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Home My WebLink About2411 LA COSTA AVE; A; CB900318; Permit• B U I L D I N G 02/22/90· 12: 36 Page , 1 of 1 Job Address: 2411 LA COSTA Permit Type: PLUMBING Parcel No: c:2t!,,1.'.l40 55 3q Valuation: 0 AV ►(\ P E R M I T Str: Permit No: CB900318 Project No: A9000405 Development No: Fl: Ste: 3535 02/22/90 0001 01 O? tC , Construction Type: NEW Occupancy Group: Class Code: Status: ISSUED PERMIT FINALLED Applied 02/22/90 Description: GAS TEST LINE : 6/13/83 TO BE USED FOR FIREPLACE UNIT A Apr/Issue OWNER : SEYED-TAVAKOLI, SABIHE *** Fees Required *** *** Fees: Adjustments : Total Fees: Fee description 10.00 ,00 10,00 Enter "Y" for Plumbing Issue Fee Gas Piping System * PLUMBING TOTAL Validated By: DC Lie. 619 632-0666 Fees Collected & Credits *** Total Credits: Total Payments: Balance Due : Units Fee/Unit .00 .00 10.00 Ext fee Data 7.50 Y 2.50 10.00 CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 PERMIT APPLICATION ~ V City of Carlsbad Building Department EST. VAL·---------,::,,-"::__,...:_ 2075 las Pal mas Dr., Carlsbad, CA 92009 (619) 438-1161 PLAN CK DEPOSIT ___ -,,-~::::._.-____ _ 1. A B C PERMii-TYPE C~"'ERCIAL 0 INDUSTRIAL 0 RESIDENTIAL O APARTMENT QOUPLEX □DEMOLITION 0 HECHAl<I I CAL O POOL TENANT IMPROVEMENT Q TENANT IMPROVEMENT □CONDO □SINGLE FAMILY D\.IELLING □RELOCATION OH0BILE HOME □ELECTRICAL □SPA □RETAINING WALL □SOLAR □OTHER VALID. BY_-:;;,_~::...----________ _ DATE~-""___..::..._ ___________ _ , 2. PROJECT INFORMATION F LEGAL DESCRIPTION Lot No, Unit No. Phase No. CHECK BELOW IF SUBMITTED: D 2 Energy Cales 02 Structural Cales D 2 Soi ls Report D 1 Addressed Envelope ASSESSOR'S PARCEL EX! ST I NG USE PROPOSED USE 3. CONTACT PERSON 4. 6. 7. 8. NAME CITY SIGNATURE APPLICANT NAME 0 CONTRACTOR ADDRESS STATE ZIP CODE 0 AGHIT fOR CONTRACTOR ADDRESS STATE ZIP CODE ROPERTY OWNER o,NE DAY TELEPHONE OmmeR 0 AGHH FOR OWNER DAY TELEPHONE □LESSEE □mo'ANT S'h-~ 1 f,fE" 5 ~yt;;b -7A-.JM(,:,l.T CITY CA-RLS BA-i:> STATE C,4 ADDRESS Z!P COOE 'l,,f.f I I A--t-A-Co ,;719- t'} 2 c::>0 9 DAY TELEPHONE A-~ 63 2. -0 6" 6 "'-"1£f4 CONTRACTOR NAME Cl TY STATE STATE LIC. #" _____ _ ADDRESS ZIP CODE LICENSE CLASS _____ _ DAY TELEPHONE CITY BUSINESS LIC. # SIGNATURE TITLE DATE DESIGNER NAME CITY WORKERS' COMPENSATION STATE ADDRESS ZIP COOE DAY TELEPHONE STATE LIC. # Workers' CompensatiOf'I Deciarat1on: hereby affirm that have a certificate of corisent to self-insure issued by the Director of Industrial Relations, or a certificate of l.lorkers• Compensation Insurance by an actnitted 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 E11emption: I certify that in the performance of the work for 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. SIGNATURE DATE OWNER-BUILDER DECLARATION Owner-Builder Declaration: I hereby affirm that I am exempt from the Contractor's License Law for the following reason: DI as owner of the property or my employees with wages as their sole compensation, .iill 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 OOrden of proving that he did not build or improve for the purpose of sale.). D I, as owner of the property, am ellclusively 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 bui Ids or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). D I am e11empt 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, irrprove, 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, conmencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is ellempt therefrom, and the basis for the alleged e11emption. 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 NON-RESIDENTIAL BUILDING PERMITS ONLY: "774 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? □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 IF AH OF THE ANSWERS ARE TES, A FINAL CERTIFICATE OF OCQPANCY NAY NOT BE ISSUED AFTER JULY 1, 1969 UNLESS THE APPLICANT HAS MET OR IS MEETING THE RElilUIRENENTS Of THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 9. CONSTRUCTION LENDING AGENCY 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 APPLICANT'S SIGNATURE 10. I certify that ! have read the application and state that the above information is correct. I agree to comply with all City ordinances and State la.is relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE. INDEMNIFY ANO ICEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIABILITIES, Jl.OGMENTS, COSTS AND EXPENSES WHICH NAY IN ANY I.IAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. E11piration. 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 .iork authorized by such permit is not coomenced 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 .iork is COOlllenced for a period of 180 days (Section 303(d) Uniform Building Code). □ OIINER O CONTRACTOR □ BY PHONE APPROVED BY: _______ _ DATE: WHITE: File YELLOW: Applicant PINK: Finance . . ' PERMIT# r,a900318 DESCRIPTION: GAS TEST LINE ' 6/13/83 TO BE TYPE: PLUM CITY OF CARLSBAD INSPECTION REQUEST FOR 02/27/90 PERMIT FINALLED USED FOR FIREPLACE UNIT A INSPECTOR AREA TP PLANCK# CB900318 OCC GRP CONSTR. TYPE NEW JOB ADDRESS: 2411 LA COSTA AV APPLICANT: SEYID-TAVAKOLI, SABIHE PHONE: 619 PHONE: STR: FL: STE: 632-0666 CONTRACTOR: OWNER: SEYED-TAVAKOLI, SABIHE REMARKS: T3/MH/632/0666 SPECIAL INSTRUCT: TOTAL TIME: CD 23 LVL DESCRIPTION PL Gas/Test/Repairs INSPECTOR / PHONE: 619 632~66 --~-"""'"'+------- ACT COMMENTS £ ______ _ ------------------ DATE DESCRIPTION 022390 Gas/Test/Repairs ***** INSPECTION HISTORY***** ACT INSP CO TP COMMENTS NO PSI FOR TEST