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HomeMy WebLinkAbout2330 BYRON PL; ; CB973721; PermitBUILDING PERMIT Permit No: CB973721 12/03/97 13: 30 Project No: A9704802 Page 1 of 1 Development No: Job Address: 2330 BYRON PL Suite: Parcel No: 212-143-14-00 Lot#: C-PRilT Permit Type: PLUMBING 15%4 OoOl 01 02 27.00 Valuation: 0 Construction Type: NEW Occupancy Group: Description: GAS LINE TO BBQ Applied: 12/03/97 Apr/Issue: 12/03/97 Reference#: Status: ISSUED Entered By: JM Appl/Ownr : PIPE PLUMBING 760 434-3067 4914 AVILA AVE CARLSBAD CA 92008 *** Fees Requi *** Adjustments: .oo Total Fees: .oo 27.00 ___-__--_--------------- ___--_---_--------------- Fees : Fee description Ext fee Data ------------------ Enter “Y” for P1 20.00 Y 7.00 27.00 Gas Piping Syste * PLUMBING TOTAL CITY OF CARLSBAD 2075 Las palmas Dr., Carlsbad, CA 92009 (619) 438-1161 -, * PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1 161 FOR OFFICE USE 0 LY PLAN CHECK NO. Y737-/ EST. VAL. Plan Ck. Deposit - Validated By J- date.<^ ,- t.5 1 1. PROJECT INFORMATION , ,-* Address (include 6ldgISuite #l Burimcr Nom In thio addf.ul Pl.wAt3 2330 Byvt01-I ?LAC6 mb Phase No. Total I of mts Lot No. SuWivirionNmn~ Unit No. Assessor's PaZel x UU Pnpowd use (Sec. 7031.5 Business and Professions Code: Any City or County which r.quk# a p.nnit to co(#tRIE1, attar, improve, domdbh or repair any structure, prior to Its issuance, also requires the applicant for such permit to Re a signed statelMnt that ha is licensed pmuCmnt to tha provialow of the Contractor's Lime Law [Chapter 9, commending with Soction 7000 of Division 3 of the Budrwrr end ROfWm Cod01 or that ha b exempt thardrom, and the hair tor the elaged exemptiD.. Any violation pf Sed-on 7031.5 by any applicant for a permit pbjOCt8 tha Dp@icant to a ciyil peMlfy of Mf mom than five hundred dollars 116001). State License X 8. WOWERS' COMPENSATION Compensation Declaration: I baby affirm under penalty of perjufy om of the fo#owinQ ddantionr: wf I have and will maintain e certificate of consent to self-Insure for wwkm' COmpm#tkn as providrd by Soctlon 3700 of the Labor Code, for the performance of the work for which this permit is issued. 0 I have and will maintain workers' compensation, IS required by Section 3700 of the Labor Cod., for the performance of the work for whkh thls permit is ier and policy number are: Insurance Company POIICYNO. 132/",L) 09 Expiratton Date 7- I I/% (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED WWRS l$l00J OR LESS) 0 CERTIFICATE OF EXEMPTION: I cortify that in tha pwformanca of tha work for whkh thio pormit is hd, I ahml not employ any person In any manner so as to become subject to the Workers' Compensation Laws of California. WARNINQ: FJIum to ucu. waLm'comp.nutkn cwy.0. b un(.wfur. md rhJl UbJwt n mmpbyuto ah*ul pondlha d dv(l fhes up to ana hundnd thousand SIGNATU I hereby affirm that I am exempt from the Contractor's License Law for tha fdowhg ream: 0 I, as owner of the property or my empfoyees with wagan es their sob compensation, will do the work and the nructun b not intended or ~ftmd for uk (Sac. 7044, Business and Rofessionr Cod.: The Contmctor's Liconse Law dm not app!y to an ownu of pmp.rty who bultda w improves thanon, and who doea such work himself or through his own om ploy^^. proW that such Improvements we not lntendod w offered for oale. If, howmvr, th. bulldlnp or Impmemom b sold within one year of completlon, the ownor-buildar WIN haw the burden of prOvin0 that ha did not build or Improve for tha purpose of ukl. 0 1, as owner of the property, am excldvdy contracting with lid contractors to construct tha project 1S.C. 7044, Buahnrr and Rof.ulonr Cod.: Tha Contractor's Limnae Law daw not apply to an ownor of property who builds or improves thanon, and contracts for such projects with contractorb) kmd pursuant to the Contractor's License Law). 7. OWNER-BUILDER wcmn 0 1. 2. 3. 4. am exempt under Sectlon Budrww nd ROfOdOl'tS cod. for -On: personally plan to provide tha major labor d mnniah for ronmvction of the propoad pop.rty imprommnt. 0 YES ON0 (have I have not) signed an application for a building permit for the propod work. have contracted with the following parson Ifirml to provide the proposed tonnntction ~lnch~J~ namo I addnu I phom numbor I contractors Hcmre number): plan to provide p0nI0~ pf tha work, but I have hired the following pwwn to coordinnr, supervise md provide the major work (Include name I lddnu I phone number I contractors license number): 5. of work): PROPERTY OWNER SIGNATURE DATE Is the applicant or future building occupant required to rubm program under Sactiom 25505,26633 or 25534 of the R.chy-Tanr#r Huardour subotance Aocount Act? Is the applicant or future building occupant required to obtain e pormit from tha .k pollution control dlstrict or ah qumV mamgemmt dhtrict? Is the facility to be constructed within 1 ,OOO feet of the outer boundary of a school &e? 0 YES 0 NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPUCANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMER !& ' CONhUCTiOM LEhDlNjd A&&m I hereby affirm that there Is a construction landing agency for the perfmace of tha work for whkh this pwmit Is issued (Sac. 3097(il Clvil Code). LENDERS NAME @. AWChJT I certify that I have read tha application and state that tha above Information Is correct Nld that tha Information on the plans Is accurate. I agree to comply with all City ordinances and State laws relating to building comtruction. I hereby authorize mpresontnives of the CW of Carlabad to enter upon the above rnentbnd property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST AU UABlLlllES, 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 6'0' deep end demolition or conmvch 'on of structures over 3 stories in height. EXPIRATION: Every permit issued by tha Building Official under the provbionr of thb Coda shall expke by Hmitatlon and become null end void if the building or work authorized by such permit is not commenced within 366 days from the date of such pormit or If the building or work authorized by such permit is swpmded or abandoned at any time aft APPLICANT'S SIGNATURE DATE I will provide aome of the work, but I have contracted (hired) the followhg pnron to provide the work Indlcatod lindudr nma I addross I pbrm nunkr I typo bamm ms SE-d FOR 0 YES 0 NO 0 YES 0 NO days (Section 106.4.4 Uniform Building Codel. OW Applicant PINK: Finance . CITY OF CARIBBAD INSPECTION REQUmT PEMIT# CB973721 FOR 12/08/97 INSPECTOR AREA RB DESCRIPTION: GAS LINE TO BBQ PLANCK# CB973721 TYPE: PLUM CONSTR. TYPE NEW JOB ADDRESS: 2330 BYRON PL STE: m: APPLICANT: PIPE PLUMBING PHONE: 760 434-3067 CONTRACTOR: OCC GRP PHONE: PHONE : INSPECTOR G- OWNER: REMARKS : C/RUTH/4 3 4 -3 067 SPECIAL INSTRUCT: TOTAL TIME: CD LVL DESCRIPTION 29 PL Final Plding ***** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP COMMENTS 120497 Underground/Under Floor APRB 120497 Gas/Test/Repairs APRB