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