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Home My WebLink About2251 ALTISMA WAY; ; CB951392; Permit10/03/95 08:30 Page 1 of 1 Job Address: 2251 ALTISMA WY Permit Type : PLUMBING Parcel No: 215-240-10-01 Valuation: 0 Occupancy Group: Reference#: Description: REPAIR GAS LEAK AT 1 RISER BUILDING PERMIT Permit No: CB951392 Project No: A9502031 Development No: Suite : 3950 11?/0Z/'~fi ~f01 01 02 Lot#: C-..?#$T 27 "00 Construction Type: NEW Status: ISSUED : CASA DEL REY CONDOMINIUMS Apr/Issue: 10/03/95 Applied: 10/03/95 Appl/Ownr : BOYLE, MARVIN 619-758-5229 Entered By: RMA OCEANSIDE, CA 92057 4861 GLENHOLLOW CR *x* Fees Required ** ected & Credits "_""""""""""~ *** """"""""_""" Adjustments: Fees : Total Fees: .oo .oo 27.00 Ext fee Data 20.00 Y 7.00 27.00 Fee description Enter "Y I' for Plu Gas Piping System * PLUMBING TOTAL """"""""" ~"""""""" ' L 'LEARANCE I From list 1 (see back) give code of PUmit-Typ: For Residential Proiects Only: From list 2 (see back) sin ........................................................ Code Of StruCNIE-Wj FOR OFFICE USE ONLY SQ. FT. 4 #OFS113RIES Y OF BEDROOMS I Y OF BATHROOMS NAME (last name first) (11 amerent trom applicant) ADDRESS CIN STATE ZIP CODE DAY TELEPHONE NAME (last name lint) 00 y/q flu r-i 9 ADDRESS DAY TELEPHONE NAME (last name first) ADDRESS CIN STATE ZIP CODE DAY TELEPHONE STATE UC. X OR Workers' Compensauon lkclaratlon: I hereby allmn mat I have a cenlhcate at consent to sell-insure Issued by me Ulrector Ot lndustnal Relations, or a certificate of Workers' Compensation lnsuranrr by an admitted insurer, or an exact copy or duplicate thereof certified by the Director of the insurer thereof tiled with the Building Inspection Department (Seetion 3800, lab. C). 0 I, as owner of the property or my employea with wages as their sole cumpewtion, will do the work and the strucNre is not intended or uwna-UuMu OeCIprauon: 1 nereby atlirm mat I am exempt lrom me mntractors ucenx law tor the tollowing reason: offered for sale (Sec. 7044, Business and Professions Code: The Contractofs License Law doa not apply to an owner of property who builda or improves thereon, and who dm such work himself or through his own employea, provided that such improvements are not intended or offered for sale. If, howewr, the building or improwment is sold within one year of complerion, the ownu-builder will haw the burden of proving that he did not buiid or improve for the purpme 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 Contractofs License Law dm not apply to an owner of proprry who builda or improns thereon, and contracts for such projects with mntractor(s) licensed pursuant to the Contractofs License Law). 0 I am exempt under Section Business and Profasions code for this wn: (Sec. 7031.5 Business and Professions Code: Any City or County which requim a permit to construcC. alter, improve, demolish, of 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 Contractofs Lirrnse Law (Chapter 9, commencing with Section 7000 of Division 3 of the Businas and Professions Code) or that he is exempt therefrom, and the basii for the alleged exemption. Any violation of sccrion 7031.5 by any applicant for a permit subjects the applicant to a civil pmalty of not more than fiw hundred dolian [IsWl). SICNA'IIIRII MlZ Is the applicant or future building mupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 15505, 25533 or 25534 of the PrealepTanna Hazardous Substance Acmunt Act? Is the applicant or future building mu nl required to obtain a permit from the air pollution mnd disUla or air quality manngrment diukt? Is the facility to be constructed within 1,OOO feet of the outu boundary of I school dte7 IFANYWTHEANSWFRSAREYff.ARNAL~~~OPOOCUPANCY)IUYNOTBEISSUFD~JULYI.I989UNlPSSTHE~ M~ORIS~GTHERUlUlRPhIPClSOFTHEO~~OP&IWCPIOISERVKPSANDTHEAIRPOUllllONODKIRM.D~. DYES 0 NO OYFS $NO OYFS 0 NO uon lenalng agency tor me perlormanee 01 the worm tor Which mi prmlt u issued 1SCC 3W7W Owl -el. LENDER'S NAME LENDER'S ADDRESS m 1 certl that I have read the applicauon ana state mat me above intormauon IS correct. I agree to comply wlm a11 Oty ordlnances and State laws relatin!to building construction. I hereby authorize representati~ of the City of Carlsbad to enter upon the above mentioned property for inspection pu'po6er. IALSOACRPETOSAVEIND~ANDKFPPHARMLPSS~~OFCARISBADK;AIN~AU.IUBILIIIPS.JUDG~DosTr ANDMPWSISWHI~MAYMANYWAYKXaUEK;AINSTSAlD~INODNSEQUW(ZOFTHEGCRAHlPlCOF~~. CSliA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structurea over 3 stories in height Expiration. Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and bemme null and void if rhe building or work authorized by such permit is not commenced within 365 dayr from the date of such permit or if the building or work authorized by such permit is suspended or for a period of 180 daya (Section 303(d) Uniform Buildin Code) APPLICANTS SIGNATURE DATE: U$ 3 ' ?J' WHITE: File YELLW Applicant PINK: Finance WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self-insure for the performance of the work for which this permit is issued. A. workers' compensation as provided by section 3700 of the Labor Code, for I have and will maintain workers' compensation, as required by section 3700 issued. My workers' compensation insurance carrier and policy number are: B. of the Labor Code, for the performance of the work for which this Permit is INSURANCE COMPANY POLICY NO. EXPIRATION DATE: """"___"_"""""""""""""""""""""""""""""""""""""""""""""""""" (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) I certify that in the performance of the work for which this permit is issued, L I shall not employ any person in any manner so as to become subject to the C. workers compensation laws of California. Warning: Failure to secure workers' compensation coverage is unlawful, and shall be subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100.000). in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor Code, Interest and attorney's fees. March 3, 1995 2075 Las Palrnas Dr. - Carlsbad, CA 92009-1576 - (619) 438-1161 - FAX (619) 438-0894 @