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Home My WebLink About241 OLIVE AVE; ; CB941286; PermitB V I L D I N G P E R M I T 10/12/94 13:44 1 Page 1 of 1 Suite : Lot#: Permit No: CB941286 Project No: A9401854 Development No: 9082 10/12/94 0001 01 C-PRMT 02 27-00 Job Address: 24 1 OLIVE AV Permit Type : PLUMBING Parcel No: 206-092-03-00 Valuation: O Construction Type: VN Occupancy Group: Reference#: Status: ISSUED 10/12/94 10/12/94 MDP Description: GAS REPAIR Appl/Ownr : COAST PLUMBING *** 509 S. CEDROS AVE SOLANA BEACH, CA. 92075 Fees Required *** *'** 619 Applied: Apr/Issue: Entered By: 755-1888 Fees coilected & Credits *** -------------------------------------------- Fees: Adjustments: Total Fees : Fee description Enter "Y" for Plumbing Gas Piping System * PLUMBING TOTAL 27.00 .00 27.00 Total Credits: Total Payments: Balance Due: Units Fee/Unit 7.00 1NSP. +-1!1~- CLEAR CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 .00 .00 27 .00 Ext fee Data 20.00 Y 7 .00 27.00 • PERMIT APPLICATION ~ ~ PLAN CHECK NO. 1 L{_ - City of carlsbad Building Departlllent 2075 Las Pal-Dr., tarlsbad, CA 92009 (619) 438-1161 EST.VAL. __________ _ I. Ji£kMII IYP.R PIAN CK DEPOSIT. _______ _ VAIID. BY, __________ _ DATE From Llst l (see back) give code of Pennit-Type: ___________ _ --------------------------------------------------------- For Residential Projects Only: From Llst 2 (see back) give Code of Structure-Type: ____________________ _ Net Loss/Gain of Dwelling Units 2. PRarncr INFORMATION FOR OFFICE USE ONLY Address;? L{ ( {) / ,' ','CSif-AJt> Nearest Cross Street ."-y ~le·w Bu1idmg or Suite No. o. mt o. CHECK BEWW IF S0BMII IED: □ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ 1 Addressed Env pe i, SQ. FT. 3. WN IACI PERSON (tf dlHereni from apphcant) NAME (last.name first) # OF BEDROOMS # OF BA TllROOMS ADDRESS CI1Y DAY TELEPHONE NAME (last na e 1rst) CllY S, '"'"'"' <. ( STATE J!, ..17,..._. ADDRESS .:,'VC, S, G,,.)w,: ~ , z.. c 7:S-DAY TELEPHONE 7 .::,-") -/ S-8' I ZIP CODE NAME (last name first) ADDRESS .2 '-I, c> Ii ve__ s · CI1Y C,.,l i.,J ZIP CODE q p;£;,t5 DAY TELEPHONE 2-'i--8"1 3· NAME (last name first) CO ( tj: f-r1.-.-.b1n. .)';:.~ ADDRESS c;.. -. , .J .;)t-t I~ c""-«-> CI1Y STATE ZIP CODE DAY TELEPHONE STATE UC. #,?$0/ ZJ LICENSE CLASS C3G,, CI1Y BUSINESS UC. # DESIGNER NAME (last name fu-st) ADDRESS STATE ZIP CODE DAY TELEPHONE STATE UC.# CI1Y ~ ,. WukkERS' Workers' Compensation beclarat1on: I hereby afhrm that I have a certlilcate of consent to self-msure issued by the Director of lnduscnai 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 Departl)lent (Section 3800, Lab. C). J U..,(..,, 7-ifJ/-u ;~-Jb(;, -· INSURANCE COMPANY l POLICY ll'O. / . EXPIRATION DATE I <S I rtl 1cate o xempt1on: cert1 at m e pe ormance o e wor or w tc t 1s permit ts 1ssu , s a not emp o so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE 8. OWNFA-B0DDffi DPi!tARA'IIUN Owner-Builder Declaration: I hereby afhrm that I am exempt from the Contractors License law for the followmg 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. 70441 Business and Professions Code: The Contractor's Llcense 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 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 ________ 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 that he is licensed pursuant to the provisions of the Contractor's Llcense 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 COMPLEIE IHIS SECIION FOR NON-RESIDENliAL BUILDING PERMil'S ONLY: Is the applicant or future building occupant required to submit a business plan1 acutely hazardous materials registration fonn or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? □ YES □ NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □YES ONO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ YES □ NO IF ANY OF nm ANSWERS AREYES, A FINAL CERTIFICATE OF OCDJPANCYMAYNUf BE ~AFTER JULY 1, 1989 UNLESS nm APPLICANT HAS MITT OR IS MEIITING nm REQUIREMENTS OF nm OFFICE OF EMERGENCY SERVICES AND nm AIR POLLUTION CONTROL DISTIUCT. 9. wNSIKOCliUN IENDING XG£NCY I hereby afftrm that there 1s a construction lendmg agency for the performance of the work for which this permit 1s tsSued (Sec 3097(1} C1vH Code). LENDER'S NAME LENDER'S ADDRESS JO. APPllCAN I CFJ<IJFICAliUN I cerufy that I have read the apphcatton and state that the above mformauon 1s correct. I agree to comply wtih ail City ordmances 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 1U SAVE INDEMNIFY AND KEEP HARMLESS nm CI1Y OF CARISBAD AGAINST AIL LIABllJTlF.S, JUDGMENTS,= AND EXPENSES WHICH MAY IN ANY WAY A(x:Il\JE AGAINST SAID CI1Y IN CONSEQ\JENCI! OF nm GRANTING OF nus PERMIT. OSHA: An OSHA pennit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories 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 sue permit is not commenced within 365 days from the date of such pennit or if the building or work authorized by such permit is suspended or a ~yed~. an;tiD)e aflrthe w~ is commenced for a period of 180 days (Section 303(d) Uniform Buildin~z\~ APPLICANT'S SIGNATURE '4£,{p ~ / .e, lf'V/Ce, /ff · V I DATE: _./c,l.'l<fLl/-Lf<JCo/'-"-C, WHITE: F e YELLOW: App 1cant PINK: Fmance PERMIT# CB941286 DESCRIPTION: GAS REPAIR TYPE: PLUM JOB ADDRESS: 241 OLIVE APPLICANT: COAST PLUMBING CONTRACTOR: OWNER: REMARKS: MW/MIKE SPECIAL INSTRUCT: TOTAL TIME: CD 23 LVL DESCRIPTION PL Gas/Test/Repairs AV CITY OF CARLSBAD INSPECTION REQUEST FOR 10/14/94 STE: INSPECTOR AREA PLANCK# CB941286 OCC GRP CONSTR. TYPE VN LOT: PHONE: 619 755-1888 PHONE: PHONE: ,KsPECTOR c,{2 /L ACT COMMENTS l&f---------------------------------------- ------------------ ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS