HomeMy WebLinkAbout2043 MAR AZUL WAY; ; CB951187; PermitB U I L D I N G P E R M I T Permit No: CB951187
ProJect No: A95U175 2
Development No:
08/,61/95 09: 27
Page 1 of 1
Job Address: 2043 MAR AZUL WY
Permit Type: PLUMBING
Parcel No: 215-130-12-00
Valuation: 0
Construction Type: NEW
Suite:
Lot#: 3439 08/31/95 0001 ,,.::.. (,'
C-f'r:~T ~'
Occupancy Group: Reference#: Status:
Applied:
ISSUED
08/31/95
08/31/95
RMA
Description: REPAIR OF GAS LINE-EXPLOSION
Appl/Ownr : FLOYD & HOWERTON
1269 GREENFIELD DR
EL CAJON, CA 92021
*** Fees Required ***
Apr/Issue:
Entered By:
619-444-3040
Fees Collected & Credits *** --------------------------------------------
Fees:
Adjustments:
Total Fees:
Fee description
27 .00
.00
"i.7. 00
Total Credits :
Total Payments:
Balance Due:
Units fee/Unit
.00
.00
27.00
Ext fee Data
---------------------------------------------------------------------------
Enter "Y" for Plumbing Issue Fee >
Gas Piping System >
* PLUMBING TOTAL
1 7. () ()
20.00 Y
7 .00
27.00
FINAL APPROVAL q,.
INSP. J;(/ ~ATE !sl-?'· ~
CLEARANCE l)_!lff'-,tt;u
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
P+ AfSPUCATION 4\ ~
PLAN CHECK NO. 5//07
City of carlsbed Building Departlllent
2075 Las PalES Dr., tarlsbed, CA 92009 (619) 438·1161
I. PFJlMli 1'YPE
From Lise l (see back) give code of Pennie-Type: ___________ _
For Residential Projects Only: From List 2 (see back) give
Ccx!e of Structure-Type: ____________________ _
Net Loss/Gain of Dwelling Units
2. PROJECT INFORMATION FOR OFFICE USE ONLY
Address .;? 0 4 3 Ma.r Az1.1. l /;Ja."
Nearest Cross Street · 1
Building or Suite No.
LEGAL DESCRIPI loN Lot No. Su6d.1vis1on Name/Number Omt No. Phase No.
CHECK BEIDW IF SOBMI 11 Eb:
□ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report D l Addressed Envelope
ASSESSOR'S FABCJ:'.J. ,il 16 I ..30 I ;;I._ EXIs-r;NG USE
DESCRIPTION OF WORK E'f..plo~ion -fe!;;,.f ff~;,, e.,
PROPQSED USE
SQ. Ff. # OF STORIES # OF BEDROOMS # OF BATHROOMS
3. WN IACI PERSON (JI d!Herent from applicant)
NAME (last.name first) ADDRESS
CllY STATE ZIP CODE DAY TELEPHONE
NAME (last name first)
CllY So..11..
l,.i-1-f/et';eld., ~t<--1,'"-e. ADDREss /;J../ Broa.d.wa_y 6-fe_, G,oo
STATE ZIP CODE JO I DAY TELEPHONE
l09d -i. How-ertol'\ ADDru:ss I cJ& 9 6r eel\.. f; e ld. Dr .
Cl1Y[/ &jo"'-STATE (!Ir ZIPCODE9c)<lDI DAYTELEPHONE{4,t9) '-/'-/l/•3090
STATE LIC. #,?-7'/f'84, LICENSE CLASSC,3(¢ CllY BUSINESS LIC. # /,il~~ I'-/
DESIGNER NAME (last name hrst) ADDRESS
CllY STATE ZIP CODE DAY TELEPHONE STATE LIC. #
7. WukkEilS' OOMPENSAIION
Workers' Compensation Oedarat1on: I hereby afhrm that I have a certificate of consent to self-msure issued by the Director of lndustnal
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, La.b. C).
D
D
D
ere ya mn a am exemp rom e w or e o owmg reason:
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 Llcense 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.).
I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions
Ccxle: 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).
I am exempt under Section _______ Business and Professions Ccxle 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 Ccxle)
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 [$5001).
SIGNATURE DATE
WMPLEIE IHIS SECIION FOR NON-RESIDEN IIAL BUIWING PEHMII's ONLY:
Is 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-Tanner Hazardous Substance Account Act?
□YES □NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
□YES ONO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school sire?
□ YES ONO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF CXx:1/PANCY MAY NOT BE ISSUED AFTER.JULY 1, 1989 UNLESS THE APPLICANT
HAS MET OR IS MElmNG THE REQUIREMl!NTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLl.lfTION ffiNTROL DISTRICT.
9. WNSIROCIION LHNDLNG R:MCV
I hereby afhrm that there ts a construcnon lendmg agency for the performance of the work for which thts pemut 1s issued (Sec 3097(1) C1vU Code).
LENDER'S NAME LENDER'S ADDRESS
10. APP1lCAN i CEkliFICAiiUN
I certify that I have read the apphcanon and state that the above mformat1on 1s correct. I agree to comply with all City ordmances and State laws
relating to building construction. I hereby authorize representatives of the City of c.arlsbad to enter upon the above mentioned property for inspection
purposes. I AlSO AGREE TO SAVI! INDEMNIFY AND KEEP HARMLl!SS THE Cl1Y OF CAlllSllAD AGAINST AIL LIABIIITIES, JIJDGMENTS, CDSfS
AND EXPENSES WHICH MAY IN ANY WAY Aall.UE AGAINST SAID Cl1Y IN mNSEQUENCE OF THE GRANTING OF nns PERMIT.
OSHA: An OSHA permit is required for excavations over 5'0" 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 s h 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 a n ned at a y time aft the wor s co ced for a period of 180 days (Section 303(d) Uniform Buil~Cod/lj
APPLICANT'S SIGNATURE DATE: 3/ S--
App icant PINK: Fmance
0