HomeMy WebLinkAbout2226 CAMEO RD; ; CB973527; PermitBUILDING PERMIT Permit No: CB973527
11/18/97 09:35 Project No: A9704570
Job Address: 2226 CAMEO RD Suite:
27-d Permit Type: PLUMBING
Parcel No: 167-080-29-00 Lot#: Valuation: 0 Construction Type: NEW Occupancy Group: Reference#: Status: ISSUED
Description: REPLACE GAS LINE TO POOL Applied: 11/18/97 Apr/Issue: 11/18/97
, Page 1 of 1 Development No:
leaf rr4q7
Entered By: RMA
Appl/Ownr : TROSTRUD, ARVILLE 760 729-4011
2226 CAMEO RD
.oo ,oo
27.00 Ext fee Data
CITY OF CARLSBAD
2075 Las palmas Dr., Carlsbad, CA 9209 (619) 438-1161
OR OFFICE USE ONLY
LAN CHECK NO. q7 35L7 PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad CA 92009
(760) 438-1 161
Asaeasor'a Parcel I mun Roeowd U-
Deacrtpeon of Work sa. n. #of slmm tofBe&~~m~ 1 of Bnhrooms
Name chv Telephone I
(Sec. 7031.6 Businear d Rofessiom Cod.: Any -or Caunty whkhnguk.r pumit to consWwX dtu, -, d.mdhh or fapmir my mructwe, prior to ita
, issuance, also reguirea the applicant for auch permit to fk a sigrted notentant tM he ia licemod plnum to the povirknr of the Contrector's Liconae Low
[Chapter 9. commending with Section 7000 of bivbion 3 of the BUrimrr ond Rohaiom cod.] or thet he b exempt thmtrom, ad the bosh for the rU.0.d exemption. Anv violation of Section 7031.6 by any appliUnt for a p.rmk Subjects the DpPlkOllt t0 dvil prruky Of not mar than flve hundred ddkn 1$6001).
Name AWrWS Citv stmotzip T-#
State Licenae # ti^. c1.rr CkyeuimrLiMN.1
Designer Name AddWSS Ckv Stot.Rip Tdephone
Stata License I
6. WORKERS'COMPENUTION
Work-' Compen8atmn Dedwmtion: I hamby aftwm undn
0
of the work for which thia permit is issued.
0 issued. My worker'a cornpensom muronca crmr ud policy wmbm an:
of wrivv m of th. fobwing d.drmionr:
I have and will maintain a certifute of Eon#n to Setf-insure for workers' 0s PrOVidd bv s.otkn 3700 Of the tabor Cod., for the perfomurea
I have and will maintatn workers' compmution, M mqIJir.d by Section 3700 of the labor codr, for the pufofmonco of the work for which thia permit Is
Insurance Company pdicy No. Date
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUND- DOLLARS 1$100) OR LESS1
0 CERTIFICATE OF EXEMPTION: I certify thmt m the performance of the wwlr for which this permit in bswd, 1 shall not employ eny person in my nwnrm u) aa
to become SubpCt to the Workers' Comp.nrrtm Lorn of COkfom*.
WARNING: F.#m to 8ocure workus' eomprutkn eomg. b UJmtrJ. md OINII wb@t I) -to aknN pwrltl.. md dv9 flnm up to on hundnd
thousand ddlur ~$100.000t. in ddwkn totha cost ol wmpmmth. dmnogn m P0vld.d torln 8.ctkr, 3700 oftha lrbaco6. lntrrr md
SIGNATURE
7. OWNERdUlLDER DECLARATION
I hereby affirm that I am exempt from the Comnctor's uar*. Low for the fd)orving rooson: )& 1, as owner of the property or my employm with wages ma thew rd. eom#nnmn, rvill do the work mdthe mucrum b not intmnied or offord for mle
(Sec. 7044, Bustmu and Profesa~onr Cod.: The Contnctor'r Li#rw Low doa not my to on owner of plo#rty who krydr or hnpmvos thereon, md rvho dow auch work Mmaelf or through hia own employwr, prwiad that such impraVmna ore not tntondd or oftrnd foc uk. If, homvw. the bulldlnp 01 hpmvmmt b
rdd withln one year of complethm, the 0wm.bUlldrr WIN hnn the budu~ of povkro thmt he dld not build or Improw for the pupon of wh).
0 I, ma owner of the prope~rtv. am mxcl~hnl~ contractiq with komed ~amnctan to conmuct the proira I-. 7044, lkrkwu ~d ~otomtom code: TIU Contractor's Ltcenae Low dou not mply to an owner of pop.Ry who builds or knproves thmon, md contmew for aueh proi.ctr wkh contmcmb) tkend
pursuant to the Contractor's ticmu Low).
0
1.
2.
3.
h.r.
DATE .. -.. .
I am exempt under sodon
I penonally plan to provide the mabr labor md nuhrirb for CollltNctiOn of the pop#.d pmprty lmpwmmt. 68 DNo
I (hove I have not) signed an applicrtim for e buUding lnmJt for the proposed work.
I have contrmctd with the fdtowing pmm Ifhl topovidr the ploD0l.d- Mdude Nnn I .db.rr I phon mmkr I cmtrmcton Yann nmkr):
lkJrwrrmd Rotadona code fathb ma8on:
4.
number / cOntnctOn license numb): I pkn to provide portions of the work, but I hova hirod the fatlo~ #nar to -, aupuuise nd prov#. the mjor uldudr rumo I .dbwr I phar
IphOrrnunkrIN#
la the applicant or future buil
progrem under Sectione 25505,25633 or 26634 of the Proshy-1- H.twdour Substonce Acoo~n Act?
Is the applicant or future building ocmqmnt rsquh.d to obuin a psrmtt from the rh pdlutkn cocltm) d)mtct or air why numpmrm d*ttict?
Is the facility to be cwtructrd within 1.OOO fnt of the outer bouduy of a school site? 0 YES 0 NO
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY MOT BE ISSUED UNLESS THE APPLJCANT HAS MET OR IS METINQ THE
REQUIREMENTS OF THE OFFICE OF EMERSNCY (IERVICLS AND THE AIR POLLUTION CONTROL DISTRICT. k. CONSTRUCTION LENDINQ AaEke
I hereby affirm that there la a construction lending .~mcy for the perfmm of the work for which thb permit b b#nd 1S.C. 3097(i) Civil Code).
0 YES 0 No
0 YES 0 NO
--q - . 'F- r-
LENDER'S NAME LENDER'S ADDRESS
[S. APPUCdiNt &RWICATiON -
I ceftify that I have reed the application and state &et the above lnfamutkn b comct md thot the lnformotbn on the plum ia acwmte. I agrw to comply with all
City ordinances and State lawa relating to building conmum 'on. I hueby .uu#rhe n~.lmmivos of the of C.rbbod to mer upon the dove mentioned propeny for inapection purpoaea. I ALSO AQWE TO SAVE, INDEMNIFY AND KEEP HARlllLEsS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AarUlYSt SAID ClTY M CONSEQUENCE OF THE QRANTlNQ OF THIS PERMIT.
OSHA An OSHA Permit ia required for exavationa over 5'0' deep nd demolilion or consmmion of muchn.r over 3 stork in height.
EXPIRATION: Every permit void if the building or
h permit is auapend.d
CITY OF CARLSBAD
INSPECTION REQUEST PERMIT# CB973527 FOR 11/24/97 INSPECTOR AREA
DESCRIPTION: REPLACE GAS LINE TO POOL PLANCK# CB973527
TYPE: PLUM CONSTR. TYPE NEW JOB ADDRESS: 2226 CAMEO RD STE : LOT: APPLICANT: TROSTRUD, ARVILLE PHONE: 760 729-4011 CONTRACTOR : PHONE :
OWNER: PHONE :
OCC GRP
REMARKS: c/ SPECIAL INSTRUCT:
TOTAL TIME:
CD
23
DATE
LVL DESCRIPTION
PL Gas/Test/Repairs
INSPECTORj' /5/'
***** INSPECTION HISTORY *****
DESCRIPTION ACT INSP COMMENTS