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Home My WebLink About2359 PIO PICO DR; ; CB911697; PermitBUILDING PERMIT 12/17/91 Ob'51 Page 1 of i Job Address 2359 PIO PICO DR Srr. Permit Type- PLUMBING Parcel No 156-351-06-00 Valuation• 0 Construction Type• NEW Occupancy Group: Description: GAS REPAIR Permit No; CB911697, Pio'ject No; A9102182' Development No: ! Fl: Ste. 5629 32/17/91 0001 01 02 C-PRHT 10-00 Class Code Status- ISSUED Applied 12/17/91 Apr/ Issue 12/17/91; Vela dated By: DC \ Appl/Ownr . ROTHERMEL, PATRICIA 2359 PIO PICO DRIVE CARLSBAD, CA 920UG.- * <.-* Fees Required A A * •" 619 729' :-Collected & Credits Fees Adjustments • Total Fees: Fee description Enter- "y" for Plumbing Its sue Fe'e, Gas Piping System * PLUMBING TOTAL , Tota'l Payments. ',*// ? • —•* - . '' ''<• -* Balanc,e\ue • x ,* t *J * s 00 . 0 0 10 00 Ext lee Data 7.50 Y 2 50 10 00 INSP.fe APPROVAL _ DATE _ CLEARANC 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) 438-1161 I P1JIMITTYPE A - U Commercial U New Building D Tenant Improvement B - D Industnal D New Building L~3 Tenant Improvement C - P Residential D Apartment DCondo D Single Family Dwelling Q Addition/Alteration D Duplex D Demolition D Relocation D Mobile Home D Electncal D Plumbing D Mechanical D Pool D Spa D Retaining Wall D Solar D Other PLAN CHECK NO.f /-A EST VAL PLAN CK DEPOSIT, VALID BY DATE 2. PROJECT INFORMATION AUUrpss' «. Nearest Cross Street LEGAL DESCRIPTION Lot NO building or Suite NoPico 3)£Z^ Subdivision Name/Number FOR OFFICE USE ONLY Unit No Phase No D 2 Soils Report D 1 Addressed Envelope ASSESSOR'S PARCEL EXISTING USP PROPOSED USE DESCRIPTION OF WORK *"SQ FT Cs*-/<^.'S> # OF STOR]ES a UJNTALT PEHSUN [if dillerehTTrom applicant) NAME CITY STATE ADDRESS ZIP CODE 4 APPLICANT D CONTRACTOR U AGENT 1'OK UJN IKAC1OK NAME ADDRESS CITY STATE ZIP CODE 5 PROPERTY OWNIIR j^j)0^ -XSLJSSKM4* .XCITY STAIE 6 CONDUCTOR NAME CI IY STATF STA1T LIC # DESIGNER NAME CI fY STATE 7 WOHKliRS1 COMPENSATION Workers' Compensation Declaration 1 he ADDRESS ^2 ZIP CODE ADDRESS ZIP CODE LICENSE CLASS AULWESS ZIP CODE DAY TELEPHONE U OWN b!R U AtiL'NT FOR OWNfclR DAY TELEPHONE :e>r9 -pic P/CD iTp. • DAY TELEPHONE ~T2^ - SV-f^ DAY TELEPHONE CUT BUSINESS LIC # DAY TELEPHONE STATE LIC # :reby attirm that 1 have a cenihcate ot consent to sell -insure issued by the Director ot Industnal 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) INSURANCE COMPANY POLICY NO EXPIRATION DATE Certificate of Exemption I certify tnat in tne pertornidnce ot me work lor which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California DA reSIGNATURE OWNER-BUILDER IM3UAHAT1ON Owner-Builder Declaration Fhercby afTTrm that I am exempt from the Contractor's License Law for the following reason O 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 UcensC Uw docs 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 th.it he is licensed pursuant to the provisions of the Contractor's Ucense 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 COMPLETE THIS SECTION FoR NpN-UmibLN'liAL BUILDING 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? D YES n NO Is the applicant or future building occupant required to obtain a permit from the air polluuon control district or air quality management district? D YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES D NO IFANYOFTIffiANSWI^AREYE£AFrnALCLTlTmCJ\TEOFOOCUPA^ 1989 UNLESS TI IE APPLICANT IIAS MET OR IS MEETING THE REQ.UIREMT.Nre OF TI1E OFFICE OF EMERGENCY SERVICES AND THE AIB POLLUTION CONTROL DISTRICT CONSTRUCTION LLNDINC ACENCV r hereby aflTrmlhat there is a construction lending agency for the performance of the work lor which "in"Ts~perinit Ts Issued (Sec 3097ti) Civil Coclej LENDER'S NAME IFNDER'S ADDRCSS 10 APPLICANT ^ ^I certify thdt 1 have read the application and state that the above information is correct I agree to comply with 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 AISO AGREE TO SAVE INDEMNITY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT OSfIA An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stones 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 su/!h 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) y — ^ ^\, A /- /—-• r^A-nr 1 <? ~ ( "7 —*Q tAPPLICANTS SIGNATURE / i ^>- f y'l^T? -\ DATE 1 ^- ' ' ~s \ WHITE. File MELLOW: Applicant PINK; Finance DATE PERMIT JOB ADDRESS' UNSCHEDULED INSPECTIQ INSPECTOR PLANCK TIME ARRIVE:TIME LEAVE: CD LVL DESCRIPTION ACTr\ COMMENTS c/ f'J1^"-^-^^^--?