HomeMy WebLinkAbout20 GREENVIEW DR; ; CB901837; Permit,
B U I L D I N G
11/20/90 14:24
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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