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HomeMy WebLinkAbout20 GREENVIEW DR; ; CB901837; Permit, B U I L D I N G 11/20/90 14:24 Page 1 of 1 Job Address: 20 GREENVIEW Permit Type: PLUMBING Parcel No: 215-231-41-00 Valuation: O Construction Type: NEW DR P E R M I T Str: Permit No: CB901837 Project No: A9002097 Development No: Fl: Ste: 94 9 W20/90 0001 01 02 Occupancy Group: Class Code: Status: ISSUED 11/20/90 11/20/90 KZH Description: REPLACE GAS WATER HEATER Appl/Ownr : FIRE , THUNDER & LIGHTNING 3006 BARNETT AV SAN DIEGO, CA 92110 CONTRACTOR : FIRE, THUNDER & OWNER KAYE, MILDRED *** Fees Required '** Fees: Adjustments: Total Fees: Fee description Enter "Y" for Plumbing Issue Fee Each Water Heater and/or Vent * PLUMBING TOTAL Applied: Apr/Issue: Validated By: 619-283-0900 Total Payments: Balance Due: Credits .00 .00 10.00 *** Units Fee/Unit Ext fee Data 2 .50 7.50 Y 2 50 10.00 FINAL APPROV~ INSP.~ DATE I/, Z, tJ;t, CLEARANCE _______ , CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 PERMIT APPLICATION 4\ w City of Carlsbad Building Department EST. VAL. ______________ _ 2075 Las Palmas Dr ., Carlsbad, CA 92009 (619) 438-1161 PLAN CIC DEPOSIT, ___________ _ VALID. BT ______________ _ 1. PERMIT TYP DATE _______________ _ A COMMERCIAL TENANT IMPROVEMENT B O I NOUS TR I AL -Q NEIi Q,TENANT IMPROVEMENT C -~ESIOENTIAL •APARTMENT QCON0O QSJNGLE FAMILY DI/ELLING •DUPLEX •DEMOLITI ON ORELOCATl()lj QADDI TION/ALTERATl()lj QPLUMBING •MECHANICAL QPOOL QsPA 2. PROJECT INFORMATION Address l, ~ ~ {\_ ~ l,. N Nearest Cross Streets LEGAL DESCl!IPTION Lot No. Unit No. Phase No. CHECK BELOII IF SUBIIITTED: 0 2 Energy Cales 02 Structural Cales D 2 Soils Report D 1 Addressed Envelope ASSESSOR'S PARCEL EXISTING USE PROPOSED USE BLOG. SC. FTG. # OF STORIES 3. CONTACT PERSON NAME ADDRESS ZIP CODE 4. CITY SIGNATURE APPLICANT NAME C ::::.An" CITY \L STATE D CONTRACTOR D AGENT L .,_J ' ~'° \ \L STATE FOR CONTRACTOR ADDRESS ZIP CODE OOIINER DAY TELEPHONE 0 AGENT FOR OIINER DAY TELEPHONE 5. PROPERTY OWNEij NAME n'\ i \ oh -e c) \< °'-1 ./2 '1,..1.J G ~ ,,-. •LESSEE •TENANT ADDRESS \ l.. t-' l .... V \ {:_ ..J 't) (\ , 6. 7. CITY STATE CONTRACTOR NAME t ' (\ \l, '\ \\ \) tJ D ii\. CITY \. '\.., \ (., \\'\~) ,V ( STATE # '.\. \\ () 0 \::,1.,"l, STATE LIC. SIGNATURE k ~ DES I GNER NAME CITY STATE ZIP CODE C\ 1, (.) 0 ~ DAY TELEPHONE 1--3 ~ -l1DO ADDRESS ~t)C) ~ ~~l\.'t-1 \li\ A~i. ZIP CODE sl 0 LICENSE CLASS \ s ~ 5:- TITLE ~ L V M (3. V "-, ADDRESS ZIP CODE DAY TELEPHONE 1, i 1 _ () 9 O Q CITY BUSINESS LJC. # w C.,~7.)\ '1 <i{l ?. -o 1 om \ \ -1.. \J -) ~ DAY TELEPH()ljE STATE LJC. # WORKERS' COMPENSATION Workers' C0ff1)ensat1on Declaration: hereby aff1rm that I have a certlficate of consent to self·insure issued by the 01rector of Industrial Relations, or a certificate of IJorlc.ers• Con-pensation Insurance by an adnitted insurer, or an exact copy or duplicate thereof certified by the Director of the insurer thereof tiled with the Building Inspection Department (Section 3800, Lab. C). INSURANCE COMPANY POLICY NO. EXPIRATION DATE Certificate of Exeq:,tion: I certify that in the performance of the work. for which this permit is issued, I shall not eft1llOy any person in any manner so as to become subject to the \Jorkers• COCT1)ensation Laws of California. SIGNATURE DATE 8. OWNER-BUILDER DECLARATION Owner·Builder Declaration: J 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 errployees with wages as their sole c~nsation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor1s License Law does not apply to an owner of property who builds or i"1)roves thereon,, and who does such work himsel t or through his own employees, provided that such i°"rovements are not intended or offered tor sale. If, however, the building or improvement is sold within one year of COl'l1)letion, the owner·builder will have the burden of proving that he did not build or i"l)rove for the purpose of sale.). D I, as owner of the property, am exclusively contract ing 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 i"°"roves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). D I am exef1l)t under Section ___________ Business and Professions Code tor this reason: (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, i~rove, demolish, or repair any structure, prior to its issuance, al so 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, conmencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is exeq>t therefrom, and the basis for the alleged ex""1'tion. 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 [S500J). SIGNATURE DATE COMPLETE TH IS SECTJ()lj FOR NON-RESIDENTIAL BUI LDING PERMITS ONLY: Is the applicant or future building occupant required t o subnit 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? •YES Q NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? OvEs •No ls the facility to be constructed within 1,000 feet of the outer boundary of a school site? OvEs IF ANT Of THE ANS\IERS ARE YES, A FINAL CERTIFICATE Of OCaJPANCT MAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREIIENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POI.LUTION 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 3097(i) 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 i nformat 1 on is correct. I agree to comply with all City ord1 nances 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, Jl.OGMENTS, COSTS AND EXPENSES 1/HICH MAY IN ANT 1/AY ACCRUE AGAINST SAID CITY IN CONSEIIUENCE 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 or work authorized by such permit is not comnenced within 180 days from the date of such permit or if the building or work authorized by such permit or abandoned at any time after the work is coomenced for a period of 180 days (Section 303(d) Uniform Bui lding Code). the building is suspended ~T'S /Jt..,.p.~,,_... O OIINER O coNTRACTOR OBY PHONE APPROVED BY: -------~ DATE: WHITE: File YELLOW: Applicant PINK: Finance ' CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB901837 FOR 11/21/90 DESCRIPTION: REPLACE GAS WATER HEATER TYPE: PLUM JOB ADDRESS: 20 GREENVIEW DR APPLICANT: FIRE, THUNDER & LIGHTNING CONTRACTOR: FIRE, THUNDER & LIGHTNING OWNER: KAYE, MILDRED REMARKS: MH/MILDRED/438-1400 SPECIAL INSTRUCT: TOTAL TIME: PHONE: PHONE: PHONE: INSPECTOR AREA PY PLANCK# CB901837 OCC GRP CONSTR. TYPE NEW STR: FL: STE: 619-283-0900 CD 25 LVL DESCRIPTION ACT COMMENTS PL Water Heater/Vents 8£_ _____ _ -------------------------------------------------------- ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS