HomeMy WebLinkAbout2300 FARADAY AVE; ; CB941262; PermitB U I L D I N G P E R M I T Permit No: CB941262
Project No: A9401805
Development No:
10/07/94 12:37
1 Page 1 of 1
Job Address: 2300 FARADAY AV Suite:
9007 10/07 /94 0001 01 02 Permit Type: PLUMBING
Parcel No: Lot#: C-PRMT 35-00
Valuation: 0
Construction Type: VN
Occupancy Group: Reference#: Status: ISSUED
Applied: 10/07/94
Apr/Issue: 10/07/94
Entered By: MDP
Description : UNDERGROUND PLUMING ONLY FOR
: 2300 AND 2308 FARADAY
Appl/Ownr : K.M.P. PLUMBING
435 S. CEDROS AVE
SOLANA BEACH, CA. 92075
*** Fees Required
Fees:
Adjustments:
Total Fees:
Fee description
Enter "Y" for Plumbing
Each Building Sewer * PLUMBING TOTAL
***
619 259-9300
Total Credits:
Total Payments:
Balance Due :
Units Fee/Unit
.00
.00
35.00
***
Ext fee Data
20.00 Y
15 .00
35.00
~l~~YAPPROV~~/ L,/ I
INSP. !:J!!!=--DATE !//.!J+-J-'
CLEARANCE -----1
CITY OF CARLSBAD
2075 Las Palrnas Dr., Carlsbad, CA 92()()() (619) 438-1161
PERMIT APPLICATION PLAN CHECK NO.
City of Carlsbad Building Department
2075 Las Palms Dr., carlsbad, CA 92009 (619) 438-1161 F.Sr.VAL:.._ __________ _
i. PERMl't TIPE
PLAN CK DEPOSIT ________ _
VAIJD.BY ___________ _
DATE
From List 1 (see back) give code of Permit-Type: -------------
---------------------------------------------------------
For Residential Projects Only: From List 2 (see back) give
Code of Structure-Type: ____________________ ~
Net Loss/Gain of Dwelling Units------------------
2. PRUJF.CT INFORMATION FOR OFFICE USE ONLY
Address '2 3 () l) FA-IT~ D ~ '( c.r, Building or Suite No.
nit o.
CHECK BEWW IF SOBMI I I Eb:
D 2 Energy Cales D 2 Structural Cales D 2 Soils Report D 1 Addressed Envelope
ASSESSOR'S PARCEL EXISTING USE PROPOSED USE
DESCRIPTION OF WORK
# OF BEDROOMS # OF BATHROOMS SQ. Fr. # OF STORIES
3. WN IACI PERSON (if different from applicant)
NAME (last name first) ADDRESS
CI1Y STATE ZIP CODE DAY TELEPHONE
4. :~~~:nam~k~s17,5;, ~~:~~~~ONio~gR O~~Elf 0~E~l1u6~ER ~
CITY STATE ?'4 ZIP CODE 9 Z c) ? jl)AY TELEPHONE 6
NAME (last name first) 0 ,v
CITY
f:,1.-(
STATE
ADDRESS
ZIP CODE DAY TELEPHONE
6. rnN'l1W:10R ADDRESS NAME (last name first) ,4 r /I;. . ("<;. r<-
CI1Y >Ci""~ sTATE ZIP CODE DAY TELEPHONE
CI1Y BUSINESS LIC. # STATE LIC. # ~IJ6 G 1.!IJ71 LICENSE Cl.ASS (, -Jb
DESIGNER NAME (last name first) ADDRESS
CI1Y STATE ZIP CODE DAY TELEPHONE STATE LIC. #
1. WOR.JCERs' CDMPENsA'tioR
Workers' Compensation Oeclarauon: I hereby all1rm that I have a ceruhcate of consent to self-insure issued by che 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, Lab. C).
POLICY NO. EXPIRATION DATE INSURANCE COMPANY Ceruhcate of Exemption: I cerufy chat in che performance of che work for which this permit 1s issued, I shall not employ any person many manner
so as to become subject to the Workers' Compensation Laws of California.
SIGNATURE DATE
8. oWNER-BOllDER OillARA110N
Owner-Builder Declaration: I hereby afhrm that I am exempt from the Contractor's Llcense Law for the following reason:
D 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 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.).
D 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 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).
D I am exempt 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, 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 Code)
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 [$500]).
SIGNATURE DATE
COMPLE IE THIS SEGDON FOR NoN-RESiDEN I IAt BOIWING PERMI l'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?
0 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?
DYES ONO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
0 YES ONO IF ANY OF THE ANSWERS ARE YFS, A FINAL CERTIFICATE OF CXDJPANCY MAY NOT BE~ AFfER JULY 1, 1989 UNLESS THE APPLICANT
HAS MET OR IS MEETING THE RF.QUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE Aill POU.UTION CDNTROL DISI'RICT.
9. OORSIROCl10N LENDlNG AGENCY
I hereby affirm chat there 1s a construction lending agency for che performance of the work for which chis permit 1s issued (Sec 3097(1) C1vtl Code).
LENDER'S NAME LENDER'S ADDRESS
10. XPPllCANl CERl1FICAIIOR
I certify chat l have read che application and state chat the above information 1s correct. I agree to comply w1ch 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. I ALSO AGREE 10 SAVE INDEMNIFY AND KEEP HARMLES.5 THE crIY OF CARISBAD AGAINST AU. UABIUl1F.S, JUDGMENTS, CDSfS
AND EXPENSES WlllCH MAY IN ANY WAY ACXltUE AGAINST SAID crIY IN CDNSEQUENCE OF THE GRANTING OF nos PER.MIT.
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 such 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 abandoned at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code).
APPLICANTS SIGNATURE DATE: ----
WHITE: File YEU..OW: Applicant PINK: Finance
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