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Home My WebLink About2279 LINDSAY DR; ; CB980725; PermitB U I L D I N G 03/10/98 11:20 Page 1 of 1 Job Address: 2279 LINDSAY DR Permit Type: .LUMB NC Parcel No: ~,~10 ,~aoJ Valuation: Ci P E R M I T Suite: Lot#: Permit No: CB980725 Proiect No: A9800953 Development No: 4839 03/10/98 0001 01 02 C-PRMT 27 .oo Construction Type: Occupancy Group: Reference#: Status: NEW ISSUED 03/10/98 03/10/98 JM Description: GAS LINE REPAIR-EMERGENCY Appl/Ownr : ARTHUR BROWN PLUMBING 2697 STATE STREET CARLSBAD CA 92008 *** Fees Required Fees: Adjustments: Total Fees: Fee description Enter "Y" for Plu Gas Piping System *** 760 Applied: Apr/Issue: Entered By: 729-4914 .00 .00 27 .00 20.00 Y 7.00 1 1 1 INSR CLEARANCE _____ _ CITY OF CARLSBAD 2075 Las Palrnas Dr., Carlsbad, CA 92009 (619) 438-1161 *** PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palm as Dr., Carlsbad CA 92009 (760) 438-1161 1. Legal Description Lot No. Assessor's Parcel I Existing UH Nim• Name &. CONTRACTOR. COMPANY NAME FOR OFFICE USE ONLY PLAN CHECK NO. 'ffJOU5 EST. VAL.-----~,....,-,--- Plan Ck. Deposit _..,.,,M:--'~:1...1:'.-'-'-~ Validated By Total I of units Propo11d Use I of Bathrooms State/Zip Telephone II Fax# State/Zip State/Zip (Sec. 7031.5 Business and Professions Code: Any City or County which requires• 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 fC pter 9, commending with Section 7000 of Division 3 of the Business and Profusions Code) or that he Is exempt therefrom, and the basis for the alleged Anv: iolation of Section 7031.5 by any applicant tor a permit subjects tha applicant to• civil panalty of not ore than five hundred dollars 1950011, ' ,,,,'5 y) ::.:: License I __ ,? __ '/_f:~')-</.~~-C} __ Designer Name Address City State/Zip Telephone State License I _________ _ 8. WORKERS' COMPENSATION -r"!n•. Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D I have and will maintain a certificate of consent to self-Insure tor workers' compensation as provided by Section 3700 of the Labor Code, tor the performance of the work for which this permit is issued. 'I -..JZ) I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit Is ~ed. My worker's compensa~i~ence carrier and~ number are: ·"2173 L// _ """\ 7'-"'/~ ~ Insurance Company ~ ll2. i':'{\, ,J1'l ] Polley No. L.._ _ Lt:J O ~ Expiration Dat•--~--~---...J-~ <J ITHIS SECTION NEEO NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNOREO DOLLARS lt100J OR LESSI O CERTIFICATE OF EXEMPTION: I certify that in the performance of tha work for which this permit is l11ued, I shall not employ any person in any manner so ■s to become subject 10 the Workers' Compensation Laws of Califomia. WARNING: FaUure to .. cure worken' compenNtlon coverage Is unlawful, and ahal aubject an employer to crtmlnal peneldes and clvll tines up to one hundred thou1end dollars C$100,0001, In llddlt6on to the cost of compenutlon, damages u provided for In Section 3708 of the Labor code, 1nt .. st and attorney'• tees. SIGNATURE____________________________ DATE ________ _ 7. OWNER-BUILDER DECLARATION •·• ,. '''.''·•"·'•i'•·••.:··,' ""' ••~n •·,., I hereby affirm that I am exempt from the Contractor's License Law tor the following reason: 0 I, as owner of the property or my employus with wages as their sole compensation, will do the WOik and the structure la not intended or offered for sale (Sec. 7044, Busineea end Profassiona Code: The Contractor's License Law don not apply to en owner of property who butlda or Improves thereon, and who does such work himself or through his own employees, provided that such Improvements are not Intended or offered tor Hie. If, however, the building or Improvement ls sold within one year of completion, the owner-builder win have the burden of proving that he did not build or Improve for the purpose of eele). O l, es owner of the property, am exclusiv~y contracting wtth licensed contractor• to construct the project (Sec. 7044, Buslneu end Proteutona Code: The Contractor's License Law does not apply to an owner of property who builds or Improves thereon, end contracts for such pro}ecta with contractor(s) licensed pursuant to the Contractor's Llcenee Law). O I am exempt under Section ______ Business and Professions Code tor this reason: 1 . I personally plan to provide thti major labor and materials for construction of the proposed property Improvement. 0 YES ONO 2, I (have / have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person ltirm) to provide the proposed construction (Include name / addrns / phone number / contractors license numberl: 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and p,ovtde the m■}or work (Include name / addrns / phone number I contractors license number): _____________________________________________ _ 6. I will provide some of the work, but I have contracted Chlred) the following peraons to provide the work Indicated Clndude name I addre11 / phone number/ type of work): _______________________________________________________ _ la the applicant or future building occupant required to submit • business plan, ecutety hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tenner Hazardous Substance Account Act? D YES O NO Is the applicant or future building occupant required to obtain a permit from the air pollution control dlstri.ct or air quality management distrlct7 0 YES O NO Is the facili,V to be constructed within 1,000 feet of the outer boundary of a school she7 D YES D NO IF ANY OF THE ANSWERS ARE YES. A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES ANO THE AIR POLlUTION CONTROL DISTRICT. ra. · coNsTRuCTioN· LEN01NO AGENCY --, ·. -, -··,v ,., ... • · :."'· • · ~--,:,-:-~ ;--~ ~-"'·,·.--:-~-~ot:r~'•:-'!,..,., ... ~, .. ,,. ,..,,., .._:~-_,.. ,-, ····•-.-""c-,.. .. , .. ,.,. .. ,, ••• , .. -, • I hereby affirm that there Is a construction tending agency for the performance of the work tor which this permit Is issued (Sec. 3097(1) Civil Code). LENDER'S ADDRESS, _______________________ _ I certify that I have read the application and state that the above Information is conect and that the Information on the plans Is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the Citt of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CfTY OF CARLSBAD AGAINST All LIABILITIES, JUDGMENTS. COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0"' dnp and demoHtlon 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 end become null and void it the building or work authorized by such permit is not co enced within 365 days from the date of such permit or If the building or work authorized by. such pa. rmit ir1'ausp nded or abandoned at any time after the wor commenced for a ri O days (Section 106.4.4 Uniform Building Code). -· / ?J ---O APPLICANT"S SIGNATURE --~~:.41:,:t;e::::_J.~~~~~===~~'.'.__________ DATE ---~ ___ f_ ' ___ 7_ t'. __ _ PINK: Finance UNSCHEDUT.ED BJITLDING INSPECTION INSPECTOR ~ DATE __ 3.._-~\Q.,__ __ PERMIT# 9?A'JJ1'£" PLAN CHECK# ----- JOB ADDRESS ai?,-79, b: J ,O':s J'v\,. · /)Ln,u42 \Js,~ DESCRIPTION ________________ ..... ~'ff'ft-.s~,.,..C-+'fc:....,_~ TIME ARRIVE:-----TIME ____ _ ~ '"1 '"'ct -l.\ C\ l I.\ CODE DESCRIPTION ACT COMMENTS d3 _______ ,tfi? ________ _