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HomeMy WebLinkAbout2025 CORTE QUINTA MAR; ; CB940489; Permito ,, T T n T M r PERMIT Permit No. CB940489BUILDING P E R M I i pro;]ect No A9400690 04/29/94 12 25 Development No ^Address: "202 5 CORTE QUINTA MAR Suite- W v,/-^ V, ;.. '.I _^ Permit Type. PLUMBING ,, -Parcel No- 215-160-14-00 ^ot* /aluation- ° Construction Type NEW ,, R^f(3T-ence# Status ISSUED Occupancy Group- Kererence Applied 04/29/94 Description- GAS REPAIR Apr/Issue- 04/29/94 : Entered By DC Appl/Ownr • ALBERT PLUMBING 619 431-5536 5933 SEA LION PLACE #1.06 — •• ... CARLSBAD, CA 92008, - .,.. " -. .., Fees Required **VXV>__^^ ______ *-- Total Cre'dits>, ' 00A . •,. oa ,Adjustments / ,00 , X-:; Total Payments':, \ -00 Total Fees. 27,00.^., - ^ V Balance' Due, .. \ 2700 Fee description / .^' / -^::-J:^^^ "•'20.00 Yi -.• , , ••••,. • . .. f ••-'•; < *• : ' ZV . UU Enter "Y" for Plumbing: Jssue Fee \ -..,j ^ --^y'ocr : 7 00 Gas Piping System | ' - -' • . /-."> sv• "o;f f /;^:;|, ' : 27 00 * PLUMBING TOTAL \ ' ,..:•/• ...,' ;//; ;, -y-' j! ( FIALAPPROVAL CLEARANCE CITY OF CARLSBAD 2075 Las Palmas Dr , Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION iF^/B City of Carlsbad Building Department WwI^ifrfrW2075 Las Pa 1 mas Dr.. Carlsbad, CA 92009 (619) 438-1161 ^ffj^r 1 PERMIT TYPE From List 1 (see back) give code of Permit-Type For Residential Proiects Only From List 2 (see back) give Code of Structure-Type Net Loss/Gam of Dwelling Units 2. PROJECT INFORMATION {—.Q^CjO ^-f~e>{ M^T'C ( $-50£\. Address — / /I , ./ A Building or Surte No , ,2.02.6 C-o/ir^~ Ci/i/ » fin^ /•vtf* *&j) (~t-^tS 15 &t v Nearest Cross Street j^M^gt&jLi/i £ 1 X^^.- 1*0 A en 1 LEGAL DESCRIPTION LotNo Subdivision Name/Number' PLAN CHECK NO. VT" '^ EST VAL PLAN CK DEPOSIT VALID BY DATE FOR OFFICE USE ONLY \OV5 e) Unit No Phase No CHECK BELOW If SUBMITTED D 2 Energy Calcs D 2 Structural Calcs D 2 Soils Report D 1 Addressed Envelope ASSESSOR'S PARCEL EXISTING USE PROPOSED USE DESCRIPTION OF WORK SQ FT 45 / # OF STORIES # OF BEDROOMS } t\ # OF BATHROOMS 3 GON1ALI HhlUJON (Tl clilterent irom applicant.) NAME (last name first) CITY STATE ADDRESS ZIP CODE DAY TELEPHONE 4 APPIJIJUMTU (JONTKACTUK NAME (last name first) CITY LJ AGENT KJR CONTRACTOR ADDRESS STATE ZIP CODE UOWNEK U AGENT I-'OR OWNER DAY TELEPHONE 5 PROPERTY OWNER NAME (last name first) CITY ' STATE C/\~ ADDRESS ZIP CODE DAY TELEPHONE - 111 I < 1 At ifl 6 CONTRACTOR NAM1 CITY^W^IS ^ ZIP CODE * Ift STATE LIC # DAY TELEPHONE CITY BUSINESS LIC # DESIGNER NAME (last name first) CITY STATE ADDRESS ZIP CODE DAY TELEPHONE STATE LIC # WORKERS^ COMPENSATION 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) - - f*INSURANCE COMPANY ?"/X.TC-. /- 1/ A«s*f POLICY NO EXPIRATION DATE _ _ Certiticate of Exemption (certify that in the performance ot the work lor 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 DATE 8 OWNER-BUILDER DF.CLARATION Owner-Builder Declaration 1 hereby attirm mat I am exempt trom the Contractors License Law tor the lollowing reason D 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 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 completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale ) D 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, 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 [S500]) 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 nsk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D 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 OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1, 1989 UNIP.SS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POIJ.UTION CONTROL DISTRICT 9 CUNbTKUd'ION IJiNDING AGENCY I hereby attirm that there is a construction lending agency tor the performance ot the work tor which this permit is issued (Sec 3097(i) Civil Code) LENDER'S NAME LENDER'S ADDRESS 10 APP1JLAN1 (-JtKIU'R.AllUN I ccrtily that 1 have read the application and state that the above information is correct T agree to comply with all City ordinances and State laws relating to building construction 1 hereby authonze 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, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY DM 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 permit is suspended or abandoned at any time after the.work istconfmgnced for a period of 180 days (Section 303(d) Uniform Building/Codi APPLICANT'S SIGNATURE /) /J /?./ j[ DATE "//t^-*-^! 'WHITE.YELLOW: Applicant PINK: Finance UNSCHEDULED INSPECTION DATE fj^yr INSPECTOR PERMIT » 9>V - ^T/ PLANCK # JOB ADDRESS ^ O ^ ^i CoS2-T** Q V/ juT^i TIME ARRIVE: TIME LEAVE: CD LVL DESCRIPTION ACT COMMENTS 2.5 M.