazardous materials registration form or risk management and prevention
program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Accou,t Act?
OYES □NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
□YES □ND
Js the facility to be constructed within 1,000 feet of the outer boundary of a school site?
□YES
IF ANT OF TIE ANSWERS ARE TES, A FINAL CERTIFICATE OF OCCUPANCT MAT NOT BE ISSUED AFTER JULT 1, 1969 lllLESS THE APPLICANT HAS NET OR IS MEETING THE REQUIREMENTS
OF THE OFFICE OF Etl:RGENCT SERVICES AND Tiff AIR PCN.LUTICIN CONTROL DISTRICT.
9. CONSTRUCTION LENDING AGENCY
hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097Ci) Civil Code).
LENDER'S NAME LENDER'S ADDRESS
10. APPLICANT'S SIGNATURE
J 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 representatiYes of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO
AGREE TO SAYE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, Jl.OQIENTS, COSTS AND EXPENSES WHICH MAY IN ANY MAY ACCRUE AGAINST SAID
CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
Every permit issued by the Building Official under the provisions of this Code shall e11pire by limitation and become null and void if the building
rmit is not c011J11enced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended
aft r th work is COl!lllenced tor a period of 180 days (Section 303(d) Uniform Building Code).
□ OWNER ,P{CONTRACTOR □ BY PHONE APPROVED BY:
DATE:
WHITE: File YELLOW: Applicant PINK: Finance
PERMIT# CB930117
DESCRIPTION: REPLACE QEST
TYPE: PLUM
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 02/11/93
PIPE WITH COPPER
STE:
INSPECTOR AREA PD
PLANCK# CB930117
OCC GRP
CONSTR. TYPE NEW
LOT: JOB ADDRESS: 1844
APPLICANT: ANDERSON,
CONTRACTOR:
HIGH RIDGE AV
WALTER, PLUMBING PHONE: 619 449-3852
OWNER:
REMARKS: MH/LOUIE/449-3852
SPECIAL INSTRUCT: COPPER REPIPE NAILING
PHONE: ~)pf PHONE: _\
INSPECTO --~-H+""~------
TOTAL TIME: ,,,···
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ACT COMMENTS
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CD LVL DESCRIPTION
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***** INSPECTION HISTORY*****
DATE DESCRIPTION ACT INSP COMMENTS