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HomeMy WebLinkAbout2043 MAR AZUL WAY; ; CB910562; Permit~ B U I L D I N G P E R M I T Permit Project Development No: CB910562 No: A9100661 03/28/91 12:34 Page 1 of 1 Job Address: 2043 MAR AZUL WY Permit Type: PLUMBING Parcel No: 215-130-12-00 Valuation: O Construction Type: NEW Occupancy Group: Description: GAS REPAIR Appl/Ownr : GEYER PLUMBING Class Code: 9528 MIRAMAR ROAD #125 SAN DIEGO, CA 92126 *** Fees Required Fees: Adjustments: Total Fees: Fee description Enter "Y" for Pl Gas Piping System j PLUMBING TOTAL **k 0 . { 0 Str: bl9 CITY OF CARLSBAD No: Fl: Ste: 1607 03/28/91 0001 01 C-MMT 10 Status: Applied: Apr/Issue: Validated By: 672-1282 ISSUED 03/28/91 03/28/91 DC Lected & Credits .00 .00 10.00 >: * * Ext fee Data 7.50 Y 2. C:,Q 10.00 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 PERMIT APPLICATION l!A. V City of Carlsbad Building Department EST. VAL. ______________ _ 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 1. A • C PERMIT TYPE COMMERCIAL D INDUSTRIAL □NEW 0 RESIDENTIAL O APARTMENT □DUPLEX □DEMOLITION □MECHANICAL □POOL PLAN CK DEPOSIT, ___________ _ VALID. BY, ______________ _ DATE _______________ _ TENANT IMPROVEMENT 0 TENANT IMPROVEMENT □CONDO □SINGLE FAMILY DWELLING OADDITl;!!liALTERATI0N □RELOCATION □MOBILE HOME □ELECTRICAL izjPLUMBING □SPA □RETAINING WALL □SOLAR OorHER Unit No. Phase No. CHE BELCM If SUBN ITTED: Q2 Energy Cales Oz Structural Cales D 2 Soi ls Report ASSESSOR IS PARCEL 01 Addressed Envelope EXISTING USE PROPOSED USE /i°~fo,'r y',-5' /..,'.. 'I" 3. 4. BLDG. SO. FTG. # OF STORIES CONTACT PERSON NAME CITY SIGNATURE APPLICANT NAME CITY 0 CONTRACTOR STATE ADDRESS ZIP CODE 0 AGENT FOR CONTRACTOR ADDRESS STATE O\JNER STATE ZIP CODE ADDRESS ZIP CODE DAY TELEPHONE 00',,'NfR 0 AGENT FOR OWNER DAY TELEPHONE QLESSEE QTENANT DAY TELEPHONE 6. CONTRACTOR.4/ , , NAMEq,?Jt...-rtv>-r111~ '7 ADDRESS ZIP COOE r,?r _..,,,,.r ,.,_,.____. /f,: °lt/,? s- 7. 8. CITY 5.., d fl,' q:£? (' f'L STATE 9 ;)-/? C DAY TELEPHONE /; 7) ~1 c? ?i'-;2. ~;~JC. • ~'/€,;.9' LICENSE CLASS ,-.YC Cl TY BUSINESS LIC. # Tl TLE ,F,::;, DATE ADDRESS CITY STATE ZIP CODE DAY TELEPHONE STATE LIC. # WORKERS' COMPENSATION Workers• Coq,ensation Declaration: hereby affirm that have a cert1f1cate of consent to self-insure issued by the Director of 1ndustr1al Relations, or a certificate of Workers' Coq,ensation Insurance by an adnitted 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). POLICY NO. )'t'P in the performance of the work or which Coopensati on Laws of California. EKPIRATJON DATE that l am exempt from the Contractor's License Law for the following reason: 0 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 eirployees, 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 bui Id or iffl)rove 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 l"IOt 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 J am exer1')t 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, al so requires the applicant for such permit to f i le a signed statement that he is licensed pursuant to the provisions of the contractor's License Law (Chapter 9, con,nencing with section 7000 of Division 3 of the Business and Professions Code) or that he is exer1')t therefrom, and the basis for the alleged exeirption. 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: Js 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-Tamer Hazardous Substance Account Act? □YES ONO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □YES 0NO Is the facility to be constructed "ithin 1,000 feet of the outer boundary of a school site? □YES 0,0 IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCOJPANCY NAY NOT IE ISSl£D AFTER JULY 1, 1989 UNLESS THE APPLICANT MAS IET Olt IS IEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES Ml> THE AIR POLLUTION 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}. LENOER'S NAME LENDER IS ADDRESS 10. APPLICANT'S SIGNATURE I 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 representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY Of CARLSBAD AGAINST ALL LIABILITIES, JlllGfllENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF HIE 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 the building or work authorized by such permit is not coomenced "ithin 180 days from the date of such permit or if the building or work authorized by such permit is suspended or ab oned at any time after the work is coomenced for a period of 180 days (Section 303(dJ Uniform Building Code). □ OWNER JilCONTRACTOR D BY PHONE APPROVED BY; ______ _ DATE: WHITE: File YELLOW: Applicant PINK: Finance ., • PERMIT# CB910562 DESCRIPTION: GAS REPAIR CITY OF CARLSBAD INSPECTION REQUEST FOR 04/03/91 INSPECTOR AREA TP PLANCK# CB910562 OCC GRP TYPE: PLUM JOB ADDRESS: 2043 MAR AZUL WY APPLICANT: GEYER PLUMBING CONTRACTOR: OWNER: REMARKS: MH/PREFERABLY 9:00 AM REINSP SPECIAL INSTRUCT: TOTAL TIME: CD 23 LVL DESCRIPTION PL Gas/Test/Repairs ------------------ ------------------ PHONE: 619 PHONE: CONSTR. TYPE NEW STR: FL: STE: 672-1282 PHONE: ~ INSPECTOR __ ._II-=~ I=_.)__,__ ___ _ ACT COMMENTS At.---------- ***** INSPECTION HISTORY***** DATE DESCRIPTION 032991 Gas/Test/Repairs ACT INSP CO TP COMMENTS