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Home My WebLink About2306 BRYANT DR; ; CB972131; PermitBUILDING PERMIT Permit No: CB972131 07/31/97 14:22 Project No: A9702689 Development No: Page 1 of 1 Job Address: 2306 BRYANT DR Suite : Permit Type: PLUMBING I Parcel No: 212-102-13-00 Lot#: Valuation: 0 Construction Type: NEW Occupancy Group: Reference#: Status: ISSUED Description: GAS LINE REPAIR Applied: 07/31/97 Apr/Issue: 07/31/97 < ., I- .. .I.- ,, I , I Entered By: JM Appl/Ownr : HOOPER JOAN 760 931-0507 2306 BRYANT DRIVE CARLSBAD, CA 92008 *** Fees Required A** *** Adjustments: moo _-__------------_- Fees: Total Fees: .oo 27.00 Fee description Ext fee Data -_--------_-------- Enter "Y" for Plu 20.00 Y * PLUMBING TOTAL Gas Piping System 7.00 27.00 CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 'ERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1 161 FOR OFFICE USE ONLY PLAN CHECK NO. EST. VAL. Plan Ck. Deposit - 7/7&/) c Validated By ~ 7M _, Date Legal Description Lot No. Subdivision NamelNumbr Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use Description of Work SQ. FT. #of Stories # of Bedrooms # of Bathrooms CONTACT PEFISON (It dlffMnt k did1 Name Address City StatelZip Telephona # 7 (Sac. 7031.5 Business and Professions Coda: Any City or County which requires a permit to construct, altar, improve, demolish or repair any structura. prior to its issuance, also requiras the applicant for such parmit to file a signed statement that ha is licensed pursuant to the provisions of the Contractor's License Law IChapter 9, commending with Saction 7000 of Division 3 of the Business and Professions Code1 or that he is exampt 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 1$5001). Name Address City StateRip Telephone # State License # License Class City Business License X Designer Name Addrass City StatelZip Telephone State License # 6. WORKERS' COMPENSATION Workers' Compensation Declaration: I heraby affirm under pa 0 of the work for which this permit is issued. 0 issued. My worker's compensation insurence carrier and policy number are: Insurance Company Policy No. Expiration Date 0 CERTIFICATE OF EXEMPTION: I certify that in the performanca of the work for which this parrnk is issued, I shall not employ any person in eny manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to ..cure worlrm' compmutkn comago b unlawful. rrd .h.ll subject an employw to uimInaJ p.ndtk. and dvll Rnu up to me hmhd thousand dollars ($100.0001, in aWWon to tha coal of comp.nuti0n. damages a8 pr0vid.d for In s.Ctbn 3706 of tha labof cod., hwa8t md attomay's bot. SIGNATURE DATE I h r by affirm that I am exempt fro I have end will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for th performance I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performanca of the work for which this parmit is (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLIARS wioo1 OR LESS) 7. OWNER-BUILDER DECCLARATIO , as owner of the property or my employees with wages as their sola compensation, will do the work and the structure is not intended or offered for rale P (Sec. 7044, Business and Professions Code: The Contractor's Licansa Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employeas, provided that such improvamants ara not intended or offered for sale. If, however, the building or improvement is sold Jr I es owner of the property, am exclusively contracting with licensad contractors to construct the projact (Sac. 7044, Buainess and Profeasions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thareon, and contracts for such projects with contractor($) licensed pursuant to the Contractor's Licmaa Law). ithin one year of completion, the owner-builder will have the burden of proving that ha did not build or improve for the purpoae of rale). 0 1. 2. 3. 4. am exempt undar Section parsonally plan to provida the major labor and materials for construction of tha proposed proparty impmvamant. 0 YES ON0 (have I hava not1 signed an application for a building permit for the proposed work. Business and Professions Code for this reason: tha proposed construction (include name I address / phone numbar I contractors Iicam number): plan to provide portions of the work, but I have hiredha following person to coordinate, supeMse and provide tha major work (include name I address / phone number / contractors license mmbrl: 6. I will provide some of the work, but I have contracted (hired) the following parsons to provide the work indicated (indude name I address I phone number / type Is the applicant or future buildin program under Sections 25605, 25533 or 25534 of the Presl~-Tannw Hazardous Substance Account Act? Is the applicant or future bbilding occupant required to obtain a permit from tha air pollution control district or air quality managament district? Is the facility to be constructed within 1.000 feet of the outer boundary of a school rite? IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEWINO THE requirad to submit a busi , acutely hazardous materials registration form or risk management and prevention 0 YES 0 NO 0 YES 0 NO 0 YES 0 NO affirm that there is a construction landing ag LENDER'S NAME LENDER'S ADDRESS I certify that I have read the appli City ordinances and State laws relating to building conmuction. I heby wthafiza representatives of tha Cit) of Cadsbrd to enter won the above mentionad property for Inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AQAlNST AU LIABIUTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAlD CITY M CONSEOUENCE OF THE GRANTINQ OF THIS PERMIT. 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 Mficial under the Provisions of this Code ahall expire by limitation and become null and void if the building or work authorized by such p of such permit or if the building or work authorized by such parmit is suspended or abandoned at any time a action 106.4.4 Uniform Bulldlng Code). APPLICANT'S SIGNATURE DATE 7/3//? 7 APPUCANf ChliFlaTiOfi on is mect and that t SCFEDULED BUILDIN G INSPEm ON TIME ARRIVE: TIME CODE .. DESCRIPTION ACT COMMENTS I