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Home My WebLink About2334 HOSP WAY; ; CB961782; Permit, P l I L [, I N G f t:. h '1 l ...., U:1/1"/,'lt .._(,:4/ p :1qc. ... (, .f 1 Job Aodtc'.::!:: 2.J 14 HO::,P wY ~, .. 1tH: Per m1 t Typ~: E ;,UMBING Pctrcel No: 16/-2$0 43 -uJ Lot#: Pt.trL, £\i<,: CB lo17~ Pro e~t. N~,: A ,U..!. 4 !)0ve:opment Nu: 9733 09/17/9e OOC1 01 O ::.-ffiM-', ,' Con-truction Typr,: VN Va h.ation · <)rc-upanc-y Gr our.,: R~ferFnce#: Srdtus: r~suE~ De..,c-r ipt ior.: R.EPA IR .::,EWF:.R LINE Apr,:1.iwnr : RE.:,CUE ROUTER ?8", S. MARSHALL BL CAJON, CSA. ~2JZO F'ee .. tH.yUlred F•.es. Adiu.:; .. ment...; 1<:t,l FP<>::;: I-ee de~criptior. Enter Y" for Pl 1mb· Ec1c.h Plumbing Fixtu A PLI IMBING TOTAL Applied: 09/17/90 Apr/Is.,ue: J9/l//J6 Er.tf•rE"<.l E y: M:">f 619 f:34-470(1 CITY OF CARLSBAD .nn • I) J ,7.lJJ Ext f t• :...:..tc1 , OVAL .t.G.O) y 7. P 0 27.' ) .uATE ___ , 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION PLAN CHECK NO. q (o City of C.rlsbed Buildi~ D-rtant l l!ST. VAL 2075 Las Pal-Dr., C.rlslal, CA 92009 (619) 438·1161 I. WWWI l'YPR PIAN CK DEPOSIT _______ _ VAIJD. BY __________ _ DATE From List I (see back) give axle of Permit-Type: ___________ _ For Residential Projects Only: From List 2 (see back) give Cooe of Structure-Type: ____________________ _ Net Loss/Gain of Dwelling Units 2. PRUJECr INFORMATION FOR OFFICE USE ONLY I' Address 2,. 3 3 ~ /10 &;P uJ ~ Buuding or Suite No. Nearest Cros.s Street I;;(._ c...A-,-r7 I Nl) /2...l:-?/ L UXAL D£sCRi1filON Lot No. Su&i1v1S1on Name/Number Omt No, Phase No. CHECK BEIDW IF SO BMI I I ED: □ 2 Energy Cales □ 2 Structural Cales IJ 2 Soils Report □ I Addressed Envelope ASSESSOB:S PARCEi rSTING USE DESCRIPTION OF WORK ~A,, t I'-$.e ,,./ .,.;--e.,_ PBOPPSF D USE SQ. IT. # OF STORIES # OF BEDROOMS # OF BATIIROOMS 3. WN IACI PiltSUN (II dlHerent from apphcanfj NAME (last name first) ADDRESS CITI STATE ZIP CODE DAY TELEPHONE 4. APPllCAN I □ WN i RAC I OR NAME (last name first) il'AGENI FORCONiRACIOR ADDRESS DOWNER 0 AGEN I FOR OWNER CITI STATE ZIP CODE DAY TELEPHONE S. PROPm l'Y OWNM Tift? f"'/q_::SCtJlT CO-ADDRESS '55'3 1::..7-./C.iN'l7//-S .L!>l...VD , NAME (last name first) -;1S STATE c.A ZIP CODE 1cJt.2--c./ DAY TELEPHONE t, 3 f) CITI e--vC-(AJ NAME(lastnamefin;t) eSC(j(: /Z()oT{;-Je ADDRESS 3f?5 ..S. mA/2-9-#A-L-1.- ~IIT £L c,A,y()/,_/ STATE CA-ZIP CODE '°!..:zo,;7l1>AYTELEPHONE STATE LIC. # 653 I ?OucENSE CLASS C ~ .3 &1 CITI BUSINESS LIC. # ast name 1rst CITI STATE ZIP CODE DAY TELEPHONE STATE LIC. # 7. WukkEkS' WMPF.NSAllON Workers1 Compensation beciarat1on: I hereby affirm that I have a certif1cate of consenc to seli-msure issued by the b1rec1or of lndustnal Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof cenified by the Director of the insurer thereof filed with the Building Inspection Depanment (Section 3800, Lab. C). INSURANCE COMPANY POLICY NO. EXPIRATION DATE Cert1hcace of Exempuon: I certify that m the performance of the work for which this pernllt 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-B0ilDrut bi:i!LARAliON □ □ □ Owner-Builder oeCJarauon: I hereby ainrm that I am exempt from the Confraclofs Ucense Law ior the iotlowmg reason: 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.). