HomeMy WebLinkAbout2409 BURGOS CT; ; CB962286; Permit&
r/ BUILDING PERMIT Permit No: (33962286
11/27/96 16:37 Project No: A9603262
Page 1 of 1 Development No:
Permit Type: PLUMBING 1270 11/27/96 0001, 01. 02
Valuation: 0 Construction Type: NEW Occupancy Group: Reference#: Status: ISSUED Description: GAS LINE INSPECTION-REQ BY Applied: 11/27/96
: SDG&E TO RE-CONNECT GAS METER Apr/Issue: 11/27/96
'Job Address: 2409 BURGOS CT Suite: A
Parcel No: 216-240-36-00 Lot#: C-rnMf 27 goo
Entered By: RMA Appl/Ownr : MCLEAN, HELEN 619 436-5063
2409 BURGOS CT STE B
CARLSBAD CA 92009
*** Fees
Fees
Adjustments Total Fees
Fee descr
Enter "Y" f
Gas Piping * PLUMBING
------------
Required --------
,i pt i on
or Plumb
System
TOTAL
--------
.oo .oo
27.00
Ext fee Data
20.~0 Y
7.00
27.00
Ftw PPROVAL
moq,AD 2O35 Les Prbnrsi Dr., CMbd, CA 92oO9 (619) 438-1161
."..
r*AppllcAnoN
city of Culrbd hlildi 20?5 Lw klw Dr., dbd, CA 92OW W9) 430-1161
j. I.
8.
I Buiraing or Suite No.
1M No. Suiivision Name/Number Unit No. PhpK No.
_. CITY . WArn -mcoEn! ..I *'. , ,
IJ- u NAME Oast name first) ADDRESS
NAME (last name first) ADDRESS
*- ClTY QAY %&@€?#ION€
STATE LJC. #
UUlFNERiE--- MIXI
cm J STAT6 ZIP ux3E WY"FEfEPH0jQE I STATE LK. #
Workm' Compensauon Declaranon: I neRbj' atrirm mat I have a ceruticate ot mmnt to sett-insure issues by the uirector ot ~ndwuia~ Relations, or a certificate of Worken' Compensation lnsurana by an admi& insurer, or am emct copy or duplicate thereof anified by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C).
INsuRAliscEcQMPANy POLICY NO. EW@IATDN DATE ccrtlticate or uemptlon: I so as to become subject to thTohD Comgtion laws of California. that in the onnonceormeworkt or which tho pennlt IS tmted, I shall not emptoy any pers~~ in any manner
SIGNATURE DATE
a.1 a n: Ya am =pr tto m ~uacrors 14-w ror me I oimwmg reawn: 0 I, as owner of he pro& or my employee with wags as their sok compensation, will do the worlt and thelaucturr b not in- or dered for sale (Sac. 7011, Buoi~ar and FvofemiamcoBt: The Contractors Lkrnse Law docs not appty t6 an owner of prop~y who buildr or improves thereon, and who does such work himself or *rough his own employees, prwlkd that such improvements are not intended or offed for sale. If, howemr, the building or improvement is sold within one year of completion, the owner-builder will haw the burden of proving that he did not build or improve for the purpose of sale.).
Code: The Contractor's License Law daa nocapply roan ownerdpropmywho buildr or impraresthacon, and contrace for such pmjects with contractor(s) licensed pursuant to the Contractof$ License Law).
(Sec. 70315 BuSinar and Ptofcasions Code: Any City or County whkh nqttim a pennit to QxlstN6, olm, impcovr, dedi&, or rrpolr anystructun, prior to its irnwna, .Is0 rrquita the applicant for such permit toea dgndrntannt that he is ticcnsai pursuantmthe provisions of the Contractofs license Law (Chapter 9, commencing with Saction 7000 d Division 3 of tht Business and Professions C+) of Section 7031.S by any applicant for I permit
P Iamexemptunderscetion BuJini*r and Professions Codc for thi reason:
for the alleged exemption. moce than five hundd dol
bltgimadon farmorrwrmanrganntand ' ptwention program under secdons 25So5,25533 or 25534 of the Presley-Tanner Hazardous Substance rrefount Act?
DYES 0 NO parnit from thc air poUudon conad dkraiet or air quality ~~~a~ganart d-7
i'nerrq an I) Clnl c;ode). onnance ot tne WWK t or Whlch UI IS permit u Issued (set 3W7[ in mt mur o a comcuon lenflmg agency tor the pea
IJamERsNAME LENDEnsAWReEs -.
I VlPtIna fy omitwces am state iaws Hreaatnc applicamn e~ sraSEbt VK amve iat~troa IS ewrect. I
purposes. 1lusou;lunrmsAvEI"w ANDaEl!?HARLwpssTHl!ul7opcAw.IBADK;~Au,~.JuM;MEHIs,oDsIs
YW4UIrnU rex to building construction. I herety aurhorizc rcpmmtotiwr of the aty d
ANDEXPENSeSWHlMMAYMAHYWAYMCRUEK;AMSTSAlD~M~OP~CRAEFTMGOPTHlS~.
OSHA: An OSHA pennit is required for excamdons a~a5'0" deep and demolition or consmam * ofseucntnr over 3 Uoria in height.
to enter up% above menmwd for inspeaion
such pamit is suspended or %- APPLICANTS SIGNATURE
OWNER-BUttOER VEafflCAllON
Attention Property Owner:
An ‘owner-builder’ building permit has been applied for in your name ant bear .. rg your signature. I
1 Please complete and return this information at your earliest opportunity to avoid unnecessary delay in
processing and issuing your building permit. No building permit will be issued until this verification is
received.
1.
l
~ I personally plan to provide the major labor and materials for construction of the proposed property
improvement (yes or no)
2. I (havehave not) signed an application for a building permit for the
proposed work.
I have contracted with the following person (firm) to provide the proposed condruction: 3.
Name &/A /-
Address ,&& City
Phone Contractors License No.
4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise,
and provide the major work:
Name
Address City
Phone Contractors License No.
5. I will provide some of the work but I have contracted (hired) the following persons to provide the
wok indicated:
Name Address Phone Type of Work
Signed:
Property Owner
Date:
1.
2075 Las Palmas Drive Carlsbad, California 92009-1 576 - (61 9) 438-1 161 @