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HomeMy WebLinkAbout2345 CAMINO VIDA ROBLE; ; CB900087; PermitBUILDING 01/22/90 12:29 Page 1 of 1 Job Address: 2345 CAMINO VIDA ROBLE Permit Type: PLUMBING Parcel No: Valuation: 0 Construction Type: NEW Occupancy Group: Class Description: NEW GAS LINE PREVIOUS ONE : WRONG SIZE PERMIT Str: Permit No: CB900087 Project No: A9000103 Development No: Fl: Ste: Code: WAS Status: ISSUED Applied : 01/22/90 Apr/Issue : Validated By: DC CONTRACTOR CLIMATE CONTROLS 1161 OPAL STREET SAN DIEOG, CA 92109 OWNER : MONTANO, EDDIE *** Fees Required *** *** Lie. C 353227 619 276-5424 Lie, Collected & Credits *** Fees: 10.00 Adjustments: .00 Total Fees: 10.00 Fee description .Total Credit^; Total Payments: Balanct© Due:- Units Fee/Unit . 00 .00 10.00 Ext fee Data Enter "Y" for Plumbing Issue Fee > Gas Piping System > * PLUMBING TOTAL 1.00 7.50 Y 2. 50 10.00 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 (619) 438-nei 1. PERMIT TYPE I "A - ncoMMERCIAL DNEW GTENANT IMPROVEMENT B - DINDUSTRIAL DNEU QTENANT IMPROVEMENT c - CJResiOENTiAL QAPARTMENT QCONDO OSINGLE FAMILY DUELLING []ADDiTioN/Akl'ERATioN D DUPLEX Q DEMOLITION nBELnCATION nMOBlLE HOME D ELECTRICAL HftuMBING QMECHANICAL npo°L ' QSPA QRETAINING WALL QSOLAR QOTHER. 2. PROJECT INFORMATION PLAN CHECK No. EST. VAL PLAN CK DEPOSIT — — ' """ VALID. BY J^—--" " DA»~^^ 7 FOR OFFICE USE ONLY BuiIding or Sui te No. Nearest cross Streets LEGAL DESCRIPTION Lot CHECK BELOW IF SUBMITTED: D2 Energy Calcs C ASSESSOR'S PARCEL DESCRIPTION Oh UOftk' -y— # $^-fj^i^iv- &«-<_-< ^3er-i*- . 8LDG. SO. FTG. No. Subdivision Name/Number \2 Structural Calcs \^\2 Soils Report J^^fU ( ' # OF STORIES Unit Wo. Phase No. [U 1 Addressed Envelope EXISTING USE PROPOSED USE -g /'\ 3. CONTACT PERSON ADDRESS ZIP CODE DAY TELEPHONE *^3 / ^ ^ ^ / 4. 5. 6. APPLICANT . ^CONTRACTOR NAME Cc-ifaw^, <P /(Jn**~-^ ClTY^j^,, ^^4-f^^ PROPERTY tJWNER NAME CITY MAHCO[aRACTOR c^-ft £ CITY^fe^v^ &**£*- Q] AGENT FOR STATED— OWNER STATE STATE Cf\^ CONTRACTOR ^QUNER* a ADDRESS J/Cff &^% '"*- ZIP CODE ^ 'P-/ {? 9 ADDRESS ZIP CODE ADDRESS//^/ *&*&*£ , ZIP CODE 9^/,^ 7 ^/ G AGENT FOR OWNER & . DAY TELEPHONE '^'~) £/ QLESSEE QTENANT DAY TELEPHONE DAY TELEPHONE? tPf*J O i rv^ *-v^Y STATE LIC. «LICENSE CLASS CITY BUSINESS LIC. # DAY TELEPHONE STATE LIC. # 7. WORKERS' COMPENSATION Uorkers' Compensation Declaration: 1 hereby affirm that I have a certificate of consent to self•insure issued by the Director of Industrial Relations, or a certificate of Workers' Ccxrpensation 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 J800, Lab. C). INSURANCE COMPANY POLICY NO.EXPIRATION DATE Certificate of Exemption: I cerp^ythat in the performance of the work for which this permit is issued, I shall not eirploy any person in any manner so as to become subject to the Uorkers' Compensation Laws of California. SIGNATURE 8.OWNER-BUILDER DECLARATIONnin-i\ uu j. t_m-i\ LJi_«^i-nnn i j.un Owner-Builder Declaration: I hereby affirm that I am exempt from the Contractor's License Law for the following reason; |~] I, as owner of the property, am exclusively contracting with licensed contractors to construct the project [Sec. 7QW, Business arid 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). I am exempt under Section Susiness 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, comnencing 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 [S500]). SIGNATURE DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS OWLY: 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 35505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? DTES GNO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district' DYES QNO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? DYES QNO IF ANT OF THE ANSWERS ARE TES, A FIMAL CERTIFICATE OF OCCUPANCY MAT HOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT. HAS HET OR IS MEETING THE RETIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AMD THE AIR POLLUTION CONTROL DISTRICT. 9. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(i) Civil Code). LENDER'S NAME LENDER'S ADDRESS 10. APPLICANT'S SIGNATURE ! certify that I have read the application and state that the above information is correct, ] agree to comply with all City ordinances and State laws relating to build-ng construction. I hereby authori;e representatives of the City of Carlsbad to enter upon the abovp mentioned property for inspection purposes. 1 ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH HAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. Expiration. Every permit issued by the Building Official under the provisions of this Code shall e«pire by limitation and become null and void if the building or work authorized by such permit is not commenced within 180 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). OUNER CONTRACTOR BY PHONE APPSOVED BY; DATE: WHITE: File YELLOW: Applicant PINK: Finance CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB900087 FOR 01/24/90 DESCRIPTION: NEW GAS LINE PREVIOUS ONE WAS WRONG SIZE TYPE: PLUM JOB ADDRESS:2345 CAMINO VIDA ROBLE APPLICANT: CONTRACTOR: OWNER: CLIMATE CONTROLS CLIMATE CONTROLS MONTANO, EDDIE REMARKS: Tl/MH/ED/276-5424 SPECIAL INSTRUCT: TOTAL TIME: —RELATED PERMITS—PERMITfl CB880419 CB880636 CB900014 CB900015 CB900081 TYPE MISC CTI MECH MECH PLUM PHONE: PHONE: PHONE: INSPECTOR AREA MC PLANCK# CB900087 OCC GRP CONSTR. TYPE NEW STR: FL: STE: 619 276-5424 619 276-5424 INSPECTOR CD LVL DESCRIPTION 23 PL Gas/Test/Repairs STATUS ISSUED ISSUED ISSUED ISSUED ISSUED ACT COMMENTS DATE DESCRIPTION ***** INSPECTION HISTORY ***** ACT INSP COMMENTS