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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 __, -