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Prof~ions Code: The Contractor's Llcense Law does not apply to an owner of property who builds or improves thereon, and contracts for such projeccs with contractor(s) licensed pursuant to the Contractor's License Law). I am exempt under Section _______ Business and Professions Code for this reason: (Sec. 7031.S Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to ics 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 lherefrom, and the basis for the alleged exempcion. Any violation of Section 7031.S by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [SS00J). SIGNATURE DATE tbMPLEtE tHtS S£tttON FOR NON-RESIDEN I IXL HDILOING PERMI l's ONLY: Is the applicant or future building occupant required to submit a businesi plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25S0S, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? □ YES □ NO Is the applicant or future building occupant required to obtain a pennit from the air pollution conlrol disaict or air quality management district? □YES □NO Is the facility to be constructed within 1,000 feet of the outer lx>undary of a .school site? □ YES □ NO IF ANY OF TIIE ANSWERS ARE YES, A FINAL CERTIFICATE OF ocx:tlPANCY MAY NUf BE ll?SlJEll AFrER JULY I, 1989 UNLESS TIIE APPLICANT HAS Mirr OR IS ME!mNG TIIE REQUIREMENTS OF TIIE OFFICE OF EMERGENCY SERVICES AND TIIE AIR POLLUTION CDNTROL DISl1UCT. 9. WNSIRUCIION LENDING AGENCY I hereby afhrm ihat ihere lS a construcuon lending agency tor ihe performance of the work for which this permit 1s 1SSued (Sec 3097(1) dvH Code}. I.ENDER'S NAME LENDER'S ADDRESS 10. APPUCAN I CFJtliFICAIION I certify that I have read the applicauon and state that the above mformat1on 1s correct. I agree to comply wuh all City ordmances and State laws relating co building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the alx>ve mentioned property for inspection purposes. I AlSO ACREE ID SAVE INDEMNIFY AND KEEP HARMLl!SS TIIE Cl1Y OP CARISBAD ACAINSI" AU. LIABIU11ES, JUDGMENTS, CDSTS AND EXPENSES WIIlCH MAY IN ANY WAY A(XlUJE AGAINST SAID Cl1Y IN CDNSEQUENCE OF TIIE GRANTING OP TIDS PERMIT. OSHA; An OSHA permit is required for excavations over S'O" deep and demolition or construction of structures over 3 stories in height. Expiration. Every permit issued by the Building cial under lhe provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such it is/l~Y'~"'J'nced within 365 days from the date of such permit or if the building or work aulhorized by such permit is suspended or aband at the work is commenced for a period of 180 days (Section 303(d) Uniform Building~~- APPLICAN1"S SIGNATURE DATE: 'Z::._(__ 7 "1 YEIJ.OW: Applicant PINK: Finance C, • PERMIT# CB961782 DESCRIPTION: REPAIR SEWER LINE TYPE: PLUM CITY OF CARLSBAD INSPECTION REQUEST FOR 09/19/96 STE: INSPECTOR AREA PLANCK# CB961782 OCC GRP CONSTR, TYPE VN LOT: JOB ADDRESS: 2334 HOSP WY APPLICANT: RESCUE ROOTER CONTRACTOR: PHONE: 619 634-4700 PHONE: OWNER: PHONE: REMARKS: MW/EMIL/PM IF POSSIBLE INSPECTOR SPECIAL INSTRUCT: GATE 4710 1ST GATE FROM ECR -M'----;&L---'--1----- TOTAL TIME: CD LVL DESCRIPTION ACT COMMENTS . I 1//IL qfo~ ~ tlv r --------Af--4-'--t ~-'----"'-----24 PL Rough/Topout ---------------------------------------- ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS